Дисертації з теми "Wounds and injuries Nursing Victoria"
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Eime, Rochelle Maureen. "Applying behaviour change principles for the prevention of eye injuries in squash." Monash University, Dept. of Epidemiology and Preventive Medicine, 2004. http://arrow.monash.edu.au/hdl/1959.1/5198.
Повний текст джерелаSlaney, Graham. "Wrist guards as a public health intervention to reduce the risk of wrist fracture in snowboarders." University of Western Australia. School of Population Health, 2009. http://theses.library.uwa.edu.au/adt-WU2010.0041.
Повний текст джерелаMoloko, Salaminah S. "Nursing outcome standards for polytrauma patients with traumatic brain injuries in the Mafikeng district." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52372.
Повний текст джерелаENGLISH ABSTRACT: In trauma the priority is given to identifying the life-threatening injuries and immediately implementing treatment (Demetriades, 1993:3). Severe trauma resuscitation and assessment often have to be carried out simultaneously to detect and treat conditions that are rapidly fatal if not attended to immediately and according to priority. Urgent priorities in trauma management include maintaining a clear and patent airway to facilitate respiration and cervical spine protection by avoiding rough manipulation of the head and neck by supporting the neck with a neck immobiliser. Any external bleeding has to be controlled by applying direct pressure to the wound. Cardiovascular problems, for example shock or myocardial infarction, respiratory problems and hypoxia which are detrimental, particularly in the case of head injury, should be excluded. A detailed head-to-toe examination which includes the head, neck, chest, abdomen, back, musculo-skeletal system, rectum and vagina has to be performed. For the head-injured patient, correct any condition, which may complicate the existing head injury, for example hypoxia, shock, pneumothorax and fractures of long bones or pelvis. Implement the A (airway), B (breathing), C (circulation), D (disability, neurological and drugs) and E (environment) for structured management of the patient. Muller's, (1996) two-phase model was utilised to formulate and validate nursing outcome standards. In phase one literature was explored to develop provisional standards on polytrauma patients with traumatic brain injuries. In phase two the provisional standards were validated by experts (doctors and nurses) in critical care, trauma and emergency nursing including nurses and a doctor working in the casualty department of a provincial hospital in Mafikeng. Final standards were formulated and adapted accordingly. Standards for the management of a polytrauma patient with traumatic brain injuries included: A safe environment for patients, nurses and doctors Primary survey in casualty department which includes the maintenance of airway, breathing, circulation, disability/ neurological, drugs and exposure The secondary survey that includes the head to toe examination, definitive orthopaedic care and stabilisation before transfer to the intensive care unit A standard on all relevant equipment which might be needed in case the patient goes into cardiac arrest on the way to the intensive care unit, was also formulated. The standard on documentation included the primary and secondary survey in the casualty department, transport to the intensive care unit, activities and the condition of the patient. The final standards dealt with the accurate handing over of the patient to the intensive care personnel. The following recommendations were made: • Implement the outcome standard by means of a quality improvement programme through a top-down approach. • Provide training: Nurses and doctors have an obligation to render quality care, therefore they have the right to be trained in emergency procedures. • All registered nurses working in the casualty or emergency departmentsshould be trained in at least Basic Life Support (CPR), Advanced Cardiac Life Support (ACLS), Advanced Paediatric Life Support (APLS) and Advanced Trauma Life Support (ATLS) while waiting to be sent for the trauma-nursing course. • Improve infection control measures in the casualty department • Emergency drugs must always be available. • Improve the on-call system. • Formulate a policy on sharing of the equipment by both casualty and ICU staff. • Motivate for the necessary equipment. Implement procedures for debriefing of staff, the evaluation of actions during resuscitation and implement measures for psychological support of the family. • For further research, implement and test a training programme whereby nurses can formulate their own standards. • Evaluate whether the standards have improved the quality of trauma care, and develop standards for leu nursing of the brain injured patient and the rehabilitation of polytrauma patients with traumatic brain injuries The uniqueness of the study lies in the fact that no formal outcomes standard for trauma patients with traumatic brain injuries have been developed in any of the North West Provincial hospitals.
AFRIKAANSE OPSOMMING: Die identifisering van lewensbedreigende beserings en die onmiddellike implementering van behandeling, is in trauma 'n eerste prioriteit (Demetriades, 1993: 3). Resussitasie en die beraming van erge traumagevalle noodsaak in baie gevalle, gelyktydige hantering. Sou hierdie hantering nie gelyktydig en onmiddellik volgens prioriteit plaasvind nie, kan dit noodlottige gevolge inhou. Belangrike prioriteite in traumabehandeling sluit in, die instandhouding van 'n patente lugweg om asemhaling te onderhou asook die beskerming van die servikale rugmurgkolom, deur die ruwe manipulasie van die kop en nek te vermy deur die implementering van 'n nekimmobiliseerder. Kardiovaskulere probleme, byvoorbeeld skok of miokardiale infarksie, asook respiratoriese probleme wat lewensbedreigend vir die pasient met 'n hoofbeseering is, moet uitgesluit word. 'n Gedetailleerde van kop-tot-tone ondersoek, wat die kop, nek, borskas, abdomen, rug, muskulo-sketale stelsel, rektum en vagina insluit, moet uitgevoer word. In die pasient met hoofbeserings moet enige toestand byvoorbeeld frakture van die langbene of die pelvis, skok of 'n pneumothorax, eers behandel word. Implementeer die A (Iugweg - "airway"), B (asemhaling - "breathing"), C (sirkulasie -"circulation"), D (gestremdheid - "disability", neurologies- "neurological" en drogerye-"drugs") en E (omgewing - "environment") vir die gestruktureerde behandeling van die pasient. Die twee fase model van Muller (1996) is gebruik vir die formulering en validering van die verpleeguitkomsstandaarde. In fase een is die literatuur verken om die voorlopige standaarde vir polytrauma pasiente met traumatiese breinbeserings te ontwikkel. In fase twee is die voorlopige standaarde gevalideer deur kundiges (dokters en verpleegkundiges) in kritieke sorg, trauma en noodverpleging. Die verpleegkundiges en dokter wat werksaam is in die ongevalle-eenheid van 'n plaaslike provinsiale hospitaal in Mafikeng is ook ingesluit. Finale standaarde is geformuleer en dienooreenkomstig aanvaar. Die standaarde vir die politrauma pasient met traumatiese breinbeserings, sluit in: 'n Veilige omgewing vir pasiente, verpleegkundiges en dokters. Die prirnere beraming in ongevalle ten opsigte van instandhouding van die lugweg, asemhaling, sirkulasie, gestremdheid, drogerye en blootstelling. Die sekondere beraming: wat behels die kop-tot-tone ondersoek. Definitiewe ortopediese behandeling en stabilisering voor oorplasing na die intensiewe-sorg-eenheid. 'n Standaard met betrekking tot die nodige toerusting wat benodig mag word tydens 'n hart stilstand, oppad na die intensiewe-sorg-eenheid, is ook geformuleer. Die standaard ten opsigte van dokumentasie sluit die primere, en sekondere beraming, vervoer na die intensiewe-sorg-eenheid, aktiwiteite en toestand van die pasient, in. Die finale standaarde is gebaseer op die oorhandiging van die pasient aan die intensiewe-sorg-personeel. Die volgende aanbevelings word gemaak: • Implementeer die uitkomsstandaarde deur middel van 'n gehalteverbeteringsprogram deur gebruik te maak van 'n "top-down" benadering -, • Voorsien opleiding: Verpleegkundiges en dokters het 'n verpligting om gehaltesorg te lewer, hulle het dus 'n reg om onderrig te ontvang in noodprosedures, en verder het die pasient die req op gehalter noodbehandeling. • Aile geregistreerde verpleegkundiges wat in die ongevalle en die noodafdeling werk, behoort opgelei word in ten minste basiese lewensondersteuning (CPR), Gevorderde Trauma Lewens Ondersteuning (ACLS), Gevorderde Pediatriese lewensondersteuning (APLS) en Gevorderde Trauma lewensondersteuning (ATLS), terwyl gewag word om die trauma verpleegkundigekursus te deurloop. • Verbeter mteksiebeheermaatreels in ongevalle. • Noodmedikasie moet ten aile tye beskikbaar wees. • Verbeter die op-roepstelsel ("on cali"). • Formuleer 'n beleid oor die gesamentlike gebruik van toerusting deur beide ongevalle- en intensiewe-sorg-eenheid-personeel. • Motiveer vir die nodige toerusting. • Implementeer prosedures om personeel to te laat vir ontlonting (debriefing), die evaluering van aksies tydens die resusitasie prosedure en implementeer metodes vir die sielkundige ondersteuning van die familie. • Ten opsigte van verdere narvorsing behoort 'n opleidingsprogram qeunplernenteer en getoets te word met betrekking tot verpleegkundiges wat hulle eie standaarde will formuleer. • Evalueer of die standaarde die gehalte van traumasorg verbeter het en ontwikkel standaarde vir intensierwe-sorg-verpleging van die breinbeseerde pasient asook die rehabilitasie van politrauma pasiente met traumatise breinbeesering. Die unieke bydra van die studie word gevind in die feit dat daar nog geen gerformaliseerde uitkomstandaarde vir traumapasiente met breinbeseerings in enige van die Noord Wes Provinsie se hospitale ontwikkel is nie.
