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1.
Rev. Rol enferm ; 32(11): 765-770, nov. 2009. ilus
Artigo em Espanhol | IBECS | ID: ibc-76275

RESUMO

La utilización de sistemas de compresión gradual, como terapéutica asociada para el control de las patologías tromboembólicas, está comúnmente extendida (medias compresivas graduales, vendaje con vendas de crêpe…), aunque incrementa las cargas de trabajo para el profesional de enfermería, y su indicación son limitadas en pacientes de alto riesgo. Se ha generalizado la necesidad de utilizar dispositivos mecánicos, ampliamente reconocida por un nivel de evidencia razonable, para el control de la enfermedad tromboembólica venosa en aquellos enfermos con alto riesgo de sangrado en los que no es posible, o bien cuando está limitado el uso de fármacos para controlar dicha complicación en el paciente encamado. La compresión neumática intermitente (CNI) está integrada en buena parte de recomendaciones y guías de práctica clínica de asociaciones científicas y entidades especializadas como la American College of Chest Physicians (ACCP), y National Institute for Health and Clinical Excellence (NICE), entre otras. Por ello, queremos mostrar la sencillez de manejo de un dispositivo altamente eficaz en la prevención enfermedad tromboembólica venosa (ETEV), y cómo puede reducir las cargas de trabajo del personal de enfermería, a la vez que nos garantiza cuidados de alta calidad(AU)


The use of gradual compression systems (gradual compression hosiery, bandages composed of crepe strips,…) as therapeutic measures associated with the control of thromboembolic pathologies is a rather extensive common practice although their use increases the work load generated for nursing professionals; while at the same time, they have some indications to bear in mind and limited efficiency for use on high risk patients. The need to utilize mechanical devices has become a generally accepted practice, widely recognized as having a reasonable effectiveness level, to control thromboembolic vascular diseases on those bedridden patients who have a high risk of bleeding on whom the use of drugs to control this complication is not possible, or is limited. Intermitent pneumatic compression is integrated in the majority of recommendations and clinical practice guides published by scientific associations and specialized agencies such as the American College of Chest Physicians (ACCP), National Institute for Health and Clinical Excellence (NICE), among others. Therefore, the authors want to demonstrate the easy handling of a highly effective device to help prevent venous thromboembolic disease, and how it is possible to reduce the workload for nursing personnel while at the same time guarantee high quality care(AU)


Assuntos
Humanos , Masculino , Feminino , Dispositivos de Compressão Pneumática Intermitente/normas , Dispositivos de Compressão Pneumática Intermitente/tendências , Dispositivos de Compressão Pneumática Intermitente , Dispositivos de Compressão Pneumática Intermitente/economia , Dispositivos de Compressão Pneumática Intermitente/provisão & distribuição , Fatores de Risco
2.
Rev Enferm ; 31(10): 16-20, 2008 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-19043972

RESUMO

Fecal incontinence in a bedridden patient is a common problem which upsets the patient's well-being. Besides the discomfort and the hygienic problem which this situation cause, complications related to these can arise. Recently a fecal derivation system called Flexi-Seal FMS has appeared on the market; this system is destined to control fecal incontinence in a bedridden patient. This device bears the characteristic which make it ideal for the control of fecal incontinence in a bedridden patient; furthermore, this device reduces nurses' workload, as well as the length of hospital stay and hospital costs.


Assuntos
Enema/instrumentação , Incontinência Fecal/terapia , Desenho de Equipamento , Incontinência Fecal/enfermagem , Humanos , Irrigação Terapêutica
3.
Rev Enferm ; 31(10): 51-4, 2008 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-19043976

RESUMO

To be bedridden reduces one's capacity to move and produces muscular debility that affects the respiratory system leading to a decreased effectiveness in expectoration, the ability to spit up sputum. The pulmonary therapy system integrated in a bed is the result of applying motorized elements to the articulation points of the bad in order to achieve safe positions at therapeutic angles, which improve the breathing-perfusion (blood flow) relationship. This system also makes it possible to apply vibration waves to the patient which favor the elimination of bronchial-pulmonary secretions, the rehabilitation of the bedridden patient and decrease the work load for nursing personnel.


Assuntos
Leitos/normas , Exercícios Respiratórios , Tosse , Espirometria/métodos , Repouso em Cama , Humanos , Músculos Respiratórios
4.
Rev. Rol enferm ; 31(10): 656-660, oct. 2008. ilus
Artigo em Espanhol | IBECS | ID: ibc-79084

RESUMO

La incontinencia fecal en el paciente encamado es un problema muy frecuente que altera su bienestar. Además de la incomodidad y el problema higiénico que genera esta situación pueden surgir complicaciones asociadas. Recientemente ha aparecido en el mercado un sistema de derivación fecal llamado Flexi-Seal® FMS destinado al control de la incontinencia fecal en el paciente encamado. Este dispositivo reúne características que lo hacen idóneo para el manejo de este problema, disminuye las cargas de trabajo de enfermería, la estancia y los costes hospitalarios(AU)


Fecal incontinence in a bedridden patient is a common problem which upsets the patient’s well-being. Besides the discomfort and the hygienic problem which this situation cause, complications related to these can arise. Recently a fecal derivation system called Flexi-Seal® FMS has appeared on the market; this system is destined to control fecal incontinence in a bedridden patient. This device bears the characteristic which make it ideal for the control of fecal incontinence in a bedridden patient; furthermore, this device reduces nurses’ workload, as well as the length of hospital stay and hospital costs(AU)


Assuntos
Humanos , Incontinência Fecal/cirurgia , Anastomose Cirúrgica/métodos , Cuidados de Enfermagem/métodos , /estatística & dados numéricos , Carga de Trabalho
5.
Rev. Rol enferm ; 31(10): 691-694, oct. 2008. ilus
Artigo em Espanhol | IBECS | ID: ibc-79089

RESUMO

El encamamiento reduce la capacidad de movimiento y produce debilidad muscular que afecta al aparato respiratorio con disminución de la eficacia de la expectoración. El sistema de terapia pulmonar integrada en una cama es el resultado de la aplicación de motorizaciones a la articulabilidad de ésta consiguiendo posiciones seguras en ángulos terapéuticos, mejorando la relación ventilación-perfusión. También permite aplicar ondas vibratorias sobre el paciente favoreciendo la eliminación de secreciones bronquiopulmonares, la rehabilitación del paciente y disminuyendo las cargas de trabajo para enfermería(AU)


To be bedridden reduces one’s capacity to move and produces muscular debility that affects the respiratory system leading to a decreased effectiveness in expectoration, the ability to spit up sputum. The pulmonary therapy system integrated in a bed is the result of applying motorized elements to the articulation points of the bad in order to achieve safe positions at therapeutic angles, which improve the breathing-perfusion (blood flow) relationship. This system also makes it possible to apply vibration waves to the patient which favor the elimination of bronchial-pulmonary secretions, the rehabilitation of the bedridden patient and decrease the work load for nursing personnel(AU)


Assuntos
Humanos , Repouso em Cama/efeitos adversos , Transtornos Respiratórios/etiologia , Terapia Respiratória/métodos , Leitos/normas , Transtornos Respiratórios/prevenção & controle , Vibração/uso terapêutico , Cuidados de Enfermagem/métodos , Relação Ventilação-Perfusão
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