Recursos humanos e materiais na assistência de enfermagem a pacientes de uma unidade de tratamento de queimaduras

The burn is among the leading causes of morbidity and mortality in our society. It shows a great complexity and is hard to treat. Beyond the physical suffering, the burned patient is affected by psychological distress, requiring a high level of knowledge for assistance planning. The Professional Practice Law No. 7498 establishes the nurse as in charge of the client, as leader of the nursing team and as responsable for the management of physical and human resources. The nurse has autonomy to design the quantitative and qualitative picture of the nursing staff and should use the methodologies for their suitability to the real levels of assistance needed. Material resources represent 15 to 25% of total expenditures at health organizations. Therefore, to maintain the care level, nurses must determine the needs, considering the quantitative, qualitative and financial aspects. The study aimed the survey of the human and material resources necessary for nursing care to patients in a Burns Treatment Unit and identify its epidemiological profile and its nursing diagnoses. We collected the data from medical records of hospitalized between July and August, and the nursing diagnoses were classified through the Taxonomy II proposed by the North American Nursing Diagnosis Association (NANDA). The design of the picture of nurses followed the parameters of COFEN Resolution nº 293/2004. We apply the Fugulin's Patients Classification System to establish levels of the required care. The institution's Cost Center provided a spreadsheet with the purchased items, subsequently classified into ABC. Most hospitalized patients were men, aged between 20 and 50. There was a predominance of patiences with minor burned and the most common type of burn was due to fire. The average residence time was 28.71 days, and 88% of the patients were discharged... (Complete abstract click electronic access below)

Atenção farmacêutica: adesão ao tratamento

O trabalho se baseia em uma revisão bibliográfica de trabalhos da literatura que abordam o tema adesão ao tratamento medicamentoso. Segundo a Organização Mundial da Saúde, a efetividade do tratamento é caracterizada pela relação estabelecida em uma atmosfera na qual as alternativas terapêuticas são exploradas, o regime terapêutico é negociado, a adesão é discutida e o acompanhamento planejado. Para a manutenção da adesão ao tratamento, o paciente precisa ser esclarecido e auxiliado quanto suas próprias decisões. Além disso, é imprescindível entender as características do indivíduo, do processo de atendimento à saúde e de aspectos referentes aos elementos envolvidos. Portanto, faz-se necessário o conhecimento do farmacêutico sobre a importância da realização de intervenções personalizadas e com divisões de responsabilidades, que juntamente com a mudança de comportamento do profissional de saúde e com a existência de um sistema de saúde que garanta o acesso aos recursos terapêuticos irão contribuir para o aumento da adesão. Neste trabalho, a adesão ao tratamento em doenças crônicas tais como diabetes, epilepsia, hipertensão, tuberculose, e HIV/AIDS é avaliada, assim como as possíveis intervenções que visam o aumento da adesão e, consequentemente, proporcionam uma melhor qualidade de vida para o paciente.

Humanização da assistência ao paciente crítico: revisão integrativa da literatura

This study aimed at analyzing the scientific production on health care humanization in intensive-care and emergency units based on publications in national journals. Therefore, this is an integrative review of the national literature. The online database Literatura Latino-Americana do Caribe em Ciências da Saúde - Literature in the Health Sciences in Latin America and the Caribbean (LILACS) based on the Health Virtual Library (BVS) platform was used to select articles. The final sample in this review consisted of 21 articles. The presentation of results and data discussion was descriptively performed and divided into three themes: communication with relatives and the team, caregiver humanization and, finally, the difficulties faced to implement humanization. As regards communication, it is seen by the authors as a fundamental strategy to ensure quality in intensive care, and it is placed as a central axis in the humanization policy. Concerning caregiver humanization, the physical and mental overload resulting from the work process in these units are factors that interfere with personal relations between team members as well as with that between team members and patients. Among the difficulties faced for implementing humanized care for critical patients are the units’s physical and organizational structures, technology and health care professionals’ education, which is centered on the biomedical model. It was concluded that communication is considered to be fundamental for humanization of the care provided to critical patients, since it allows for the development of a network of meanings between patients, the team, families and the establishment. In order to implement care with humanized actions in urgency and emergency sectors, particularly in ICUs, it is necessary to change organizational culture and value health care professionals

Acesso a dados financeiros da gestão da saúde pública: uma análise do sítio do Datasus

