O sentido de ser idoso diante da hospitalização sob o olhar de Paterson e Zderad: contribuições para a enfermagem

Trata-se de uma de pesquisa de caráter qualitativo, descritivo e exploratório, com abordagem fenomenológica, proposta por Paterson e Zderad. Esta pesquisa tem como objetivo geral: compreender a dimensão existencial do idoso em situação de hospitalização. E como objetivos específicos: descrever a percepção do idoso acerca do ambiente que o cerca. Entender a partir da ótica do idoso, quais são as melhores ferramentas para o estabelecimento de inter-relações com a equipe de enfermagem. E analisar o processo de cuidar a partir da perspectiva de Paterson e Zderad. Os sujeitos da pesquisa foram quinze idosos hospitalizados nos setores de clínica médica e cirúrgica e a unidade intermediária. O cenário foi um hospital público do interior do Estado do Rio de Janeiro. A coleta de dados aconteceu durante o ano de 2011, em um município que integra a Região dos Lagos. A técnica utilizada para a coleta de dados foi a entrevista não dirigida. Emergiram deste estudo oito categorias: ambiente hospitalar; enfermagem; acompanhantes; o que incomoda; agradecimentos; aprendizado e troca; religiosidade/espiritualidade; conselhos dos idosos para a equipe de enfermagem e imagem corporal. Espera-se que o presente estudo seja uma ferramenta para a melhoria da assistência de enfermagem aos idosos que vivenciam o processo de internação hospitalar, já que esta população possui características, especificidades e necessidades próprias, sendo seres singulares, com potencial de vir-a-ser, e necessitando do outro para a sua auto-realização.

A implementação da sistematização da assistência de enfermagem no serviço de saúde hospitalar do Brasil

Trata-se de uma pesquisa bibliográfica que objetivou analisar como tem ocorrido a implantação da Sistematização da Assistência de Enfermagem no serviço de saúde hospitalar do Brasil no período de 1986 a 2005. Utilizou-se como fonte de busca as bases de consulta LILACS, BDENF e SciELO. Foram incluídos 30 artigos (15 relatos de experiência, 14 pesquisas de campo e uma reflexão teórica), tendo como critério a implementação da Sistematização da Assistência de Enfermagem no Brasil, na área hospitalar. Realizou-se a análise de conteúdo, modalidade temática. Na análise dos artigos se percebe que a finalidade de implantar a sistematização é organizar o cuidado a partir da adoção de um método sistemático, proporcionando ao enfermeiro a (re)definição da sua ação. Dependendo da escolha do referencial teórico de gestão e das estratégias utilizadas, isso se reflete sobre as condições de trabalho e o modo de agir, havendo interferência no processo de implantação.

Assistência a mulher com câncer de mama em um cenro de referência no Estado da Paraíba

The assistance to women who have breast cancer is studied in a Reference Center in Paraiba and also the way this assistance is performed in a School Hospital maintained by SUS (Single Health System) is questioned. Breast cancer demands institutional organization, provision of financial, material and human resources, requiring, from the health system, effective assistance with new technologies which make it possible for the population their access to specialized medical services although it not always is able to guarantee those services nor the rights which the legislation granted them, inhibiting a proper relationship between the health professional and the patient. The theme is discussed through a transdisciplinary knowledge view and has as its theoretical referential the contribution of classical and contemporary authors from the human and social sciences and, as an empirical research strategy, the structured interview. The objectives of the research were: identify how the assistance to women with breast cancer is carried on at a Reference Center on Oncology in Campina Grande, Paraiba, identifying their difficulties and their satisfaction with the received assistance; draw up a profile of the women with breast cancer who were assisted in this Reference Center; understand their gynecological and obstetric antecedents, life styles, age group and stage of the disease when the treatment started; check their knowledge about their rights and which benefits they had received. Most women ranged between 40 and 59 years old (63%), which corresponds to the risk range of developing breast cancer. As to their occupations, 38.3% were housewives and 30.1% retired, whose family income was among those who received between less than a minimum salary and one minimum salary (58.2%). This population was mainly constituted of married women (60.2%), whose most frequent schooling was an incomplete elementary school (27.6%) and complete elementary school (24.1%), which added up to 51.6%. It was observed that the majority of the women seemed to be satisfied with the assistance received, noting that a minimum care was enough to define this satisfaction, although it is perceived that the access to the health system does not ensure the ideal attention conditions they need; it was verified that the availability of the services and the assistance itself are seen (in the local culture) as a favor and not as a right. It is also observed that only 30% of the women mentioned that they knew about their rights and the most mentioned ones were the disease assistance (13%), the medicines (13%) and the treatment (12%), which represent the most important triad to face the disease and around which the oncologic assistance most focus on. It is concluded that the condition of the users´ minimum existential of a public health unit and the condition of belonging to a lower social stratum were variables that influenced the respondents´ satisfaction in relation to the assistance received but the importance of the Reference Center for the women with breast cancer´s assistance for the whole region cannot be denied as well as the need to broaden the way the policy of the oncologic assistance in Brazil in the local realm is seen

Humanização hospitalar, ambiente físico e relações assistenciais :a percepção de arquitetos especialistas

