{"id":30071,"date":"2017-05-17T18:11:29","date_gmt":"2017-05-17T17:11:29","guid":{"rendered":"http:\/\/blog.cofb.cat\/?p=30071"},"modified":"2017-05-17T18:11:29","modified_gmt":"2017-05-17T17:11:29","slug":"ortopedia-tallers-de-terapia-compressiva-ostomies-fabricacio-de-plantilles","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/ca\/2017\/05\/17\/ortopedia-tallers-de-terapia-compressiva-ostomies-fabricacio-de-plantilles\/","title":{"rendered":"Ortop\u00e8dia: tallers de ter\u00e0pia compressiva, ostomies i fabricaci\u00f3 de plantilles"},"content":{"rendered":"<p><span style=\"color: #888888;\"><div class=\"box shadow\"><\/span><b>Taller de ter\u00e0pia compressiva<\/b><\/p>\n[caption id=\"attachment_30083\" align=\"alignright\" width=\"356\"]<a href=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2017\/05\/terapia-compressiva-ortopedia-COFB.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\" wp-image-30083 \" title=\"Ortop\u00e8dia: tallers de ter\u00e0pia compressiva, ostomies i fabricaci\u00f3 de plantilles\" alt=\"terapia-compressiva-ortopedia-COFB\" src=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2017\/05\/terapia-compressiva-ortopedia-COFB.jpg\" width=\"356\" height=\"221\" \/><\/a> Natividad Vel\u00e1zquez, docent del taller de ter\u00e0pia compressiva[\/caption]\n<p>Les malalties venoses tenen diverses causes que moltes vegades responen a diversos factors de risc com debilitat cong\u00e8nita del teixit conjuntiu, sobrep\u00e8s, restrenyiment cr\u00f2nic, bipedestaci\u00f3 prolongada, t\u00f2xics alimentaris i canvis hormonals (embar\u00e0s, part i anticonceptius).<\/p>\n<p>Un cop comprovat que<strong> la combinaci\u00f3 d\u2019un estil de vida saludable i l\u2019\u00fas de mitges de compressi\u00f3 \u00e9s una forma b\u00e0sica del tractament de pacients amb problemes venosos que tamb\u00e9 pot retardar el progr\u00e9s de la malaltia venosa o evitar-la<\/strong>, el taller va facilitar els coneixements i les eines per incidir en la prevenci\u00f3 i aprofundir en el tractament amb ter\u00e0pia de compressi\u00f3.<\/p>\n<p>En alguns casos, els limfoedemes apareixen a conseq\u00fc\u00e8ncia de canvis patol\u00f2gics del sistema limf\u00e0tic o de la distribuci\u00f3 del greix i molts cops el problema no es detecta ni es tracta adequadament. Un defecte en el sistema limf\u00e0tic pot presentar-se sense motiu aparent (limfoedema primari) o b\u00e9 a conseq\u00fc\u00e8ncia d\u2019una operaci\u00f3, radiaci\u00f3, infecci\u00f3, lesi\u00f3 o creixement tumoral (limfoedema secundari). El limfoedema sense tractament o amb un tractament compressiu erroni pot tenir greus conseq\u00fc\u00e8ncies per a la salut.<\/p>\n<p>Objectius del taller que va tenir lloc al mar\u00e7 al COFB? Aprofundir en el coneixement de la ter\u00e0pia compressiva en patologia limf\u00e0tica i venosa en les diferents indicacions terap\u00e8utiques d\u2019acord amb les classes de compressi\u00f3, del limfedema i lipoedema i saber fer la presa de mesures per a les mitges est\u00e0ndard i les mitges de prevenci\u00f3 tromboemb\u00f2lica.<\/p>\n<p><b>Natividad Vel\u00e1zquez<\/b>, farmac\u00e8utica i t\u00e8cnica ortoprot\u00e8tica, va repassar el seg\u00fcent temari amb els alumnes: revisi\u00f3 anat\u00f2mica del sistema ven\u00f3s i limf\u00e0tic, ortop\u00e8dia est\u00e0ndard i mitges de compressi\u00f3, ter\u00e0pia compressiva i aplicaci\u00f3 en patologia venosa, i ter\u00e0pia compressiva i aplicaci\u00f3 en patologia limf\u00e0tica.