陳敏恩 and Man-yan Esther Chan. "A comprehensive intervention for mild head injury patients in accidentand emergency department." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43251018.
Повний текст джерелаWhite, Christine J. "The relationship between episiotomy and perineal lacerations and perineal pain following childbirth." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1992. https://ro.ecu.edu.au/theses/1138.
Повний текст джерелаCurtis, Kathleen Anne Public Health & Community Medicine Faculty of Medicine UNSW. "Trauma nursing case management: impact on patient outcomes." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/33367.
Повний текст джерелаAmer, Ramadan Khalifa. "Nursing students' knowledge and practices related to sharp object injury and management at a university in the Western Cape Province." Thesis, Cape Peninsula University of Technology, 2019. http://hdl.handle.net/20.500.11838/2966.
Повний текст джерелаBackground: Like other health care providers, nursing students are unprotected from occupational dangers such as sharp object injuries (SOIs) due to imperfect knowledge and experience. These students face a great risk of exposure to blood borne infections by pathogens such as HIV and the hepatitis B and C viruses while executing their clinical actions in hospitals. SOIs are a significant problem for nursing students, as they increase the risk of contracting blood-borne infections. Purpose: The purpose of this study was to determine nursing students' knowledge and practices related to SOIs and their management at a university in the Western Cape Province. Objectives: The objectives of this study include determining the occurrence of SOIs, and knowledge of risk of SOIs, as well as the reporting and management of SOIs at a university in the Western Cape. Method and sample: A cross-sectional descriptive survey was conducted with nursing students from the second to fourth year of study, registered at a university in the Western Cape Province for the 2017 academic year. Quota sampling was applied to select respondents who, after providing informed consent, then completed and handed the self- administered questionnaires back to the researcher on the same day that they were distributed. Data were obtained from nursing students about whether or not they had experienced an SOI, what they did after the SOI, their perception of the risk, and management of and preventive measures for SOIs. Validity and reliability were ensured, and all ethical principles were adhered to. SPSS was used for the quantitative data analysis. Results: A total of 252 nursing students from the second to fourth years participated in this study. The average age of respondents was 24 years, with a minimum of 19 and maximum of 46 years; 211 (83.7%) of them were females. During their course 63 (25%) respondents experienced SOIs; only 42 (66.67%; N=63) of them reported the occurrence of an SOI, most (25 or 59.52%) reporting it to the professional nurse in charge. The highest occurrence of SOIs was reported by fourth-year students (26 respondents, 41.3%). It was found that 21 (33.3%) of SOIs were not reported, and the main reason for this was because there was little or no perception of associated risk (15, 71.43%). Forty-six (73.02%) respondents experienced a single SOI, while 11 (17.46%) had two SOIs, 4 (6.35%) reported having had three SOIs, and one each (1.59%) had more than four and more than ten SOIs. The activity causing most of the SOIs was administration of medication by injection (48 cases, 76.2%), and in most cases (57, 90.47%) the instruments causing injury were needles or hollow-bore needles. Most of the affected respondents squeezed the puncture site after the SOI (42, 66.7%), followed by washing the area with water and soap (40; 63.5%), and cleaning the site with antiseptic (15, 23.8%). Among those students exposed to SOIs, only 22 (52.4%) had undergone blood tests, and very few of them took post-exposure prophylaxis or treatment (16, 25.40%). The emotion that most of them felt after the SOI was fear (42, 66.7%), and the main reason for not getting treatment was fear of side effects (18, 38.29%). Also, only 61 (24.2%) respondents reported recapping needles after use, while most reported incomplete vaccination against hepatitis B (195, 77.38%). The main reason for not using personal protective equipment (PPE) was noted as the unavailability thereof at the institution (43, 49.4%). Conclusion: This study documented a low rate of reporting SOIs among nursing students. It is plain that there are inadequate levels of knowledge and practice related to SOI management among these students at a university in the Western Cape. One would imagine that because the majority of nursing students had a measure for the practice of universal precautions and used PPE, their management after exposure to SOIs during work training in hospital would be efficient. This was not the instance in this study, where application of these actions in their practical training was poor.
Bakes, Brendan J. "The lived experience of self-intermittent catheterisation in people with spinal cord injury." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2008. https://ro.ecu.edu.au/theses/204.
Повний текст джерелаDegani, Gláucia Costa. "Trauma em idosos: características e evolução." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-28112011-164940/.
Повний текст джерелаTrauma emerges as another condition to which elderly individuals are vulnerable. Considering the increase in this population, trauma events are also likely to increase among older individuals. Hence, it is essential that health care providers are aware of changes that may occur with the aging process and the specific characteristics of trauma aiming to better care for this population. This study identifies the sociodemographic profile of elderly trauma victims; characterizes pre-existent diseases and used medications; describes the characteristics of trauma and its progression; verifies potential correlation between days hospitalized in ICU and Injury Severity Score (ISS). This non-experimental, retrospective and exploratory study was based on secondary data collected from a database of the Hospital Epidemiology Center at the Hospital das Clinicas, Medical School, University of São Paulo at Ribeirão Preto concerning reports of elderly trauma victims cared for in the hospital\'s emergency department from 2008 to 2010. Data collection was based on information contained in the database and search on medical charts to identify pre-existent diseases, medication used at home, and clinical complications after the trauma. A total of 131 elderly trauma victims participated in the study: 69.9 years old in average (sd=7.7); 73.3% men; 55.1% married; 54.7% retired; 65.6% with pre-existent diseases: 38.9% systemic arterial hypertension, and 19.8% alcoholism; average of diseases 2.3 (sd=1.4); 48.9% took medication at home, average of 3.2 medications (sd=2.3). In relation to the characteristics of trauma: 31.3% was caused by falls and 28.2% pedestrian; 83.2% was contusion trauma; 59.5% had head and neck injury; 45.8% had limbs and pelvic bones affected, average 1.8 (sd=1.0); 44.3% obtained ISS between 9 and 15 (moderate trauma) and 30.5% ISS was 25 or above (very severe trauma); 80.2% presented Trauma and Injury Severity Score (TRISS) between 51% or above (real conditions to avoid death). In relation to trauma progression, 30.5% was hospitalized in ICU, 4.2 days in average; 62.6% developed clinical complications: 43.5% infections and 30.5% cardiovascular; 46.1% was submitted to orthopedic surgery; 66.4% survived, 47.3% was discharged with moderate impairment and 33.6% died: 36.4% due to brain injury and 22.7% due to sepsis. An association between the mechanism of trauma and pre-existent diseases was found (p=0.01) as well as association between mechanism of trauma and gender (p=0.03). Pre-existent diseases increased 3.10 times the chance of complications comparing to those with no pre-existent diseases (p=0.02). The chances of complications increased 28.2 times for those hospitalized in ICU (p<0.01); the higher the index of trauma severity, the greater the chances of complications, odds = 3.07 between ISS 16 to 24 (severe) and odds = 6.50 with ISS 25+ (very severe) in relation to ISS 9 to 15 (moderate). The chances of dying increased 5.56 times for those with complications compared to those with no complications (p<0.01); chances of death was 10.13 times higher for individuals with TRISS <50% (unexpected survival) in relation to those with TRISS >=50% (evitable death) (p<0.01). Correlation between duration of hospitalization in ICU and ISS scores was weak and positive (r=0.18) indicating that the longer the hospitalization in ICU, the higher the trauma severity index (p=0.03). Knowledge concerning the trauma characteristics and progression can enable health care providers to plan preventive measures and provide better care to elderly individuals both at the hospital and after discharge aiming to improve their quality of life.
Opadotun, Olukemi. "Infection control practices for the prevention of surgical site infections in the operating room." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1017195.
Повний текст джерелаButler, Mary, and n/a. "Care ethics and brain injury." University of Otago. Department of Philosophy, 2008. http://adt.otago.ac.nz./public/adt-NZDU20080214.134301.
Повний текст джерелаPulido, Kelly Cristina Strazzieri. "Adaptação cultural e validação do instrumento \"Star Skin Tear Classification System\", para a língua portuguesa no Brasil." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-23122010-103305/.
Повний текст джерелаThis study aims to perform a cultural adaptation of the STAR Skin Tear Classification System, to the Portuguese language spoken in Brazil and to test its contents validity and the reliability in the translated version. This is a methodological type of study with a quantitative approach. The cultural adaptation was developed in three stages: translation, evaluation by a judges committee and back translation. Two measures were tested: validity and reliability. The statistical analysis used the weighted kappa index. The adapted version had a regular concordance level (kw = 0,286), although statistically significant (p < 0,000) when tested by nurses in skin tears photographs. When tested in clinical practice, the adapted version achieved a moderate and statistically significant concordance level (kw = 0,596; p < 0,001). The study about the cultural adaptation process and validation of the measurements properties of the STAR Skin Tear Classification System confirmed the adapted Brazilian Portuguese version content validity and reliability
Patterson, Michele M. Tervo. "Adolescent Experience with Trauma and Orthopedic External Fixation: A Dissertation." eScholarship@UMMS, 2007. https://escholarship.umassmed.edu/gsn_diss/7.
