Rev Esc Enferm Usp
-
In this paper the author presents the essentials of the psychologically preparation of the child and his family for surgical procedures, discussing as well other relevant factors, such as: what to consider to make an appropriate preparation; necessary resources to implement it; when, where and how to do it, and also what to expect from the appropriately prepared child.
-
Comparative Study
[Comparative study of the indirect measurement of arterial blood pressure in pregnant women with a cuff of correct width and with a standard cuff].
The hypertensive disorder of pregnancy is one of the most important complications of the pregnant cycle, presenting high risk of morbidity and mortality to the mother and the child. The marks of the systorical blood pressure and diastorical blood pressure are the parameters to diagnose the hypertensive disorder of pregnancy. Then, the precise measure of the blood pressure is an essential condition for the clinical evaluation of the pregnant woman during the antepartum course, in order to diagnose in advance, the hypertensive disorder of this period, since the raising in the blood pressure is normally the first clinical sign of the sickness (National High Blood Pressures Educational Program, 1990). ⋯ Considering there is an underestimation of the levels of the blood pressure, when the large cuffs are used, it is called into question the jeopardy of the early diagnosis of high blood pressure of thin pregnant women. Based on the consideration presented, this study has the aim of evaluating the measurement of the blood pressure on pregnant women by using cuffs adequate to the circumference of the arm. The population of this study will be healthy pregnant women, with one alive fetus, registered in the antepartum course service of a maternity and of a community center in São Paulo city.
-
The purpose of this study was the analysis of head injury severity based on physiologic and anatomic indexes, shown by hospitalized patients from the Intensive Care Unit. The study was characterized according to patients' age, gender, external cause and remaining time at the Intensive Care Unit, and it was verified that from the total of admitted patients the most of them were young adult males with a remaining time percentage of 6.28 days, Most frequent external cause was traffic motor vehicle accidents (65.72%). The study also considers the lesions and trauma severity according to the Abbreviated Injury Scale/ Injury Severity Score (AIS/ISS), reporting that the lesions were classified as severe lesions non-life threatening (AIS-3) and severe lesions life threatening (AIS-4). ⋯ No meaning statistical element was observed regarding the relation between the GCS-1 and the AIS from the head region, except when analyzed by groups of severity, or GCS-1 3 to 8 and AIS-head 4 to 5; GCS-1 9 to 12 and AIS-head 2 to 3. Similarly, no meaning statistical relation between the GCS-1 and the ISS, isolated head injury or head injury and other body lesions and the ISS or the GCS. It is expected that this study may contribute with new data for the continuous assistance improvement of patients, with head injury severity either related to other lesions or not, offered both by the Nursing and Health teams.
-
An epidural catheter can be chosen for domiciliary oncological pain relief when relief is not achieved with oral drugs. The patient/relatives put in the central nervous systems the analgesic solution, through this peridural catheter. This article discusses how pain relief occurs, the infusion systems of opioids in the peridural space, the complications and side effects of this therapy.