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1.
Nursing ; 50(2): 48-55, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31977806

RESUMO

Low back pain (LBP) is one of the most frequent patient complaints in primary care. This article discusses the assessment and treatment of patients with LBP, including nonpharmacologic and pharmacologic approaches.


Assuntos
Dor Lombar/enfermagem , Atenção Primária à Saúde , Adulto , Humanos , Anamnese , Avaliação em Enfermagem , Exame Físico/enfermagem , Fatores de Risco
3.
Br J Nurs ; 29(2): 111-117, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31972112

RESUMO

BACKGROUND: Cancer-related fatigue (CRF) is considered to be one of the most common symptoms reported by cancer patients. However, little information is available regarding the variables associated with CRF among Jordanian patients. AIMS: To assess the prevalence of CRF and explore its predictors among Jordanian patients. METHODS: A cross-sectional survey design was used. FINDINGS: Of the 240 patients surveyed, 210 (87.5%) had fatigue at the time of the survey. The total mean fatigue score was 6.2 (SD=1.7) out of a maximum possible score of 10. The results also showed that being unemployed, with longer hospitalisation, low haemoglobin, and having lung cancer seem to predict higher levels of CRF. CONCLUSION: Several variables and factors associated with CRF were identified. In response to these results, healthcare providers should pay more attention to CRF, which needs to be assessed on a regular basis and to be managed with the available pharmacological and non-pharmacological interventions.


Assuntos
Fadiga/enfermagem , Neoplasias/complicações , Adulto , Estudos Transversais , Fadiga/epidemiologia , Feminino , Humanos , Jordânia/epidemiologia , Masculino , Pessoa de Meia-Idade , Avaliação em Enfermagem
4.
Nursing ; 50(1): 24-30, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31764581

RESUMO

Preeclampsia is a hypertensive disorder of pregnancy defined as new-onset hypertension that develops during pregnancy and resolves after delivery. Using a case history as an illustration, this article discusses hypertensive disorders of pregnancy with a focus on preeclampsia and its renal implications.


Assuntos
Pré-Eclâmpsia/enfermagem , Pré-Eclâmpsia/fisiopatologia , Insuficiência Renal Crônica/etiologia , Adulto , Feminino , Humanos , Avaliação em Enfermagem , Gravidez , Fatores de Risco
5.
Br J Nurs ; 28(22): 1461-1467, 2019 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-31835932

RESUMO

This article aims to assist nurses and other health professionals to care for patients who have type 2 respiratory failure as a result of chronic obstructive pulmonary disease, and who require non-invasive ventilation. It outlines findings of a case study that are commonplace in the acute medical setting and aims to highlight important factors that impact on patient care and patient outcome, and to help nursing staff to implement recommended and best practices.


Assuntos
Ventilação não Invasiva/enfermagem , Doença Pulmonar Obstrutiva Crônica/fisiopatologia , Insuficiência Respiratória/diagnóstico , Insuficiência Respiratória/terapia , Idoso , Humanos , Masculino , Avaliação em Enfermagem , Guias de Prática Clínica como Assunto , Insuficiência Respiratória/enfermagem
7.
Br J Nurs ; 28(19): 1256-1259, 2019 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-31680572

RESUMO

Clinical surveillance provides essential data on changes in a patient's condition. The common method for performing this surveillance is the assessment of vital signs. Despite the importance of these signs, research has found that vital signs are not rigorously assessed in clinical practice. Respiratory rate, arguably the most important vital sign, is the most neglected. Poor understanding might contribute to nurses incorrectly valuing oxygen saturation more than respiratory rate. Nurses need to understand the importance of respiratory rate assessment as a vital sign and the benefits and limitations of pulse oximetry as a clinical tool. By better understanding pulse oximetry and respiratory rate assessment, nurses might be more inclined to conduct rigorous vital signs' assessment. Research is needed to understand why many nurses do not appreciate the importance of vital signs' monitoring.


Assuntos
Monitorização Fisiológica/enfermagem , Avaliação em Enfermagem/estatística & dados numéricos , Oximetria/enfermagem , Taxa Respiratória , Humanos , Monitorização Fisiológica/métodos , Sinais Vitais
8.
Nurs Clin North Am ; 54(4): 533-539, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31703778

RESUMO

This article offers an alternative conceptualization from which a health care provider can consider and respond to client-based suicidal ideation and behavior. Pragmatically explored through the prism of locus of control, Rogerian psychotherapy principles, Peplau's theory of interpersonal relations, and the work of Kay Redfield Jamison, the Concordant Actions in Suicide Assessment (CASA) model frames clinical decision making along a continuum defined by concordant and state-based action. Therein, cognitive reframes are offered to illustrate how to apply the CASA model in clinical practice.


