All-around care for patients with Chagas disease: a challenge for the XXI century

Wilson de Oliveira1

  • 1Ambulatório de Doença de Chagas e Insuficiência Cardíaca, Pronto Socorro Cardiológico de Pernambuco, Hospital Universitário Oswaldo Cruz, Universidade de Pernambuco, Recife, PE, Brasil. woliveirajr@uol.com.br

Insights

The Oswaldo Cruz Hospital

Area of Science:

  • Tropical Medicine
  • Cardiology
  • Public Health

Background:

  • Chagas disease, a parasitic infection, significantly impacts patients' biological, psychological, and social well-being.
  • A biopsychosocial model of care is essential for comprehensive Chagas disease management.
  • The Oswaldo Cruz Hospital established a specialized Chagas Disease and Heart Failure Outpatient Clinic in 1987.

Purpose of the Study:

  • To describe the implementation and impact of a biopsychosocial model of care for Chagas disease patients.
  • To highlight the role of a multidisciplinary team and patient associations in holistic care.
  • To evaluate the long-term effectiveness of this integrated approach over 22 years.

Main Methods:

  • Adoption of a biopsychosocial model integrating biological, psychological, and social care aspects.
  • Formation of a multidisciplinary team committed to the care framework.
  • Collaboration with the Pernambuco Association of Chagas Disease Patients for patient advocacy and education.

Main Results:

  • The integrated care model positively impacts patient adherence to treatment.
  • Improved quality of life for patients receiving comprehensive, biopsychosocial support.
  • The model facilitates better-informed decisions by clinicians and policymakers.

Conclusions:

  • A biopsychosocial approach, supported by multidisciplinary teams and patient associations, enhances Chagas disease care.
  • Long-term application of this model improves patient outcomes and quality of life.
  • This integrated healthcare strategy offers valuable insights for managing chronic diseases.

Related Concept Videos

American Trypanosomiasis01:22

American Trypanosomiasis

Chagas disease, or American trypanosomiasis, is a vector-borne parasitic infection caused by Trypanosoma cruzi, a flagellated protozoan (kinetoplastid) of the family Trypanosomatidae. The disease is endemic in Latin America, although cases are increasingly reported worldwide due to human migration. Transmission most commonly occurs when feces of infected triatomine bugs contaminate bite wounds or mucosal surfaces; additional routes include congenital, transfusional, transplant-related, and oral...
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Leishmaniasis01:30

Leishmaniasis

Leishmaniasis is a protozoal disease caused by species of the genus Leishmania and transmitted through the bite of infected female sandflies. The parasite exists in two principal morphological forms during its life cycle. A sandfly acquires intracellular amastigotes from an infected reservoir host, such as a dog. Within the sandfly, these forms differentiate into motile, flagellated promastigotes. During a subsequent blood meal, promastigotes are injected into the human host, where they...
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Toxoplasmosis01:28

Toxoplasmosis

Toxoplasmosis, a zoonotic disease caused by the protozoan Toxoplasma gondii, poses significant public health challenges globally due to its high seroprevalence and varied clinical manifestations. As an obligate intracellular parasite, T. gondii can infect all warm-blooded vertebrates, but felids are its only definitive hosts, shedding unsporulated oocysts into the environment. Humans typically acquire the infection through ingestion of tissue cysts in undercooked meat or oocysts from...
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment: