Manejo enfermero del delirium en pacientes adultos ingresados en unidades de cuidados intensivos

Trabajo fin de grado en EnfermeríaIntroducción: el delirium o confusión aguda es un problema muy extendido que genera consecuencias devastadoras y merma con creces la calidad de vida de los pacientes críticamente enfermos ingresados en una unidad de cuidados intensivos (UCI). Desde la Enfermería, es importante el conocimiento profundo y el desarrollo de actitudes que permitan identificar y prever los factores de riesgo y precipitantes para evitar su aparición y procurar un tratamiento precoz. Objetivo: explorar las intervenciones autónomas e interdisciplinares de Enfermería en el manejo de la Confusión Aguda en pacientes adultos ingresados en UCI. Metodología: se ha realizado una revisión narrativa en las bases de datos PubMed, CINHAL, LILACS y Cochrane utilizando lenguaje controlado. Resultados: la evidencia muestra beneficios positivos con la utilización de las Guías y Protocolos para el control y el abordaje del dolor, agitación y delirium, en lo que respecta a la disminución de la incidencia, la duración y gravedad del mismo, la estancia en UCI, el tiempo sin VM y la disfuncionalidad corporal. Conclusiones: se ha de potenciar el rol de Enfermería desde su privilegiada posición a pie de cama, centrando el cuidado en el paciente y la familia, evitando la aparición del delirio.Introduction: delirium or acute confusion is a widespread problem that generates devastating consequences and reduces the quality of life in critical patients hospitalized in a Critical Care Unit (ICU). It is important for nurses to consolidate a deep knowledge and to develop attitudes that allow to identify and to anticipate the risk factors and precipitants to avoid their appearance and to seek an early treatment. Objective: exploring the autonomous and interdisciplinary nursing interventions in the management of Acute Confusion in adult patients admitted to the ICU. Methodology: a narrative review was carried out in the following database PubMed, CINHAL, LILACS and Cochrane using a controlled language. Results: the evidence shows positive benefits with the use of the Guidelines and Protocols for the control and management of pain, agitation and delirium, in relation to the decrease in the incidence of delirium, duration and severity of the stay in ICU, time without MV an the body dysfunction. Conclusions: nursing role should be enhanced from its privileged position at bedside, focusing care on the patient and the family, avoiding the onset of delirium

E-xcellence methodology: lessons learned over ten years of development and implementation

The E xcellence methodology for quality assurance of e learning in higher education has developed into a flexible and effective approach to quality assurance. It has proved suitable to meet the needs of a diverse range of institutions and national quality assurance regimes, and is applicable to both distance and blended modes. The E xcellence resources (http://e-xcellencelabel.eadtu.eu/) include a quality manual, guidance for institutions and assessors, and an online Quick Scan self-evaluation tool. The manual was updated in 2012 and 2016 to reflect evolving changes in practice. The E-xcellence methodology provides 35 benchmark statements, grouped under six headings: Strategic Management, Curriculum Design, Course Design, Course Delivery, Staff Support and Student Support. Higher education institutions self-assess their capabilities against each of the benchmark statements on a four-point scale. They also prepare a roadmap of future actions which can be mapped to benchmark statements. A visit by external reviewers enriches and complements the self-assessment. This study is based on an analysis of E xcellence self-evaluations and roadmaps at twenty higher education institutions. Tabulating those benchmarks that are rated as not yet adequate, and those which attract the most planned actions, highlights the aspects that institutions have found most challenging as they develop and implement online and blended learning programmes. This profiling exercise indicates that institutions regard issues of strategy, curriculum design and staff support as presenting the greatest challenges. Particular problems include staff workload and developing an online academic community for students. In contrast, the provision of reliable IT systems and hardware is unproblematic

