Resumo Resumen R E S E A R C H P A P E R ( O R I G I N A L )
Delirium in critically ill patients: risk factors modifiable by nursesDelírium no doente crítico: fatores de risco modificáveis pelos enfermeiros El delirio en pacientes críticos: factores de riesgo modificables por los enfermeros Jorge Miguel Pereira*; Francisco José Dos Reis Barradas**; Rodrigo Miguel Caetano Sequeira***; Maria do Céu Mendes Pinto Marques****; Marco Job Batista*****; Manuel Galhardas******; Marco Santinho Santos******* Background: Delirium is one the most prevalent mental disorders in patients hospitalized due to acute conditions and is an important independent predictor of poor outcomes.Objectives: This study aimed to identify the risk factors modifiable by nurses, which are associated with the development of delirium in patients hospitalized in a level 2 intensive care unit of a central hospital.
Methodology:We conducted an exploratory-descriptive study, with an intentional sample of 57 inpatients. The Confusion Assessment Method for the Intensive Care Unit scale (CAM-ICU) was applied and clinical and other data were collected. Results: We identified several variables as risk factors potentially modifiable by nurses, including promotion of nutrition and hydration, management of medical devices, promotion of family visits, promotion of the use of prostheses, proper management of prescribed medication; promotion of proper positioning and oxygen therapy.
Conclusion:The presence of delirium is still undervalued by nurses. However, they can call attention to the implementation of measures aimed to reduce delirium. To this end, the assessment of delirium in intensive care patients should be systemized.
Objetivo: mapear as produções sobre tecnologias educacionais construídas para ensinar suporte básico de vida para adolescentes. Método: Protocolo de revisão de escopo conduzido a partir da metodologia do Joanna Briggs Institute. Os achados serão reportados utilizando a extensão do checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. O protocolo está na Open Science Framework. A questão norteadora foi elaborada com base no mnemônico PCC: População (adolescentes), Conceito (tecnologias educacionais) e Contexto (suporte básico de vida). Serão utilizadas três bases via Biblioteca Virtual em Saúde e quatro bases via Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Dois revisores independentes selecionarão os artigos usando os programas EndNote® e Rayyan®, obedecendo critérios de elegibilidade. O Google Scholar e as referências dos estudos primários serão consultados como estratégias adicionais. Os resultados serão apresentados em quadros, fluxograma e discussão narrativa.
Alimentação Entérica na pessoa com Demência:Efeitos, indicações e benefícios La nutrición enteral en el paciente con demencia:
Efectos, indicaciones y beneficios
Enteral nutrition in person with Dementia:Indication, effects and benefits veral areas: survival / mortality rate (no evidence of benefit), nutritional status (no improvement), functional status and cognitive development (no improvement), aspiration (enteral feeding does not reduce the risk of aspiration), pressure ulcers (no evidence of benefit in the incidence and progression of ulcers), quality life (without hard data in most studies).
Conclusion:Evidence that tube feeding in people with dementia provides benefits was not conclusive, and may even have the opposite effect. There are still data on the adverse effects of these interventions.
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