A NANDA (North American Nursing Diagnosis Association) em 1990 definiu o diagnóstico de enfermagem como sendo um julgamento clínico das respostas do indivíduo, ou da família ou da comunidade, aos processos vitais ou aos problemas de saúde atuais ou potenciais, que fornecem a base para a seleção das intervenções de enfermagem para atingir resultados pelos quais o enfermeiro é responsável 4 . O uso dos diagnósticos de enfermagem pode trazer benefícios não só para o profissional e cliente, como também para a instituição. Segundo MILLER 9 , para que a enfermeira assista adequadamente o cliente, é necessário conhecer os problemas que ele está experienciando e a falta de clareza na sua identificação implica em perda de tempo e energia, ou mesmo de dinheiro. Para ela o objetivo da enfermagem é prover uma assistência que atenda às necessidades do cliente, enquanto que o da instituição é prestar um serviço efetivo e eficiente. Portanto, o uso dos diagnósticos de enfermagem beneficia a ambos, porque direciona a assistência de enfermagem para as necessidades de cada cliente, facilita a escolha de intervenções mais adequadas, registra de forma objetiva as reações do cliente e permite subsequente avaliação dos cuidados de enfermagem.
Beginning in the 1980s, use of latex gloves to protect health care workers against exposure to blood and body fluids increased. Since then, the number of reported cases of latex sensitivity also has increased. Reactions to latex range from contact dermatitis to anaphylactic shock. Low-powder, powder-free, and non-latex gloves provide alternatives to protect health care workers from occupational latex exposure.
Background: Frequent exposure to latex causes various reactions such as respiratory symptoms and anaphylactic shock. In these cases, proteins found in natural latex are responsible for the serious systemic antilatex‐mediated immediate hypersensitive reactions.Methods: Cross‐sectional descriptive survey focusing on 96 Brazilian health care workers (HCW) in the neonatal intensive care unit at CAISM, State University of Campinas UNICAMP, Brazil. All subjects were interviewed, donated blood samples for the latex‐specific immunoglobulin E measurement and underwent the skin prick test (SPT) with an antigen extracted from latex gloves.Results: The prevalence of latex positive SPT was 8%. There were eight SPT positive and only one serologic test was in agreement with the SPT. Overall, there was evidence of an association between the latex SPT and reported eczema (P = 0.01); food allergy (P = 0.009) with pineapple (P = 0.01).Conclusions: These results suggest that the identification of reactions of immediate hypersensitivity mediated by antilatex antibodies in HCW should be encouraged to prevent occupational exposure to latex products.
This article presents a summary of literature published in recent years about latex allergy. The first article on allergic reactions associated with latex was published in Britain in 1979. Since then, the number of reported cases has increased. A wide variety of allergic reactions that range from contact dermatitis to anaphylactic shock are described in literature. Conclusions support that health care team members must be well informed about the implications of latex allergy to better help allergic individuals.
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