Administração de medicamentos: orientação final de enfermagem para a alta hospitalar

Abstract

This study assessed the final nursing orientation for hospital release in what refers to the medicamental therapeutics in a clinic of hospital internment. The sample was comprised of 38 patients that had hospital release in December of 2001, February of 2002 and of the nurses who oriented them. The technique used for collecting data was non-participant observation. The results obtained were: inadequate places for orientation, few written information, short time for orientation and no use of strategies that confirm the comprehension of the orientation on the part of the patient. The conclusion is that those problems may be contributing for the occurrence of errors in the use of medicines at home, after hospital release.

Use of a patient classification instrument as a guide to plan nursing discharge

“…The findings show that nurses advised the patient/family regarding the most basic and evident needs such as Therapeutics, Cutaneous and Mucosal Integrity, Nutrition and Hydration. Despite the fact that guidance regarding medicine therapeutics was the most identified area in the present study, other findings reveal that this guidance has been performed inappropriately, too short and without certifying patients' understanding (18) . In the second phase of the study, when the instrument was used, the scope was higher, the distribution of care areas was more equal, and more comprehensive and detailed guidance was provided.…”

“…Table 2 -Distribution of care areas observed through the use of patient classification instrument and the content of nurses' discharge guidance (without instrument) of home care (6) contribute to the return of patients to the hospital with problems that could have been avoided, or even controlled (2) . Although the nurses acknowledge being responsible for the coordination of the discharge planning process and also that the identification of the care needs should be done during the hospitalization period (3) , in practice, the guidance provided to patients and relatives to guarantee care continuity is still reduced (18) . The findings in this study have evidenced an expressive increase of 71.3% in the identification of the care needs at the moment of hospital discharge by using the patient classification instrument.…”

Validação por peritos de intervenções de enfermagem para a alta de pacientes submetidos à prostatectomia

“…A ocorrência de erros de medicação no domicílio tem relação com o trabalho do enfermeiro, visto que é de competência desse profissional educar o paciente para o uso correto dos medicamentos após a alta hospitalar. 26 Na categoria Ensino sobre sinais e sintomas esperados no pós-operatório foram validadas 11 intervenções: informar ao paciente e aos familiares que o sintoma de irritação no ato da micção é comum após a remoção do cateter (0,96); informar ao paciente e aos familiares que retenção urinária ou sangramento podem ocorrer depois da remoção do cateter (0,95); informar ao paciente e aos familiares que a presença de pequena quantidade de sangue em sua urina é normal nas duas primeiras semanas após a cirurgia (0,95); informar ao paciente que ele pode apresentar pequenos coágulos na urina (0,94); informar ao paciente que ele pode apresentar queimação, urgência urinária e/ou frequência no primeiro mês após a cirurgia (0,94); informar ao paciente e familiares que após a remoção do cateter vesical ele poderá apresentar incontinência urinária, mas enfatizar que esse problema pode ser temporário (0,94); informar ao paciente e aos familiares que a irregularidade no hábito intestinal é comum nos primeiros dias após a cirurgia (0,93); informar ao paciente e aos familiares que a melhora dos sintomas esperados ocorre gradualmente ao longo de várias semanas e meses (0,93); informar ao paciente que poderá ocorrer presença de sangue no sêmen (0,92); informar ao paciente e aos familiares que poderá haver aumento da frequência urinária à noite (0,91); informar o paciente sobre problemas sexuais que ele possa ter, tais como disfunção erétil ou ejaculação retrógrada (0,89).…”

Segurança do paciente no uso de medicamentos após a alta hospitalar: estudo exploratório1

“…Other studies in Brazil show that, in usual clinical practice, discharge counseling, including medication use, is limited to the instructions given, in most cases by the physician and/or nurse on leaving the hospital, in a quick, superficial way, without taking into consideration individual needs and without verifying whether the patient has understood the instructions (Miasso and Cassiani, 2005;Pereira et al, 2007;Pompeo et al, 2007).…”