International Archives of Medicine (E-Journal)
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Accommodation To Elderly People In The Health Family Unities: Professionals View
No full textWe seek to know the elderly accommodation strategy utilization in the family health unities professionals’ view. It is about an exploratory study, with qualitative approach, conducted in Family Health Unities in João Pessoa/ Paraíba/ Brazil. 248 basic attention professionals took part of the research, chosen randomly and per convenience. It was used a semi-structured questioning with guideline questions about the elderly accommodation strategy utilization, was pointed 3 semantic classes: Class 1 – Knowledge about accommodation; class 2 – elderly as priority; and class 3 – accommodation’s difficulties and perspectives. It is revealed that the professionals understand the accommodation as a tool that propitiate the improvement of the relation between the professional and the user, optimizing the provided attendance. However, there are indicatives of the lack of knowledge and qualification from some professionals, this fact denote the health permanent education importance.
Descriptors: User accommodation. Elderly. Primary Health Care
Knowledge of nursing students about the care provided to people with neoplastic wounds
Get PDFObjective: To investigate the knowledge of nursing students about the care provided to patients with neoplastic wound.
Method: This is an exploratory research of a qualitative nature, which was attended by 15 students of the Bachelor's Degree in Nursing from the Center of Education and Health of the Federal University of Campina Grande, campus Cuité - PB, in the period from October to November 2015. For data collection, we used a form for an interview. The data were analyzed through the Technique of Thematic Analysis of Minayo.
Results: From the analysis of the empirical material emerged the following thematic categories: Category 1 - Defining neoplastic wounds; Category 2 - Knowledge incipient on ‘neoplastic wounds’ for academic and professional practice; Category 3 - Envisioning the theme "neoplastic wound" in the Academy; Category 4 - Knowledge about methods of evaluation of neoplastic wounds and Category 5 - Knowledge of therapeutic modalities of neoplastic wounds.
Conclusions: The academics know the evaluative method of a patient with neoplastic wound as integralizadora unit of care process; recognize palliative care as the best therapeutic modality for these customers, especially when they are in completion and indicate the products contraindicated in the treatment of these lesions; however, do not mention the covers and recommended substances for the control of the signs and symptoms of these injuries. In this context, it is believed that the creation of academic projects of extension, with the aim of creating opportunities for integration between theory and practice, is one of the ways to improve the knowledge.
Keywords: Knowledge; Students of Nursing; Skin Neoplasms
Violence as psychosocial risk in the work of psychiatric nurses and management strategies
Get PDFObjective: To analyze the presence of violence as psychosocial risk from the perception of nurses in a psychiatric hospital, as well as the management strategies implemented to address this risk.
Methods: Qualitative study with 25 nurses working in a psychiatric hospital. Data collection was carried out from November 2014 to January 2015 through semi-structured interviews. The data were analyzed and organized into thematic categories following three stages: pre-analysis, exploration of the material and treatment of the results obtained. Participants were identified by the letter "E" and received sequential Arabic numeral numbers, thus guaranteeing the anonymity of the speeches. Thus, they were referenced from E1 to E25. The study was approved by the Research Ethics Committee of the University of São Paulo at Ribeirão Preto College of Nursing, Brazil.
Results: Violence exists in the everyday routine of psychiatric nurses, with the presence of scratches, pinches, kicks, pushes, squeezes against the wall, biting, aggression with the use of objects, among others, and the management strategies consist in appeals to the family, the cinema, music, reading, exercise, therapy, religion.
Conclusion: It is important that preventive measures be adopted aimed at promoting safety in the workplace. The discussion on actions to improve the training and practices of nurses working in the mental health area are also important.
Keywords: Violence; psychotherapy; emotion; occupational psychiatry; others psychosocial techniques/treatment
Possibilities and limits of multiprofessional attention in the care of psychiatric emergencies: analytical study
Get PDFGoal: to analyze the possibilities and limits of multiprofessional care in the attention to psychiatric emergencies.
Method: it is an analytical study of the type integrative review of the comprehensive literature. Searches were conducted in the Latin American and Caribbean Literature (LILACS) and Nursing Database (BDENF) databases and in the ScieLo Virtual Library, with the use of Descriptors in Health Sciences (DECs): “Emergency Services, Psychiatric”, “Forensic Psychiatry”, “Psychiatric Rehabilitation”, in the period from 2007 to 2017.
