Dificuldades enfrentadas por puérperas primíparas no processo do aleitamento materno atendidas pelo programa de pré-natal em uma unidade básica de saúde de Cacoal/RO

O aleitamento materno é definido como uma prática natural voltada para nutrir o bebê e garantir benefícios à mãe, tanto em termos da saúde como na relação afetiva com ele. Apresentando na prática assistencial algumas dificuldades sofridas por puérperas primíparas, ocasionadas, muitas vezes, pelo baixo nível sociocultural e apoio familiar da nutriz. Este artigo objetivou descrever a importância da participação dos familiares e do aconselhamento do profissional enfermeiro junto às mulheres primíparas atendidas no programa de pré-natal em uma Unidade Básica de Saúde no município de Cacoal/RO, apontar as dificuldades e as intercorrências mamárias produzidas pelas primíparas durante a amamentação, bem como analisar as vantagens do apoio à amamentação na atenção primária dentro desse programa e relatar a participação familiar durante o processo da amamentação. Trata-se de um estudo descritivo-transversal de abordagem qualitativa, com uma amostra de quinze mulheres, entre 18 e 25 anos, primíparas, que se encontravam no puerpério e na prática da amamentação, entrevistadas por meio de um roteiro semiestruturado. Ao final do estudo foi constatado que 60% das primíparas apresentaram dificuldades ao amamentar e relataram uma experiência ruim. Apesar disso, evidenciou-se o apoio familiar e a orientação do profissional enfermeiro durante o pré-natal em 93,3% delas, segundo seus relatos, a respeito da importância do ato da amamentação para a mãe e o filho, bem como dos tipos de dificuldades por elas sofridas. Concluindo, assim, que a prática da amamentação foi difícil para a maioria das primíparas, mas o apoio familiar e a orientação oferecida pelo (a) enfermeiro (a) favoreceram a continuidade do processo do aleitamento materno mesmo com as intercorrências mamárias e as dificuldades apresentadas

The knowledge team's knowledge on pediatric cardiopulmonary re-immination in ICU

Cardiopulmonary resuscitation (CPR) are ducts created by the American Heart Association (AHA), American Academy of Pediatrics (AAP) and Pediatric Advanced Life Support (PALS) to reverse the cardiopulmonary arrest (CPA), which causes a sudden death to the patient. The nursing team is responsible for highlighting this framework in which the customer may have, as occurs greater contact with the patient in an intensive care unit (ICU). The aim of this study: to characterize the profile of nursing team professionals working in pediatric ICU; Analyze the performance of the nursing staff before the CPR signals in the pediatric ICU; Evaluate the theoretical knowledge of the nursing staff on the CPR protocol 2015 approach to child; Identify the knowledge of the staff about the drugs used in pediatric CPR. The survey was conducted in July, after the participants become aware of the research and agree to participate. Quantitative and qualitative study with descriptive approach, with cross feature. Obtaining the sample was for convenience. The study was conducted in a public hospital Rondonia inside with the specific sector to PICU. Data were collected through a questionnaire with 10 questions, data collection was structured in two parts: the first was a questionnaire with questions with multiple choices and the second time the respondent was asked to answer the questionnaire containing multiple choice questions evaluating theoretical and practical concepts of service of PCR / CPR pediatrics, composed of questions and answers on the CPR and technical skills for the application of CPR maneuvers based on standardizations stipulated in international guidelines call PCR / RCP, arranged in logical and consistent to date knowledge of this service. Who had the participation of 17 professionals in nursing, under the age of 20 years 9 (53%). Of the professionals interviewed 17 (100%) reported knowing the new CPR guidelines, 17 (100%) of professionals has less than 1 year of operation in the ICU. Most reported having participated in CPR 7 (42%) attended by more than 4 times. About the child approach of CRP signals 10 (83%) knew how to accomplish this approach. Regarding the new CPR protocol in 2015, it was found that there were questions of professionals in all matters from medication dosage the right way to perform chest compression. It was concluded that in view of the results obtained, it was identified that there were questions of professionals in all matters regarding the theoretical knowledge including medication dosage, number of compressions and depth and the skills of their technical and professional nurse in a CPR

The nursing process returned to the hydrocephal carrier: case study in the north region