Повний текст джерелаHarper, Jane. "Improving Estimation of Resting Energy Expenditure in Seriously Injured Individuals." University of Cincinnati / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1241571769.
Повний текст джерелаRodrigues, Juliana. "Idosos vítimas de trauma: uma proposta de predição de risco." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/83/83131/tde-20092011-092425/.
Повний текст джерелаBrazil is becoming more and more a country of white hair and this process brings consequences for Brazilian society and the health care of its population. The highlights are the external causes as a matter of public health that offers great impact on the health of the elderly. The aged have their ability of recovery reduced and remain hospitalized for longer periods of time. Therefore, this research aimed to identify the relation between the aged victim of trauma and the risk factors involved in the accident. General objective: develop indicators of risk prediction for trauma in the aged. Specific objectives: describe the profile of aged victims of trauma seen in the emergency room; Check which mechanisms of trauma are suffered by the aged; Learn the factors that contributed to the occurrence of the trauma; Analyze the risk factors for the occurrence of the trauma in the aged. Quantitative cross study, held in the emergency department of two hospitals in Curitiba, which was approved by their Research Ethics Committees. The inclusion criteria were as follows: patients of 60 years old or more, both gender, victims of trauma that were being seen at the emergency room and accepted to participate in the research voluntarily or under authorization of caregiver or family in case of cognitive or/and hearing deficit. The data collection was made through a semi-structured interview by the bed; the data obtained were organized in an excel spreadsheet and analyzed by computer program Statistical Package for the Social Sciences - SPSS version 15.0. The results were described by frequencies and percentages. To evaluate the association between two qualitative variables, it was considered the Chisquare test or the Fishers exact test. To jontly evaluate the factors associated with the mechanism of trauma (fall and other events), it was adjusted a logistic regression model (stepwise backward). As from the ajustment, it were estimated the odds ratio values with respective confidence intervals of 95%. The subjects were 261 elderly people that met the inclusion criteria, 148 women (56,7%) and 43,3% men. The age ranged from 60 to 103 years old, and the average was 72,6 ± 9,3 years old. The great majority of the sample was under 70 years old (44,8%). Regarding to marital status, 43,3% of patients were married; 35,2%, widowed; 13%, separated, in cohabitation and 8,4%, single. The mechanisms of trauma more frequent were: fall (75,9%), running over (9,6%), direct trauma (5,4%) and car accident (3,8%). The medicament most used was the anti-hypertensive (45,2%). The multivariate analysis allowed to say that, independently of other variables included in the model such as the female gender, the presence of the caregiver, the continued use of medication and the presence of hearing problems increased significantly the probability of trauma by fall. Sight problems without wearing glasses and aged with incomes up to 3 minimal wages tend to have higher probability of trauma by fall. These results allowed establishing that the factors that most interfere in trauma in the aged may, if evaluated during the nursing consultation, enable health actions for its prevention.
Santos, Antonio Adriano Rodrigues dos. "O ensino da temática feridas no Curso de Graduação em Enfermagem da Universidade Federal da Paraíba." Universidade Federal da Paraíba, 2012. http://tede.biblioteca.ufpb.br:8080/handle/tede/5087.
Повний текст джерелаCoordenação de Aperfeiçoamento de Pessoal de Nível Superior
This dissertation is based on teaching under the thematic of injuries in a nursing course. It was a documental study, descriptive, exploratory and of qualitative nature, carried out at the campus I of UFPB (João Pessoa - PB). This study is aimed at analyzing the teaching of the subject injuries in the undergraduate course of nursing at UFPB. The collection of data was divided into two stages The first stage focused on the apprehension and analyzing the course plans of the compulsory subjects of the undergraduate Nursing course (Bachelorhood). Secondly, a taped interview was conducted with the teachers, through a semi-structured guide and was focused on the identification of pedagogical approaches, teaching strategies, the career, the teacher-student teaching relationship, the teaching techniques used in order to motivate the study of the topic in question and the difficulties encountered in teaching-learning process. The Nursing Undergraduate course at UFPB is made up of 54 course plans, but we only obtained 48 course plans, because due to administrative problems 06 were not provided. In obedience to inclusion criteria, the first stage sample was made up of 10 subjects. In the second stage, the population consisted of all the teachers responsible for teaching the subjects identified in the first stage, a total of 37 teachers. After the definition and application of the inclusion criteria, the sample consisted of 18 teachers. Data collection was conducted between the months of August and December 2011. The data was subjected to Bardin content analysis technique. This research gave us the opportunity of evaluating how the subject theme injuries is been taught at UFPB, either from a more traditional or a more problematical approach. Academic training should be able to provide the students with sufficient knowledge for their professional life as to caring for patients with injury. This aspect is possible from a consistent and higher education which provides the student with the theoretical support which is essential for their proper professional performance, which of the teachers better preparation and pedagogical theory for teaching the subject injuries. Several key points were observed, such as the approaches, strategies and teaching techniques which might influence the idea of what is best thing for nurse training in relation to the theme injuries. It was concluded that more research is still needed on the subject, as well as a further curricula adaptation so that this subject theme might be addressed more effectively during the undergraduate course in Nursing at UFPB.
A presente dissertação tem como tema central o ensino da temática feridas no curso de enfermagem. Trata-se de um estudo documental, descritivo-exploratório e de natureza qualitativa, desenvolvido no Campus I da UFPB (João Pessoa PB). Teve como objetivo geral analisar o ensino da temática feridas no curso de graduação em enfermagem da UFPB. A coleta de dados foi dividida em duas etapas. A primeira se deteve na apreensão e análise dos planos de curso das disciplinas obrigatórias do curso de graduação em Enfermagem (Bacharelado). Na segunda etapa, foi realizada uma entrevista gravada com os docentes, por meio de um roteiro semi-estruturado, e concentrou-se na identificação das abordagens pedagógicas, das estratégias de ensino, da trajetória profissional, da relação pedagógica professor-aluno, das técnicas de ensino utilizadas para motivar o estudo da temática em questão e das dificuldades no processo ensino-aprendizagem. Na primeira etapa, a população foi composta por todos os planos de curso das disciplinas do curso de Graduação em Enfermagem da UFPB, totalizando 54 planos. Porém, obtivemos apenas 48 planos de curso, pois, devido a problemas administrativos, 06 não foram fornecidos. Em obediência aos critérios de inclusão, a amostra da primeira etapa foi composta por 10 disciplinas. Na segunda etapa, a população foi composta por todos os docentes responsáveis por ministrarem aulas sobre os conteúdos identificados nas disciplinas da primeira etapa, totalizando 37 professores. Após a definição e a aplicação dos critérios de inclusão, a amostra compôs-se de 18 professores. A coleta foi realizada entre os meses de agosto e dezembro de 2011. Os dados foram submetidos à técnica de Análise de Conteúdo de Bardin. Essa pesquisa nos permitiu avaliar como a temática vem sendo ensinada na UFPB, seja a partir de uma abordagem mais tradicional ou mais problematizadora. A formação acadêmica deve prover ao aluno conhecimentos suficientes para a sua vida profissional, ao cuidar de pacientes portadores de lesão. Tal aspecto é viabilizado a partir de uma formação superior consistente e que forneça ao estudante o suporte teórico necessário ao bom desempenho profissional, o que requer dos professores uma melhor preparação pedagógica e teórica para o ensino da temática feridas. Foi possível identificar diversos pontos fundamentais, tais como as abordagens, estratégias e técnicas de ensino, que influenciam no alcance do que é o ideal para uma excelente formação do enfermeiro no que diz respeito à referida temática. Conclui-se, ainda, que são necessários mais estudos sobre o tema, além de uma adequação curricular mais aprofundada para que o mesmo seja abordado de forma mais efetiva durante o Curso de Graduação em Enfermagem da UFPB.
Carlsson, Marcus, and Niklas Forsberg. "Smärtskattning av barn i förskoleåldern inom prehospital akutsjukvård : En integrerad systematisk litteraturöversikt." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-12317.
Повний текст джерелаVillela, Diana Lima. "Controle do odor de feridas neoplásicas malignas com metronidazol: revisão sistemática." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-12092014-153459/.
