12 research outputs found
Continuous education in intensive care unit-icu: literature review
Background: Continuing education is a dynamic process of teaching and learning, active and permanent intended to update and improve the training of
people. This study aimed to review the existing literature about the importance of continuing education in the intensive care unit-ICU, an also
to reveal the year of published articles, authors and states in which they were published.
Online) and BDENF (the Database of Nursing), with the descriptors Decs “continuous education”, “intensive care unit”, “nursing”, “permanent education.”
It established as criteria of inclusion the articles published nationwide in the period from 2000 to 2011, with a sample collection of 21 articles. :
2006 (19.04%), and the majority of researchers (46.66%) with a PhD in nursing. It also revealed that the largest number of articles published about the
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that the state of São Paulo is a reference to the area in terms of academic life and health. . Additionally, it was found that the intensive care unit is a scenario
: It is
intensive care unit
Clinical epidemiological profile and the main diagnostic labels nursing to hospitalized patients with stroke in a large hospital in the south of the Legal Amazônia region
Introduction: Cerebrovascular Accident (CVA) is a disease
that leaves to the patient some important neurological deficits
interfering in maintaining the health and quality of life,
therefore it becomes essential identify the epidemiological
clinical profile of stroke patients with order to develop nursing
actions in a systematic way. Objective: The objectives were
identify and analyze the epidemiological clinical profile of
patients admitted with a stroke diagnosis in the Intensive
Care Unit (ICU) of a large hospital and propose nursing
diagnoses labels. Material and Methods: This is a
descriptive, cross-sectional and retrospective study with a
quantitative approach, the sample was 73 (100%) records of
patients with a diagnosis of stroke admitted to the ICU.
Results: The most of patients were female 52.1% (38) and
69% (51) of the total sample studied lived in the urban area.
The Ischemic Stroke achieved significant prevalence of 63%
(46) compared to 32.9% hemorrhagic stroke (24), and 4.1%
(3) of the patients were diagnosed with both types of stroke.
The analysis found that 87.7% (64) of the patients had
hypertension, 30.2% (22) of the patients had diabetes
mellitus. Clinical manifestations and consequences presented
by the most prevalent patients were 38.4% (28) for
hemiplegia, motor aphasia 31.5 % (23) and 21.6% (16)
developed memory loss. Conclusion: It was concluded that
most patients were female and lived in the urban area with a
mean age of 69.1 years. The main proposed nursing
diagnoses labels were impaired physical mobility, impaired
swallowing, imbalanced nutrition: less than body
requirements, and the profile found shows the importance of
the multidisciplinary team performance, enabling the creation
and implementation of strategies to improvements in care to
stroke patients
Cuidados imediatos e mediatos prestados ao recém-nascido em uma maternidade de um município da Amazônia legal
O período neonatal é marcado por vulnerabilidades aos recém-nascidos, que estão expostos a riscos biológicos, ambientais, socioeconômicos e culturais. Também é nesse momento que os recém-nascidos precisam se adaptar a fase de transição do meio intra para o extrauterino, onde inicialmente estavam num ambiente de aconchego, de temperatura e luminosidade constantes, com ruídos suaves, para um que necessita de esforço para realizar as funções vitais. Trata-se de uma pesquisa de campo de caráter descritivo, do tipo observacional e documental com abordagem quali-quantitativa e característica transversal, com fins de descrever os cuidados imediatos e mediatos prestados aos RNs sadios a termo em uma maternidade da Amazônia Legal. A coleta de dados ocorreu por meio da observação sistemática não participativa da assistência prestada ao recém-nascido pela equipe multiprofissional do período expulsivo e posteriormente à chegada ao alojamento conjunto por meio de um check-list facilitador e consultas a partir dos prontuários dos recém-nascidos. Durante o período de realização da pesquisa na maternidade ocorreram 156 partos, sendo 123 partos cesários (78,84%) incluindo 2 partos gemelares e 33 partos vaginais (21,15%). Após os critérios de exclusão, foram observados a assistência de 39 recém-nascidos, com predominância do parto tipo cesário conforme a Tabela 1. Verificou-se que na maioria dos