Conhecimento da equipe de enfermagem sobre higiene oral em pacientes criticamente enfermos

Orlandini, Gabrielli Mottes; Lazzari, Carmen Maria

doi:10.1590/s1983-14472012000300005

Cited by 23 publications

(28 citation statements)

References 8 publications

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“…The accumulation of dental biofilm causes the deterioration of the membranes and the mucosa, leading to gingivitis and potential colonization of respiratory pathogens [2]. The aspiration of secretions colonized by oral microorganisms which accumulate above the cuff of the orotracheal tube is the main entrance of pathogens in the respiratory tract, and could result in pneumonia associated to ventilation [3,13].…”

Section: Introductionmentioning

confidence: 99%

Oral evaluation of children and adolescents in intensive care unit

Schünemann

Canani

Marín

2018

RSBO

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Introduction: Hospitalized children can present some complications if they do not present a correct oral care during hospitalization. Objective: This study aimed to perform an oral evaluation of children and adolescents hospitalized in an intensive care unit of a children's hospital at southern Brazil. Material and methods: 49 subjects were examined, aged from 0 to 17 years old, using the modified Oral Assessment Guide (OAGm). The lips, corner of the mouth, gums, oral mucosa, saliva, tongue, and teeth were examined. Each category was classified in a numeric scale from 1 to 3, where 1 means the better condition and 3 the worse. Results: The results showed alterations in the lips, tongue, oral biofilm, and saliva in most of the subjects. The OAGm value indicated a worse oral condition in older children. The OAGm values for children with teeth were higher than that for edentulous children, this difference was statistically significant (p<0.05). Conclusion: It could be concluded that children hospitalized in an intensive care unit show deficiency in oral health when assessed through OAGm.

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Section: Introductionmentioning

confidence: 99%

Oral evaluation of children and adolescents in intensive care unit

Schünemann

Canani

Marín

2018

RSBO

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“…Among the participants of this study, only 35.1% seek to update themselves on oral hygiene practices, and only 18.4% reported having read the institutional NOP on oral hygiene. The nurse, as a leader, should take on the responsibility to seek ways to empower his/her team continuously in health institutions (Orlandini & Lazzari, 2012). Besides, the promotion of this care in medical records is important because it provides proof to the team that this care was performed and evidences the evolution of possible abnormalities found during the procedure that can help define best therapeutic plan for the patient.…”

Section: Discussionmentioning

confidence: 99%

Higiene oral: atuação da equipa de enfermagem em ambiente hospitalar

Silva¹,

Xavier²,

Silveira³

et al. 2020

Rev. Enf. Ref.

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Background: Oral hygiene is essential in nursing care. It helps in the prevention of oral and systemic diseases. Objective: To identify the performance of the nursing team in oral hygiene in a hospital environment. Methodology: Exploratory, descriptive, cross-sectional study with a quantitative approach carried out with nursing professionals who work in the hospital environment. A questionnaire was applied to participants about their sociodemographic and professional characteristics and the performance of oral hygiene. Results: A total of 114 nursing professionals participated in this study. Of these, 75.4% of participants reported that they had not performed oral hygiene in the last shift, and 44.7% of the team members suggested that the patient should do so. Work overload and high patient turnover were mentioned as constraints to the performance of oral care. Conclusion: The nursing staff perceives oral hygiene as a part of essential patient care; however, oral hygiene practice has been neglected. This study points to the need to provide continuing education activities on this type of care in the hospital environment.

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“…All these precautions should be included in the established nursing prescription from the nurse's assessment of the maintenance and management of invasive devices. Within the prescription, the most appropriate form of oral hygiene for the patient should be included, considering their medical condition, risk of bleeding, presence of lesions in the oral cavity, mouth opening, level of sedation/ awareness, presence or absence of teeth, tubes and probes (15) . The intense involvement of the Nursing professional in patient care makes it the main subject of adverse events.…”

Section: Discussionmentioning

confidence: 99%

Patient safety and the prevention of skin and mucosal lesions associated with airway invasive devices

Pinto

Schons

Busanello

et al. 2015

Rev. esc. enferm. USP

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Objective:To analyze the care implemented by the nursing team to promote the safety of adult patients and prevention of skin and mucosal lesions associated with the presence of lower airways invasive devices. Method: Study with qualitative and quantitative approach, descriptive and exploratory type, whose investigative scenarios were adult inpatient units of a hospital in the West Frontier of Rio Grande do Sul. The study subjects consisted of nurses, nursing technicians and nursing assistants. Results: A total of 118 professionals were interviewed. We highlight the observed specific care with endotracheal tube and tracheostomy, management and assessment of the cuff and the criteria used to secretion aspiration. Conclusion: There is a superficial nursing work in the patient direct care and a differentiation in relation to the perception of nurse technicians, especially those working in the intensive care unit, who presented major property and view of the patient's clinical status. DESCRIPTORS Patient safety and the prevention of skin and mucosal lesions associated with airway invasive devicesSegurança do paciente e a prevenção de lesões cutâneo-mucosas associadas aos dispositivos invasivos nas vias aéreas La seguridad del paciente y la prevención de lesiones cutáneo-mucosas asociadas con los dispositivos invasivos en las vías aéreas INTRODUCTIONHospitalized patients in clinical units or intensive care units at some point may require the use of an airway device to replace or assist in maintaining ventilation. The use of an endotracheal tube (ET) and/or tracheostomy tube are the main instruments that composes this maintenance, allowing oxygen installation, removal of secretions and mechanical ventilation.Facing the use of these invasive devices, patients can be subjected to cutaneous and mucosal lesions in upper and lower airways. Thus, we highlight aspects related to patient safety and the onset of these adverse events that may result from the length of use, above all, the list of complex care required to maintain these devices, in which minimum failures can be translated in irreparable damage to the patient.Patient safety is aimed at reducing unnecessary harm, involving the practical actions that minimize the complications to the context and devices from which care is provided (1) . Still, patient safety is related to the actions to ensure the integrity of people, preventing adverse events and the prevention of errors, thus promoting a safer patient care (2) . Thus, care processes that permeate the care of patients who use these devices, especially those airways invasive, should focus on reducing the risk of skin and mucosal, oropharyngeal, laryngopharyngeal, laryngeal and tracheal lesions. These measures ensure the airway maintenance, important for therapy, avoiding possible temporary or permanent damage, longer hospitalizations and, consequently, the patient's suffering.Considering the security for the prevention of skin and mucosal lesions in patients undergoing lower airways invasive devices, there...

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Conhecimento da equipe de enfermagem sobre higiene oral em pacientes criticamente enfermos

Cited by 23 publications

References 8 publications

Oral evaluation of children and adolescents in intensive care unit

Oral evaluation of children and adolescents in intensive care unit

Higiene oral: atuação da equipa de enfermagem em ambiente hospitalar

Patient safety and the prevention of skin and mucosal lesions associated with airway invasive devices

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