Повний текст джерелаIntroduction: Malignant wounds (MW) are the result of direct invasion of cancer in the skin that, when exteriorized, acquire characteristics of the wound. With an incidence ranging from 0.6 to 9.0%, are more common in breast and head and neck . Among the signs and symptoms, there is the odor that has been described as intolerable and sickening, causing negative impact on the patient, family and healthcare team. The MW odor occurs as a result of the interaction of aerobic and anaerobic bacteria that colonize and infect wounds. In order to reduce local microbial load and thus control the odor, there has been described the use of topical antiseptics and antibiotics, among which stands out metronidazole. Objective: To identify the scientific evidence on the use of metronidazole for odor control in MW, through systematic review (SR) of randomized controlled trials and uncontrolled. Method: From the main question of the study: \"What is the efficacy of topical metronidazole therapy for odor control in malignant neoplastic wounds,\" there was the search for articles in the databases MEDLINE, LILACS, Cochrane Library, CINAHL database and EMBASE, using the PICO strategy, using descriptors indexed and unindexed. Studies were selected by two researchers independently and studies included in the RS were analyzed according to the CONSORT statement, strength of recommendation and level of evidence. For the randomized study also used the Jadad Scale. Results: 384 articles were recovered, 14 were selected for full reading, being included in the end, only three studies in SR. Of these, a study is randomized (level of evidence and recommendation= 2b, Jadad= 2) and two are not controlled (evidence grade 4 for both). As to the method of assessment and / or classification of odor, did not identify a formal instrument, being used only analog scale of 0 to 10, or the presence / absence of odor. The time required for the use of topical therapy was 1 to 14 days, with change of the dressing 1 or 2 times a day, and the application of metronidazole was 0.75% gel 0.8%. Studies have not mentioned or described adverse reactions. The studies have important methodological limitations and weaknesses, highlighting the small sample size and lack of description of aspects such as blinding and randomization in the only randomized, besides the procedures used in dressings, among others. Conclusion: Although the three studies conclude that topical metronidazole is effective in controlling odor in MW, there is no strong scientific evidence to support its effectiveness
Lo, Ka-yee, and 盧嘉儀. "Childhood injury prevention: the attitudes, knowledge and practices of emergency nurses." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31972962.
Повний текст джерелаFranck, Ednalda Maria. "Alterações de pele em pacientes em cuidados paliativos na terminalidade da doença e final da vida: coorte prospectiva." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-17052017-112324/.
Повний текст джерелаBackground: Patients with advanced life-threatening diseases of any etiology may experience complications over the course of the disease and is not always easy for the professional to rapidly differentiate if the patient is in the terminal phase of the disease or at the end of life, because the worsening of symptoms may be due to a reversible state. The skin is considered the largest organ of the body and, as other organs, may become dysfunctional at the end of life. In this context, skin dysfunction is associated with decreased cutaneous perfusion, which leads to local hypoxia, and for failing to maintain its normal function, inevitable changes may occur. Aim: To estimate and evaluate the incidence and predictors of skin changes in hospitalized patients in the terminal phase of the disease and at the end of life, who were receiving palliative care. Methods: This prospective cohort study was conducted in an inpatient palliative care unit. Twenty-four patients were followed until discharge, transfer, or death. Some instruments were used in the initial and follow-up assessments of patients, including the Edmonton Symptom Assessment System, Malnutrition Screening Tool, Palliative Performance Scale, Braden Scale, and Pressure Ulcer Scale for Healing. The Wilcoxon-Mann-Whitney U-test, chi-square test, Fishers test, Kaplan-Meier curve, Log-rank test, and Classification and Regression Tree analysis were performed for data analysis. Results: Most patients were women (13/ 24, 54.2%), the mean age was 67.6 years (SD=21.8), the majority of patients (23/ 24, 95.8%) had lost 50% of their functional capacity, and had some degree of malnutrition (15/ 24, 62.5%). The incidence of skin changes was 16.7%; cases of grayish skin (n=2), yellow-greenish skin (n=1), and pressure ulcers (n=9) were detected. The number of patients who died was significantly higher among those with skin changes than among those without such changes (p=0.035), and patients with skin changes were 17 times more likely to die than those without changes. Age 50 years was predictive of skin changes in the study population. Conclusion: This was the first Brazilian study to investigate skin changes in hospitalized patients near and at the end of life. In a cohort of 24 patients, the incidence of skin changes was 16.7%, with predominance of pressure ulcers. It was also found that patients with skin changes at the end of life were more likely to die when compared to those without such changes.
Nogueira, Lilia de Souza. "Vítimas de trauma admitidas em unidade de terapia intensiva: características e fatores associados à carga de trabalho de enfermagem." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-11102013-160138/.
Повний текст джерелаThe complexity posed by the assistance offered to trauma victims at Intensive Care Units (ICU) affects the nursing workload and, for this reason, information on the aspects impacting the workload and its planning is crucial. This study aimed to characterize trauma victims admitted to ICU, to identify a possible pattern of procedures performed in those patients, and the factors associated with high workload on the first hospitalization day, as well as to elaborate an estimate model of nursing workload required by the survivors on ICU discharge. This cohort quantitative study was prospective and carried out at an ICU specialized in assistance to trauma victims in a reference hospital for this service. The nursing workload, the dependent variable, was measured using the Nursing Activities Score (NAS). Descriptive statistics, association and correlation tests as well as multivariate analyses were performed. The sample consisted of 200 victims, mainly male (82.0%), with an average age of 40.7 years (SD=18.6), transferred from the surgery room (70.0%) and submitted to unscheduled surgery (66.5%). The Charlson comorbidity index average was 0.6 (SD=1.4). Traffic accidents (57.5%) and blunt trauma (94.5%) prevailed in the sample. As regards the analysis of trauma severity, the average of Injury Severity Score was 19.3 (SD=9.1) and 27.1 (SD=9.9) for the New Injury Severity Score (NISS). The average number of injuries according to the Abbreviated Injury Scale (AIS) 3 was 3.1 (SD=1.8), and of the body region affected, 2.7 (SD=1.3). Head or neck had the most severe injuries (64.0%) and showed a higher frequency of injuries AIS 3 (65.5%). With respect to patient severity, the average death risk ranged from 21.1% to 25.6%, according to different indexes. Pulmonary (76.5%) and neurological (69.0%) insufficiency were predominant in the sample. The average NAS on ICU admission was 71.3% (SD=16.9), and 45.2% (SD=9.1) among survivors on the unit discharge. The mean ICU length of stay was 13.6 days (SD=14.6) and the mortality rate at the critical unit, 19.0%. A group of 136 patients submitted to similar procedures on ICU admission was identified. In this group, monitoring/titration and mobilization/positioning were regarded as the most complex activities, requiring longer than normal routine time of critical units. Gender, pulmonary insufficiency, number of body region injured and death risk by Simplified Acute Physiology Score (SAPS II) were factors associated with high nursing workload on ICU admission. The estimate model of nursing workload required by survivors on ICU discharge was expressed by the following formula: NAS discharge= 37.171 + 0.188 (death risk SAPS II) + 0.193 (NISS). The results obtained from this investigation provide information to the nursing teams offering assistance to trauma victims, during or post ICU discharge, with data which contributes to better care and quantitative staff planning, as well as task distribution, aiming for excellence in trauma patient assistance.
Menzel, Nancy Nivison. "Manual Handling Workload and Musculoskeletal Discomfort in Nursing Personnel." [Tampa, Fla. : s.n.], 2001. http://purl.fcla.edu/fcla/etd/SFE0000020.
Повний текст джерелаSpies, Jennifer. "The relationship between occupational stressors, occupational stress and burnout among trauma unit nursing staff." Diss., Pretoria : [s.n.], 2004. http://upetd.up.ac.za/thesis/available/etd-03162005-152554.
Повний текст джерелаRiley, Diane K. "Does an individualized back education programme change nurses' knowledge and practice about back injury prevention." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1993. https://ro.ecu.edu.au/theses/1148.
Повний текст джерелаDegani, Glaucia Costa. "Atendimento pré-hospitalar móvel avançado para idosos pós-trauma: evidências para a construção de um protocolo assistencial de enfermagem." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-29052018-153705/.
Повний текст джерелаThe effects of a trauma in the organism of elderly individuals are systemic and complications are common, which may result in longer hospitalizations and a greater number of deaths. Being aware of the specificities of this event among elderly individuals can aid the decision-making of nurses when providing advanced prehospital care in a mobile unit. This study\'s objective were to analyze evidence available in the scientific literature addressing nursing interventions provided to elderly individuals in prehospital care provided in mobile units after a trauma and develop a nursing protocol for elderly trauma patients specific for advanced prehospital care provided in mobile units. The study was conducted in two phases: integrative review and methodological and descriptive study. Primary studies were searched in the PubMed, CINAHL and LILACS databases. The sample for the integrative review was composed of 26 studies grouped into six thematic categories, namely: nursing interventions: circulation with hemorrhage control (n=11); nursing interventions: disorder, neurological status (n=7); nursing interventions: cervical spine protection in airway management (n=3); nursing interventions: secondary assessment (n=3); nursing interventions: ventilation and respiration (n=1); and nursing interventions: exposure/environment control (n=1). Evidence found in the literature and recommendations from two programs and two guidelines for essential trauma care contributed to the development of this nursing care protocol. The nursing care protocol was structured with a title, objective, nursing interventions, nursing activities, and respective justifications, with an emphasis on primary and secondary assessment of trauma care, and organized the specificities of senescence and senility. Evidence found in the literature contributed to develop a nursing care protocol that can support the immediate and advanced care provided to elderly patients after a trauma
Reiniger, Lívia Ortiz. "Caracterização da gravidade das vítimas de acidente de transporte atendidos em uma unidade de Centro Cirúrgico." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-23122010-092931/.
