[Intramuscular vaccine in infants. Suck or not suck?]. / Vacuna intramuscular en lactantes ¿Aspirar o no aspirar?

INTRODUCTION: The administration of vaccines has been and remains one of the most painful medical techniques for children in primary care consultations. When administering vaccines most professionals still breathing before injecting the vaccine for fear of injection into the bloodstream. OBJECTIVE: To explore the literature to clarify the need to suck or not before injecting a vaccine. METHOD: Literature review. RESULTS: two clinical trials and two systematic reviews were reviewed. No side effects were associated with the action of no-aspiration, however pain was higher among those children who received vaccination after aspiration. CONCLUSIONS: This technique has been described in the literature as responsible for increasing the pain of the child and the mentioned risk is not scientifically proven. Although there is little literature on the subject, evidence suggests that the administration of vaccines must be made quickly and without hope.

[Sanitary education when dealing with oral anticoagulation treatment]. / Educación sanitaria en el tratamiento anticoagulante oral.

At present times, it is calculated there are some 800,000 people in Spain who need anticoagulant treatment. Oral anticoagulant treatment is used on those who have suffered a thromboembolic accident and to prevent the appearance of these episodes and their unfortunate consequences. A patient who needs anticoagulant treatment often comes to his/her Primary Health Care Center either for control of his/her anticoagulant medication or for some other chronic process which requires follow-up by the Primary Health Care Center team. It is essential that nursing professionals keep up to date about the latest anticoagulant drugs, especially regarding health education and prevention. This article synthesizes those items available in our environment about health education which should be provided to people undergoing anticoagulant treatment.

Educación sanitaria en el tratamiento anticoagulante oral / Sanitary education when dealing with oral anticoagulation treatment

Se calcula que, en la actualidad, hay aproximadamente unas 800.000 personas descoaguladas en España. El Tratamiento Anticoagulante Oral (TAO) se utiliza en aquellos que han sufrido un accidente tromboembólico y para prevenir la aparición de estos episodios y sus nefastas consecuencias. La persona anticoagulada acude con frecuencia al Centro de Atención Primaria (CAP), bien sea para su control de la medicación anticoagulante o por otro proceso crónico que requiera seguimiento del equipo de Atención Primaria. Es preciso que el profesional de enfermería esté al corriente de las últimas actualizaciones sobre los fármacos anticoagulantes, sobre todo en lo que a prevención se refiere. Este artículo sintetiza las evidencias disponibles en nuestro medio sobre la educación sanitaria que debe ofrecerse a la persona en tratamiento con TAO(AU)

At present times, it is calculated there are some 800.000 people in Spain who need anticoagulant treatment. Oral anticoagulant treatment is used on those who have suffered a thromboembolic accident and to prevent the appearance of these episodes and their unfortunate consequences. A patient who needs anticoagulant treatment often comes to his/her Primary Health Care Center, either for control of his/her anticoagulant medication or for some other chronic process which requires follow-up by the Primary Health Care Center team. It is essential that nursing professionals keep up to date about the latest anticoagulant drugs, especially regarding health education and prevention. This article synthesizes those items available in our environment about health education which should be provided to people undergoing anticoagulant treatment(AU)

[Psycho-social necessities for an informal caretaker]. / Necesidades psicosociales de cuidador informal.

Of the many activities which nurses in primary attention care teams carry out, health promotion and prevention of diseases have a prominent place. These activities are not carried out only in Primary Attention Care Centers. For some time now, there has been a tendency to keep dependent patients in their homes as much as possible. For this reason, At Home Care has an important place in nurses' daily practices. This article reviews the concept of an informal caretaker and the main reasons which can cause an overload. At the same time, the authors show the tool which nurses use to know the emotional state of informal caretakers, as well as the environment and the circumstances where they are found. The authors propose to use nursing diagnoses as a planning tool for objectives and action strategies to overcome the shortages detected.

Necesidades psicosociales del cuidador informal / Psycho-social necessities for an informal caretaker

De las muchas actividades que la enfermera de AP realiza, la promoción de la salud y la prevención de la enfermedad ocupan un lugar capital. Estas actividades no sólo se realizan en el Centro de Atención Primaria. Desde hace ya algún tiempo se tiende a que los usuarios dependientes permanezcan en su hogar mientras les sea posible. Por este motivo, la Atención Domiciliaria representa un espacio importante en la práctica diaria de la enfermera. Este artículo repasa el concepto de cuidador informal y de las principales causas que pueden producir sobrecarga. Asimismo, se muestran las herramientas que enfermería utiliza para conocer el estado emocional del cuidador informal, así como el entorno y circunstancias donde se encuentra. Se propone utilizar los diagnósticos de enfermería como herramienta de planificación de objetivos e intervenciones para hacer frente a las carencias detectadas(AU)

Of the many activities which nurses in primary attention care teams carry out, health promotion and prevention of diseases have a prominent place. These activities are not carried out only in Primary Attention Care Centers. For some time now, there has been a tendency to keep dependent patients in their homes as much as possible. For this reason, At Home Care has an important place in nurses' daily practices. This article reviews the concept of an informal caretaker and the main reasons which can cause an overload. At the same time, the authors show the tool which nurses use to know the emotional state of informal caretakers, as well as the environment and the circumstances where they are found. The authors propose to use nursing diagnoses as a planning tool for objectives and action strategies to overcome the shortages detected(AU)