Acute pain in myocardial infarction: analysis of concept

Santos, Sônia Beatriz dos; Araújo, Thelma Leite de; Cavalcante, Tahissa Frota; Neto, Nelson Miguel Galindo

doi:10.1590/1983-1447.2015.03.51203

Cited by 5 publications

(3 citation statements)

References 38 publications

(64 reference statements)

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“…Additional information related to the nature of the patient's chest pain, such as descriptors of the quality of the chest pain, its location, and the presence of radiation should therefore be sought [ 27 ]. Additional symptoms, such as nausea, vomiting, weakness, sleep disturbance, diaphoresis, fear and anxiety, are also useful in triaging the patient's chest pain [ 28 , 29 ]. In our study of unprompted descriptors, some callers provided such additional information to describe the patients' chest pain, and the combination of chest pain, nausea and vomiting descriptors was seen.…”

Section: Discussionmentioning

confidence: 99%

An analysis of the descriptors of acute myocardial infarction used by South Africans when calling for an ambulance from a private emergency call centre

Buma

Saunders

Watermeyer

et al. 2020

African Journal of Emergency Medicine

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Introduction Acute myocardial infarction (AMI) is a time sensitive emergency. In resource limited settings, prompt identification and management of patients experiencing AMI in the pre-hospital setting may minimise the negative consequences associated with overburdened emergency medical and hospital services. Expedited care thus, in part, relies on the dispatch of appropriate pre-hospital medical providers by emergency medical dispatchers. Identification of these patients in call centres is challenging due to a highly diverse South African society, with multiple languages, cultures, and levels of education. The aim of this study was therefore, to describe the terms used by members of the South African public when calling for an ambulance for patients suffering an AMI. Methods In this qualitative study, we performed content analysis to identify keywords and phrases that callers used to describe patients who were experiencing an advanced life support (ALS) paramedic-diagnosed AMI. Using the unique case reference number of randomly selected AMI cases, original voice recordings between the caller and emergency medical dispatcher at the time of the emergency were extracted and transcribed verbatim. Descriptors of AMI were identified, coded and categorised using content analysis, and quantified. Results Of the 50 randomly selected calls analysed, 5 were not conducted in English. The descriptors used by callers were found to fall into three categories; Pain: Thorax , No pain: Thorax and Ill- health . The code that occurred most often was no pain, heart related (n = 16; 23.2%), followed by the code describing pain in the chest (n = 15; 21.7%). Conclusion South African callers use a consistent set of descriptors when requesting an ambulance for a patient experiencing an AMI. The most common of these are non-pain descriptors related to the heart. These descriptors may ultimately be used in developing validated algorithms to assist dispatch decisions. In this way, we hope to expedite the correct level of care to these time- critical patients and prevent the unnecessary dispatch of limitedly available ALS paramedics to inappropriate cases.

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Section: Discussionmentioning

confidence: 99%

An analysis of the descriptors of acute myocardial infarction used by South Africans when calling for an ambulance from a private emergency call centre

Buma

Saunders

Watermeyer

et al. 2020

African Journal of Emergency Medicine

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“…(10) It is also seen that in this taxonomic classification system all diagnostic categories are derived from concepts and present theoretical models or formulations (11) to give meaning to the observations of physiological, psychic, social, religious and spiritual phenomena, going through continuous analyzes according to studies found in the literature. (12)(13)(14)(15)(16)(17)(18)(19) As already mentioned, the conceptual definition of powerlessness (00125) standardized by NANDA-I is "lived experience of lack of control over a situation, including a perception that one's actions do not significantly affect a result." (2) .…”

Section: Discussionmentioning

confidence: 99%

Analysis of the concept of powerlessness in individuals with stroke

et al. 2017

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Objective: To identify and analyze the concept of the powerlessness in individuals with stroke, according to the NANDA-I Taxonomy. Methods. Concept analysis from online access of four databases using the descriptors: impotence; helplessness, learned; Stroke, depression in languages: Portuguese, English and Spanish. Results. The critical attributes of the feeling of powerlessness are: fragility, helplessness, lack of control, and power to achieve the proposed results for recovery and adaptation. Eleven new antecedents were found. It is recommended to reformulate three antecedents present in the taxonomy. Fourteen consequent were found. It is suggested to amend three consequential from the review. Conclusion. With the analysis, a more complete concept of the powerlessness was elaborated allowing clarifying the critical attributes that, in turn, will help the rehabilitating nurse to recognize the signs and symptoms and to strengthen mechanisms of tolerance and resistance to stress.

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“…Entretanto, as validades de conteúdo, critério e construto, além da confiabilidade da versão adaptada para o Brasil, ainda devem ser investigadas para que o instrumento possa ser utilizado para mensurar o conhecimento e dos modelos de avaliação da dor, por sua vez, podem gerar atitudes negativas que interferem nas habilidades clínicas de tomada de decisão e adicionam complexidade à questão gerencial da dor, incorrendo no uso incorreto de medidas de alívio. 8,[15][16][17][18] Assim, melhorar o conhecimento dos profissionais de saúde é o primeiro passo para se obter a avaliação e o manejo da dor adequados em pacientes com evento de dor cardíaca.…”

Section: Conclusãounclassified

Brazilian Version of the Toronto Pain Management Inventory - Acute Coronary Syndrome

Felício¹,

Ferretii-Rebustini²,

Murakami³

et al. 2020

Reme Revista Mineira De Enfermagem

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Objetivo: realizar a adaptação transcultural do instrumento Toronto Pain Management Inventory-Acute Coronary Syndrome para o Português brasileiro e analisar evidências de validade de face do instrumento adaptado. Métodos: para a adaptação transcultural foram seguidos os procedimentos propostos pelo Guideline for Establishing Cultural Equivalency of Instruments (RDC/TMD) Consortium Network (fase 1). Para verificar a concordância entre os juízes na análise das equivalências foi utilizado o índice de validade de conteúdo (IVC). A validade de face foi feita com enfermeiros durante o pré-teste e consistiu na avaliação da facilidade da compreensão para responder aos itens. Resultados: o instrumento adaptado alcançou equivalência linguística. As equivalências semântica, idiomática, experimental e conceitual tiveram IVC médios de 98,5 (IC 95% 97, 1-100,0), 97,8 (IC 95% 96,0-99,5), 94, 1 (IC95% 91,6-96,6) e 99,6 (IC 95% 98,9-100,0). No pré-teste, 92,5% dos enfermeiros consideraram o instrumento de fácil compreensão e 85% não encontraram dificuldade. Conclusão: o instrumento adaptado é culturalmente equivalente ao instrumento original e reúne evidências de validade de face. As propriedades psicométricas do instrumento ainda serão investigadas.

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Acute pain in myocardial infarction: analysis of concept

Abstract: The findings have clarified the attributes of the concept sharp pain in myocardial infarction.

Cited by 5 publications

References 38 publications

An analysis of the descriptors of acute myocardial infarction used by South Africans when calling for an ambulance from a private emergency call centre

An analysis of the descriptors of acute myocardial infarction used by South Africans when calling for an ambulance from a private emergency call centre

Analysis of the concept of powerlessness in individuals with stroke

Brazilian Version of the Toronto Pain Management Inventory - Acute Coronary Syndrome

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