casos, a equipe multiprofissional executou os cuidados em conformidade com as diretrizes estabelecidas, garantindo a qualidade e segurança, evidenciando avanços positivos nas práticas de assistência aos recém-nascidos, fundamentais para garantir o bem-estar e desenvolvimento saudável. Diante do exposto, a pesquisa promoveu uma reflexão sobre os cuidados imediatos e mediatos prestados aos recém-nascidos, onde notou-se que uma assistência adequada proporciona o desenvolvimento de maior qualidade quanto à atenção dada à saúde do recém-nascido, além de contribuir para a redução dos índices de mortalidade infantil, promoção da qualidade de vida, recuperação da saúde e bem-estar, garantindo o crescimento e desenvolvimento adequados nos aspectos físicos, emocional e social
The episiotomy and return to sex life after childbirth
during intercourse postpartum. This is a review of literature
was performed using books, scientific articles published in
Portuguese in a time frame from 2003 to 2008, in SciELO
databases, Medline and Lilacs. It can be argued that episiotomy
has become routine, used prophylactically as justification to
avoid perineal trauma morbidity and mortality and gynecolog-
ical problems such as rectocele, cystocele and relaxation of the
pelvic floor. The return to sexual activity varies in a specific
time for each woman depending on your libido, "fear", the
healing of perineal lacerations or incisions and the degree of
vaginal atrophy and secondary episiorrhaphy is an event that
affects this time. Many women do not participate in the deci-
sion to make or not an episiotomy nor are they informed about
the routine practices that bring consequence and influence the
quality of sexual life of it. More studies are needed to elucidate
the woman feeling underwent episiotomy and the impact on
your sex life
Knowledge of the professional nurse about sepsis
In the world every hour approximately 1,000 people die from
sepsis; in the Brazil, the sepsis is one of the major health prob-
lems, and is currently the leading cause of death in intensive
care units (ICU). Given the above objective was to identify
nurses' knowledge of a UTI about the stages of sepsis in a large
public hospital within Rondônia, Brazil. This is a descriptive
study, quantitative and qualitative cross-sectional, conducted
from 17 to 21 June 2013. The sample consisted of 9 nurses. Data
collection was based on a structured questionnaire with 3 objec-
tive questions related to demographics and 8 guiding questions
about sepsis. The result of the survey revealed that nurses have
knowledge about prevention and control of sepsis in ICU.
However, we found a deficit of knowledge based on scientific
evidence about the advent SIRS (Systemic Inflammatory Re- sponse Syndrome), Sepsis, Severe Sepsis and Septic Shock, as
well as the forms of treatment that includes resuscitation packs
of 6 and 24 hours. Observed in the study of the importance of
seeking more knowledge through continuing education, imple- mentation of sepsis bundles, thus contributing to reducing mor-
tality from sepsis
Arterial blood gases: applications and implications for nursing
Acidosis disorders are associated
with a high risk of organs dysfunction, systems
and deaths in intensive care patients. The arterial
puncture for the purposes of gasometry is a
specific procedure of the nurse and demands
technical and scientific competence for its
execution.
Objective: To carry out a bibliographic review
concerning arterial gasometry, showing their
applications and implications for nursing,
proposing the main nursing diagnostic labels and
their interventions based on the nursing process
and current legislation.
Methodology: This is a qualitative, descriptive
exploratory study carried out through a
bibliographic review. The data were collected in
articles available on the internet, through the
database search: Lilacs, SciELO, Bdenf, and
published in English and Portuguese languages.
Results: the collection technique consists of the
arterial blood sample for gas analysis with the
purpose of assisting in diagnosis, to conduct a
therapy and to detect the level of blood gases,
evaluating the adequacy of oxygenation and
ventilation and the acid-base state by measuring
the Respiratory and non-respiratory components.
The main indication for gasometry is obtaining
values for the partial pressures of oxygen and
carbon dioxide and for arterial pH. The ability to
analyze arterial gasometry, relating it to the
patient's clinic, is an important function of the
nurse, since it provides an overview of the
patient's situation in relation to their oxygenation,
ventilation and acid-base state.