Assuntos
Controle Interno-Externo , Modelos Psicológicos , Avaliação em Enfermagem , Suicídio/prevenção & controle , Humanos , Papel do Profissional de Enfermagem , Ideação Suicida
9.
Nurs Clin North Am ; 54(4): 541-550, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31703779

RESUMO

Delirium superimposed on dementia is an acute medical illness that is difficult to diagnose because of the similarities of the symptoms to dementia. Delirium can contribute to the suffering of the patient as well as the family and caregiver. An initial holistic assessment of the patient is critical in establishing the cognitive baseline symptoms of delirium. Prevention of delirium can be assisted by ongoing reassessment of the patient for symptoms of delirium. The goal of treatment is to treat the underlying cause of the delirium.


Assuntos
Delírio/diagnóstico , Delírio/terapia , Demência/complicações , Papel do Profissional de Enfermagem , Avaliação em Enfermagem , Idoso , Humanos
10.
Nursing ; 49(12): 24-30, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31658230

RESUMO

Chronic venous insufficiency (CVI) is a potentially debilitating disorder associated with serious complications such as lower extremity venous ulcers. This article reviews the incidence and pathophysiology of CVI, nursing assessment, diagnosis and interventions, and patient education needed to manage the disease and prevent complications.


Assuntos
Insuficiência Venosa/enfermagem , Doença Crônica , Humanos , Incidência , Avaliação em Enfermagem , Diagnóstico de Enfermagem , Educação de Pacientes como Assunto , Insuficiência Venosa/epidemiologia , Insuficiência Venosa/fisiopatologia
11.
Br J Nurs ; 28(19): 1156-1159, 2019 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-31647734

RESUMO

Clinical surveillance provides essential data on changes in a patient's condition. The common method for performing this surveillance is the assessment of vital signs. Despite the importance of these signs, research has found that vital signs are not rigorously assessed in clinical practice. Respiratory rate, arguably the most important vital sign, is the most neglected. Poor understanding might contribute to nurses incorrectly valuing oxygen saturation more than respiratory rate. Nurses need to understand the importance of respiratory rate assessment as a vital sign and the benefits and limitations of pulse oximetry as a clinical tool. By better understanding pulse oximetry and respiratory rate assessment, nurses might be more inclined to conduct rigorous vital signs' assessment. Research is needed to understand why many nurses do not appreciate the importance of vital signs' monitoring.


Assuntos
Monitorização Fisiológica/enfermagem , Avaliação em Enfermagem/estatística & dados numéricos , Oximetria/enfermagem , Taxa Respiratória , Humanos , Monitorização Fisiológica/métodos , Sinais Vitais
13.
Nursing ; 49(10): 32-39, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31568079

RESUMO

The clinical nurse may be the first caregiver to assess changes in a patient's skin and initiate wound care. This article provides practical guidelines that any nurse can implement.


Assuntos
Guias de Prática Clínica como Assunto , Higiene da Pele/enfermagem , Ferimentos e Lesões/enfermagem , Administração Tópica , Humanos , Avaliação em Enfermagem , Ferimentos e Lesões/etiologia
14.
Metas enferm ; 22(8): 68-78, oct. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-184999

RESUMO

La Organización Mundial de la Salud (OMS) identifica la violencia de género (VG) como un factor esencial en el deterioro de la salud de las mujeres. Aproximadamente el 90% de mujeres víctimas de VG acude al centro de Atención Primaria durante el año siguiente de haber sido agredida. El objetivo del presente trabajo es presentar un caso clínico de una mujer diagnosticada de VG, con el fin de evidenciar la importancia de las herramientas que desde la Atención Primaria existen para la detección y abordaje de este problema de salud. Además del protocolo común para la actuación ante la VG y el Protocolo para la detección y atención de la VG en Atención Primaria de la Región de Murcia se utilizó el proceso de atención de Enfermería a través de la valoración por patrones funcionales de Marjory Gordon, emisión de diagnósticos de la taxonomía NANDA-I, priorización por el modelo AREA y planificación, ejecución y evaluación de cuidados con el uso de las taxonomías NOC y NIC. Se obtuvieron como diagnósticos principales: ansiedad, baja autoestima situacional, mantenimiento ineficaz de la salud, afrontamiento ineficaz y deterioro de la interacción social. Tras seis meses se logró un cumplimiento parcial del plan de cuidados. La VG es un importante problema de salud pública y las enfermeras de Atención Primaria tienen un importante papel en su detección y abordaje. Se plantea la necesidad de crear un diagnóstico enfermero que aborde las manifestaciones de la VG en forma de síndrome


