Resumo OBJETIVO Relatar a atuação da equipe multidisciplinar na comunicação efetiva e no cuidado seguro aos pacientes com dispositivo de assistência ventricular. MÉTODO Relato de experiência sobre o uso da comunicação efetiva no cuidado a pacientes com dispositivo de assistência ventricular em hospital universitário do sul do Brasil. A referida assistência iniciou em 2017, pautada na individualização das ações e na perspectiva do cuidado centrado no paciente. RESULTADOS Na instituição foram capacitadas equipes multiprofissionais, estruturados protocolos assistenciais, realizadas sessões educativas sistemáticas para pacientes e cuidadores. Foram executadas visitas domiciliares para planejamento de alta hospitalar e plano para situações de urgência, além de capacitações básicas para as equipes dos hospitais próximos à residência dos pacientes. CONCLUSÕES A comunicação efetiva entre equipe multiprofissional, pacientes e cuidadores no planejamento do cuidado em saúde tem papel fundamental para identificar precocemente possíveis complicações, preveni-las e possibilitar maior sobrevida e qualidade de vida a esses pacientes.
Objective. To identify the nursing diagnoses through reports in the medical records of patients monitored in a specialized ischemic heart disease outpatient clinic.Methods. Cross-sectional study with retrospective data collection in the medical records. From the data collected, the nursing diagnoses were proposed by the researchers and submitted for validation by specialist cardiology nurses.Results. A total of 13 nursing diagnoses were evaluated from the medical records of 50 outpatients with the following validation agreements among the specialists: Ineffective health management (100%), Noncompliance (100%), Sedentary lifestyle (100%), Activity intolerance (100%), Decreased cardiac output (88%), Risk of decreased cardiac tissue perfusion (65%), Risk of intolerance to activity (65%), Acute pain (76%), Ineffective health maintenance (65%), Risk-prone health behavior (65%), Risk for decreased cardiac output (65%), Risk for intolerance to activity (65%), Ineffective respiratory pattern (53%), Impaired memory (29%).Conclusion. In this study, the nursing diagnoses validated for stable heart disease patients were linked to adherence to treatment and to the cardiovascular responses of the patients, reinforcing the importance of early intervention. These results allow the multidisciplinary team to individualize the goals and interventions proposed for ischemic heart disease patients.Descriptors: ambulatory care; cross-sectional studies; nursing diagnosis; outpatients; nursing process; myocardial ischemia.How to cite this article: Cardoso PC, Caballero LG, Ruschel KB, Moraes MAP, Silva ERR. Profile of the nursing diagnoses in stable heart disease patients. Invest. Educ. Enferm. 2019; 37(2):e08.ReferencesWorld Health Organization. World Health Statistics 2018: monitoring health for the SDGs, sustainable development goals [Internet]. Geneva: WHO; 2018 [cited: 7 May 2019]. Available from: https://www.who.int/gho/publications/world_health_statistics/2018/en/ Ministério da Saúde. Informações de Saúde (TABNET) - Assistência à Saúde. DATASUS. Departamento de Informatica a Serviço do SUS [Internet]. 2016 [cited: 7 May 2019]. Available from: http://datasus.saude.gov.br/informacoes-de-saude/tabnet/assistencia-a-saude Ôunpuu S, Negassa A, Yusuf S. INTER-HEART: A global study of risk factors for acute myocardial infarction. Am. Heart J. 2001; 141(5):711–21. Berwanger O, Guimarães HP, Laranjeira LN, Cavalcanti AB, Kodama AA, Zazula AD, et al. Effect of a multifaceted intervention on use of evidence-based therapies in patients with acute coronary syndromes in Brazil: The BRIDGE-ACS randomized trial. 2012; 307(19):2041–9. Saffi MAL, Polanczyk CA, Rabelo-Silva ER. Lifestyle interventions reduce cardiovascular risk in patients with coronary artery disease: A randomized clinical trial. Eur. J. Cardiovasc. Nurs. 2014; 13(5):436–43. Brasil. Ministerio da Saúde. Diretrizes para o cuidado das pessoas com doenças crônicas nas redes de atenção à saúde e nas linhas de cuidado prioritárias [Internet]. Brasília; 2013 [cited: 7 May 2019]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/diretrizes%20_cuidado_pessoas%20_doencas_cronicas.pdf Gallagher-Lepak S. Fundamentos do diagnóstico de enfermagem. In: Herdman TH, Kamitsuru S O, editor. Diagnósticos de enfermagem da NANDA: Definições e Classificação. 