Cuidar permanência: enfermagem 24 horas, nossa maneira de cuidar

Abstract

Estudo teórico-reflexivo, instigado pela epistemologia de Gaston Bachelard e pelo projeto "Mil e Uma Maneiras de Cuidar na Enfermagem" de Maria José Coelho. Teve como objetivo delinear novas maneiras de cuidar na enfermagem dialítica, tecendo um sistema de cuidados dispensados ao paciente renal crônico. Foram descritos sete cuidados de enfermagem que permeiam cuidar de pessoas em tratamento dialítico: acolhimento, vínculo, técnicas especializadas, estímulo ao autocuidado, avaliação do tratamento, enfrentamento da rotina desestimulante e resgate à cidadania. Emergiu o cuidar permanência, compreendido como uma relação articulada e complementar entre o saber científico presente no cuidado de enfermagem e a valorização da essência do outro, como ser complexo em sua integralidade.

Fatores associados aos óbitos entre homens envenenados por carbamato (“chumbinho”)

“…The signs and symptoms manifested by carbamate poisoning victims interfere in the body's physiology and progress in such a way that the individual requires nursing care that can be determinant in their survival or death. Oftentimes, red code care (17) is implemented (all resources available are used by nursing professionals), alert care (remain alert for unpredictable aspects), decision-making care (based on rigorous observation of a situation, on decision-making, a rational approach, the close relationship between life and death), contingent care (built upon times in which there is a sudden or episodic situation), and comfort care (comfort reflects on the patients' bodies) (17) .…”

Cuidado de enfermagem no domicílio ao paciente com insuficiência cardíaca: revisão integrativa Nursing care at home patient with heart failure: integrative review

“…5 With the recognition of subjectivity/objectivity in the nursing care, it is relevant to search for action/decisions, adding to the biological model the subjectivity that also permeates the nursing care. 6 In this context, it should be mentioned that the care provided by the nurse is not only present in acute disease circumstances, but also in disease prevention and health promotion activities, which significantly corroborate with the individuals' quality of life.…”

Nurses´ actions for chronic renal patients: reflection of comprehensive care focus

“…It is suggested a care called "permanence caring", that is a service built on scientific knowledge, but permeated by human subjectivity, 16 where the actions of technical and mechanistic care, remain sustained by human actions such as: hosting, listening, touching, interpersonal relationship, 16 providing an effective therapeutic relationship between patient and staff, comprehensive care.…”

“…16 When researching technologies and nursing care to people on hemodialysis, there was a care similar to "permanence caring" 16 . In this case, it was proposed the term "emancipatory" to highlight a form of care, where new technologies occupy the spaces of relationships and build knowledge and health care linked to human subjectivity, life experiences, and the culture of the kidney patient.…”

“…16 There are also highlighted the actions of nurses in focus groups of diabetes mellitus and chronic hypertension as important in the control and prevention of CKD since these diseases are the major risk factors for developing kidney disease. It is observed in groups: weight loss; stimulating physical activity, monitoring of glycemic control and blood pressure, such activities had a positive effect on metabolic control of the individual.…”