148 resultados para Úlcera de pressão. Unidade de Terapia Intensiva. Assistência de enfermagem
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Pós-graduação em Biociências e Biotecnologia Aplicadas à Farmácia - FCFAR
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Pós-graduação em Saúde Coletiva - FMB
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Pós-graduação em Fisiopatologia em Clínica Médica - FMB
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Fisiopatologia em Clínica Médica - FMB
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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The quality of life of nursing professionals of character is relevant because the service involves every aspect of workers with personal, social and cultural, so that professionals can result in unproductive and emotionally shaken, and may influence the direct patient care.The aim of this study is to report the quality of life of nursing staff working in the adult ICU of a university hospital.Methodology will be applied to qualitative, through interviews with guiding questions, with the subject all the nursing staff of the Intensive Care Unit - Adult, located in Bauru State Hospital. The survey results were analyzed through content analysis proposed by Bardin. The interviews were divided into categories and subcategories in the sequence. In the category Defining quality of life - hidden connections got four subcategories: happiness, pleasure, interrelation and practice in nursing, which are directly related to the meaning of quality of life. What about the profession as interference in quality of life of nursing staff reached the category A profession in contrast with the quality of life - Connections Exposed that led to the division of four subcategories: proximity to death, absenteeism, double day / salary, shifts, ranking at work and work process. Finally, it concerns the improvement of the profession that can intervene in the quality of life of workers obtained the category Improving occupancy improving the quality of life - Connections to be built, which is subdivided into sub-categories: professional incentive, hierarchy and enhancement of the profession. These categories and subcategories showed significant and important aspects of quality of life of nursing professionals
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Pós-graduação em Odontologia Restauradora - ICT
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Pós-graduação em Enfermagem (mestrado profissional) - FMB
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Pós-graduação em Fisiopatologia em Clínica Médica - FMB
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The use of antimicrobial agents has facilitated the dissemination of multi-resistant microorganisms, compromising dental and medical treatment. The aim of this study was to evaluate the distribution of different opportunistic microbial species in patients who suffered head and neck trauma, under temporary maintenance in nosocomial environment, particularly intensive care units, on the occurrence of such microorganisms in the oral cavity of the patients. It was selected 38 patients subjected to head and neck traumas. After emergency surgical procedures, clinical samples of saliva, sub and supragingival biofilms and mucosal surfaces were collected at two different moments: just after stabilization of the patient and soon after patients’ release from medical units. The presence of opportunistic and superinfecting microorganisms was evaluated by culture on selective and non-selective media, and the presence of the family Enterobacteriaceae, as well as genera Enterococcus, Pseudomonas, and Staphylococcus was assessed by PCR. It was found that the use of antimicrobials, even for short periods of time was sufficient to facilitate colonization by microorganisms of the families Enterobacteriaceae and Pseudomonadaceae, as well as yeasts and enterococci. These results support the concept that medical and dental teams should make a periodically change of antimicrobials used in treatment protocols in hospital for head and neck trauma patients, in order to minimize dissemination of opportunistic or superinfecting microorganisms.
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Objective. To describe the experience of family members as a result of children’s hospitalization at the Intensive Care Unit (ICU). Methodology. Descriptive and cross-sectional study. A structured interview was held with 20 relatives of patients hospitalized at two clinics of the Botucatu Medical School at Universidade Estadual Paulista “Júlio de Mesquita Filho”. Information was collected between July and September 2010. Results. The main characteristics of the participating relatives were: 80% mothers of the children; 70% low education level and 70% married. Sixty percent of the children were hospitalized at the ICU for the first time. Eighty percent of the interviewees believe that the children’s behavior changes inside the unit and 85% consider that visiting hours are sufficient. The predominant negative feelings are fear (50%) and insecurity (20%), while the predominant positive feelings are hope (50%) and the expectation of discharge (25%). The professional who most supported the relatives was the nurse (35%). Conclusion. The family members’ experience as a result of the children’s hospitalization at the ICU involves positive and negative aspects, which also affect the child’s behavior at the unit.
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The study has resulted from the desire to comprehend how intensive care unit (ICU) nurses understand the caregiving process. The ICU nurses must be able to promote effective changes in the care provided, to give attention to adversities and be able to act promptly to attend several demands. Aim: understanding the meaning to nurses of the caregiving process at the ICU. Methodology: it consists of a qualitative research with a phenomenological view that has three moments: description, reduction and comprehension. After approval by the Research Ethics Committee (211/08) in 02/06/2008, individual interviews were conducted by using the following guiding questions: What is the working process to ICU nurses? What is it to you, to be an ICU nurse? The study subjects were twelve nurses who worked at the ICUs. Results: the analysis showed the themes: nursing process, relationship with the ICU patient and family, and humanization. Conclusion: From the results it is concluded that nurses working in ICUs in the study report difficulties as well as satisfaction related to caregiving process, especially in the context of the anxieties of patients and families, revealing the difficulties in the processing of feelings. A nurse is recognized by the team as a leader agent and a multiplier of the caregiving actions.
Avaliação do gasto energético de repouso em pacientes com sepse associada ou não à lesão renal aguda
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Pós-graduação em Fisiopatologia em Clínica Médica - FMB
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Trata-se de um estudo de caso de paciente portador de luxação de coluna cervical. Sem comprometimento medular, no qual as autoras operacionalizaram o processo de enfermagem, segundo Modelo Conceitual de Horta, adaptando a Taxonomia I dos Diagnósticos de Enfermagem proposta pela North American Nursing Diagnosis Association (NANDA). Os resultados demonstraram que as intervenções propostas ao caso contribuíram na sua reabilitação, prevenindo complicações, bem como ajudando-o a retomar ao seu ambiente social para reassumir a sua autonomia.