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Primary Health Care Follow-Up Visits: Investigation Of Care Continuity Of Preterm Newborns From A Kangaroo-Mother Care Unit

INTRODUCTION: The kangaroo-mother care method is an approach adopted in Brazil as a public police, which has helped in the reduction of neonatal mortality rate. Premature birth and its vulnerabilities can trigger, especially in mothers, feelings of fear and insecurity related to taking care of newborns.

OBJECTIVE: Investigate care continuity of preterm newborns from a kangaroo-mother care method unit in primary health care facilities.

METHODS: It was a transversal study performed with 43 mothers of preterm newborns who were hospitalized in the rooming-in care unit of a kangaroo-mother care method unit of a Brazilian public maternity school. Data collection was carried out through a questionnaire, which was used to interview mothers between September 2015 and February 2016.

RESULTS: It was found a relationship between sociodemographic status and risk of premature birth, and the following variables: age, education, marital status, and family income. Regarding findings from the follow-up home visits in primary health care, most of the participants were still breastfeeding and using the kangaroo position. However, 60.5% of the interviewed mothers reported not receiving home visits from health professionals of primary health care facilities.

CONCLUSION: It is essential the support of health professionals and the participation of mothers and families to improve, through health education, quality of life promotion for newborns from kangaroo care approach.

from International Archives of Medicine
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Gender Category Study: Perspectives Of Nursing Interns In Public Health

Introduction: The dialog with learning process about gender category is one of the ways, in nursing, to recognize needs produced by population through social control. It may be linked by formative mechanisms, aiming the qualification of academic knowledge and practical internship activities.

Objective: We explore the learning experience from the approximation with gender category and its implications to the care provided by nurses in Primary Care.

Methods: This is a descriptive study, critic-reflexive, of experience report type, systematized from the experience with gender category in health, and designed under two reflective axes: 1 – Operationalization of Supervised Curricular Internship; and 2 – Conceptualizing gender: perspectives for nursing care.

Results: There were a theoretical enrichment about gender category in overcoming the biases found during the formation process, demystifying normative patterns built around gender and sexuality, becoming necessary to conceptual comprehension in nursing care context, in nurse’s action in Primary Care, in the current social scenario of health-disease process from identity questions, recognizing subjects’ expression through their subjectivity.

Conclusion: Making the nursing students’ knowledge about the theme possible has demonstrated to be an operationalization of necessary tools to implement a more qualified assistance in Public Health.

Keywords: Gender; Nursing; Public Health.

from International Archives of Medicine
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Health Demands Characteristics and Quality of Life in the Elderly Monitored in the Primary Care

Background: To characterize the demands of health and quality of elderly peoplemonitored in the primary care of Rio Grande do Norte/Brazil.

Methods and Findings: This is a descriptive, cross-sectional study of a quantitative approach with elderly patients monitored by the primary care. The sample was given for convenience, obtaining 120 participants. The research was conducted through an interview with theapplication of the following questionnaires: Mini Mental State Examination, Socio-demographic Data and Pain Characteristics, Short-Form-36, Mini Nutritional Assessment, the primary activities of daily living, the instrumental activities of daily living, Prism 7 and the Geriatric Depression Scale. Data analysis was performed using the SPSS statistical program, in which descriptive and association tests were used.The main demands were related to functionality, followed by nutritional and geriatric depression. The quality of life presented worse results in the domain of general health status and better scores in the emotional and mental health aspects. Regarding the dimensions, the physical health obtained aworse score.

Conclusion: Based on the characterization of the health demands found, it is suggested to perform other studies with the same population, enabling to plan and implementing a multidimensional intervention and improving the quality of life of the elderly people.

Keywords: Elderly; Quality of Life; Aging; Elderly Health; Nursing.

from International Archives of Medicine
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Care With The Potential Organ Donor In The Intensive Care Unit

Introduction: Organ transplants have expanded throughout the country, being extremely significant for the population.

Objective: To know the reality of organ harvesting and describe the care with the potential organ donor in an Intensive Care Unit (ICU) and compare it with the pertinent literature.

