Nursing diagnoses and interventions in children submitted to cochlear implantation

Pereira, Patrícia Juliana Santos; Souza, Natália Fernanda Higa de; Almeida, Raissa Janine de; Menezes, Daiane Cabrera; Bom, Gesiane Cristina; Trettene, Armando dos Santos

doi:10.1590/s1980-220x2016045203238

Cited by 8 publications

(25 citation statements)

References 15 publications

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“…Regarding the socioeconomic level, lower class individuals prevailed. A similar result was observed in another research (9) . CI is a costly procedure and, in the case of a population short of resources, public institutions must be sought to offer the full treatment.…”

Section: Resultssupporting

confidence: 92%

“…It also contributes to keep the child calm and collaborative, since they have a consolidated communication standard. Since mothers know their children, they contribute in the identification process of postoperative pain and other signs and symptoms, including complications (9) . Thus, their presence is crucial and indispensable.…”

Section: Resultsmentioning

confidence: 99%

“…The caregivers questioned about what activities could be conducted after the surgery, such as playing and going to school. During the immediate postoperative period, particularly in the first hours after the surgical procedure, complete rest is required, since structures responsible for balance are manipulated during the surgery, which can lead to dizziness and, consequently, falls (9) . Also, the use of anesthetics often causes drowsiness or change in behavior, including unrest.…”

Section: Resultsmentioning

confidence: 99%

“…They must avoid, in this period, games that may result in falling or trauma to the surgical site, such as running or playing with balls. It is also contraindicated for the child to lie or sleep on the side that was operated (9) .…”

Section: Discussionmentioning

confidence: 99%

“…The postoperative care of CI surgery include, among others, the prevention of bleeding, pain control, feeding and hydration, physical restraint, and wound care (9) . The postoperative period has also been appointed as an adequate moment to train parents or caregivers about surgery-related care, aimed at maintaining it even after hospital discharge (10) .…”

Section: Introductionmentioning

confidence: 99%

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Questions of informal caregivers of children regarding the postoperative period of cochlear implant

et al. 2019

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Objective: To identify the main questions of informal caregivers of children with hearing impairments on the postoperative care of cochlear implant. Method: Cross-sectional study developed in a public and tertiary hospital of the state of São Paulo, Brazil. The sample consisted of 48 informal caregivers who were monitoring children subjected to cochlear implant. Data collection took place during the preoperative nursing consultation, by structured interview, between September 2016 and July 2017. The questions identified were categorized by similarity. Results: The questions were related to: rest, dressing, feeding, length of stay, system activation time, infection, removal of stitches, bleeding, medicines, immediate sound stimulation, and pain. Conclusion: The prevalent questions were about rest, dressing, and feeding, and identifying them made it possible to plan and implement a nursing care aimed at the caregiver needs, as well as prepare them for care maintenance after hospital discharge. RESUMOObjetivo: Identificar as principais dúvidas de cuidadores informais de crianças com deficiência auditiva sobre os cuidados pós-operatórios de implante coclear. Método: Estudo transversal desenvolvido em um hospital público e terciário do interior de São Paulo, Brasil. A amostra constou de 48 cuidadores informais que se encontravam acompanhando crianças submetidas a implante coclear. A coleta de dados ocorreu durante a consulta de enfermagem pré-operatória, por meio de entrevista estruturada, entre setembro de 2016 e julho de 2017. As dúvidas identificadas foram categorizadas por similaridade. Resultados: As dúvidas relacionaram-se a: repouso, curativo, alimentação, tempo de internação, tempo de ativação do sistema, infecção, retirada de pontos, sangramento, medicações, estímulo sonoro imediato e dor. Conclusão: As dúvidas prevalentes relacionaram-se ao repouso, curativo e alimentação e identificá-las possibilitou planejar e implementar uma assistência de enfermagem voltada às necessidades da clientela, além de prepara-los para manutenção dos cuidados após a alta hospitalar. RESUMENObjetivo: Identificar las principales dudas de cuidadores informales de niños con discapacidad auditiva en torno a los cuidados posoperatorios de implante coclear. Método: Estudio transversal realizado en un hospital público y terciario del interior de São Paulo, Brasil. La muestra constó de 48 cuidadores informales que acompañaban a niños sometidos a implante coclear. La recolección de datos se hizo durante la consulta de enfermería preoperatoria, por medio de entrevista estructurada realizada entre septiembre de 2016 y julio de 2017. Las dudas identificadas se categorizaron por similitud. Resultados: Las dudas estuvieron relacionadas con: el reposo, el vendaje, la alimentación, el tiempo de internación, el tiempo de activación del sistema, la infección, la retirada de puntos, el sangrado, las medicaciones, el estímulo sonoro inmediato y el dolor. Conclusión: Las dudas más predominantes fueron en torno al reposo, al vendaje y a la alimentació...