The World Health Organization (WHO) identifies gender-based violence (GBV) as an essential factor in the deterioration of women's health. Approximately 90% of women who have suffered GBV will attend their Primary Care center within the year after having been assaulted. The objective of this article is to present the case report of a woman diagnosed with GBV, with the aim to highlight the importance of the tools available in Primary Care for detecting and addressing this health problem. Besides the common protocol for action regarding GBV, and the Protocol for Detection and Care for GBV in Primary Care of the Community of Murcia, the following were used: Marjory Gordon's Nursing Care Process through assessment by functional patterns, conducting diagnosis through the NANDA-I taxonomy, prioritization by the AREA model, and planning, conducting and evaluating care by using the NOC and NIC taxonomies. The main diagnoses obtained were: anxiety, low situation-related self-esteem, inefficient health maintenance, inefficient coping, and deterioration of social interaction. After six months, partial compliance of the care plan was achieved. GBV is a major public health problem, and Primary Care nurses play an important role in detecting and addressing it. It is necessary to create a Nursing Diagnosis which will address GBV manifestations as a syndrome


Assuntos
Humanos , Feminino , Idoso , Violência de Gênero , Atenção Primária à Saúde , Processo de Enfermagem , Terminologia Padronizada em Enfermagem , Avaliação em Enfermagem , Diagnóstico de Enfermagem
18.
Metas enferm ; 22(7): 56-64, sept. 2019. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-184100

RESUMO

En los pacientes postoperados de cirugía cardiaca, la mayoría de las paradas cardiorrespiratorias (PCR) requieren una reapertura esternal emergente. Cuando esta situación no revierte, la colocación de un dispositivo de membrana de oxigenación extracorpórea (ECMO) se ha definido como una terapia eficaz para mejorar la supervivencia y disminuir los daños neurológicos. La canulación de ECMO central en estos pacientes supone una opción rápida y segura, aunque es necesaria la formación continua y la realización de guías de procedimiento para que todo el personal pueda actuar de manera rápida y eficaz. El desarrollo de este protocolo tiene como objetivos: a) Estandarizar la secuencia de intervenciones en la colocación de ECMO central en PCR. b) Establecer y definir los roles de cada uno de los profesionales implicados durante el proceso. c) Describir las posibles complicaciones que pueden aparecer para poder prevenir su aparición o minimizar sus consecuencias. d) Identificar los diagnósticos de Enfermería y planificar los cuidados adecuados


In patients who have undergone cardiac surgery, most cardiorespiratory arrests (CRAs) require emergent sternal reopening. When this situation is not reversed, the use of extracorporeal membrane oxygenation (ECMO) has been defined as an effective therapy in order to improve survival and reduce neurological damage. Central ECMO cannulation in these patients represents a fast and safe option, though continuous training is required, as well as preparing procedure guidelines so that all the staff can act in a fast and effective manner. The objectives for developing this protocol are: a) To standardize the sequence of interventions in the placement of central ECMO at CRA; b) To determine and define the roles of each professional involved during the process; c) To describe any potential complications that might appear, in order to prevent them or minimize their consequences; d) To identify nursing diagnoses and determine the adequate plan of care


Assuntos
Humanos , Cuidados de Enfermagem , Enfermagem Prática , Cateterismo , Circulação Extracorpórea/enfermagem , Parada Cardíaca/enfermagem , Cirurgia Torácica , Período Pós-Operatório , Sistemas de Manutenção da Vida/instrumentação , Diagnóstico de Enfermagem , Avaliação em Enfermagem
19.
Enferm. intensiva (Ed. impr.) ; 30(3): 99-107, jul.-sept. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-182968