<span style=\"color: #888888;\"><\/div><\/span><\/p>\n<p><b><div class=\"box shadow\">Taller d\u2019ostomies<\/b><\/p>\n[caption id=\"attachment_30082\" align=\"alignleft\" width=\"326\"]<a href=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2017\/05\/taller-ostomies-ortopedia-COFB1.jpg\"><img decoding=\"async\" class=\" wp-image-30082   \" title=\"Ortop\u00e8dia: tallers de ter\u00e0pia compressiva, ostomies i fabricaci\u00f3 de plantilles\" alt=\"taller-ostomies-ortopedia-COFB1\" src=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2017\/05\/taller-ostomies-ortopedia-COFB1.jpg\" width=\"326\" height=\"218\" \/><\/a> Teresa Poca, una de les dues docents del taller d&#8217;ostomies[\/caption]\n<p>Una<strong> ostomia \u00e9s una derivaci\u00f3 quir\u00fargica de l\u2019aparell digestiu o de l\u2019aparell urinari per eliminar els residus que l\u2019organisme genera per un lloc diferent del natural quan no \u00e9s possible fer-ho pel conducte normal<\/strong>. La persona que en porta una incorporada necessita un material espec\u00edfic per fer la cura di\u00e0ria de l\u2019estoma. Per proporcionar informaci\u00f3 sobre qu\u00e8 \u00e9s i com funciona una ostomia i donar a con\u00e8ixer el material espec\u00edfic per tenir cura de l\u2019estoma i els beneficis de la irrigaci\u00f3 per colostomia, el COFB va organitzar aquest taller al mes d\u2019abril.<\/p>\n<p>La formaci\u00f3 va permetre als alumnes con\u00e8ixer la classificaci\u00f3 de les ostomies, les causes m\u00e9s freq\u00fcents d\u2019una ostomia, el material necessari per fer la cura d\u2019una ostomia, les principals complicacions, la preparaci\u00f3 mec\u00e0nica del c\u00f2lon i els sistemes continents. El taller va ser te\u00f2ric i pr\u00e0ctic sobre irrigaci\u00f3 per colostomia i es van resoldre casos pr\u00e0ctics.<\/p>\n<p><b>Patricia L\u00f3pez<\/b>, coordinadora del Servei d\u2019Atenci\u00f3 d\u2019Infermeria de Hollister Ib\u00e9rica, SA, i <b>Teresa Poca<\/b>, infermera estomaterapeuta, supervisora de l\u2019Hospital de Barcelona, van ser les docents del curs.<b><\/div><\/b><\/p>\n<p><b><div class=\"box shadow\">Taller de fabricaci\u00f3 de plantilles<\/b><\/p>\n<p><a href=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2017\/05\/taller-plantilles-COFB-2.jpg\"><img decoding=\"async\" class=\"alignright  wp-image-30101\" title=\"Ortop\u00e8dia: tallers de ter\u00e0pia compressiva, ostomies i fabricaci\u00f3 de plantilles\" alt=\"taller-plantilles-COFB (2)\" src=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2017\/05\/taller-plantilles-COFB-2.jpg\" width=\"300\" height=\"238\" \/><\/a>En el \u00faltims anys, amb la incorporaci\u00f3 de noves tecnologies i materials, el disseny de suports plantars ha evolucionat. <strong>Les plantilles personalitzades permeten aconseguir una adaptabilitat exacta a l\u2019anatomia del peu de cada pacient en funci\u00f3 de les necessitats i la patologia que presenta<\/strong>.<\/p>\n<p>Al taller de fabricaci\u00f3 de plantilles que va tenir lloc a finals d\u2019abril, els alumnes van aprendre en la part te\u00f2rica a dissenyar plantilles d\u2019acord amb cada patologia, diferenciar els tipus de materials per a cada patologia, incorporar resines i fibres de carboni i con\u00e8ixer les diferents sistemes d\u2019obtenir les mesures. Es va complimentar amb una part pr\u00e0ctica que va tenir lloc a l\u2019<strong>Ortop\u00e8dia Esteve de Matar\u00f3<\/strong>. Els docents van ser els t\u00e8cnics ortopedistes<strong> Frederic Esteve<\/strong> i<strong> Joan Le\u00f3n<\/strong>.