Nursing care according to the Orem's theory: care for a patient with bipolar affective disorder

Objective: Analyze the systematization of nursing care (SNC) provided to an elderly woman with bipolar affective disorder (BAD), having the precepts of Orem’s Self-Care Theory as a basis. Methods: During home care, one conducted ten home visits to patients, in order to prepare a care plan directly involving the family. In this context, one evaluated the family and the patient, through the Calgary Family Assessment Model (CFAM), and care procedures were planned using SNC. Results: One found out that the patient understands the importance of her family for her care and that, although there're discussions, the affection bond is strong, and one observes the need for including more conversations in daily life. Conclusion: One understands the importance of interventions along with the patient and the family, in order to minimize the effects of disease in their relationships. Besides, it's a fact that elderly people with BAD often have different treatment needs when compared to young individuals

ORGAN DONATION: PROCESS OF MOURNING IN THE FAMILY

O presente estudo apresenta como temÃtica o luto vivido por famÃlias cujos entes queridos foram doadores de ÃrgÃos. Discute-se a necessidade de os profissionais de saÃde conhecer as etapas do luto e a sutileza em percebÃ-las nos momentos de aproximaÃÃo com a famÃlia, instrumento valioso no processo de cuidar, em especial no enfrentamento da morte. Teve como objetivos, assistir a famÃlia no processo do luto apÃs doaÃÃo de ÃrgÃos; descrever as histÃrias das famÃlias de doadores de ÃrgÃos, focando nas experiÃncias de perda e no processo de doaÃÃo, analisar o processo de enfrentamento do luto da famÃlia apÃs doaÃÃo de ÃrgÃos e analisar a visita domiciliÃria como estratÃgia de promoÃÃo da saÃde de famÃlias em luto. Pesquisa qualitativa, utilizou a HistÃria TÃpica de vida. O local do estudo foi a Zona norte do estado do CearÃ, Brasil, onde foram identificados 39 doadores de mÃltiplos ÃrgÃos no perÃodo de 2009 a 2011, sendo a visita domiciliar a estratÃgia de cuidado e coleta de dados com oito famÃlias. Foram descritas as HistÃrias tÃpicas das famÃlias e analisados os seus lutos: identificou-se a estrutura familiar, o desenvolvimento e a sua funcionalidade, pelo Modelo Calgary de AvaliaÃÃo Familiar. Este estudo fornece contribuiÃÃes para os profissionais da saÃde, principalmente para enfermeiros, em relaÃÃo à importÃncia do cuidado à pessoa em processo de luto, sendo necessÃria a revisÃo de prÃticas que inibem a exposiÃÃo dos sentimentos, as polÃticas de acolhimento familiar em InstituiÃÃes e a prÃtica efetiva de visitas domiciliarias como metodologia de cuidado familiar. AlÃm disso, essa aproximaÃÃo entre famÃlia e equipe à uma oportunidade de os profissionais reverem suas prÃticas, nas suas fragilidades e possibilidades terapÃuticas. Esse processo proporcionaria a elaboraÃÃo constante do cuidado compartilhado. Essa pesquisa evidencia a necessidade, ainda, de estudos para sistematizaÃÃo de prÃticas de profissionais em especial de enfermeiros com a visÃo da promoÃÃo da saÃde mental de familiares em luto, visto que para o sofrimento da perda, o abraÃo cuidador à o ponto de partida.The present study has as its central theme of discussion grief experienced by families whose loved ones were organ donors. It discusses the need for health professionals to know the stages of grief and subtlety to perceive them approaching in moments with family, valuable tool in the care process, especially in the face of death. This research aimed to assist the family in the grieving process after organ donation. Specifically, the objective is also to describe the stories of the families of organ donors, focusing on the experiences of loss and the donation process, analyze the coping process of grieving family after organ donation and analyze how the home visit strategy to promote the health of families in mourning. It is a qualitative research and used the Topical History of life. The site was the area north of the state of CearÃ, where 39 were identified multiple organ donors in the period from 2009 to 2011, being the home visit strategy and careful data collection with eight families who agreed to participate. Were described topical stories of families and analyzed their grief: identified the family structure, development and its functionality at Calgary Family Assessment Model. This study provides contributions for health professionals, mainly nurses about the importance of care for the person grieving process, necessitating a revision of practices that inhibit the exposure of feelings, policies foster care in institutions and effective practice home visits as a method of family care. Moreover, this approach between family and staff is an opportunity for professionals to review their practices, their weaknesses and therapeutic possibilities. This process would provide the constant construction of shared care. In this sense, it signals the need also to work with the vision of promoting the mental health of families in mourning, as for the pain of loss, the embrace caregiver is the starting point

