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ORIGINAL ARTICLE
Nursing process for a patient with needle phobia: a case study
Revista Brasileira de Enfermagem. 2020;73(4):e20190095
06-17-2020
Resumo
ORIGINAL ARTICLENursing process for a patient with needle phobia: a case study
Revista Brasileira de Enfermagem. 2020;73(4):e20190095
06-17-2020DOI 10.1590/0034-7167-2019-0095
Visualizações0Ver maisABSTRACT
Objectives:
to report a clinical case of needle phobia which culminated in cardiac arrest and describe the outcome of a care plan based on fear and anxiety diagnoses, using the Roy adaptation model as the framework.
Methods:
case study conducted in a chemotherapy outpatient unit in Rio de Janeiro. Care was guided by the nursing process and the use of instruments to assess the venous network, anxiety and fear.
Results:
the Roy adaptation model enabled proposing nursing interventions that allowed the study subject to adapt to the external and internal stimuli triggered by vasovagal syndrome. The instruments indicated the choice of an adequate semi-implanted venous access device and led to improved levels of anxiety and fear.
Final Considerations:
after carrying out the nursing activities, anxiety was reduced, and the patient achieved greater control over fear.
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ORIGINAL ARTICLE
Male External Catheter in Adults: a glance at nursing care practice
Revista Brasileira de Enfermagem. 2019;72(2):450-454
04-18-2019
Resumo
ORIGINAL ARTICLEMale External Catheter in Adults: a glance at nursing care practice
Revista Brasileira de Enfermagem. 2019;72(2):450-454
04-18-2019DOI 10.1590/0034-7167-2018-0327
Visualizações0Ver maisABSTRACT
Objective:
to describe the patients care in the use of the Male External Catheter in Adults in a clinical-surgical hospitalization unit.
Method:
a cross-sectional study. Evaluation of 30 patients hospitalized in clinical-surgical units to collect items related to the specific care provided.
Results:
100% had no reference to the use of external catheter in the evolution of the nurse; 43.3% of the assistants or technicians recorded; 36.6% presented skin lesions; 100% had a latex device attached with adhesive tape; 90% were not submitted to hair removal; 96.7% had daily genital hygiene; 70% received no guidance at all.
Conclusion:
no individualized evaluation was observed for the use of the device, nursing records did not include prescription and description of installation and care, latex device and micropore paper adhesive tape were predominant; skin lesions were prevalent, hygiene and exchange were adequate, few patients were advised regarding the use of the device.
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PESQUISA
Oral drugs at a hospital unit: adequacy for use via enteral feeding tubes
Revista Brasileira de Enfermagem. 2016;69(5):847-854
01-01-2016
Resumo
PESQUISAOral drugs at a hospital unit: adequacy for use via enteral feeding tubes
Revista Brasileira de Enfermagem. 2016;69(5):847-854
01-01-2016DOI 10.1590/0034-7167-2015-0081
Visualizações0ABSTRACT
Objective:
to describe the profile of standardized oral drugs at a hospital unit and assess their adequacy for use via enteral feeding tubes, according to recommendations from the literature.
Method:
descriptive study, with data on drugs collected from the Pharmacy Service Dispensing System. Specific recommendations for the use of these drugs via enteral feeding tubes were found after searches in literary databases, books, manuals, guidelines and package insert collections.
Results:
among the 236 dispensed oral drugs, 86% were in solid form; of those, 32 were "non-crushable", with the liquid form available at the institution. Twenty-eight drugs with potential interactions with enteral nutrition were identified. Sixty percent of those presented specific recommendations on their administration via enteral feeding tube.
Conclusion:
the joint participation of multidisciplinary nutritional therapy and care teams and the implementation of programs for continuous training are suggested strategies for the prevention of potential problems in the administration of drugs in the hospital setting.
Palavras-chave: CathetersEnteral NutritionFood-drug InteractionPatient SafetyPharmaceutical PreparationsVer mais