Objective: To evaluate the association between sociodemographic, clinical, and treatment factors in the outcome of severe radiodermatitis in patients with head and neck cancer seen at the nursing consultation; and to analyze the impact of severe radiodermatitis cases on therapeutic follow-up. Method: A quantitative, documentary research conducted with medical records of 167 patients with head and neck cancer submitted to radiotherapy with curative indication followed in the nursing consultation in 2016. A structured form was used for data collection and analytical and descriptive statistics were used for its analysis. Results: Of the 99.4% patients who had radiodermatitis, 11.4% were severe cases. Severe radiodermatitis was associated with the type of equipment, treatment technique and presence of comorbidities. Of the patients who presented grade three, 53% had temporary discontinuation of treatment. Conclusion: Head and neck cancer patients who undergo radiotherapy with curative indication are at risk for severe radiodermatitis. Nursing consultation is important to minimize the severity of this event and the reduction of temporary treatment interruption due to this adverse reaction.
Introdução: A segurança do paciente pode ser definida como a redução a um mínimo aceitável do risco de um dano desnecessário ocorrer associado aos cuidados em saúde. Os erros em uma ou mais etapas no processo de quimioterápicos podem ter consequências graves para os pacientes, desde toxicidades inesperadas ate o óbito. Objetivo: Identificar as estratégias recomendadas na literatura que visam a segurança do paciente na administração de quimioterapia antineoplásica. Método: Trata-se de uma revisão integrativa da literatura que utilizou como critérios de inclusão: publicações em português, inglês e espanhol, disponíveis gratuitamente nas bases de dados CINAHL e PUBMED em textos completos no período de 2000 a 2013. Resultados: A busca resultou em 1.385 publicações, sendo selecionadas 13 publicações científicas internacionais que atendiam ao objetivo do estudo. Discussão: Nos artigos analisados, os autores enfatizam os protocolos, procedimentos e o processo de administração de quimioterapia, estabelecendo condutas únicas, de forma clara, para a manutenção da segurança em todas as etapas. Conclusão: A utilização de boas praticas não e suficiente para evitar que falhas ou erros na administração de quimioterápicos ocorram. Torna-se necessária a criação de uma cultura de segurança voltada para o compartilhamento da responsabilidade e a implementação de politicas e normas institucionais, a fim de melhorar a segurança, ambas elaboradas a partir de uma equipe multiprofissional com características interdisciplinares.
Introduction: Albino people (PA) are more likely to become sunburned, to develop skin lesions and skin cancer then people without this condition. From the Right-to-Health perspective, this study will try to identify PA who has exceeded the skin cancer risk limits. Aims: To identify PA with skin neoplasms; to describe their main characteristics; to find out about their therapeutic route; and to discuss healthcare from the PA's perspective. Method: It is a descriptive study that has been developed in two complementary stages: (i) a sectional study of the PA population who are receiving treatment at the dermatology ambulatory center of the study setting; (ii) this second stage has been carried out using a qualitative approach. The sources of data include medical reports and interviews with the PA participants. The quantitative data will be analyzed through the use of simple statistics. The semi-structured interviews will be transcribed and analyzed using the Content Analysis method. This study has been approved under protocol EEAN/HESFA/UFRJ, no 371.467.
Objective: to analyze the effectiveness of skin protectors and Calendula officinalis for prevention and treatment of radiodermatitis. Method: an integrative review conducted at CINAHL, Cochrane Library, Embase, MEDLINE/PubMed, IBECS, LILACS, and Web of Science. The final sample consisted of five studies, four clinical studies and one preclinical. Critical appreciation and narrative synthesis of the findings were carried out. Results: the Cavilon™ skin protector was more effective than Sorbolene (cream with 10% glycerin) and less effective than Mometasone Furoate cream. Calendula officinalis was more effective than Trolamine and essential fatty acids and less effective than Ching Wan Hung® for prevention and treatment of radiodermatitis. Conclusion: data confirm the potential of Calendula officinalis for prevention and treatment of radiodermatitis and point to promising results regarding skin protector use; however, there is a need for further testing as to the effectiveness of such products.
A divulgação do sequenciamento do genoma humano incrementou estudos sobre as bases moleculares e genéticas do câncer e possibilitou avanços em oncologia, sendo necessária a criação de bancos ou biobancos de tecidos humanos que facilitassem a pesquisa translacional e análises moleculares. Para desenvolver tais atividades, enfermeiras oncologistas foram incluídas na equipe do BNT, tornando o INCA pioneiro na adoção dessa categoria profissional em um biobanco. Essa iniciativa do INCA já conta com seis anos de uma bem-sucedida experiência que, além de tudo, cumpriu um dos objetivos do projeto do BNT, aquele que previa o impacto em recursos humanos através da geração de conhecimento, capacitação técnica e introdução de novos procedimentos a serem realizados pelo corpo de profissionais da instituição, no caso aqui específico, cumprido a partir da inserção das enfermeiras oncologistas nesse projeto.
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