Groups, normativity and disagreement

We are members of many groups to which we ascribe the performance of intentional actions, and belonging to these groups seems to give rise, in many cases, to special normative relations. For instance, as a member of the university I have certain duties, as a member of the football team I have others, and yet I have other duties qua member of my law firm. But what is special about some groups that claims of the form "I am under a duty qua member of the group" seem adequate? This paper claims that the standard answer to this question faces two main difficulties. Firstly, most accounts appeal to one special normative notion (e.g. the idea of a joint commitment, or an agreement) to explain such relations, a notion such that, if instantiated, it gives rise to duties that are independent of the value of the joint action. But there are cases where participants think that they are under a duty qua members because the joint activity is valuable, and only because it is valuable. Secondly, most accounts seem unable to explain disagreements among participants about the content of their duties. The paper proposes a model of group action and of normative relations among participants that attempts to overcome both difficultiesFil: Sánchez Brigido, Rodrigo Eduardo. Universidad Nacional de Córdoba. Facultad de Filosofía y Humanidades. Escuela de Filosofía; Argentina.Fil: Sánchez Brigido, Rodrigo Eduardo. Universidad Blas Pascal; Argentina.Filosofía, Historia y Filosofía de la Ciencia y la Tecnologí

New records of Orchids from Morocco

The exploration of the Rif Valley (Morocco) during 2010 revealed the presence of some new taxa and records from Morocco. The new taxa are: Orchis langei subsp. magrebensis and Ophrys neglecta var. riphaea. Ophrys neglecta var. neglecta and Ophrys numida have been detected for the first time in Morocco

REACTION OF LANDRACE POMPADOUR BEANS TO MACROPHOMINA PHASEOLINA ISOLATES

REACTION OF LANDRACE POMPADOUR BEANS TO MACROPHOMINA PHASEOLINA ISOLATE

Publicidad y valores : el advertainment y advergaming en Coca-Cola

Comunicaciones del IV Congreso Internacional sobre análisis fílmico celebrado en la Universitat Jaume I de Castellón 4,5 y 6 de mayo de 201

Drenaxe

Titulación: Grao en Enxeñaría Agroforestal -- Materia: Deseño e Construción de Obras LineaisEsta unidade didáctica forma parte do primeiro módulo da programación da materia “Deseño e Construción de Obras Lineais” do segundo curso do Grao en Enxeñaría Civil, que se dedica a senta-las bases da enxeñaría de estradas. No primeiro tema do módulo (UD1) preséntanse os conceptos básicos da enxeñaría do tráfico necesarios para poder aborda-lo deseño xeométrico, a construción e a conservación dunha estrada. A continuación, no segundo tema (UD2), estúdanse os conceptos fundamentais, as bases teóricas e os aspectos normativos do deseño xeométrico ou trazado dunha estrada. Co seguinte tema (UD3) comeza a parte do módulo dedicada ao deseño e construción da infraestrutura dunha estrada. Neste caso preséntanse os aspectos máis importantes relacionados coas explanacións ou obras de terras. Na presente unidade didáctica (UD4) explícanse os fundamentos do deseño dos sistemas de drenaxe dunha infraestrutura viaria. Preséntanse, en primeiro lugar, os conceptos relativos á drenaxe superficial: estudos hidrolóxicos, estudos hidráulicos, descrición e deseño dos diferentes elementos de drenaxe, etc. e posteriormente, abórdanse brevemente os conceptos básicos relativos á drenaxe subterránea. O módulo péchase cun tema no que se estuda a problemática do deseño, construción e conservación dos firmes (UD5), que constitúen a superestrutura dunha estrada. No segundo módulo da materia estúdase o deseño, construción e conservación doutra tipoloxía de obra lineal, os ferrocarrís. Estas dúas tipoloxías, estradas e ferrocarrís, teñen moitas cousas en común, polo que unha gran cantidade dos contidos traballados no primeiro módulo serán de gran utilidade, senón directamente mediante certas adaptacións, na segunda parte da materia. Para o correcto seguimento da mesma recoméndase que os alumnos teñan coñecementos básicos de Hidroloxía e Hidráulica de canles. En todo caso os conceptos relativos a estas disciplinas atópanse explicados con bastante profundidade na propia unidade. Ademais de aos alumnos de 2º curso do Grao en Enxeñaría Civil, os contidos presentados poden serlle de utilidade a outros docentes ou profesionais do sector que desenvolvan a súa actividade no ámbito do deseño, construción ou conservación destas tipoloxías de infraestrutura do transporte.Universidade de Santiago de Compostela. Servizo de Normalización Lingüístic