Nursing care protocol for critical users with tracheostomy under mechanical ventilation.

OBJECTIVES: to develop and assess a nursing care protocol for critically ill users with tracheostomy under mechanical ventilation. METHODS: a methodological study, developed through two phases, guided by the 5W2H management tool: I) target audience characterization and II) technology development. RESULTS: thirty-four nursing professionals participated in this study, who presented educational demands in relation to care for critical users with tracheostomy, with an emphasis on standardizing care through a protocol and carrying out continuing education. FINAL CONSIDERATIONS: the creation and validity of new technologies aimed at this purpose enhanced the participation of nursing professionals and their empowerment in the health institution's microsectoral actions and in macrosectoral actions, highlighting the need for public policies that guarantee the conduct of a line of care for users with tracheostomy.

Experiences, dietary behavior and cultural characteristics of people with colorectal neoplasms.

OBJECTIVES: to interpret the socio-cultural, religious, and spiritual aspects of the experience of people who have colorectal cancer and were submitted to surgical treatment with ostomy. METHODS: ethnographic study under the perspective of the Sociology of Health, in the comprehensive aspect, in a surgical unit of an oncologic hospital of the state of Pará, Brazil. Eighteen deponents participated, eleven patients, and seven caregivers, between December 2018 and March 2019. Data were obtained with non-participant observation, field diary records, and semi-structured interviews with subsequent inductive content analysis. RESULTS: religious attachment and socio-cultural aspects of the illness were interpreted, emphasizing the social fact of the Immediate Dream, emotional shock, modern totemism, toxic food as taboo, and medicalization in the sphere of common sense and biomedical system. FINAL CONSIDERATIONS: microsocial and macrosocial factors of the participants' experiences contribute to the qualification of oncologic assistance in the public system, assuming the need for specialized interprofessional assistance.

Experiences, dietary behavior and cultural characteristics of people with colorectal neoplasms / Experiencias, conducta alimentaria y características culturales de personas con neoplasias colorrectales / Experiências, comportamento alimentar e características culturais de pessoas com neoplasias colorretais

ABSTRACT Objectives: to interpret the socio-cultural, religious, and spiritual aspects of the experience of people who have colorectal cancer and were submitted to surgical treatment with ostomy. Methods: ethnographic study under the perspective of the Sociology of Health, in the comprehensive aspect, in a surgical unit of an oncologic hospital of the state of Pará, Brazil. Eighteen deponents participated, eleven patients, and seven caregivers, between December 2018 and March 2019. Data were obtained with non-participant observation, field diary records, and semi-structured interviews with subsequent inductive content analysis. Results: religious attachment and socio-cultural aspects of the illness were interpreted, emphasizing the social fact of the Immediate Dream, emotional shock, modern totemism, toxic food as taboo, and medicalization in the sphere of common sense and biomedical system. Final Considerations: microsocial and macrosocial factors of the participants' experiences contribute to the qualification of oncologic assistance in the public system, assuming the need for specialized interprofessional assistance.

RESUMEN Objetivos: interpretar aspectos socioculturales, religiosos y espirituales de experiencia de enfermedad de personas por cáncer colorrectal sometidas al tratamiento quirúrgico con estomatización. Métodos: estudio etnográfico bajo la perspectiva de la Sociología de Salud, en la vertiente comprensiva, en unidad quirúrgica de un hospital oncológico de Pará, Brasil. Participaron 18 deponentes, siendo 11 enfermos y 7 cuidadores, entre diciembre de 2018 y marzo de 2019. Los datos obtenidos con observación no participante/participante, registro en diario de campo y entrevista semiestructurada con posterior análisis de contenido inductivo. Resultados: interpretaron el apego religioso y aspectos socioculturales del enfermo, enfatizando el hecho social del Sueño Inmediato, choque emocional, totemismo moderno, la reimosidad alimentaria como tabú y la medicalización en la esfera del sentido común y sistema biomédico. Consideraciones Finales: factores microsociales y macrosociales de las experiencias de los participantes contribuyen en cualificación de asistencia oncológica en el sistema público, presuponiendo la necesidad de una asistencia interprofesional especializada.

