Objective: To identify the prevalence of nursing diagnosis of fluid volume excess and their defining characteristics in hemodialysis patients and the association between them. Method: Cross-sectional study conducted in two steps. We interviewed 100 patients between the months of December 2012 and April 2013 in a teaching hospital and one hemodialysis clinic. The inference was performed by diagnostician nurses between July and September 2013. Results: The diagnostic studied was identified in 82% of patients. The characteristics that were statistically associated: bounding pulses, pulmonary congestion, jugular vein distention, edema, change in electrolytes, weight gain, intake greater than output and abnormal breath sounds. Among these, edema and weight gain had the highest chances for the development of this diagnostic. Conclusion: The analyzed diagnostic is prevalent in this population and eight characteristics presented significant association.

Objective: to evaluate the accuracy of the defining characteristics of the excess fluid volume nursing diagnosis of NANDA International, in patients undergoing hemodialysis. Method: this was a study of diagnostic accuracy, with a cross-sectional design, performed in two stages. The first, involving 100 patients from a dialysis clinic and a university hospital in northeastern Brazil, investigated the presence and absence of the defining characteristics of excess fluid volume. In the second step, these characteristics were evaluated by diagnostic nurses, who judged the presence or absence of the diagnosis. To analyze the measures of accuracy, sensitivity, specificity, and positive and negative predictive values were calculated. Approval was given by the Research Ethics Committee under authorization No. 148.428. Results: the most sensitive indicator was edema and most specific were pulmonary congestion, adventitious breath sounds and restlessness. Conclusion: the more accurate defining characteristics, considered valid for the diagnostic inference of excess fluid volume in patients undergoing hemodialysis were edema, pulmonary congestion, adventitious breath sounds and restlessness. Thus, in the presence of these, the nurse may safely assume the presence of the diagnosis studied.

Objetivou-se neste artigo relatar a experiência da construção e execução da ação de extensão sobre curso de exame físico.Estudo descritivo, do tipo relato de experiência, acerca da ação de extensão, destinada aos discentes do 4º período do cursode graduação em enfermagem de uma universidade federal do nordeste. A ação ocorreu em três momentos distintos, a saber:apresentação de vídeo temático, demonstração prática do exame físico e jogo educativo. Concluiu-se que os professoresdevem utilizar técnicas de ensino que possibilitem interações mais dinâmicas com os discentes em detrimento das tradicionaismetodologias conservadoras que são, em essência, fragmentadas e reducionistas.Descritores: Enfermagem, Ensino, Exame Físico.SCHOOL IMPROVEMENT STRATEGY OF PHYSICAL EXAMINATION IN NURSINGThe objective of this article is to report the experience of building and execution the extension course of action on physicalexamination. A descriptive Study of type experience report, about the extension action, aimed at students of the 4th periodof the degree course in nursing at a federal University of the Northeast. The action occurred in three different times, namely:thematic video presentation, practical demonstration of physical examination and educational game. It was concluded that theteachers should use teaching techniques that allow more dynamic interactions with learners at the expense of the traditionalconservative methodologies which are, in essence, fragmented and reductionist.Descriptors: Nursing, Teaching, Physical Examination.ESTRATEGIA DE MEJORA DE LA ESCUELA DE EXAMEN FÍSICO DE ENFERMERÍAEl objetivo de este artículo is informe de la experiencia de construcción y ejecución del curso de extensión de la acción enel examen físico. Estudio descriptivo de tipo experiencia informe, acerca de la acción de extensión, dirigida a estudiantes del4 º periodo de la licenciatura en enfermería de la Universidad federal del noreste. La acción se produjo en tres ocasionesdiferentes, a saber: video presentación temática, demostración práctica del examen físico y juego educativo. Se concluyó quelos maestros deben utilizar técnicas de enseñanza que permiten interacciones más dinámicas con los educandos a expensas delas metodologías tradicionales y conservadores que son, en esencia, fragmentados y reduccionistas.Descriptores: Enfermería, Enseñanza, Examen Físico.

OBJECTIVES: to identify adaptation problems under Roy's Model in patients undergoing hemodialysis and to correlate them with the socioeconomic and clinical aspects. METHOD: a transversal study, undertaken using a questionnaire. The sample was made up of 178 individuals. The Chi-squared and Mann-Whitney U tests were undertaken. RESULTS: the adaptation problems and the socioeconomic and clinical aspects which presented statistical associations were: Hyperkalemia and age; Edema and income; Impairment of a primary sense: touch and income; Role failure and age; Sexual dysfunction and marital status and sex; Impairment of a primary sense: vision and years of education; Intolerance to activity and years of education; Chronic pain and sex and years of education; Impaired skin integrity and age: Hypocalcemia and access; Potential for injury and age and years of education; Nutrition below the organism's requirements and age; Impairment of a primary sense: hearing and sex and kinetic evaluation of urea; Mobility in gait and/or coordination restricted, and months of hemodialysis; and, Loss of ability for self-care, and months of hemodialysis and months of illness. CONCLUSION: adaptation problems in the clientele undergoing hemodialysis can be influenced by socioeconomic/clinical data. These findings contribute to the development of the profession, fostering the nurse's reflection regarding the care.

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This study analyzed the accuracy of clinical indicators of ineffective health management in hemodialysis patients. A diagnostic accuracy study was performed in 200 chronic kidney disease patients undergoing hemodialysis during the first half of 2015. Measures of sensitivity and specificity were calculated using latent class analysis. Ineffective health management was present in 66.28% of patients. Accurate clinical indicators included expressed nonadherence to treatment, daily life choices ineffective to achieve health goals, expression of difficulty with prescribed regimens, inappropriate use of medicines, lack of expression of willingness to control the disease, irregular attendance of dialysis sessions, and infection. Hemodialysis may trigger a set of clinical indicators that predict the presence of ineffective health management. This knowledge provides evidence to clinical practices for hemodialysis patients and contributes to the best clinical performance of nurse practitioners.

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Trata-se de uma revisão bibliográfica que objetivou relacionar as medidas educativas para a promoção da integridade da pele em idosos com as Cartas de Promoção da Saúde. Realizou-se a busca nas bases de dados CINAHL, SCOPUS, LILACS e COCHRANE, nos portais CAPES e BVS e na biblioteca PUBMED, mediante a aplicação dos descritores Health Education; Skin e Aged. Os resultados dos 7 artigos analisados apontaram como principais medidas educativas: inspeção diária da pele, cuidados com calçados e com os pés, uso regular de protetor solar e mudanças de decúbito. Essas medidas estavam relacionadas com as seguintes Cartas de Promoção da Saúde: Ottawa, Declaração de Santafé de Bogotá e Declaração de Jacarta. Conclui-se que as medidas educativas, baseadas nas Cartas, são de grande relevância para a criação de uma cultura de saúde, com enfoque na população e no indivíduo como agentes executores imprescindíveis para o alcance da promoção da saúde.