A validação de nomenclatura possibilita uma contribuição no cuidado prestado pela Enfermagem, estimulando e direcionando mudanças necessárias para a melhoria da qualidade da atenção à saúde da mulher. O estudo objetivou validar afirmativas de Diagnósticos de Enfermagem da CIPE® para a assistência de enfermagem às mulheres no período pós-parto. Trata-se de um estudo metodológico, composto por três etapas: seleção das afirmativas, análise semântica e cálculo do Índice de Concordância. A amostra foi composta por 12 experts em Enfermagem Obstétrica e utilizou-se um instrumento contendo itens de interesse da investigação. Foram validados 30 (88,23%) Diagnósticos de Enfermagem da CIPE®, sendo apenas quatro não validados. O estudo evidenciou a necessidade de se investigar e atualizar os termos da CIPE®permanentemente. Além disso, a proposta e tendência de utilização de prontuários eletrônicos nas instituições de saúde apontam para a necessidade de validar, uniformizar e legitimar Diagnósticos de Enfermagem para a prática clínica.
Caracterização das vítimas de traumatismo encefálico que evoluíram para morte encefálica Characterization of cranioencephalic traumatism victims who evolved to brain death Caracterización de las víctimas de traumatismo encefálico que evolucionaron a muerte encefálica
Objective: Evaluate how health professionals perceive the pain in the NBs hospitalized in the Neonatal Intensive Care Unit.Method: This is a descriptive, exploratory research with a qualitative approach, developed in the maternity hospital Instituto de Saúde Elpídio de Almeida (ISEA), in the period from February to March 2016, after approval by the Research Ethics Committee (CESED), where the technique of data collection was through an interview with a prior script divided into two parts: the first part deals with socio-demographic issues, while the second part deals with issues related to pain in the NB, where they were recorded and transcribed in their entirety, using the content treatment through content analysis of the thematic type proposed by Laurence Bardin. Results:The results show that all health professionals perceive the pain in the neonate, where three categories emerged: "relates the evaluation of pain with physiological and behavioral measurements"; "know, but do not evaluate with pain score", "do not evaluate with pain score". Regarding the use of some method for pain relief, two categories emerged: "use of non-pharmacological methods for pain
Goal: To analyze the possibilities and limits of multiprofessional care in the attention to psychiatric emergencies. Method:It is an analytical study of the type integrative review of the comprehensive literature. Searches were conducted in the Latin American and Caribbean Literature (LILACS) and Nursing Database (BDENF) databases and in the ScieLo Virtual Library, with the use of Descriptors in Health Sciences (DECs): "Emergency Services, Psychiatric", "Forensic Psychiatry", "Psychiatric Rehabilitation", in the period from 2007 to 2017.Results: After data analysis, two thematic categories emerged: "Possibilities and limits in multiprofessional care for patients in crisis" and "The continuity of care to the patient in crisis by the multiprofessional team". The studies point out fragility in the management of the multiprofessional team of care to the patients in psychiatric crisis. Therefore, in the substitutive services to the psychiatric hospital, it is necessary IntroductionEmergency mental health situations refer to any disturbance of thinking, feelings or actions that require immediate intervention to protect the person or third parties from the risk of death. Among the most frequently encountered emergencies are suicidal behavior, aggressive behavior and disturbances in thinking and perception, with 20% of those assisted in emergency mental health services having suicide problems and 10% violent behavior [1].The violent and aggressive behavior expressed by the client denotes fear, anxiety and insecurity in those around him, including professionals. However, the culturally constructed fear of society towards all people in the psychiatric setting is disproportionate to the few that, in fact, constitute a risk to the social environment. Excessive fear in professionals may impair clinical judgment and lead to premature and large-scale use of sedative medications and physical restraints, such as bed restraints [1].Mental health emergencies are related to the various evolutionary and accidental crises related to human experience. But what specifies an emergency in mental health is the manifestation of behavior as a consequence of a situation in which the person is and for which his general performance is seriously impaired and the individual becomes incapable of assuming personal responsibilities [2].Emergency mental health refers to a situation of altered thinking (delirium) or actions (aggressive acts) that demand rapid care. These changes are associated with the risk of death, such as in suicide or in patients with violent behavior, or the situation of mental alterations resulting from the use of psychoactive substances or physical diseases, which must provide interventions for the reduction of sequelae. Thus, emergency is a set of contrasting emotional and practical interests, in which the patient and his/her crisis are only part and not the whole, and the health team must take into account all these possibilities at the time of evaluation [2].The approach to the person with mental disorder in an eme...
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