<\/p>\n<p>El taller es va plantejar per aconseguir un criteri \u00f2ptim per dissenyar i avaluar plantilles i con\u00e8ixer els diferents materials per adaptar la plantilla a les necessitats de cada pacient. Tamb\u00e9 per adquirir un criteri d\u2019expertesa per elaborar i avaluar plantilles, con\u00e8ixer els materials d\u2019\u00faltima generaci\u00f3 per perfeccionar l\u2019elaboraci\u00f3 i atendre qualsevol prescripci\u00f3 ortopodol\u00f2gica i fer un seguiment del tractament ort\u00e8sic del pacient i assessorar per millorar la comoditat i la salut del peu.<\/p>\n<p>La formaci\u00f3 estava <strong>adre\u00e7ada a farmac\u00e8utics que han cursat el postgrau o el m\u00e0ster d\u2019ortop\u00e8dia per a farmac\u00e8utics UB-COFB o tenien una altra formaci\u00f3 acreditada<\/strong> per obtenir l\u2019autoritzaci\u00f3 sanit\u00e0ria per fabricar o adaptar productes ortoprot\u00e8tics, fabricants de plantilles amb coneixement de les patologies del peu i interessats a aprofundir en les novetats aparegudes en els \u00faltims temps.<\/p>\n<p>Imatges del taller pr\u00e0ctic a l&#8217;Ortop\u00e8dia Esteve de Matar\u00f3 (cliqueu a les imatges per ampliar-les):<\/p>\n[gallery link=\"file\" ids=\"30103,30102,30126,30100,30125,30127\"]\n<p><b><\/div><\/b><\/p>\n<p><span style=\"color: #888888;\"><b>Els tres tallers van estar coordinats per Montserrat Giron\u00e8s, Vocal d\u2019Ortop\u00e8dia del COF de Barcelona.<\/b><\/span><\/p>\n<figure id=\"attachment_30080\" aria-describedby=\"caption-attachment-30080\" style=\"width: 347px\" class=\"wp-caption alignright\"><a href=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2017\/05\/montserrat-girones-ortopedia-COFB.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-30080  \" title=\"Ortop\u00e8dia: tallers de ter\u00e0pia compressiva, ostomies i fabricaci\u00f3 de plantilles\" alt=\"montserrat-girones-ortopedia-COFB\" src=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2017\/05\/montserrat-girones-ortopedia-COFB.jpg\" width=\"347\" height=\"232\" \/><\/a><figcaption id=\"caption-attachment-30080\" class=\"wp-caption-text\">Montserrat Giron\u00e9s, vocal d&#8217;Ortop\u00e8dia del COFB<\/figcaption><\/figure>\n<p style=\"text-align: left;\" align=\"right\"><b>Amb la col\u00b7laboraci\u00f3 de:<\/b><\/p>\n<p style=\"text-align: left;\" align=\"right\">Ter\u00e0pia compressiva<\/p>\n<p style=\"text-align: left;\" align=\"right\"><a href=\"https:\/\/www.mediespana.com\/\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-30079 alignleft\" alt=\"MEDI_BAYREUTH-logo\" src=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2017\/05\/MEDI_BAYREUTH-logo.jpg\" width=\"90\" height=\"91\" \/><\/a><\/p>\n<p style=\"text-align: left;\" align=\"right\">Ostomia<\/p>\n<p style=\"text-align: left;\" align=\"right\"><a href=\"https:\/\/www.hollister.com\/spain\/\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-30078 alignleft\" alt=\"HOLLISTER-logo\" src=\"http:\/\/blog.cofb.cat\/wp-content\/uploads\/2017\/05\/HOLLISTER-logo.jpg\" width=\"160\" height=\"48\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Els tres tallers van estar coordinats per Montserrat Giron\u00e8s, Vocal d\u2019Ortop\u00e8dia del COF de Barcelona. Amb la col\u00b7laboraci\u00f3 de: Ter\u00e0pia compressiva Ostomia<\/p>\n","protected":false},"author":1,"featured_media":30081,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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