Повний текст джерелаTrauma is now considered an epidemic of the century, representing the leading cause of death in the first four decades of life. In the current study, were considered for analysis the victims of injuries from traffic accidents by considering the relevance of the theme in the health service nationally and internationally. The aim of this study was to characterize the severity of traffic accident victims who were treated in Surgical Ward of a referral hospital in trauma care in São Paulo. The study sample was characterized by using demographic data; type of collision and use of pre-hospital service; severity of injury according to the body region using AIS and MAIS score; overall severity of the victims using ISS score; clinical condition of the victims before, during and after surgery; and the relationship between demographic data; type of collision and use of pre-hospital service; the AIS, MAIS and ISS score; the clinical features and occurrence of death and disability. This is an exploratory, descriptive, retrospective, quantitative approach study, carried out by retrospective chart review of all patients victims of traffic accidents who were admitted to the Surgical Ward of ICHC-FMUSP during the period January 1st to December 31th, 2008. It was concluded that statistically patients with more severe surgery were young, victims of motorcycle accidents or pedestrians, who came to the institution, using devices for airway permeability (oxygen mask or orotracheal tube) with unstable vital signs, patients with abdomen and pelvic contents lesions or extremities and pelvis lesions such as fractures, abdominal injuries or major bleeding. They were also to be submitted in most cases to general surgery and orthopedic surgery, major procedures most likely to generate some kind of temporary or permanent disability. Because of this seriousness, volume infusion were needed using blood product or colloid solutions aiming always to maintain homeostasis, essential for maintaining good clinical condition of these patients. The survey indicated that patients who arrived at the Surgical Ward with greater gravity have a higher risk of death or disability.
Domingues, Cristiane de Alencar. "Trauma and injury severity score: análise de novos ajustes no índice." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-14102013-090011/.
Повний текст джерелаIntroduction: Trauma and Injury Severity Score (TRISS) is considered the \"gold standard\" in the analysis of survival probability of trauma patients, despite its limitations. There have been several efforts to make it more accurate because of its important role in Trauma Quality Improvement Programmes. Objectives: To propose three new adjustments to the TRISS equation and compare their performances with the TRISS and TRISS-like originals and these indices and NTRISS with coefficients adjusted to the study population; identify if the multiple imputation technique increases the accuracy of the equations derived from databases with missing; and to compare the performance of the new models when derivatives and applied to different groups of trauma patients. Methods: This is a multicenter, retrospective study with trauma victims admitted to the Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC FMUSP) and the Trauma Center at the University of California San Diego Medical Center (UCSD MC) for the period between January 1st, 2006 and December 31st, 2010. The information of patients were grouped into two different databases: derivation and testing; the first one served to derive the equations and the second was used to validate the equations generated. The model coefficients were established by logistic regression analysis. Receiver Operating Characteristic curve (ROC) was used to evaluate the performance of the models and De Long et al. algorithm to compare the areas under the curves (AUC). Results: The casuistic consisted of 2,416 patients from HC FMUSP (São Paulo, Brazil) and 8,172 participants from UCSD MC (San Diego, USA). The new models proposed were NTRISS-like which included the variables Best Motor Response (BMR), Systolic Blood Pressure (SBP), New Injury Severity Score (NISS) and age; TRISS SpO2 that included the variables Glasgow Coma Scale, SBP, saturation of peripheral oxygen (SpO2), Injury Severity Score and age; and NTRISS-like SpO2 (BMR + SBP + SpO2 + NISS + age). All equations had adjusted coefficients for blunt and penetrating trauma. The multiple imputation technique applied in the derivation of the equations did not improve the accuracy of the models. The original TRISS, and TRISS, TRISS-like and NTRISS with adjusted coefficients and the new proposals showed no statistically significant difference in performance. The new equations fitted to the São Paulo data and generated with information from San Diego showed different AUC when applied in the two patient groups in these localities. The accuracy was always higher when the equations were applied to the population of San Diego. Conclusions: The new models demonstrated good accuracy (about 89.5%) and similar performance to other TRISS adjustments previously published, and may be used in assessments of quality of care for traumatized. The survival probability scores adjustments to the local reality of its application did not improve its performance, a result that reinforces the uncertainty about the need for such adjustments, as the application site index.
Kallin, Kristina. "Falls in older people in geriatric care settings : predisposing and precipitating factors." Doctoral thesis, Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-307.
Повний текст джерелаChibante, Carla Lube de Pinho. "Saberes e práticas de clientes no cuidado com feridas: implicações para a enfermagem." Universidade Federal Fluminense, 2014. https://app.uff.br/riuff/handle/1/880.
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Mestrado Acadêmico em Ciências do Cuidado em Saúde
Trata-se de um estudo qualitativo, descritivo do tipo etnográfico sobre os saberes e práticas de clientes no cuidado com feridas em um ambulatório de curativos no município de Niterói, Rio de Janeiro. Seus objetivos foram descrever os saberes e práticas dos clientes no cuidado com feridas, identificar as práticas utilizadas pelos clientes no cuidado com feridas e analisar os saberes e práticas dos clientes no cuidado de feridas e suas implicações para o cuidado de enfermagem. A coleta de dados foi desenvolvida no período de janeiro a maio de 2014, mediante as técnicas de observação simples, observação participante e entrevista semi-estruturada seguida de análise de conteúdo. Foram realizadas 20 entrevistas, das quais emergiram os temas: desafios no cuidado em saúde, a ferida, o cuidado, o poder do profissional, práticas populares e o entorno do cuidado. Posteriormente, realizou-se a categorização, resultando em duas categorias: Os desafios no cuidado em saúde e os saberes e práticas dos clientes com feridas. Quanto à caracterização dos participantes: a maioria é do sexo masculino (70%), sendo (50%) casados, (30%) aposentados, com média etária de 53,25 ± 10,17 anos. Com relação à escolaridade 30% possuem ensino fundamental completo e ensino médio completo, respectivamente; 55% dos participantes possuem filhos cuja média é de 2,54 filhos. Quanto a presença de comorbidades, 41,6% são hipertensos e 25% tem diabetes tipo 2. Nas falas dos participantes da pesquisa foram identificadas dificuldades no acesso aos serviços de saúde e financeiras, restrições de locomoção. Nas entrevistas, quando perguntados sobre a história da ferida, os clientes falam sobre o início da instalação da ferida, a sua evolução e a busca pelo cuidado. Observou-se a associação de práticas com uso do tratamento alopático e das práticas populares. As práticas identificadas nas falas dos clientes com feridas incluíram o uso do saião em forma de pasta para colocar sobre a ferida para drenagem da secreção, a casca de caju e a casca da aroeira em forma de chá para banhar a ferida e auxiliar na cicatrização. Além disso, a fé e os hábitos alimentares também foram citados como formas de ajudar na cicatrização das feridas. A maioria dos clientes relatou conhecer plantas e chás no cuidado com a ferida, porém mostram desconfiança quanto ao seu uso não legitimado pelo saber científico. A visão fragmentada do indivíduo e ausência da visão integral da pessoa, reforça a dependência do sujeito ao preconizado no modelo assistencial vigente focado no que é informado pelo profissional de saúde. Entretanto, é importante que o cliente participe do cuidado, optando e escolhendo o melhor para si, o que favorece sua autonomia e independência na implementação do cuidado, mediante uma relação dialógica que possibilita a troca de experiências e o compartilhamento dos saberes entre quem cuida e quem é cuidado. Nesse sentido, considerar o cliente como protagonista da sua história aponta como desafios trazer à tona o potencial de conhecimentos advindos das suas experiências em um dado contexto sociocultural como subjacentes aos seus saberes e práticas no cuidado de feridas e, portanto, bases para a prática do cuidado de enfermagem a esses clientes
Este es un estudio cualitativo, descriptivo de tipo etnográfico sobre los conocimientos y prácticas de los clientes en la atención con heridas en una curación clínica en la ciudad de Niterói, Río de Janeiro. Sus objetivos fueron describir los conocimientos y prácticas de los clientes en el cuidado de heridas, identificando las prácticas utilizadas por los clientes en el cuidado de heridas y analizar los conocimientos y prácticas de los clientes del cuidado de la herida y sus implicaciones para la atención de enfermería. Recolección de datos se llevó a cabo en el período enero-mayo 2014, a través de técnicas de observación simple, observación participante y entrevista semiestructurada seguida de análisis de contenido. Se realizaron 20 entrevistas, de los cuales surgieron los temas: desafíos en el cuidado de la salud, cuidado de la herida, poder profesional, prácticas populares y el ambiente de cuidado. Posteriormente, la categorización, resultando en dos categorías: los retos en salud y el conocimiento y las prácticas de los clientes con heridas. En cuanto a la caracterización de los participantes: la mayoría es hombre (70%) siendo (50%) son casados, (30%) de los jubilados, con edad promedio de ± 53.25 10,17 años. Con respecto a la educación el 30% tiene educación primaria completa y secundario completo educación, respectivamente; el 55% de los participantes tienen hijos cuyo promedio es de 2,54 niños. Como la presencia de comorbilidades, 41,6% son hipertensos y el 25% tiene diabetes tipo 2. En los discursos de los participantes de la encuesta fueron identificadas las dificultades en el acceso a servicios de salud y las limitaciones financieras de locomoción. En las entrevistas, cuando se le preguntó acerca de la historia de la herida, los clientes hablan sobre el principio de la instalación de la herida, su evolución y la búsqueda de atención. Se observó la Asociación de las prácticas con el tratamiento alopático uso y prácticas populares. Las prácticas identificadas en las líneas de los clientes con heridas incluidosen el uso de la tienda en forma de pasta para poner sobre la herida para el drenaje de la secreción, la cáscara de las castañas de cajú y la corteza de masilla en forma de té para bañar la herida y ayudar en la curación. Además, la fe y los hábitos alimentarios también se citaron como formas de ayudar en la curación de heridas. Mayoría de los clientes registrada con plantas e infusiones en el cuidado de la herida, pero no mostrar ninguna confianza en cuanto a su uso no legitimada por el conocimiento científico. La visión fragmentada de la persona y la ausencia de una visión integral de la persona, refuerza la dependencia del sujeto en el modelo asistencial actual abogó centrado en lo que se divulga por el profesional de la salud. Sin embargo, es importante que el servicio al cliente participar, elegir y elegir qué es lo mejor para ti, lo que favorece su autonomía e independencia en la implementación de la atención a través de una relación dialógica que permite el intercambio de experiencias y el intercambio de conocimientos entre a quién le importa y que es el cuidado. En este sentido, considerar al cliente como protagonista de su historia señala cómo sacar el potencial del conocimiento de sus experiencias en un contexto cultural determinado en cuanto a su conocimiento subyacente y la práctica en el cuidado de heridas, retos y por lo tanto, las bases para la práctica de la atención a los clientes de enfermería
Ramos, Mily Constanza Moreno. "Instrumento Cartões de Qualidade da Dor (ICQD): adaptação cultural e evidências de validade em crianças colombianas com feridas." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-10052017-122945/.
