{"id":1217,"date":"2026-05-20T18:00:00","date_gmt":"2026-05-20T21:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1217"},"modified":"2026-05-20T18:00:00","modified_gmt":"2026-05-20T21:00:00","slug":"pgrss-clinica-geriatria-avancada-alzheimer-demencia-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-clinica-geriatria-avancada-alzheimer-demencia-rss\/","title":{"rendered":"PGRSS geriatria avan\u00e7ada \u2014 Alzheimer e dem\u00eancia"},"content":{"rendered":"<h2>Por que geriatria avan\u00e7ada tem perfil espec\u00edfico<\/h2>\n<p>Centro de geriatria avan\u00e7ada (n\u00e3o-ILPI, atendimento cl\u00ednico) atende <strong>doen\u00e7a de Alzheimer (todos est\u00e1gios)<\/strong> + <strong>dem\u00eancia vascular<\/strong> + <strong>dem\u00eancia por corpos de Lewy<\/strong> + <strong>degenera\u00e7\u00e3o frontotemporal<\/strong> + <strong>avalia\u00e7\u00e3o cognitiva (MEEM, MoCA)<\/strong> + <strong>manejo de SBPSD (Sintomas Comportamentais e Psicol\u00f3gicos da Dem\u00eancia)<\/strong>. Combina <strong>medica\u00e7\u00e3o anti-Alzheimer (donepezila, rivastigmina, memantina)<\/strong> + <strong>antipsic\u00f3ticos at\u00edpicos (risperidona, quetiapina)<\/strong> + <strong>fralda geri\u00e1trica em pacientes com incontin\u00eancia avan\u00e7ada<\/strong> + <strong>eventual conten\u00e7\u00e3o mec\u00e2nica<\/strong>. Opera sob RDC 222 + Portaria 344 + Lei 10.741\/2003 (Estatuto do Idoso).<\/p>\n<h2>Tabela 5 fluxos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Frasco anti-Alzheimer\/antipsic\u00f3tico vencido<\/td>\n<td>B (controlado SNGPC)<\/td>\n<td>0,5-2 kg<\/td>\n<\/tr>\n<tr>\n<td>Fralda geri\u00e1trica com excreta paciente<\/td>\n<td>A1 baixa (ou A1 RA se Clostridium)<\/td>\n<td>5-15 kg<\/td>\n<\/tr>\n<tr>\n<td>Material avalia\u00e7\u00e3o cognitiva (papel + caneta descart\u00e1vel)<\/td>\n<td>D<\/td>\n<td>0,5-1,5 kg<\/td>\n<\/tr>\n<tr>\n<td>Material exame f\u00edsico (luva, abaixador)<\/td>\n<td>A1 baixa<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Material conten\u00e7\u00e3o mec\u00e2nica descart\u00e1vel<\/td>\n<td>A1 baixa<\/td>\n<td>0,3-1 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>7-22 kg\/m\u00eas<\/strong>.<\/p>\n<h2>Cap\u00edtulo Clostridium difficile<\/h2>\n<p>Idoso institucionalizado tem alto risco de infec\u00e7\u00e3o por Clostridium difficile (diarreia + colite pseudomembranosa):<\/p>\n<ul>\n<li>Fralda com fezes Clostridium = <strong>A1 risco aumentado<\/strong> (n\u00e3o \u00e9 A1 baixa)<\/li>\n<li>Saco branco leitoso duplo (resist\u00eancia ao esporo bacteriano)<\/li>\n<li>EPI completo: luva nitr\u00edlica + m\u00e1scara cir\u00fargica + avental imperme\u00e1vel + \u00f3culos<\/li>\n<li>Ambiente isolado (precau\u00e7\u00e3o de contato)<\/li>\n<li>Notifica\u00e7\u00e3o SINAN se surto institucional<\/li>\n<li>Coletora especializada com manifesto MTR espec\u00edfico<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio geri\u00e1trico ambulatorial:<\/strong> R$ 130-280\/m\u00eas. Setup R$ 2-4k.<\/p>\n<p><strong>Perfil 2 \u2014 Centro de mem\u00f3ria + dem\u00eancia:<\/strong> R$ 280-580\/m\u00eas. Setup R$ 4-10k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado (multi-modal + reabilita\u00e7\u00e3o cognitiva + conten\u00e7\u00e3o):<\/strong> R$ 580-1300\/m\u00eas. Setup R$ 10-22k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Frasco donepezila vencido na pia \u2014 controlado Portaria 344 + Grupo B<\/li>\n<li>Fralda Clostridium no Grupo A1 simples \u2014 exige RA + duplo<\/li>\n<li>Sem capacita\u00e7\u00e3o NR-32 espec\u00edfica para SBPSD (agita\u00e7\u00e3o + agressividade)<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cl\u00ednica geriatria avan\u00e7ada<\/a><\/strong> \u2014 cap\u00edtulo Clostridium + anti-Alzheimer + SBPSD.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de cl\u00ednica geriatria avan\u00e7ada: Alzheimer, dem\u00eancia, conten\u00e7\u00e3o, fralda geri\u00e1trica, anti-Alzheimer.<\/p>\n","protected":false},"author":3,"featured_media":1216,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2152,1947,1389,22],"class_list":["post-1217","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-alzheimer","tag-demencia","tag-geriatria","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1217","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1217"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1217\/revisions"}],"predecessor-version":[{"id":3851,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1217\/revisions\/3851"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1216"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1217"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1217"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}