Results: after data analysis, two thematic categories emerged: “Possibilities and limits in multiprofessional care for patients in crisis” and “The continuity of care to the patient in crisis by the multiprofessional team”. The studies point out fragility in the management of the multiprofessional team of care to the patients in psychiatric crisis. Therefore, in the substitutive services to the psychiatric hospital, it is necessary to strengthen the care and bonding tools for continuity of treatment after the cases of psychiatric emergency of these patients.
Conclusion: this research provided a deepening of the knowledge regarding the challenges of the multiprofessional team in the care of analytical psychiatric emergencies and in relation to the patient in crisis, considering the main multiprofessional actions, understanding how this approach is done and patient follow-up.
Descriptors: Emergency Services, Psychiatric. Forensic Psychiatry. Psychiatric Rehabilitation
Chewing Duration Time Of Various Food Textures In Young Adults
Get PDFOBJECTIVE: To obtain reference values of chewing time of several food textures in young adults.
METHOD: descriptive study with a quantitative approach that was developed in a clinical reference, being the population composed of 40 young adults between 18-30 years of age, of both genres. As exclusion criteria: those with neuromuscular and / or degenerative diseases or consequences thereof, as well as subjects who were making use of any orthodontic / orthopedic resource. We conducted a dental evaluation, followed by a clinical assessment. One at a time, the following foods were offered: French bread, wafer biscuit, roasted cashews, for voluntary chewing. To measure the food chewing time, we used a stopwatch, and this collection procedure was filmed. Data analysis was performed by means of the SPSS statistics 20.0 (IBM®) program.
RESULTS: There was a statistically significant difference (p < 0.05) between the medians of chewing time of French bread, wafer biscuit and cashew nuts, which were 33.0s (interquartile amplitude 29.0 - 40.0), 10.0s (interquartile amplitude 8.25-12.0) and 18.5s (interquartile amplitude 15.0-23.75), respectively.
CONCLUSION: The texture of foods influences the length of mastication. The more rigid is the food, the more cycles and mandibular movements, and therefore the longer the duration of chewing
Buschke-Lowenstein Tumor
Get PDFGiant Condyloma acuminatum (GCA) , or Buschke-Lowenstein tumor (BLT), is a slow-growing, locally destructive, rare tumor that may occur in the anogenital region and it is related to human papillomavirus (HPV), which was first described by Buschke - Lowenstein in 1925. After consulting the databases of Latin American and Caribbean Literature (LILACS) and International Literature in Health Sciences and Biomedical (PubMed), without temporal delimitation or study design, using the MeSH terms "vulvar neoplasms," "giant condyloma of Buschke and Lowenstein", "condylomata acuminate”, we found 24 articles. After exclusion of the articles that did not address the BLT, it remained ten cases reported in the literature. We reported a case of BLT that clashes with the profile described in the literature. Consent was obtained from the patient for publication of the case and images
Performance Of Nurses In Radiotherapy Services
Get PDFObjective: This study aimed to know the performance of nurses in radiotherapy services.
Methods and Results: It is a cross-sectional, descriptive and exploratory study with a quantitative approach, developed from June to July 2015. The study sample was composed of eight nurses. The data were collected through a structured questionnaire, analyzed through descriptive statistics. It was verified that nurses are not only restricted to care, buy they work in the supervision of the nursing team, monitor the work process, elaborate the action plan, select materials and equipment, schedule the consultations. In addition, it was possible to observe the importance of the nursing consultation for the individualization of the care and effectiveness of the treatment for the patient.
Conclusion: It is observed that for a good progress of the radiotherapy service, there is a need for a trained nursing team with conditions to deal with the complexity and requirements that this modality of treatment demands.
Keywords: Neoplasms; Radiotherapy; Nursing; Nursing Care
Professional Satisfaction Of Nurses Working In Operating Room Of A Hospital School
Get PDFObjective: to characterize in a sociodemographic way the nursing staff of the surgical center; Check the degree of importance assigned to each component of satisfaction: autonomy, interaction, professional status, task requirements, organizational policies, and pay; verify job satisfaction perceived by nurses.