Повний текст джерелаIntroduction: Pain assessment, is a fundamental nursing intervention to stablish an adequate pain management. Therefore, nursing professionals should consider the use of appropriate pain assessment tools for children. Among the assessment tools are multidimensional instruments, but it became clear the shortage of these instruments in Spanish for assessing pain in injured children by Colombian nursing professionals. Objective: To translate to the Colombian Spanish language and culturally adapt the Pain Quality Cards Instrument (PQCI) and find evidence of its validity for school age children with wounds. Method: methodological and transversal study, which was developed in two phases. phase 1: cultural adaptation, was composed of six stages translation, synthesis of translations, back translation, evaluation of the resulting version by a panel of judges, evaluation by children in school and in hospital, and pretesting of the final version; phase 2: evidence of validity based on the construct and external criterion PQCI, with a sample of 90 school age children hospitalized with wounds. The study was conducted in a pediatric hospital in Bogotá - Colombia, with anticipated approval of the Ethics Committee of EEUSP and a pediatric hospital. Data were processed through the IBM-SPSS 19.0 with a significance level of 5% (p <0.005). Results: All the stages of the cultural adaptation were performed satisfactorily, obtaining a version adapted PQCI. Strong evidence-based content was found with a total CVI of 0.92; PABAK 0.79 in representativeness; 0.69 in clarity and 0.74 in theoretical dimension shows a substantial agreement as assessed by judges. In the pre-test, the adapted PQCI version proved to be clear to over 70% of school age children hospitalized with wounds. In the phase of external criterion validity evidence the variables medical diagnosis, type of wound, wound location, wound infection, mobility and pain intensity showed significant results. Conclusions: Pain Quality Cards Instrument (PQCI) Spanish version proved to be culturally adapted in injured school age children in the Colombian context showing evidence of validity based on the content and external criterion.
Nicolato, Fernanda Vieira. "Atenção Domiciliar: custos da família com o cuidado de idosos com feridas." Universidade Federal de Juiz de Fora (UFJF), 2017. https://repositorio.ufjf.br/jspui/handle/ufjf/5865.
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O objeto desta pesquisa foi os custos para a família no cuidado de idosos com feridas em Atenção Domiciliar, com ênfase nas vivências dos cuidadores familiares, no âmbito da temática da produção do cuidado proposto pela Política de Atenção Domiciliar no Sistema Único de Saúde. Com o crescente processo de envelhecimento, há um aumento relativo das condições crônicas e as doenças cardiovasculares, respiratórias e metabólicas contribuem para o aparecimento de feridas. Além disso, o envelhecimento traz consigo algumas alterações, relacionados à pele e podem trazer como consequência o aparecimento de feridas. O idoso com feridas poderá reduzir significativamente a autonomia, capacidade funcional, além de aumentar o tempo de internação. A Atenção Domiciliar surge como alternativa preferível para dar continuidade aos serviços iniciados em outros pontos da Rede de Atenção à Saúde. No cuidado domiciliar, se dá a transferência dos custos para as famílias, com aumento nos custos diretos, água, luz e alimentação; além dos custos indiretos, que são provenientes da carga de cuidado; e dos intangíveis, referentes ao sofrimento, perda de bem-estar e ansiedade. Realizou-se uma pesquisa qualitativa, em duas etapas, com o método da Teoria Fundamentada nos Dados. A primeira foi realizada no Serviço de Atenção Domiciliar do município de Juiz de Fora. A segunda etapa ocorreu de maio de 2016 a agosto de 2017, incluindo dez participantes. Os dados foram coletados por meio de entrevista aberta, observação participante com registros em diário de campo, por meio de visita domiciliar. Seguiu-se o critério de amostragem e saturação teórica. Para organização, codificação e interpretação dos dados empíricos, utilizou-se o programa OpenLogos®. A análise dos dados ocorreu mediante três tipos de codificação: aberta, axial e seletiva. Emergiram dos dados as seguintes categorias: Compreendendo o cuidado domiciliar de um idoso com feridas pela família; Tendo o domicílio como local de cuidado; Percebendo os fatores que interferem nos custos do cuidado; Buscando estratégias para cuidar da ferida; Assumindo os diferentes custos com a ferida; e Vivenciando os custos do cuidado domiciliar de um idoso com ferida, sendo esta a última o fenômeno central da pesquisa. Os participantes vivenciam diferentes tipos de custos advindos com o processo de cuidar de um idoso com ferida no domicílio, pois, mesmo que haja contribuições de outros membros da família e o suporte do Serviço de Atenção Domiciliar, o cuidador assume o cuidado. Isso porque, na falta de material fornecido pelo serviço, ausência do suporte familiar, o cuidador responsável se vê frente à necessidade de prover o cuidado ou o idoso ficaria sem o tratamento. Desta forma, tem-se que a atuação do enfermeiro é determinante no processo de cuidado de um idoso com ferida em Atenção Domiciliar, ressaltando a importância de voltarem sua atenção aos familiares, para que minimize os custos provenientes deste cuidado.
The objective of this research was the costs to the family in the care of the elderly with wounds during home care with emphasis on the role assumed by family caregivers, within the scope of the care production proposed by the Home Care Policy in the Unified Health System. When Increasing aging process, there is a relative increase of the chronic conditions, being cardiovascular, respiratory and metabolic diseases that contribute to the appearance of wounds. In addition, aging brings with it some changes, related to the skin and, as a consequence, the appearance of wounds. The elderly with wounds can significantly reduce autonomy, functional capacity, and increase length of hospitalization. Home Care is a preferable alternative to provide continuity to the services started in other points of the Health Care Network. In home care, there is a transfer of costs to families, in which there is an increase in direct costs, water, electricity and food; Indirect costs, which come from the burden of care; And the intangibles, referring to suffering, loss of well-being and anxiety. A qualitative, two stages research was conducted using the Data Based Theory method. The first was performed at the Home Care Service of the city of Juiz de Fora. The second stage occurred from May 2016 to August 2017, including ten participants. The data were collected through a semi-structured interview, participant observation with records in the field diary, through a home visit. The second, by theoretical sampling, began with an eighth interview, consisting of three users. The criterion of sampling and theoretical saturation was followed. For the organization, codification and interpretation of the empirical data, the OpenLogos® program was used. Data analysis was performed using three types of coding: open, axial and selective. The following categories emerged from the data: Understanding the home care of an elderly person with wounds for the family; Having the domicile as place of care; Realizing the factors that interfere with the costs of wound care; Seeking strategies to take care of the wound; Assuming the different costs with the wound; And Experiencing the costs of the home care of a wounded elderly, this last one being the central phenomenon of the research. The participants experience different types of costs arising from the process of caring for an elderly person with a wound at home, because even if there are contributions from other family members and the support of the Home Care Service, the caregiver assumes the care. This is because, in the absence of material provided by the service, absence of family support, the caregiver responsible faces the need to provide care, or the elderly would be left without treatment. Thus, nurses' performance is determinant in the care process of a wounded elderly person in Home Care, emphasizing the importance of turning their attention to family members, in order to minimize the costs of this care.
Castro, Maria Cristina Freitas de. "Subconjunto terminológico CIPE para pacientes em cuidados paliativos com feridas tumorais: estudo descritivo." Universidade Federal Fluminense, 2015. https://app.uff.br/riuff/handle/1/1719.