Final considerations: In view of what has been
presented, it is essential that the nurse be up to
date and able to collect the arterial blood,
scientifically and technically, since its
competence within the nursing team seeks to
perform more complex procedures, therefore, to
know the technique of collection of arterial
gasometry, it becomes indispensable to avoid
complications inherent to the procedure, thus
making a safe and quality human care
Preparo dos policiais do Grupo de Operações Especiais - GOE/Cacoal em atendimento de primeiros socorros
This is descriptive research, from the field, it ́s of a qualitative and
quantitative nature and transversal, developed with the Special Opera-
tions Group - GOE - Military Police / RO, the headquartered being in
Cacoal. The officers were selected by convenience, consisted of 22
officers. This study aimed to evaluate whether the police GOE / Cacoal
are prepared to provide first aid to members of their team in a situation
of urgency / emergency. The survey took place in July 2013 a ques-
tionnaire was prepared by the researchers, containing 14 questions,
with 09 closed questions and 05 open questions. It was observed that
63.63 % of the officers questioned did not receive first aid training to
work in the GOE. In the group of the officers interviewed, 68.18%
claim not to have been updated on first aid after entering the GOE;
50% reported that first aid training only occurred every four years or
more; 18.18% reported training every two years; 9.09 % reported
training every three years; and only 22.72% reported training as annu- ally; 63.63% of the military officers claim that the GOE did not feel
prepared to help injured members of their team, because of the first aid
equipment in the vehicles of the GOE; 95.45% of the interviewed
claim not to have first aid material available to them. Most of the mili-
tary officers mentioned situations where they witnessed injuries by
gunshot fire, automobile accident and stab wounds. Considering the
statistical data presented above, it is concluded that the majority of
officers interviewed are not prepared to provide first aid care to injured
members of thei
Preparation of the police's special operations group GOE/CACOAL in firstaid care
This is descriptive research, from the field, it´s of a qualitative and
quantitative nature and transversal, developed with the Special Operations Group - GOE - Military Police / RO, the headquartered being in
Cacoal. The officers were selected by convenience, consisted of 22
officers. This study aimed to evaluate whether the police GOE / Cacoal
are prepared to provide first aid to members of their team in a situation
of urgency / emergency. The survey took place in July 2013 a questionnaire was prepared by the researchers, containing 14 questions,
with 09 closed questions and 05 open questions. It was observed that
63.63 % of the officers questioned did not receive first aid training to
work in the GOE. In the group of the officers interviewed, 68.18%
claim not to have been updated on first aid after entering the GOE;
50% reported that first aid training only occurred every four years or
more; 18.18% reported training every two years; 9.09 % reported
training every three years; and only 22.72% reported training as annu- ally; 63.63% of the military officers claim that the GOE did not feel
prepared to help injured members of their team, because of the first aid
equipment in the vehicles of the GOE; 95.45% of the interviewed
claim not to have first aid material available to them. Most of the military officers mentioned situations where they witnessed injuries by
gunshot fire, automobile accident and stab wounds. Considering the
statistical data presented above, it is concluded that the majority of
officers interviewed are not prepared to provide first aid care to injured
members of their team
Poisoning by parental pq: case report in a city of Amazonia/Brazil
This study aimed to present a case and propose the major labels nursing diagnoses in
intensive care in victim parenteral Paraquat poisoning. We used the descriptive qualitative case
study method with retrospective approach in medical records of a patient admitted to the
intensive care unit. The data analyzed resulted in 35 nursing diagnoses, hepatorenal
involvement on post intoxication day with PQ, and the third day manifestations severe
respiratory clinics. Concludes that intoxication with PQ via parenteral cause 100% mortality
Clinical characteristics of COVID-19 patients and the main nursing diagnoses
AIMS: to present a reflection on the clinic of patients infected by COVID-19 and to propose the main nursing diagnoses based on International Classification for Nursing Practice (ICNP©).
METHOD: this is a reflection study, in which the selection criteria used were articles indexed in the MEDLINE, LILACS and BDENF databases published between December 2019 and April 2020, in English and Portuguese.
RESULTS: 10 scientific articles were part of the study, which made it possible to know the symptomatologic profile of the disease, with emphasis on the classic triad of COVID-19, which is cough, shortness of breath and fever. It revealed that the basic human need most affected in this patient profile is oxygenation in view of hypoxemia being the main complication, for which the clinical outcome was negative, especially in elderly patients.
CONCLUSION: there was a shortage and studies related to nursing in the face of this pandemic, but it was possible to conclude that ICNP© is one of the taxonomies that can be used to implement nursing diagnoses and intervention, the most frequent nursing diagnoses are related to the basic human and social need for oxygenation and vascular regulation.OBJETIVO: apresentar uma reflexão sobre a clínica dos pacientes contaminados pela COVID-19 e propor os principais diagnósticos de enfermagem baseados na Classificação Internacional para a Prática de Enfermagem (CIPE®).
MÉTODO: trata-se de um estudo de reflexão, na qual utilizaram-se como critérios de seleção, artigos indexados nas bases de dados MEDLINE, LILACS e BDENF publicados entre dezembro de 2019 a abril de 2020, no idioma inglês e português.
RESULTADOS: fizeram parte do estudo 10 artigos científicos o que possibilitou conhecer o perfil sintomatológico da doença, com destaque para a tríade clássica da COVID-19 que é tosse, falta de ar e febre. Revelou que a necessidade humana básica mais afetada nesse perfil de paciente é a oxigenação tendo em vista hipoxemia ser a principal complicação, para as quais o desfecho clínico foi negativo, principalmente, em pacientes idosos.
CONCLUSÃO: evidenciou-se a carência e estudos relativos à enfermagem frente a essa pandemia, porém foi possível concluir que a CIPE® é uma das taxonomias que pode ser utilizada para implementar os diagnósticos e intervenção de enfermagem, os diagnósticos de enfermagem mais frequentes estão relacionados a necessidade humana básica de oxigenação e regulação vascular