Method: exploratory, descriptive, quantitative study, consisting of 9 nurses working in the operating room. The research project was approved by the CEP/HULW, CAAE Nº 24597513.2.0000.5183. Data were collected through questionnaires and then analyzed using descriptive statistics in SPSS 20.
Results: We found that the standby component was considered the most important for job satisfaction and Professional Status least important.
Conclusion: nurses have a low level of job satisfaction, impacting the performance of its activities.
Descriptors: Job Satisfaction. Perioperative Nursing. Quality of Life
The access of the homeless persons with tuberculosis to the health care: an integrative review
Get PDFIntroduction: The Tuberculosis (TB) keeps being a big public health problem in the world, having the poverty, the bad life condition, the bad income distribution, the social iniquity and the disability on the health system as a substrate to its maintenance.
Objective: To identify the scientific knowledge produced under the access to the health service of the homeless person sick by TB.
Method: Integrative literature review conducted from April to June, 2016, having as inclusion criteria: publications written in Portuguese, English or Spanish, published from 1990 to 2015, indexed on the data basis: LILACS, SciELO, MEDLINE and Web of Science and portals Virtual Health Library (VHL) and MEDLINE/PubMed, that had the text completely available online. As searching strategy was used the Boolean operator AND, with the descriptors: Tuberculosis, health services accessibility; homeless persons. To obtain the information that answered the research guideline question was elaborated a form that contemplated the following items: identification, theme, descriptors or key-words, abstract, introduction, method, results, discussion, conclusions and references. The search resulted in 51 articles that, observed with the inclusion and exclusion criteria, resulted in 10 complete articles. The data analyzes was made in qualitative terms, summarized in three categories: I) Specific characteristics of the homeless people access to the health services to tuberculosis diagnostic and treatment; II) Access difficulty to the health care: factors related to homeless people and factors related to health services; III) Strategies to overcome the access difficulties of the homeless person (HLP) to the health care.
Results: pointed that the homeless people have a higher risk to get sick by TB, presenting TB incidence rate 10 to 20 times higher than the general population. Many obstacles that limited those people access to the health services were identified. Many times they presented difficulty to identify the appropriated place to search for assistance and not always this place had the opened doors to this social group. Another important finding treats about the low adhesion to the TB treatment, because treating about the search for health care, the homeless people are less inclined to search the health services, seen that living on the street implies in a daily fight for survival. To those people, the sickness treatment has a lower priority than the meal obtaining, the searching for shelter, or the search for a job.
Discussion: It was observed that by the fact to be exposed to many risk factors, such as: alcoholism, chemical dependence, environmental exposition, inadequate sleeping accommodations, crowed shelters, stress, psycho disturbs, poverty, HIV infection, weak nutrition, affected immunity through the pre-existent conditions, lack of access to health services, cognitive affection and the adverse effects to the health by the lack of home, the homeless people have high risk to get sick and the high TB mortality rate if compared to the general population. Thus it is evident the serious problem that this disease represents to this specific group, justifying urgently the necessity of specific actions to the TB control in this population. The most important element during the TB elimination will be a significant decreasing of the agglomerations, on the poverty and the barriers to the health care. To increase the access to the health care is essential on the homeless population TB control. It is necessary to highlight that when health services that attends their necessity are provided, the homeless individuals will access to the health care at the same rhythm as the general population.
Conclusion: It is necessary that the health actions break the strictly technical caring barriers and include the psychosocial and educative perspective in all the health care process to homeless people with different conformations due to the individuals’ singularities and their scenarios. Thus, the search by the more integral care and, therefore, more efficient possible, it is wait that be included on the health team daily work, routines and process to a systematic search for the health necessities, and developed abilities to recognize the adequacy of the offers to the specific context, in which is given the meeting from the individual and the team.
Keywords: Tuberculosis; health services accessibility; homeless persons
Sepsis Epidemiology: Settings and Contexts
Get PDFThe development of strategies that goals the reduction of mobidity and mortality of patients with sepsis for health promotion depends of the visibility of the variables that interfere in the establishment of the disease, in the epidemiological local context. The study of sepsis in important because its clinical-microbiological epidemiology is dynamic, depends, for example, of epidemiological factors. Patients with severe sepsis presented a reduction in their quality of life due to the cognitive impairment
Key-words: Sepsis, Epidemiological factors, Disease