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ORIGINAL ARTICLE
Delirium in the elderly admitted to an emergency hospital service
Revista Brasileira de Enfermagem. 2022;75(Suppl 4):e20210054
03-07-2022
Resumo
ORIGINAL ARTICLEDelirium in the elderly admitted to an emergency hospital service
Revista Brasileira de Enfermagem. 2022;75(Suppl 4):e20210054
03-07-2022DOI 10.1590/0034-7167-2021-0054
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Objective:
To check for the presence of delirium in the elderly entering the emergency room (ER) of the University Hospital of Santa Maria (HUSM) and their relationship with sociodemographic variables, reason and time of hospitalization, comorbidities, and death.
Methods:
A quantitative, cross-sectional exploratory study, which analyzed data from the sociodemographic profile, Confusion Assessment Method, Charlson Comorbidities Index, and follow-up of the outcomes “in-hospital death” and “length of hospitalization.” The period analyzed in the study was between July and December 2019.
Results:
Of the 732 participants, 394 (53.90%) were men, with an average age of 72 years. The study identified Delirium in 99 (13.52%) participants, and death, in 120 (16.39%). There was an association of this disorder with age, comorbidities, length of hospitalization, death, and some reasons for hospitalization, such as diseases of the circulatory, respiratory and genitourinary systems.
Conclusion:
The results warn of the high incidence of delirium in emergency units and their relationship with a worse prognosis.
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EXPERIENCE REPORT
Management of resources in a federal emergency hospital during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75(Suppl 1):e20210149
02-25-2022
Resumo
EXPERIENCE REPORTManagement of resources in a federal emergency hospital during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75(Suppl 1):e20210149
02-25-2022DOI 10.1590/0034-7167-2021-0149
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Objective:
To describe actions taken by the organizational management of an emergency service due to the COVID-19 pandemic, determined according to the prevalence of cases of infection by the coronavirus, severe acute respiratory syndrome, and flu-like illnesses.
Methods:
Experience report based on a retrospective analysis of the attention for respiratory syndromes in the first semester of 2019 and 2020, in addition to an analysis of documents from the institutional protocols of a federal emergency service.
Final considerations:
It became clear that the planning, coordination of actions based on the decisions of the Crisis Office, and the dissemination of reliable information, taking into consideration a focal point, were essential for the organization, management of the emergency service, and protection to the workers.
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ORIGINAL ARTICLE
Interprofessional Practice in the Emergency Service: specific and shared assignments of nurses
Revista Brasileira de Enfermagem. 2019;72(suppl 1):213-220
02-01-2019
Resumo
ORIGINAL ARTICLEInterprofessional Practice in the Emergency Service: specific and shared assignments of nurses
Revista Brasileira de Enfermagem. 2019;72(suppl 1):213-220
02-01-2019DOI 10.1590/0034-7167-2017-0797
Visualizações0ABSTRACT
Objective:
To map and categorize, according to the Nursing Interventions Classification (NIC), the specific assignments of the nurses and to identify the assignments shared with doctors and physiotherapists in the Emergency Service.
Method:
Descriptive exploratory study, carried out in two phases: first, the analysis of dissertations /theses from the database of the Center for Studies and Research of the Brazilian Nursing Association; Second, the use of the Delphi Technique to reach the consensus about which assignments were specific to the nurse and which were shared with physiotherapists and doctors.
Results:
The results were 45.7% for specific to the nurses, 14.2% for shared with physiotherapists and/or doctors, and in 40% (n=42) there was no consensus about the sharing of assignments.
Conclusion:
The sharing of actions among professionals shows an increase in the scope of the practice of professions and the constitution of a common sphere of work, but the high number of assignments with no consensus among specialists can be a potential factor in conflicts due to the lack of definition of these assignments.
Palavras-chave: Cooperative BehaviorEmergency ServiceInterprofessional RelationsNursingPatient Care TeamVer mais