Revista gaúcha de enfermagem / EENFUFRGS
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This is a qualitative research with a socio-historical approach. It aims to understand how practices of care to the newborn were established in a Neonatal Intensive Care Unit (NICU) in Florianopolis, Brazil, in the 1980's. The study's context was the Child's Hospital Joana de Gusmão. ⋯ Four discursive groups were identified: Many children had gains with that; We learned how to care for newborns; A more scientific view of care was lacking; Sensible, humanized and individualized care. The establishment of a specific unit directed to newborns resulted in a reduction in neonatal morbimortality and in the acquisition of scientific knowledge. The health professionals' speeches show that, since the beginning of the NICU, there was a concern with the sensible, humanized and individualized care of the newborn.
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Hospice Care (HC) is given to patients out of therapeutic possibilities of cure,focusing on symptoms control and life quality. The Edmonton Symptom Assessment System (ESAS) is an instrument to assess and monitor nine physical and psychological symptoms in patients in HC. ⋯ The results displayed that although there are few studies on this topic, the ESAS is a valid instrument to detect and monitor symptoms in HC, presenting some limitations. The results led to the importance of the study continuity in translation and cross-cultural adaptation of this scale to Brazilian Portuguese.
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This is a Retrospective Descriptive study that describes the profile of adult patients, down in an intensive therapy center of a University hospital in Porto Alegre, Rio Grande do Sul, Brazil, that presented infections of central vascular catheter in the year of 2007. There were 43 infections related to catheter with 37 Patients. Of these, 54% male age 58, 6 years old average. ⋯ The average time between insertion of the catheter and infection 11,8 days. Five patients presented sepsis associated to the catheter 24 received treatment to the infection associated to the catheter 21 died during internment, 12 for septicemia. The high happening of infection in another site and the high death rate show the need of searching efficient strategies to prevent these events.
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Review
[Cardiorespiratory arrest of the adult patient in a hospital environment: nursing contributions].
The objective of this study was to analyse the scientific production regarding cardiorespiratory arrest (CA) in adult patients in a hospital environment, as to support nursing knowledge. This is a systematic review, which were used SciELO, LILACS and MEDLINE databases from 1997 to 2007. Most of the articles used in the analysis referred to the survival prognostic factors of patients submitted to cardiopulmonary ressucitation (CPR) and to the results of this intervention. ⋯ The nursing scientific production was numerically small when compared to the medical area. The importance of a nursing team trained and apt for CA treatment and prevention was pointed out; continual education programs were stimulated. The conclusion is that there are few nursing studies about CPR, and continual incentive to the scientific production regarding its acting both in CA prevention and RCP management is imperative.
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The aim of this study is to understand the phenomenon lived by relatives who have a family member hospitalized in the intensive care unit (ICU), and the used approach was the phenomenological one in the modality of the situated phenomenon. Ten family members of patients hospitalized in the ICU of a private hospital in Natal, Rio Grande do Norte, Brazil, were interviewed from March to July of 2006. Five thematic categories emerged from the analysis, which constituted the elements of the lived experience: Fear of the patient's death; Absence of humanization; Social isolation; Trust in the ICU and Overloading of personal life With the phenomenon revealed, it was possible to subsidize the construction of a humanized approach that looks on the patient's family.