RESUMO

Introducción: La evaluación y tratamiento del dolor es imprescindible para una atención de calidad, además de para mejorar la satisfacción del paciente y los resultados clínicos. Objetivos: 1) Describir la percepción de dolor de los pacientes posquirúrgicos ingresados en nuestra Unidad de Cuidados Intensivos (UCI). 2) Comparar la percepción del paciente con la valoración realizada por la enfermera. 3) Comparar los resultados de la encuesta International Pain Outcomes con los datos sociodemográficos. Metodología: Estudio descriptivo prospectivo observacional en la UCI de un hospital universitario de nivel terciario durante 3 meses. Se estudió la percepción del dolor en los pacientes posquirúrgicos, a las 24 h de ingreso en la unidad, a través de la encuesta International Pain Outcomes traducida al español. Resultados: La puntuación de mayor dolor registrada de los 109 pacientes fue 4,47 ± 2,75 y la de menor de 0,69 ± 1,25 frente a 5,59 ± 2,72 y 2,13 ± 2,03 que refirieron los pacientes, con diferencias significativas (p < 0,001). La puntuación del mayor de dolor registrado está relacionada con el tipo de cirugía (p = 0,027). Hay diferencias significativas en la valoración del menor dolor y la edad (p = 0,005 r = -0,270). Igualmente s22ucede con el sexo y la percepción de mayor dolor (p = 0,004). Los pacientes que refirieron que el dolor les hizo sentir muy ansiosos o indefensos fueron los que tuvieron las mayores puntuaciones en la percepción de mayor dolor, 7,35 ± 1,98 7,44 ± 1,85, respectivamente, con diferencias estadísticamente significativas (p = 0,001; p < 0,001). Con relación a la puntuación de menor dolor, se encuentra asociación con el sentimiento de ansiedad (p = 0,032) y no con el sentimiento de indefensión (p = 0,088). Conclusiones: Los pacientes posquirúrgicos refieren dolor durante las primeras 24 h de ingreso en la UCI (puntuación máx 5,59 ± 2,72). Las enfermeras infravaloran el dolor que el paciente refiere. Una formación adecuada ayudaría a dotar estrategias de valoración para un mejor tratamiento. La edad, el sexo, la ansiedad y la indefensión que el dolor provoca fueron variables que condicionaron el dolor de manera significativa


Introduction: Pain assessment and treatment are essential for ensuring quality of care as well as for improving patient's satisfaction and clinical outcomes. Objectives: 1) To describe pain perception of surgical patients admitted to our Intensive Care Unit(ICU). 2) To compare the patients' pain perception with the assessment carried out by nurses. 3) To correlate International Pain Outcomes Questionnaire results with socio-demographical data. Methodology: A prospective descriptive observational study was carried out in the ICU of a third level university hospital over a period of 3 months. Surgical patients' pain-perception was assessed 24hours after their admission to the ICU using the Spanish translation of International Pain Outcomes Questionnaire. Results: The highest pain score recorded among 109 patients by nurses was 4.47 ± 2.75, while, the lowest was .69 ± 1,25. However, the highest and lowest pain scores reported by patients were 5.59 ± 2.72 and 2.13 ± 2.03, which showed significant differences (P < 0.001). The highest pain score seemed to be related to the type of surgery (P < 0.027). There are significant variations in the lowest pain score depending on age (P = 0.005 r= -0.270). Likewise, the worst pain score correlated with the patients' sex (P = 0.004). Patients who reported that pain made them feel very anxious or helpless scored highest with the worst pain, 7.35±1.98, 7.44±1.85 respectively. These differences were statistically significant (P = 0.001, P < 0.001). Regarding to the score of less pain, there is an association with feeling anxiety (P = 0.032) and not with feeling helpless (P = -0.088). Conclusions: The post-surgical patients reported pain during the first 24 hours following admission to ICU (max score 5.59 ± .26). The nurses underestimated the patients' reported pain. Improving nurses' education would provide them with assessment strategies for better pain management. Age, sex, anxiety and helplessness caused by pain, were variables that significantly influenced pain


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Percepção da Dor , Unidades de Terapia Intensiva/estatística & dados numéricos , Dor/diagnóstico , Manejo da Dor , Avaliação em Enfermagem , Cuidados Pós-Operatórios , Satisfação do Paciente , Estudos Prospectivos , Medição da Dor , Hospitais Universitários , Inquéritos e Questionários , Análise de Dados , Análise de Variância
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