2015. p. 21–30. Santos NA dos, Cavalcante TF, Lopes MV de O, Gomes EB, Oliveira CJ de. Profile of nursing diagnoses in patients with respiratory disorders. Invest. Educ. Enferm. 2015; 33(1):112–8. Sampaio F de C, de Oliveira PP, da Mata LRF, Moraes JT, da Fonseca DF, Vieira VA de S. Profile of nursing diagnoses in people with hypertension and diabetes. Invest. Educ. Enferm. 2017;35(2):139–53. Javier F, Rivas P, Martín-iglesias S, Luis J, Arenas CM, Lagos MB. Effectiveness of Nursing Process Use in Primary Care. Int. J. Nurs. Knowl. 2015; 27(1):43–8. Araújo DD, Carvalho RLR, Chianca TCM. Nursing diagnoses identified in records of hospitalized elderly. Invest. Educ. Enferm. 2014; 31(3):225–35. Menna Barreto LN, Swanson EA, De Abreu Almeida M. Nursing Outcomes for the Diagnosis Impaired Tissue Integrity (00044) in Adults with Pressure Ulcer. Int. J. Nurs. Knowl. 2016; 27(2):104–10. Moreira RP, Guedes NG, Lopes MV de O, Cavalcante TF, Araújo TL de, Moreira RP, et al. Nursing diagnosis of sedentary lifestyle: expert validation. Texto Context - Enferm. 2014; 23(3):547–54. Bowry ADK, Shrank WH, Lee JL, Stedman M, Choudhry NK. A systematic review of adherence to cardiovascular medications in resource-limited settings. J. Gen. Intern. Med. 2011; 26(12):1479–91. Osterberg L, Blaschke T. Adherence to medication. New. Engl. J. Med. 2005; 353(18):1973–4. Vrijens B, De Geest S, Hughes DA, Przemyslaw K, Demonceau J, Ruppar T, et al. A new taxonomy for describing and defining adherence to medications. Br. J. Clin. Pharmacol. 2012; 73(5):691–705. Borges JWP, Moreira TMM, Rodrigues MTP, de Souza ACC, da Silva DB. Content validation of the dimensions constituting non-adherence to treatment of arterial hypertension. Rev. Esc. Enferm. 2013; 47(5):1076–82. Freitas JS de, Silva AEB de C, Minamisava R, Bezerra ALQ, Sousa MRG de. Quality of nursing care and satisfaction of patients attended at a teaching hospital. Rev. Lat. Am. Enfermagem. 2014; 22(3):454–60. World health Organization. Adherence to long-term therapies: evidence for action [Internet]. Geneve: WHO; 2003 [cited: 7 May 2019]. Available from: https://www.who.int/chp/knowledge/publications/adherence_report/en/
Two sex-reversed males and eight intersexes have been found in a natural population of the mole species Talpa occidentalis. All individuals of karyotype 34,XY were normal males, while the 34,A r A r karyotype was found in normal females, intersexes and sex-reversed males. Small testes were present in XX males, and ovotestes in intersexes. Intersexes showed male antigen levels higher than for females and lower than for males (including XX males), as judged by cytotoxicity tests. The X chromosome of sex-reversed males and intersexes and the Y chromosome of males appeared morphologically normal.
Objetivo: desenvolver e validar o conteúdo de instrumentos para padronizar a passagem de plantão da enfermagem.Método: estudo de desenvolvimento e validação por consenso de especialistas, conduzido de janeiro a julho de 2019 em hospital do sul do Brasil. Participaram do estudo 24 profissionais de diferentes áreas, incluindo enfermeiros, técnicos e professores de enfermagem, com experiência na passagem de plantão hospitalar. Avaliou-se abrangência, clareza e pertinência dos itens dos instrumentos, sendo validados pelos especialistas sobre cada item dos instrumentos desenvolvidos,obtendo-se índice de concordância de 93%.Resultados: foram elaborados o “Formulário de Passagem de Plantão”, contemplando identificação dos pacientes, informações clínicas e intercorrências de cada turno, e o “Procedimento Operacional Padrão para Passagem de Plantão”, descrevendo atividades a serem realizadas para garantir a transmissão de informações precisas.Considerações finais: os instrumentos elaborados podem nortear a passagem de plantão da enfermagem na prática clínica, promovendo a continuidade e segurança do cuidado.
Selected clinically stable patients with heart failure (HF) who require prolonged intravenous inotropic therapy may benefit from its continuity out of the intensive care unit (ICU). We aimed to report on the initial experience and safety of a structured protocol for inotropic therapy in non-intensive care units in 28 consecutive patients hospitalized with HF that were discharged from ICU. The utilization of low to moderate inotropic doses oriented by a safety-focused process of care may reconfigure their role as a transition therapy while awaiting definitive advanced therapies and enable early ICU discharge.
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