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Mestrado Profissional em Enfermagem Assistencial
O presente trabalho tem como objetivo o desenvolvimento e validação de subconjunto terminológico, utilizando a CIPE, para pacientes em cuidados paliativos, com feridas tumorais. No primeiro momento do estudo, foi realizada uma revisão integrativa da literatura em busca de evidências empíricas relacionadas às feridas tumorais e intervenções de enfermagem indicadas para o manejo dos sintomas. Para isso, foram empregados os descritores “ferimentos e lesões”, “cuidados paliativos”, “wounds and injuries” e “palliative care”, e as palavras-chaves “feridas neoplásicas”, “feridas tumorais”, “malignant wound”, “fungating wound” e “malignant fungating wound”. No segundo momento, a partir do cruzamento das evidências encontradas com os termos constantes na versão 2013 da CIPE® e tendo como base o Modelo de 7 Eixos, foram construídas 51 afirmativas de diagnósticos de enfermagem e 134 enunciados de intervenções de enfermagem. Após a construção das declarações de diagnósticos, estas foram distribuídas de acordo com as necessidades humanas básicas postuladas no referencial conceitual de Wanda Horta. No terceiro momento, o instrumento foi submetido à validação baseada na opinião de enfermeiros peritos e, no quarto momento, realizou-se a elaboração do catálogo, observando as etapas propostas pelo Guia para o Desenvolvimento de Catálogos CIPE®, do Conselho Internacional de Enfermeiros. Dos 51 diagnósticos apresentados, 43 (84,31%) alcançaram IC ≥ 0,8 e das 134 Intervenções de Enfermagem, 122 (91,04%) alcançaram IC ≥ 0,8, sendo, portanto, validadas. Considera-se que os objetivos do estudo foram alcançados, tendo como resultado a construção e validação do Subconjunto Terminológico CIPE para pacientes oncológicos, em cuidados paliativos, com feridas tumorais. Este instrumento servirá como um guia para os enfermeiros, propiciando um cuidado baseado em evidências, além do uso de uma linguagem unificada que facilite a documentação da prática de enfermagem. Espero que este trabalho possa gerar conhecimento, considerando a lacuna existente na literatura especializada de enfermagem e, assim, colaborar no fortalecimento da rede de cuidados ao paciente oncológico
The purpose of this study was to develop and validate an INCP terminological subset for patients with tumor wounds under palliative care. The first stage of the study consisted of an integrative literature review in search of empirical evidences related to tumor wounds and nursing interventions indicated for the handling of symptoms. The descriptors used were ‘wounds and injuries’ and ‘palliative care’; the key-words used were malignant wound, fungating wound, and malignant fungating wound. On the second stage, the correlation between the evidences found and the terms present in the 2013 Version of INCP®, based on the 7-Axes Model, led to the production of 51 nursing diagnoses and 134 nursing intervention statements. The diagnoses statements produced were distributed according to the basic human needs postulated in Wanda Horta’s theoretical references. On the third stage, the instrument was submitted to validation based on the opinion of specialized nurses; and on the fourth stage, a catalogue was generated following the steps proposed by the INCP® Guidelines for the Development of Catalogues, from the International Council of Nurses (ICN). Of the 51 diagnoses presented, 43 (84.31%) reached IC ≥ 0.8; and of the 134 nursing interventions, 122 (91.04%) reached IC ≥ 0.8, thus being validated. It has been considered that the purposes of this study have been achieved, resulting in the development and validation of an INCP® terminological subset for oncology patients under palliative care of tumor wounds. This instrument shall serve as a guide for nurses, providing evidence-based care, besides using a unified language that may facilitate the documentation of nursing practice. It is expected that this study may generate knowledge, considering the existing gap in the specialized nursing literature and therefore collaborate with the strengthening of the oncologic patient care network.
Pereira, Talita de Azevedo Coelho Furquim. "Feridas complexas classificação de tecidos, segmentação e mensuração com o classificador Optimun-Path Forest /." Universidade Estadual Paulista (UNESP), 2018. http://hdl.handle.net/11449/153761.
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Introdução: As feridas complexas apresentam difícil resolução e associam-se a perda cutânea extensa, infecções importantes, comprometimento da viabilidade dos tecidos e/ou associação com doenças sistêmicas que prejudicam os processos normais de cicatrização, cursam com elevada morbimortalidade e têm sido apontadas como grave problema de saúde pública. Na prática clínica, é importante avaliar as feridas e documentar a avaliação. O registro incompleto sobre o paciente e o tratamento em uso é apontado como um desafio no acompanhamento das feridas e também prejudica ações de gestão, pesquisa e educação. A incorporação de fotografias de feridas à pratica profissional, mostra-se como uma estratégia para auxiliar profissionais na observação, evolução e registro claro e preciso. O Optimum-Path Forest (OPF) é um framework para o desenvolvimento de técnicas de reconhecimento de padrões baseado em partições de caminhos ótimos e particularmente eficiente para a classificação de imagens. O classificador OPF gera resultados a partir do cruzamento das classes e características selecionadas. Objetivo: Descrever as etapas do desenvolvimento de um aplicativo para dispositivos móveis capaz de segmentar e classificar tecidos de feridas complexas baseado no Optimum-Path Forest (OPF) supervisionado. Método: Foi aplicada uma nova metodologia inteligente para análise e classificação de imagens de feridas complexas por meio de técnicas de processamento digital de imagens e aprendizado de máquina com o classificador de padrões Optimum-Path Forest (OPF) supervisionado. Criou-se o banco de imagens de 27 feridas complexas, que foram rotuladas por quatro especialistas conforme a classificação dos tecidos em quatro classes: granulação (vermelho), tecido fibrinóide (amarelo), necrose (preto) e hematoma (roxo), gerando 108 imagens rotuladas. Acrescentou-se duas classes: branco (o que está na foto, exceto o leito da ferida) e dúvida (divergência na classificação pelos profissionais). O classificador OPF foi treinado a partir dessas 108 imagens. Aplicou-se o OPF às imagens de feridas e verificou-se a acurácia. Em seguida, iniciou-se a construção do aplicativo. Resultados e Discussão: O presente estudo desenvolveu um esquema de classificação de tecido de feridas assistido por computador para avaliação e gerenciamento de feridas complexas, a partir de fotos de feridas da câmera digital de um smartphone. A aplicação do OPF a feridas complexas trouxe como resultado uma acurácia de 77,52% ± 6,14. Com esta ferramenta, foi desenvolvido como produto desta pesquisa um aplicativo para segmentação, classificação de tecidos e mensuração de feridas complexas. O aplicativo gera um relatório no formato Portable Document Format (PDF) que pode ser enviado por e-mail, impresso ou anexado a prontuário eletrônico compatível. Conclusão: Foi construído um banco com 27 imagens de feridas complexas, que quatro profissionais rotularam para treinamento do classificador OPF, aplicou-se o OPF às imagens de feridas complexas, avaliou-se a acurácia deste processo e desenvolveu-se um aplicativo para dispositivos móveis com as funções de segmentação da ferida, classificação de tecidos e mensuração da ferida. Os resultados mostraram que o valor da acurácia obtido na análise computacional teve valor significativo, equiparando-se a avaliação de especialistas em feridas. Comparando com estudos similares, a análise computacional de feridas mostrou-se com menor variabilidade em relação a avaliação de profissionais, sugerindo que a incorporação desta tecnologia na prática clínica favoreça o cuidado em saúde do paciente com feridas complexas, além de fornecer dados para a gestão, ensino e pesquisa.
Introduction: Complex wounds are difficult to resolve and are associated with extensive cutaneous loss, major infections, compromised tissue viability and / or are related to systemic diseases that impair normal healing processes, have high morbidity and mortality and have been identified as severe public health problem. In clinical practice, it is important to evaluate the wounds and document the evaluation. The incomplete record on the patient and the treatment in use is pointed out as a challenge in the follow up of the wounds and also impairs management, research and education actions. The incorporation of wounds’ photos in the professional practice, stands out as a strategy to assist professionals in the observation, evolution and clear and precise recording. Optimum-Path Forest (OPF) is a framework for the development of pattern recognition techniques based on optimal path partitions and is particularly efficient for image classification. The OPF classifier generates results from the intersection of the selected classes and characteristics. Objective: Describe the steps in developing a mobile application capable of segmenting and sorting complex wound tissue based on the supervised Optimum-Path Forest (OPF). Method: A new intelligent methodology was applied for the analysis and classification of complex wound images using digital image processing and machine learning techniques with the supervised Optimum-Path Forest (OPF) standards classifier. The image bank of 27 complex wounds was created, which were labeled by four specialists according to the classification of the tissues into four classes: granulation (red), fibrinoid (yellow) tissue, necrosis (black) and hematoma (purple), generating 108 images. Two classes were added: white (what is in the photo, except the wound bed) and doubt (divergence in classification by professionals). The OPF classifier was trained from these 108 images. The OPF was applied to the wound images and the accuracy was verified. Then, the application developing process was started. Results and Discussion: The present study developed a computer-aided wound tissue classification scheme for evaluation and management of complex wounds from photos of a smartphone. The OPF application to complex wounds resulted in an accuracy of 77.52 ± 6.14. With this 4 tool, it was developed the product of this research: an application for segmentation, tissue classification and measurement of complex wounds. The application generates a Portable Document Format (PDF) report that can be emailed, printed or attached to a compatible electronic medical record. Conclusion: A bank was made with 27 images of complex wounds, which four professionals labeled for training the OPF classifier, applied the OPF to complex wound images, assessed the accuracy of this process and developed a mobile application with the functions of wound segmentation, tissue classification and wound measurement. The results showed that the value of the accuracy obtained in the computational analysis had a significant value, being equal to the evaluation of specialists in wounds. Comparing to similar studies, the computational analysis of wounds showed less variability than professionals´ evaluation, suggesting that the incorporation of this technology in clinical practice favors the health care of patients with complex wounds, besides providing data for the management, teaching and research.
