Dor nas unidades de internação de um hospital universitário

Abstract

Background and objectives: This is an exploratory, descriptive and transversal study aiming to determine the prevalence, characterization, location, and measurement and discuss pharmacological analgesic measures for acute pain management in five inpatient wards of a university hospital.

Avaliação da dor pós-operatória sob a ótica do enfermeiro

“…8 Another identified hypothermia (22%) as a physiological consequence while tachycardia was found in 4% of those surveyed.. 5 It should be noted that in this context, the health team should also be attentive to the appearance of changes that indicate pain in the patient, especially in those who cannot report, and indicate the presence of pain through verbal and / or corporal expression, as in cases of sedation use. 9 It is essential for the effective evaluation of pain, the participation of the Nursing team, who develops daily activities at all shifts and, thus, is able to observe more fully the complaints and alterations presented by the patient to provide comprehensive, holistic and quality care. 6,10 Through an adequate evaluation concomitant to the measurement of pain, it is possible to establish efficient management and control with the formation of an individual plan that overcomes the damages caused by the pain problem.…”

“…When allied pharmacological and nonpharmacological treatments, there is a potentiation of positive results in relation to the improvement of pain and the comfort of the client. 6,9,12,15 It should be noted that pain treatment is a patient's right and should not be considered as merely an indicator of good clinical behavior or quality of care. As leader of the Nursing team, it is up to the nurses to apply the best form of evaluation, management and control of pain, being able to propose new instruments and according to the reality of the health institution to which it belongs.…”

“…These should seek knowledge and improve skills to evaluate and intervene, appropriately, in the face of painfull questions. 9 It is possible to better evaluate the pain and to decide, in a coherent way, which therapies for the reduction of the pain can positively influence its control, when the Nursing staff is adequately trained. 16 It is understood that acute pain, as a nursing diagnosis, requires some nursing interventions, such as the evaluation of characteristics, intensity and location of pain through the use of relevant scales, considering the patient's report and observing possible physiological changes, in addition to administering medications according to the prescription and proposing appropriate measures of comfort.…”

“…2,[5][6]9 In this context, it is important to emphasize that Nursing plays a fundamental role in the recording and monitoring of pain by providing continuous and direct care to the patient for 24 hours, where it is necessary to develop studies that stimulate the measurement, analysis and correct recording of this signal that causes several disorders in the patient's quality of life. [9][10] It is pointed out that, for this, there are one-dimensional and multidimensional evaluation methods, the one-dimensional scales being those that have the capacity to measure the intensity of pain through a numeric or qualitative value, and the multidimensional ones evaluate it through several aspects and all dimensions of the patient. [11][12] • To identify the form used by nurses to evaluate and control acute pain in patients undergoing general surgery.…”

Perfil sociodemográfico e psicológico dos pacientes do serviço de emergência de um hospital da cidade do Rio de Janeiro

“…A avaliação dessa variável, porém, é complexa, uma vez que a dor consiste em fenômeno multidimensional e que envolve outros domí-nios, como aspectos emocionais, culturais e sociais (Souza et al, 2013). Assim, entende-se que a ausência de dor percebida pela maior parte dos participantes pode ser considerada um fator de proteção, uma vez que permite um melhor enfrentamento da experiência da hospitalização, sobretudo em pacientes cirúr-gicos (Ribeiro et al, 2012).…”