The creation of the Humanization Program of Hospital Care and the increasing number of academic works and journal articles that discuss more humane practices in the health care services express the emphasis given to the theme in Brazil. In these discussions, however, it is not usual to find reference to architecture as a relevant factor in the humanization of hospitals, even though it is known that the physical structure of the building may help the recovering of the patients; elements such as gardens, the use of colors and open spaces may soften the impact caused by the hospital routine on patients. Considering the contribution the architectural project may bring to the humanization of hospitals, the aim of this study was to verify how the architects perceive the hospital humanization process. Besides having searched for subsides in informal interviews with health professionals, in visits to hospitals and in related seminars, the study was based on semi-structured interviews with architects of Natal, Rio Grande do Norte, who are specialists in this kind of projects. The content analysis of the interviews showed that physical space and attendance are essential to the humanization process. Those professionals see two humanization tendencies: while private hospitals have the structural physical appearance considered as humanized, public hospitals emphasize the humanization in attendance, fact that illustrates the contradictions in Brazilian health system. The interviewees consider the post-occupancy evaluation of the building as a learning exercise that contributes to new projects, but surprisingly they do not mention the patients opinion as part of it. Two annoying facts have emerged from the interviews, as also seen in preliminary stages of the study: rare are the works that focus on the person-environment relationship, and the definition of humanized hospital environments is still broad and inaccurate. This suggests the need of new studies in order to better understand how the two factors shown in this study attendance and physical space interact towards a true hospital humanization

Caracterização da educação em saúde dos cuidadores formais em institutições de longa permanência para idosos de Botucatu-SP

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Desenvolvimento e avaliação de um modelo de assistência contínuo, paliativo e domiciliar a pacientes com câncer mamário ou ginecológico fora de possibilidade de cura

Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB

Prevalência e fatores de risco para carreamento de Staphylococcus aureus resistente à meticilina em idosos institucionalizados na cidade de Bauru-SP

Pós-graduação em Doenças Tropicais - FMB

Qualidade de vida no envelhecimento: situação dos idosos assistidos em unidades de saúde da família do município do interior paulista

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Tratamento ambulatorial e hospitalar na monitorização glicêmica de gestantes diabéticas em uso de insulina

Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB

Avaliação dos custos da assistência de recém nascidos de mães diabéticas no Hospital das Clínicas -UNESP – Botucatu

The present work had as objective to calculate and to analyze the costs of the assistance of just born of diabetic mothers interned in the units of Joint Lodging of the Maternity and Nursery and UTI Neonatology of the HC - FMB - Unesp. This is a exploratory, descriptive study with quantitative analysis of the data, with just born of carrying mothers of gestational diabetes and of light hyperglycemia, that had carried through the prenatal assistance in the HC - FMB - Unesp, in the period of 1o of January the 31 of December of 2009. The analysis of the data disclosed that the costs indirect and of the assistance to the just born in joint lodging had been of: R$ 160,20 for the group of RN of mothers with light hyperglycemia, R$204,10 for the group with diabetes and R$100,57 for the control. The costs indirect and of the assistance to the just born in Nursery had been of: R$ 494,94 for the group of RN of mothers with light hyperglycemia, R$565,89 for the group with diabetes and R$262,98 for the control. The weighed average cost of the assistance to the just born in Joint Lodging, Nursery and UTI of Neonatology was of: R$ 191,33 for the group of RN of mothers with light hyperglycemia, R$458,58 for the group with diabetes and R$210,48 for the control. It can be concluded that the costs of just born of diabetic mothers and with light hyperglycemia were higher and had similar perinatal results to the one of the control group

Vila da memória: perfis de 10 idosos institucionalizados no asilo Vila Vicentina

The report-book has 10 profiles of institutionalized persons in the Vila Vicentina´s asylum in Bauru. The intention is to show the history of these men, the path that led to the institutionalization, their routine in the shelter and what are their biggest dreams. Giving “voice” for this group of marginalized, the book alerts the issue of abandonment of the elderly by their families and lead a reflection on society. In addition, it also calls the “traditional” media attention to the question, since the only recurring theme of the newspaperspages when tragedy happens

Avaliação dos custos da assistência de recém-nascidos de mães hipertensas no Hospital das Clínicas - UNESP - Botucatu

The Hypertension Arterial Gestationis is a of largest complications to the pregnant women, a time that is associated with to high risk of morbimortalidade fetal and maternal ;the term If referred the levels pressure equal or above of 140mmhg to the pressure systolic and of 90mmhg to the pressure diastolic (1).Hypertension in pregnancy can be classified into gestational hypertension, chronic hypertension, preeclampsia and eclampsia(3). This study aimed to calculate and analyze the cost of care of newborns of hypertensive mothers hospitalized in rooming, nursery and the neonatal intensive care unit (Neonatal UTI). It’s a study of exploratory, descriptive and quantitative data analysis, in newborns of mothers with hypertension, who underwent prenatal care in HCFMB, from January 1 to 31 in December 2010. The data analysis showed that the cost of care for newborn in rooming was R$ 38.62 for the control group and groups of hypertensive mothers were R$ 19.93 to R$ 37.38. The costs of care to the newborn in the nursery were R$ 1,781.81 for the control group and groups of hypertensive mothers were R$ 680.03 to 7544.10. The costs for the newborn who Neonatal UTI were R$ 7,468.60 for the control group and groups of hypertensive mothers were R$ 5,228.02 to R $ 18,372.75. The total costs of care for newborn in rooming, nursery and Neonatal UTI were R$ 916.15 for the control group, R$ 1,385.98 for the HAC group, R$ 327.23 for the group HAS, R$ 3,896.57 for the group of preeclampsia and R$ 6,326.54 for the group of eclampsia. Considerations It can be concluded that the costs of mothers with preeclampsia and eclampsia were higher, being conditions with increased risk of maternal-fetal morbidity / mortality, requiring care in intensive care unit and longer stay in hospital

Atenção farmacêutica em idosos com hipertensão participantes da estratégia saúde da família

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)