Family members are essential in the care and development of the life of a child with hydrocephalus, which requires attention, affec- tion, love, patience and special care as to hygiene, food, transporta- tion, medication, comfort and safety measures, cognitive develop- ment and social interaction, and all the basic care for the promotion and maintenance of the quality of life. However, this is a permanent condition, and the family will eventually adapt, thus offering the care the child requires. This research had the objective of evaluating, through basic human needs, the care provided by the family to a patient with Hydrocephalus, analyzing the socio-economic profile of the family, describing the difficulties encountered by the family in daily care of the patient with hydrocephalus and evaluating the affected human needs. We opted for a descriptive study with a qual- itative approach, case study type, with a carrier of congenital hydro- cephalus and the parents at home, relying on the basic human needs theory of Wanda de Aguiar Horta (1979). The survey was conducted in the city of Nova Brasilândia D’Oeste- RO, in January and Febru- ary of 2012. For the data collection used to prepare the case study, we devised a questionnaire consisting of 21 descriptive and objec- tive questions that was answered by the mother in the home envi- ronment, and a framework of basic human needs, which was ana- lyzed according to the care provided to the child. It was concluded that the care provided by the family is the basic care needed to meet all needs, such as nutrition, hydration, and intimate and personal hy- giene, clothing, transportation, administration of medications, aid and encouragement in the development of lifelong learning and so- cial interaction. The difficulties encountered were related to finan- cial resources to carry out the surgical procedures for the installation and reinstallation of the shunt valve, funds for medication and phys- ical therapy, the main difficulty reported by parents was the need of having a teacher focused on facilitating the learning process of the child, since the child presents great difficulties in learning develop- ment. Based on the conclusion, it has been suggested that the family be offered support from the NASF, Family Health Support Unit and the PSF, Family Health Program (PSF), to improve the quality of life of the family and, especially, of the child with hydrocephalus

Determining factors of children's malnutrition in children from 0 to 5 years enrolled in the program of growth and child development in the Legal Amazônia

Malnutrition is a state of caloric-protein deficiency, in which the organism presents mild, moderate or severe cases of normal evo- lution of its biochemical, functional and anatomical parameters. This contributes to an increase in infant mortality in the neonatal period (0 to 28 days of life) associated with underweight as well as children suffering from malnutrition may have irreparable dam- age to growth and development. Despite the improvement in the nutritional standard observed in several developing countries in the last decades, child malnutrition persists as a public health problem in Brazil. The objective of the study was to characterize the factors that caused child malnutrition, correlate to early wean- ing; identify which age group the child presented malnourished according to the child's book, and identify through it the nutri- tional status of the child at the present time. Descriptive, cross- sectional, quantitative field study conducted at primary health care units in Cacoal with children aged 0 to 5 classified as malnour- ished in the period 2012 to 2013 totaling 11 children. A question- naire was used, which was applied to those responsible for the children through home visits. Regarding breastfeeding, it was found that all mothers received breast milk, but no children re- mained exclusively breastfed, the period in which they were mal- nourished was between 1 and 5 years, in relation to the schooling of the mother / responsible only 3 completed the teaching As far as family income is concerned, most families receive less than a minimum wage, in relation to weight most of the children still re- main at nutritional risk. It was concluded that the low family eco- nomic stratum, the low level of parental schooling and early wean- ing are social determinants that influenced child malnutrition, which shows a worrisome situation, where the children affected by malnutrition have difficulty in reversing this situation

Consistency and completion of SINAN for surveillance of the family contact of Hanseníase cases in hyperendemic area of Rondonia, Brazil

This is a descriptive study, quantitative cross feature in order to verify the consistency and completeness of the data relating to the surveillance of contacts of patients diagnosed with leprosy, registered in the System for Notifiable Diseases Information System (SINAN) between 2001 and 2012 and residents in Rolim de Moura municipality / RO. The study was conducted with the use of SINAN data, charts and primary data collected through interviews, the study population consisted of 824 people, these have been addressed by the survey 116, and 67 had the records located. The variables were recorded contact, examined contact and address for 824 patients, and characterization of cases that had the variable registered contacts or contacts investigated not filled in SINAN, were also analyzed gender, education, operational classification, race and detection mode. Of the 824 patients reported with leprosy, 63 (7.6%) had registered the contact field not filled, and 54 (6.5%) had examined the contact field not filled in SINAN. For consistency in the SINAN, 67 patients had 200 contacts registered and 187 were examined while in the chart the same 67 patients had 211 contacts registered and 149 examined, thus the percentage of contacts falls of 93% in the SINAN to 70% record. The information regarding the surveillance of contacts were inaccurate or were not recorded, so the contact monitoring becomes ineffective, and contributes to the state of hyperendemicity found in the city