Prática profissional e Ética no contexto das políticas de saúde

Mendes, Heloísa Wey Berti

doi:10.1590/s1414-32832000000200015

Cited by 5 publications

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“…13 Considering that "life", in the case of ophthalmology, means the eye's health status in every aspect, including its function, we realize that conjunctivitis and eyelid inflammation are conditions that may well be treated in primary or secondary care units. Additional types of conditions that could be treated in capable institutions that address urgencies of minor complexity and UBS seen at the Ophthalmology ER of our Institution include uncorrected refractive errors, (3.1%); postoperative, (1.9%); non-acute keratoconus, (0.5%); hyposphagma, (1.8%); and low vision due to cataracts (3.0%).…”

Section: Discussionmentioning

confidence: 99%

Ophthalmology Emergency Room at the University of São Paulo General Hospital: A Tertiary Hospital Providing Primary and Secondary Level Care

Carvalho

José

2007

Clinics

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emergency room at the University of São Paulo General Hospital: a tertiary hospital providing primary and secondary level care. Clinics. 2007;62(3):301-8. OBJECTIVE:To assess the need for emergency care in a tertiary hospital, in the Ophthalmology Emergency Room of the University of the São Paulo Medical School General Hospital. MATERIALS AND METHODS:A cross-sectional analytic study of the treatment complexity level was carried out in a readily available sample, n = 574, of patients seen at the Ophthalmology Emergency Room of the University of São Paulo Medical School General Hospital, during a typical week. RESULTS: Of the 574 treated patients, 69.0% of the cases were diagnosed as requiring a simple treatment for their problem. The most frequent diagnoses were related to ocular inflammation and infection (55.0%), mainly including conjunctivitis (29.4%) and eyelid inflammations (10.5%). Next in frequency were ocular trauma (19.2%), particularly foreign bodies on the cornea (7.5%) and blunt trauma (5.2%). Refractive errors (3.1%) was the most prevalent diagnosis in the "other ocular modifications" category. CONCLUSION: Most of the cases (69.0%) treated at the Ophthalmology Emergency Room of the University of São Paulo Medical School General Hospital could have been diagnosed and treated in primary or secondary care units. Also, the fact that return visits to check recovery are seen in the ER demonstrates the lack of referral services. The fact that patients come to a tertiary hospital with rather simple cases shows the poor structure of the Brazilian Public Healthcare System, which overloads the tertiary care facilities, where costs for human resources, materials, and other items are higher.

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Section: Discussionmentioning

confidence: 99%

Ophthalmology Emergency Room at the University of São Paulo General Hospital: A Tertiary Hospital Providing Primary and Secondary Level Care

Carvalho

José

2007

Clinics

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“…Despite the indisputable benefits of technological progress, more specifically associated with the problem-solving capacity of therapeutic discoveries and health professionals' qualification, we need to discuss and redefine/reorient the limits that will establish how far human beings can or should go (1)(2) .…”

Section: The Human Being Giving Care -What Humanization Does He Practmentioning

confidence: 99%

Humanizing care through the valuation of the human being: resignification of values and principles by health professionals

Backes

Koerich

Erdmann

2007

Rev. Latino-Am. Enfermagem

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“…Justice has been neglected when those who can seek major pain treatment centers receive adequate treatment; whereas others, who are less favored, have this access denied (15,25) . Many of these patients turn to the services offered by the Unified Health System (SUS, as per its acronym in Portuguese), however, in the basic health care network and in the hospitals, even professionals perceive inequalities in access, resulting from the lack of structure, assuming that individuals who are less positioned socially have a shorter waiting time for treatment (33) . For the authors who approached this theme, this is the most complex principle to apply in the practice, since offering justice in pain treatment consists of humanizing, and providing access to the pain treatment centers, to opioid medications (17,(24)(25) and to other forms of treatment, besides the drug therapy.…”

Section: Pain and Justicementioning

confidence: 99%

O modelo bioético principialista aplicado no manejo da dor

Souza

Pessoa

Barbosa

et al. 2013

Rev. Gaúcha Enferm.

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Trata-se de revisão integrativa da literatura, com o objetivo de analisar a produção científica referente às relações entre a dor e os princípios da bioética: autonomia, beneficência, não maleficência e justiça. Foram utilizados descritores controlados em três bases de dados internacionais (LILACS, SciELO, MEDLINE), em abril de 2012, resultando em 14 publicações, distribuídas nas categorias Dor e autonomia, Dor e beneficência, Dor e não maleficência, Dor e justiça. O alívio adequado da dor é um direito humano e uma questão moral que se relaciona diretamente com a bioética principialista. Entretanto, muitos profissionais negligenciam a dor de seus pacientes, desconsiderando seu papel ético frente ao sofrimento.Concluiu-se que o principialismo tem sido negligenciado no atendimento aos pacientes com dor, evidenciando a necessidade de novas práticas para mudança desse panorama.

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Prática profissional e Ética no contexto das políticas de saúde

Cited by 5 publications

References 0 publications

Ophthalmology Emergency Room at the University of São Paulo General Hospital: A Tertiary Hospital Providing Primary and Secondary Level Care

Ophthalmology Emergency Room at the University of São Paulo General Hospital: A Tertiary Hospital Providing Primary and Secondary Level Care

Humanizing care through the valuation of the human being: resignification of values and principles by health professionals

O modelo bioético principialista aplicado no manejo da dor

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