A enfermagem comunitária na transição para a parentalidade - visita domiciliária de enfermagem no puerpério

Atualmente, com a alta precoce após o nascimento emerge a necessidade de cuidados domiciliários no puerpério. A pertinência deste projeto consubstancia-se na reorganização da visitação domiciliária no puerpério na USF Salus, garantindo a continuidade de cuidados após a alta hospitalar. O desenvolvimento do projeto teve por base as necessidades identificadas pelos enfermeiros da USF Salus. Teve como finalidade promover a parentalidade positiva, contribuindo para a melhoria da saúde e bem-estar das puérperas, recém-nascidos e respetivas famílias, definindo-se como objetivo geral: Reorganizar a Consulta de Enfermagem do Puerpério no Domicílio, de forma a promover a parentalidade positiva nos pais com crianças até 3 meses de idade, utentes da USF Salus, até 2016. Neste relatório é feita uma análise reflexiva sobre a visita domiciliária no puerpério e apresentada a proposta de protocolo de atuação na mesma. A avaliação do projeto na perspetiva das puérperas e dos enfermeiros legitima a relevância do mesmo na criação de soluções práticas para um problema concreto; ABSTRACT: Today, with early discharge after birth emerges the need for home care in the postpartum period. The relevance of this project is consolidated in the reorganization of home visitation puerperal at USF Salus, ensuring continuity of care after discharge. The project development was based on the needs identified by nurses USF Salus. It aimed to promote positive parenting, helping to improve the health and well-being of mothers, newborns and their respective families, defining the general objective: Rearrange the Puerpério of Nursing Consultation at Home, in order to promote positive parenting in parents with children up to 3 months of age, users of USF Salus, 2016. This report is made a reflective analysis of the home visit puerperal and presented the proposed action protocol in it. The project evaluation from the perspective of mothers and nurses legitimizes the importance of it in creating practical solutions to a specific problem.

Mover para melhor nascer: liberdade de movimentos e posições verticais no primeiro estádio do trabalho de parto

A Organização Mundial de Saúde destaca a deambulação e a adoção de posições verticais pela parturiente, como práticas demonstradamente benéficas, devendo ser estimuladas pela enfermeira obstetra na condução do trabalho de parto e parto normal, em situações de baixo risco obstétrico. O projeto preconizou a promoção da deambulação e o incentivo à adoção de posições verticais na fase ativa do trabalho de parto. As intervenções de enfermagem na promoção destas práticas foram avaliadas na equipa de enfermeiros obstetras do Serviço de Urgência Obstétrica e Ginecológica do Centro Hospitalar Barreiro-Montijo, Entidade Pública Empresarial e num grupo de parturientes, através da aplicação de questionários. As necessidades dos enfermeiros obstetras e das parturientes determinaram a realização de ações formativas e educacionais e a elaboração de materiais informativos de suporte à prática assistencial. A avaliação do projeto demonstrou que ainda existem práticas a serem melhoradas, sendo a sua continuidade vantajosa para profissionais e parturientes; ABSTRACT: TITLE: Move to Better Birth - Freedom of Movement and Upright Positions in First Stage of Labor. The World Health Organization highlights ambulation and adoption of vertical position by the woman, as demonstrated beneficial practices and should be encouraged by obstetric nurses in the conduct of obstetric labor and normal delivery, in low risk situations. The project advocated for the promotion of ambulation and encouragement for the adoption of vertical positions in the active phase of labor. Nursing interventions to promote these practices were evaluated in the obstetric nurses team of Obstetric and Gynecological Emergency Department from Hospital Center Barreiro-Montijo, Business Public Entity, and in a group of women in labor, through the use of questionnaires. The needs of obstetric nurses and women in labor determined the realization of training and educacional activities and the development of information materials to support the care practice. The project evaluation demonstrates that there are still practices to be improved, and its continuity being advantageous for professionals and women in labor.

Consumers sensory evaluation of melon sweetness and quality

CONSUMERS SENSORY EVALUATION OF MELON SWEETNESS AND QUALITY Agulheiro Santos, A.C, Rato, A.E., Laranjo, M. and Gonçalves, C. Departamento de Fitotecnia, Escola de Ciências e Tecnologia, Instituto de Ciências Agrárias e Ambientais Mediterrânicas (ICAAM), Instituto de Investigação e Formação Avançada (IIFA), Universidade de Évora, Polo da Mitra, Ap.94, 7002-554 Évora, Portugal. ABSTRACT The sensory quality of fruits is made of a range of attributes like sweetness, acidity, aroma, firmness, color. Taste perception and perception threshold of these attributes are variable according to the psychological and cultural development of individuals. To better understand the quality evaluation of melon by consumers, consumers were invited to taste melon samples, in supermarkets in Évora (South region), Lisbon (Central region) and Vila Nova de Gaia (North region). The present work explored the importance given by consumers to sweetness in order to classify the overall quality of melon. Furthermore, the relationship of the chemical evaluation of Total Soluble Solids (TSS) with sweetness of melon was studied. Fruits from the variety Melão branco picked randomly from those that were exposed for sale in supermarkets were used for analysis. Fruits were chinned along the equatorial zone and only the central part of the fruit, opposite to the part that leaned on the soil, was used to obtain homogeneous samples. Consumers were invited to taste four small pieces of each fruit, previously referenced with a code number, and answer a questionnaire with two questions related to sweetness and overall quality. Each question had five possible levels, identified from “Nothing sweet”, to “Extremely sweet”, in one case, and from “Poor” to “Excellent” in the other. Simultaneously, the values of TSS (measured in ºBrix) for each melon used in the study were evaluated by refractometry. This sensory analysis allowed us to point out the following findings: first of all, there is good agreement between the results obtained to classify “Sweetness” and “Overall Quality” (Cohen’s Kappa=53.1%, p<0.001), which means, for example, that fruits with excellent quality are in general extremely sweet. Moreover, fruits with less than 9.6 °Brix are considered of poor quality and nothing sweet, whereas fruits with values between 10 °Brix and 12 °Brix are considered good in terms of overall quality. It seems that the thresholds for the stimulus/intensity of sweetness lied between 10 °Brix to 14 °Brix for this melon variety. Acknowledgments This work was support by national funds through Fundação para a Ciência e a Tecnologia (FCT) under the Strategic Project Pest-OE/AGR/UI0115/2014 and co-funded by FEDER funds through the COMPETE Program.