RESUMO Objetivos: interpretar os aspectos socioculturais, religiosos e espirituais da experiência de adoecimento de pessoas por câncer colorretal submetidas ao tratamento cirúrgico com estomização. Métodos: estudo etnográfico sob a perspectiva da Sociologia da Saúde, na vertente compreensiva, em unidade cirúrgica de um hospital oncológico do estado do Pará, Brasil. Participaram 18 depoentes, sendo 11 adoecidos e 7 cuidadores, entre dezembro de 2018 e março de 2019. Os dados foram obtidos com observação não participante/participante, registro em diário de campo e entrevista semiestruturada com posterior análise de conteúdo indutiva. Resultados: interpretaramse o apego religioso e aspectos socioculturais do adoecimento, enfatizando o fato social do Sonho Imediato, choque emocional, totemismo moderno, reimosidade alimentar como tabu e a medicalização na esfera do senso comum e sistema biomédico. Considerações Finais: fatores microssociais e macrossociais das experiências dos participantes contribuem na qualificação da assistência oncológica no sistema público, pressupondo a necessidade de uma assistência interprofissional especializada.

Diagnósticos de enfermagem mais prevalentes à pacientes em perioperatório de neoplasia de cabeça e pescoço / Nursing diagnoses more prevalent to patients in perioperatory neoplasia of head and neck

Objetivo: Descrever a elaboração de uma tecnologia sobre diagnósticos de enfermagem mais prevalentes, segundo a taxonomia da NANDA International Inc. (NANDA-I), em pacientes perioperatório de cabeça e pescoço. Método:Estudo descritivo observacional, com abordagem qualitativa, do tipo Relato de Experiência, que descreve a atividade de residentes de Enfermagem no processo de elaboração de um produto de consulta adaptado sobre diagnósticos de enfermagem mais prevalentes em pacientes perioperatório de cirurgia de cabeça e pescoço. Resultados:O informativo foi dividido em domínios, conforme o exemplar NANDA-I, os tópicos foram definidos a partir de um diagnóstico situacional. Os itens que entraram para o conteúdo do impresso foram: I) Promoção da saúde, II) Nutrição III) Eliminação e Troca, IV) Atividade e repouso, V) Percepção/Cognição, VI) Auto-percepção, VII) papeis e relacionamento, VIII) Enfrentamento / tolerância ao estresse, IX) Segurança/proteção e X) Conforto. No final do impresso, fora inserido um QR code, com um linkdireto para o NANDA-I (2018-2021). Considerações finais:O estabelecimento de diagnósticos de enfermagem perpassa por um processo crítico, reflexivo que demanda conhecimento com base científica dos profissionais, que impactam na qualidade de vida que os usuários terão. A elaboração do produto sobre os principais diagnósticos na clínica de cabeça e pescoço do referido hospital, pelos residentes, demonstrou-se como uma estratégia de enorme potencial para orientação e organização das ações e serviços da enfermagem.

Objective: To describe the development of a technology on nursing diagnoses more prevalent, according to the taxonomy of NANDA International Inc. (NANDA-I) in head and neck perioperative patients. Method:Descriptive observational study, with qualitative approach, of the type Experience Report, which describes the activity of nursing residents in the process of elaboration of an adapted consultation product on nursing diagnoses more prevalent in perioperative patients of head and neck surgery. Results:The information was divided into domains, according to the NANDA-I copy, the topics were defined from a situational diagnosis. The items that entered the contents of the form were: I) Health promotion, II) Nutrition III) Elimination and Exchange, IV) Activity and rest, V) Perception/Cognition, VI) Self-perception, VII) roles and relationship, VIII) Coping / stress tolerance, IX) Safety/protection and X) Comfort. At the end of the form, a QR code was inserted, with a direct link to the NANDA-I (2018-2021). Final considerations:The establishment of nursing diagnoses permeates a critical, reflective process that demands knowledge based on the scientific basis of professionals, which impact on the quality of life that users will have. The elaboration of the product on the main diagnoses in the head and neck clinic of the referred hospital, by the residents, proved to be a strategy of enormous potential for guidance and organization of nursing actions and services.