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Section: Resultssupporting

confidence: 92%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Questions of informal caregivers of children regarding the postoperative period of cochlear implant

et al. 2019

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Perioperative Nursing Care of the Patient Undergoing a Cochlear Implant Procedure

Peker¹,

Korkmaz²,

Çukurova³

2021

AORN Journal

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A cochlear implant (CI) is used in the auditory rehabilitation of adult and pediatric patients with sensorineural hearing loss who do not benefit from conventional hearing aids. Perioperative nursing care of the patient with sensorineural hearing loss undergoing cochlear implantation is not extensively discussed in the literature. Preoperative care involves managing the patient and family’s expectations for the procedure and determining the most effective communication techniques for each patient. Postoperative care involves monitoring patients closely and identifying the signs and symptoms of a number of possible postoperative complications, as well as knowing how to prevent these complications and respond to them. Thorough patient and family discharge instructions are vital to a successful cochlear implantation result. This article provides perioperative nurses caring for patients receiving a CI with detailed information to help ensure that they provide these patients with the most appropriate and effective care.

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The quality of nursing documentation and standardized nursing diagnoses in the children's hospital electronic nursing records

Nool

Tupits

Parm

et al. 2022

Int J of Nursing Knowl

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Aim The aim of the paper is to compare the quality of nursing documentation in the Children's Hospital before and after the NANDA‐I nursing diagnoses training. Methods Research employed the interventional study design, and pre–post study design. Before and after the NANDA‐I nursing diagnoses training, 50 nursing records were analyzed in the interventional pre–post study, using D‐Catch instrument. Results The most often documented problem‐centered nursing diagnosis before training was anxiety and after the training, hyperthermia. The most common risk diagnoses before and after the training was risk of infection. Before the training, one health promotion diagnosis was determined in the nursing records, and after the training the number increased to four. The highest value was given to readability of the nursing documentation both before and after the training. The lowest score before the training was given to the quality determiners of the accurate nursing diagnoses and after the training given to the determiners of the results’ quantity. The sum score of documenting the nursing interventions was the most inconsistent before the training and after the training. The most consistent was the readability of the nursing records before and after the training. Statistically significant differences in the improvement of quality were revealed in all areas except for the readability of the nursing documentation and the quantity of nursing assessment. Conclusions The results of the study revealed that following the training, the quality of nursing documentation improved, the wording of the nursing diagnoses improved, and the number of accurate nursing diagnoses had increased. Implications for Nursing Practice Results of the research provide an overview of the importance of the training in improving the quality of nursing documentation and aid the educators in planning the trainings, focusing more on the challenges in the documentation.

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Nursing diagnoses and interventions in children submitted to cochlear implantation

Cited by 8 publications

References 15 publications

Questions of informal caregivers of children regarding the postoperative period of cochlear implant

Questions of informal caregivers of children regarding the postoperative period of cochlear implant

Perioperative Nursing Care of the Patient Undergoing a Cochlear Implant Procedure

The quality of nursing documentation and standardized nursing diagnoses in the children's hospital electronic nursing records

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