Enfermería intensiva
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Enfermería intensiva · Oct 2006
[Interdisciplinary relationships and humanization in intensive care units].
To analyze those aspects of the relationship between the health care team of an ICU that may be decisive in the construction of humanized care. ⋯ Relief of great suffering situations is the main reason for interdisciplinary disagreement. Construction of a tolerant setting and institutional recognition as factors favoring humanized care. Lack of time and resources as obstacles to the humanization of care.
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Enfermería intensiva · Oct 2005
Randomized Controlled Trial Comparative Study[Intracranial pressure response during secretion aspiration after administration of a muscle relaxant].
Aspiration of secretions is a usual nursing technique in patients undergoing mechanical ventilation that may be the cause of increased Intracranial Pressure (ICP). ⋯ According to the data obtained in the study, a lower increase of ICP was observed during secretion aspiration in those cases in which muscle relaxant was administered prior to the aspiration.
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Enfermería intensiva · Oct 2005
[Nursing Activity Score (NAS). Our experience with a nursing load calculation system based on times].
The load calculation systems of nursing work in the ICU has not had the same success in its introduction as the prognostic survival estimation systems. It causes may be: a medical design not oriented towards nursing (Therapeutic Intervention Scoring System--TISS in all its versions), lack of adaptation to the calculating of staff (Nursing Manpower Use Score--NEMS, care levels) and demand for permanent technological up-dating. In 2003, NAS was published in an attempt to obviate all the problems expressed. Its result expresses the percentage of nursing work time required for attention to each patient. Our objective has been to apply the method in our ICU and evaluate its results. ⋯ This system adapts, without demands of periodic up-dating, to the real nursing work in the ICU. Its design is oriented to nursing work, regardless of the disease that justifies admission to the ICU. It is useful to adequately evaluate the nursing staff in the conventional ICU.
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Enfermería intensiva · Oct 2005
[Pressure ulcers in intensive care: assessment of risk and prevention measures].
Pressure ulcers (PU) are associated to greater patient morbidity and mortality. Thus, all prevention measures are very important. In order to establish the appropriate care early, the first measure is the identification of patients at risk of developing PU, using specific scales. ⋯ Most of the studied patients had high risk of developing PU. The patients who had an ulcer were at risk of developing it. The low incidence of ulcers obtained in this study allows us to consider appropriate the protocol of care.