RESUMO
El paciente anciano presenta durante su hospitalización diferentes alteraciones, entre ellas, se ve afectada su autoestima y autoconcepto. La enfermera debe identificar las manifestaciones de la baja autoestima, para así poder cuidar y ofrecer apoyo al paciente y familia. En este trabajo se presenta una descripción de los aspectos que influyen en la autoestima, las manifestaciones a través de la expresión de sentimientos del paciente y comportamientos adoptados, así como la influencia de la situación de ingreso en el trastorno. Se presenta un plan de cuidados estandarizado con el objetivo de contribuir y facilitar el trabajo de la enfermera que atiende al paciente anciano con alteración de baja autoestima (AU)
Assuntos
Idoso , Feminino , Masculino , Humanos , Saúde do Idoso , Autoimagem , Enfermagem Geriátrica/métodos , Envelhecimento/psicologia , Viuvez/psicologia , Aposentadoria/psicologia , Autocuidado/métodosRESUMO
After a brief review of advanced radiographic diagnostic techniques, how to utilize them in the most cost-effective manner and minimize their risks, the authors examine the role of the nurse in using exploratory radiography in children. Patient opposition, immobilization and protection are some of the possible problems that one might encounter when working in this setting.
Assuntos
Enfermagem Pediátrica/métodos , Radiografia/enfermagem , Criança , Análise Custo-Benefício , Humanos , Imobilização , Cooperação do Paciente/psicologia , Psicologia da Criança , Radiografia/efeitos adversos , Radiografia/economia , Radiografia/psicologiaRESUMO
A brief history of mental health nursing theory opens this article with a presentation of a nursing record model that is specific for psychiatric patients. The design is based on the contributions of Majory Gordon and the taxonomy listed in the DSM-III-R.
Assuntos
Registros de Enfermagem , Enfermagem Psiquiátrica , Humanos , Enfermagem Psiquiátrica/tendênciasRESUMO
This study was designed to determine the degree of intervention of causal and emotional factors in work stress in intensive care unit (ICU) nursing staff. A questionnaire to assess stress causes (27) and associated emotions (33) was given to 123 people (85 registered nurses and 38 auxiliary nurses) aged 22-56, working in ICUs in different hospitals in Palma de Mallorca. Descriptive and factorial analyses were carried out. Respondents gave most stress causes a medium score (3.5-6.5 points), the highest values corresponding to staff shortage (mean = 6.71), bad management organisation (mean = 6.65) and little free time (mean = 6.5). These causes are grouped in seven factors which account for 65.51% of variance and are particularly related to organisational problems, training and personal relationships, work demands and physical and emotional overload. The most important emotions for this sample are: responsibility (mean = 6.61), impotence (mean = 6.23) and desire to excel (mean = 6.080). Such emotions are divided into seven factors which explain 65.31% of the variance and define states of personal satisfaction, depersonalisation, anxiety, low self-esteem, helplessness and arrogance. Surprisingly, the main factor with the value 5.08 and a variance of 15.42%, corresponds to positive or pleasant emotions. The results corroborate previous research findings on work stress, provide a simplified tool for assessing this and show the need to quantify the degree of such manifestations in the assessments.