Subject(s)
Delivery of Health Care , Developing Countries , Physician-Patient Relations , Poverty , Haiti , HumansABSTRACT
Authors presents an evolution of the public health's politics in Brasil through a critical review of the historical process. Besides this they call to the importance of this issue in the undergraduate curricular in nursing.
Subject(s)
Delivery of Health Care/history , Politics , Public Health Administration/history , Brazil , Curriculum , History, 19th Century , History, 20th Century , Humans , Public Health Nursing/education , Public Health Nursing/historyABSTRACT
The paper shows a program concerning the review of the assistance practice in a Health Unit at the target region of the School-Service Integration Project between the College of Nursing at Ribeirão Preto/University of São Paulo and São Paulo city. The majority of the health workers took part in the program which was developed in 8 meetings where they analysed their own working practice and elaborated several proposals aiming at changing it. The greatest merit of this program was to allow the establishment of a collective and participative process of discussion and reflection.
Subject(s)
Education, Nursing, Baccalaureate/organization & administration , Interinstitutional Relations , Nursing Staff, Hospital , Schools, Nursing , Humans , Quality Assurance, Health Care , Urban HealthABSTRACT
We report a 31-year-old diabetic woman who underwent carpal tunnel release for median nerve compression followed by a laparoscopic tubal ligation. The procedure was complicated by a severe postoperative necrotizing fasciitis infection of the carpal tunnel release incision. This has not been previously reported. The wound was poorly responsive to antibiotic therapy and serial wound debridements. Control of the woman's infection required total excision of the palmar skin and fascia. Complicating factors in this case included the woman's long history of insulin-dependent diabetes and a concomitant clean-contaminated procedure.
Subject(s)
Carpal Tunnel Syndrome/surgery , Fasciitis/etiology , Postoperative Complications , Adult , Carpal Tunnel Syndrome/complications , Diabetes Mellitus, Type 1/complications , Fasciitis/therapy , Female , Hand , Humans , Necrosis , Sterilization, Tubal , Surgical Wound Infection/therapyABSTRACT
This paper describes the development of a teaching-learning process (TLP) guided by presuppositions such as: historicity, participation and horizon. This process has been developed by the Community and Preventive Nursing Discipline of the School of Nursing of São Paulo University, and its objectives, methods and strategies are described here. It is articulated to the Assistance-Teaching Integration Project involving the School of Nursing and São Paulo Mayorality. This process has been a valuable experience for both teachers and students, and it has also enabled a real approach with the Health Unit personnel.