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação do conhecimento e do grau de satisfação dos usuários em relação à estratégia de saúde da família no município de Pedregulho-SP

Pós-graduação em Serviço Social - FCHS

O surgimento das práticas de assistência à saúde mental da criança inspiradas na psicanálise no início do século XX através da obra de Durval Bellegard Marcondes

Psychoanalysis was introduced in Brazil since 1920 contributing to the appearance of new practices of health care for the child. Therefore, the present article aims to discuss the link between psychoanalysis and practices focused on children's mental health that emerged from the 1930s through the work of Durval Marcondes, a pioneer in the dissemination and use of psychoanalysis in Brazil. A historical research was held from a survey on Durval Marcondes’s work and the team led by him confined in the epigraph theme. It was found from that work that the link between mental hygiene, new school and psychoanalysis developed a pioneering service of care to children with school problems based on the diagnostic evaluation and guidance of parents and teachers. It is concluded that this work introduced the differentiation between children with cognitive and emotional problems and provided the foundations of psychoeducational and psycodiagnostic interventions.

Percepção de pacientes HIV-positivos de um centro de referência em relação a tratamento de saúde

Introduction: health professionals, in many cases, have defensive and exclusionary practices, patterns of prejudice and discrimination in response to HIVpositive patients. Objective: to verify the perception of patients seropositives from a reference center for STD/HIV/aids in relation to health care. Methods: there were interviews with questions related to discriminatory attitudes suffered, access and health care. Results: 130 individuals participated in the survey, from which 30 (23.1%) reported events of discrimination suffered outside the center of reference, predominantly from surgeon-dentists and 112 (86.2%) believed to have the same access and health care as other citizens. 62 (47.7%) treated with the dental center of reference, of which 56 (90.3%) felt good being treated in a dental unit only for HIV positive and six (9.7%) were indifferent, believed to be more exposed, or have a bias to attend dental seropositive individuals. Conclusion: it is concluded that many patients have already been discriminated against outside the reference center. However, most of them have a positive feeling towards the treatment received at a specifi c place for treating HIV-positive patients, due to the feeling of being welcome at that place due to the humanization and access to health care.

Acesso aos níveis de atenção à saúde em um município do Estado de São Paulo: perspectivas de gestores, profissionais e usuários

Pós-graduação em Saúde Coletiva - FMB

Saúde bucal de adolescentes que receberam assistência odontológica na primeira década de vida

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação e resolutividade do serviço odontológico no Sistema Único de Saúde

Pós-graduação em Odontologia Preventiva e Social - FOA

Acesso às informações de saúde e inclusão digital: a percepção dos Conselheiros Municipais de Saúde de Botucatu - SP

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O princípio da integralidade no Sistema Único de Saúde (SUS): utopia?

The Brazilian Federal Constitution promulgated in 1988 created the concept of Social Welfare, which is based on the triad: Health, Social Security and Social Assistance. The Unified Health System (SUS) was then instituted. SUS is a conquest of a society that seeks social justice, integrality, equalitarian and universal access to health services. In the present essay, I succinctly discourse on the various meanings of integrality. I present the theoretical basis of complexity and transdisciplinarity by opposing to reductionism, aiming at showing that, by means of transdisciplinarity and intersectoriality, integrality can be achievable.

Assistência em saúde: revisão integrativa do conhecimento produzido à luz da complexidade

This is part of an integrative review whose object of study was the production of knowledge in journals concerning nursing studies that have used the Theory of complexity as a theoretical framework. This study gathers seven articles collected from a literature review of 18 publications found on the databases: Medical Literature Analysis and Retrieval Sistem on-line (MEDLINE), Literatura Latino-Americana e do Caribe emCiências da Saúde (LILACS) and Cumulative Index to Nursing and Allied Health Literature (CINAHL) from 1998 to 2008. In the two former databases, the following combination of key words was used: “complexity theory” and “health” and “nursing”, and in the third: “complexidade” and “saúde” and “enfermagem. Content analysis was the methodological framework that allowed for organizing the knowledge aggregated in the theme: Health Care. It was observed that the Complexity Theory has based the comprehension of the health care process, pointing out the care provider with his practices and the environment.

Acessibilidade e resolutividade em assistência oftalmológica para o SUS

Pós-graduação em Bases Gerais da Cirurgia - FMB