PERFIL DE POTENCIAIS DOADORES DE ÓRGÃOS EM HOSPITAL DE REFERÊNCIA

El objetivo fue caracterizar el perfil de potenciales donadores de órganos en hospital de la zona norte del Ceará, Brasil. Estudio cuantitativo, retrospectivo, documental, realizado en hospital del Ceará, a partir de informaciones contenidas en registros médicos de donadores potenciales, de mayo a septiembre de 2009. Los datos fueron tabulados, centrándose en el proceso de identificación y logística. Los diagnósticos más prevalentes fueron traumatismo craneoencefálico (51,4%) y accidentes cerebrovasculares (31,4%) y 57,1% completaron el proceso en el tiempo adecuado para captación de los órganos. Se espera, por lo tanto, que la evaluación de la política y de los datos de donación contribuya al aumento de las tasas de donación, a favor del reconocimiento de las debilidades del proceso y aplicación de medidas para promover su éxito

Profile of potential organ donors in a reference hospital

The study aimed to characterize the profile of potential organ donors in a hospital in the northern zone of Ceará, Brazil. This is a quantitative, retrospective and documentary study, performed in a hospital of Ceará, from information contained in the medical records of potential donors, from May to September 2009. Data were tabulated, focusing on the identification process and logistic aspects. We identified that the most prevalent diagnoses were traumatic brain injury (51.4%) and stroke (31.4%), and that 57.1% completed the process in time for organ procurement. Thus, we hope that the assessment of policy and donation data contributes to increase the donation rates, supporting the recognition of the process’s weaknesses, as well as the implementation of measures to promote its success

NEOTROPICAL ALIEN MAMMALS: a data set of occurrence and abundance of alien mammals in the Neotropics

Biological invasion is one of the main threats to native biodiversity. For a species to become invasive, it must be voluntarily or involuntarily introduced by humans into a nonnative habitat. Mammals were among first taxa to be introduced worldwide for game, meat, and labor, yet the number of species introduced in the Neotropics remains unknown. In this data set, we make available occurrence and abundance data on mammal species that (1) transposed a geographical barrier and (2) were voluntarily or involuntarily introduced by humans into the Neotropics. Our data set is composed of 73,738 historical and current georeferenced records on alien mammal species of which around 96% correspond to occurrence data on 77 species belonging to eight orders and 26 families. Data cover 26 continental countries in the Neotropics, ranging from Mexico and its frontier regions (southern Florida and coastal-central Florida in the southeast United States) to Argentina, Paraguay, Chile, and Uruguay, and the 13 countries of Caribbean islands. Our data set also includes neotropical species (e.g., Callithrix sp., Myocastor coypus, Nasua nasua) considered alien in particular areas of Neotropics. The most numerous species in terms of records are from Bos sp. (n = 37,782), Sus scrofa (n = 6,730), and Canis familiaris (n = 10,084); 17 species were represented by only one record (e.g., Syncerus caffer, Cervus timorensis, Cervus unicolor, Canis latrans). Primates have the highest number of species in the data set (n = 20 species), partly because of uncertainties regarding taxonomic identification of the genera Callithrix, which includes the species Callithrix aurita, Callithrix flaviceps, Callithrix geoffroyi, Callithrix jacchus, Callithrix kuhlii, Callithrix penicillata, and their hybrids. This unique data set will be a valuable source of information on invasion risk assessments, biodiversity redistribution and conservation-related research. There are no copyright restrictions. Please cite this data paper when using the data in publications. We also request that researchers and teachers inform us on how they are using the data