Roca, i. Sarsanedas Jaume. "Evaluación de la efectividad del calor seco en las extravasaciones del contraste yodado." Doctoral thesis, Universitat de Barcelona, 2022. http://hdl.handle.net/10803/673891.
Повний текст джерелаOBJECTIVE: To study the effectiveness of the combined application of heat and dry cold thermal compresses, compared to the single application of dry cold, for the treatment of non-ionic iodinated contrast injury. METHODS: A multicenter, consecutive, non-probabilistic experimental clinical trial was carried out between June 2017 and September 2020. The study included patients with extravasation of non-ionic iodinated contrast, administered through an injector pump during a computed tomography procedure. In the experimental group, a dry heat pack was applied in the first hour of treatment followed by a dry cold pack; the control group received only the cold pack, continuing with the same care in both groups, by applying dry cold every 3-4 hours. Follow-up was carried out at 24 hours. A descriptive analysis was carried out, in addition to applying the t test, ANOVA, Chi square, Fischer test to study the relationships of variables and also non-parametric tests. Association measures were calculated using the Odds Ratio, Relative Risk and Pearson's correlation. RESULTS: 65 patients were included, of which 32 were treated with cold pack only and 33 with heat and cold. Heat treatment resolved 90.9% of cases (30 of 33), while cold treatment resolved 40.6% of cases (13 of 32). The difference between both procedures obtains a significance of p<0.001 and odds ratio 14.6 (95% CI 3.7-58.1). With the initial application of dry heat, local inflammation improved by 1.2% more than in those with dry cold treatment only. CONCLUSIONS: The combined application of dry heat during the first hour of treatment, followed by the subsequent application of dry cold, was more effective, by more than 50 percentage points, at diffusing contrast and modulating the inflammatory process, with respect to the single application of dry cold.
Marques, Tatiana Raquel Latães. "Avaliação nutricional de idosos dependentes na mobilidade na USF Flor de Sal: o papel do enfermeiro de família." Master's thesis, Universidade de Aveiro, 2016. http://hdl.handle.net/10773/17317.
Повний текст джерелаNo âmbito do 3º semestre do 2º ano do Mestrado em Enfermagem de Saúde Familiar foi desenvolvido um estágio de natureza profissional na Unidade de Saúde Familiar Flor de Sal (ACeS Baixo Vouga) por se considerar ser o contexto de excelência para o exercício das competências do enfermeiro de família. O campo de estágio serviu de contexto à realização de um trabalho de investigação baseado na problemática do envelhecimento da população que conduz ao aumento das doenças crónicas, aumento da incapacidade funcional, da dependência e consequente aumento do risco de úlceras por pressão, com impacto na família e nos serviços de saúde. A avaliação do risco nutricional é um dos parâmetros mais frágeis da escala de Braden que é o principal instrumento recomendado para avaliação do risco de desenvolvimento de úlceras por pressão. Dada a importância da nutrição como fator de risco de aparecimento destas lesões, a avaliação do risco nutricional deve ser considerado pelos enfermeiros de família. Este trabalho procurou descrever e fazer uma análise critico-reflexiva das competências desenvolvidas, dificuldades e situações marcantes do estágio, bem como, no âmbito da investigação, verificar se a avaliação do risco de úlceras por pressão dos idosos com dependência na mobilidade da USF Flor de Sal englobava uma correta avaliação do risco nutricional por parte dos enfermeiros e, ao mesmo tempo, avaliar o risco nutricional desses índivíduos. Realizou-se um estudo de natureza quantitativa que envolveu um dos ciclos do método de investigação-ação, já que após um diagnóstico inicial, se procurou implementar uma intervenção/formação de forma a verificar o seu efeito na prática dos enfermeiros na avaliação do risco nutricional, através da escala de Braden. Na avaliação foi utilizada a Mini Nutritional Assessment como instrumento de avaliação nutricional e, ainda, um questionário de caracterização sociodemográfica da amostra de idosos. Foi feita a análise descritiva para caracterizar e descrever a relação entre as variáveis, avaliadas nos dois momentos de recolha de dados. As amostras de idosos obtidas (inicial e pós-intervenção) apresentavam uma média de 80 anos e eram sobretudo do sexo feminino. Em ambos os momentos apresentaram maioritariamente risco de desenvolvimento de úlceras por pressão. A avaliação do risco nutricional realizada pelos enfermeiros, através da escala de Braden, mostrou percentagens relativamente equilibradas entre indivíduos “nutridos” e “desnutridos”, encontrando-se os primeiros em maior número em ambos os momentos de avaliação. A avaliação da investigadora com a Mini Nutritional Assessment apresentou uma diferença relevante, revelando, claramente, uma maior percentagem de idosos “desnutridos”. As competências esperadas para o estágio foram, genericamente desenvolvidas. Concluímos com o estudo que a intervenção/formação realizada não obteve os resultados esperados já que as discrepâncias existentes entre as avaliações do risco nutricional dos enfermeiros e da investigadora se mantiveram na 2ªavaliação.
Under the 3rd semester of the 2nd year of the Master in Family Health Nursing a professional traineeship was developed at the USF Flor de Sal (ACeS Baixo Vouga) as it was considered to be the context of excellence for the exercise of family nursing skills. The training field served as the context for carrying out a research work based on population ageing reality that contributed to increase of chronic diseases, functional disability, dependency and the consequent increased risk of pressure ulcers, with an impact on family and health services. The assessment of nutritional risk is one of the weakest parameters of the Braden scale which is the primary recommended tool for assessing risk of pressure ulcer development. Considering the importance of nutrition as the risk factor for the appearance of these injuries, the assessment of nutritional risk should be considered by family nurses. This study tries to describe and make a critical and reflective analysis of the skills developed, difficulties and striking situations experienced on the traineeship, as well as verify, by the research, if the assessment of the risk of pressure ulcers of elderly patients dependents on mobility in USF Flor Sal includes a correct assessment of nutritional risk by nurses and, at the same time, assess the nutritional risk of these individuals. It was conducted a quantitative study, that involved one of the cycles of the research-action method, because, after an initial diagnosis, an intervention/training was implemented in order to check its effect in practice of nurses in assessment of nutritional risk, by the Braden scale. The researcher used the Mini Nutritional Assessment as nutritional assessment tool and also a sociodemographic questionnaire to characterize the elderly sample. The data processing was made by descriptive analysis to characterize and describe the relationship between variables, collected at both assessment moments. The elderly samples obtained (initial and post-intervention) had an average of 80 years and were mostly female. Both initial and post-intervention samples mostly presented risk of developing pressure ulcers. The assessment of nutritional risk, made by nurses through the Braden scale, showed relatively balanced percentages among individuals "nourished" and "malnourished", showing the first classification in greater numbers in both assessment periods. The assessment of the researcher with the Mini Nutritional Assessment showed an important difference, showing, clearly, a higher percentage of elderly patients "malnourished". The expected skills to be developed in the traineeship were generally achieved. The study concludes that the intervention/training carried out did not get the expected results due to the discrepancies between the assessments of nutritional risk, made by nurses and the researcher remained in the 2nd assessment.
Morris, Judith A. "Factors influencing the injury experience of temporary workers in a manufacturing setting a research project submitted in partial fulfillment ... for the degree of Master of Science, Community Health Nursing/Occupational Health Nursing ... /." 1995. http://catalog.hathitrust.org/api/volumes/oclc/68798792.html.
Повний текст джерелаYee, Michelle M. "Examination of the association between the frequency of helmet use and other lifestyle behaviors a report submitted in partial fulfillment ... for the degree of Master of Science, Parent-Child Nursing ... /." 1996. http://catalog.hathitrust.org/api/volumes/oclc/68798764.html.
Повний текст джерелаEl-Hussein, Mohammed Toufic. "The knowledge and practice of ICU practitioners with regard to the instillation of normal saline solution during endotracheal suctioning." Thesis, 2002. http://hdl.handle.net/10413/4454.
Повний текст джерелаThesis (M.Cur.)-University of Natal,Durban, 2002.
Vowden, Kath, Peter Vowden, and J. Posnett. "The resource costs of wound care in Bradford and Airedale primary care trust in the UK." 2009. http://hdl.handle.net/10454/7043.
Повний текст джерела