Method: It is a research of exploratory and descriptive nature, with a qualitative approach. The data were analyzed through the content analysis idealized by Bardin.

Results: The findings indicate that the resolution of care and procedures with the potential donor is essential to the success of transplants in our country.

Conclusions: Several difficulties have been encountered, as the lack of human and material resources generating impasses in the specific care of the potential organ donor and the lack of provision of continuing education.

Keywords: Organ donation; Intensive Care Unit; Nursing.

from International Archives of Medicine
http://ift.tt/2l5k6rZ

Chewing Duration Time Of Various Food Textures In Young Adults

OBJECTIVE: To obtain reference values of chewing time of several food textures in young adults.

METHOD: descriptive study with a quantitative approach that was developed in a clinical reference, being the population composed of 40 young adults between 18-30 years of age, of both genres. As exclusion criteria: those with neuromuscular and / or degenerative diseases or consequences thereof, as well as subjects who were making use of any orthodontic / orthopedic resource. We conducted a dental evaluation, followed by a clinical assessment. One at a time, the following foods were offered: French bread, wafer biscuit, roasted cashews, for voluntary chewing.  To measure the food chewing time, we used a stopwatch, and this collection procedure was filmed. Data analysis was performed by means of the SPSS statistics 20.0 (IBM®) program.

RESULTS: There was a statistically significant difference (p < 0.05) between the medians of chewing time of French bread, wafer biscuit and cashew nuts, which were 33.0s (interquartile amplitude 29.0 – 40.0), 10.0s (interquartile amplitude 8.25-12.0) and 18.5s (interquartile amplitude 15.0-23.75), respectively.

CONCLUSION: The texture of foods influences the length of mastication. The more rigid is the food, the more cycles and mandibular movements, and therefore the longer the duration of chewing.

from International Archives of Medicine
http://ift.tt/2m5AxZo

Nursing Diagnosis of Impaired Physical Mobility in Elderly People at Primary Health Care

Objective: to identify the frequency of the nursing diagnosis of Impaired Physical Mobility Impairment and its components in elderly population registered in a Primary Health Care Unit.

Method: cross-sectional study conducted from November 2014 to February 2015, performed with 50 seniors at their homes. A questionnaire on patients’s identification, their health conditions and their mobility was used.

Results: the nursing diagnosis in question was identified in 71.4% of the population. The most present related factors were: lack of knowledge about the advantages of physical activity (66.7%), discomfort (76.9%), pain (82.1%), joint stiffness (76+9%) and sedentary lifestyle (82.1%). The defining characteristics were: limited capacity to perform gross motor skills (89.7%) and fine motor skills (56.4%), and engagement in substitution of movements (74.4%).

Conclusion: participants showed difficulties related to physical mobility, evidencing a need for better care from health professionals.

Keywords: Nursing Diagnosis; Elderly; Nursing.

 

from International Archives of Medicine
http://ift.tt/2l5kw1q

Evaluation of Learning and Competence in the Training of Nurses

Introduction: health education becomes a more complex process, since it aims to ensure the training of professionals with the knowledge, skills, attitudes and values necessary for their performance, requiring the adoption of strategies that allow the integral evaluation of these competences.

Objective: analyze the scientific evidence about the evaluation of learning and competence in undergraduate nursing education. 

Method: integrative literature review with online search in LILACS, MEDLINE, Web of Science, SCOPUS and CINAHL databases, using these descriptors: Competence Based Education, Nursing Education, Learning and Assessment. 

Results: the 18 articles analyzed, based on a synthesis and critical analysis, allowed the identification of the following thematic categories: concept of competence; essential competences to the training of nurses; learning strategies; and evaluation. It was evidenced that, despite the polysemy around the term competence, the concept presented more similarities than differences. The nursing competencies identified are similar to those recommended by the National Curriculum Guidelines, emphasizing learning strategies in simulated settings and doubts about methods and the construction of evaluation tools.  Conclusions: the evaluation of learning and competence continues to be a challenge for nursing educators and it is recognized that there are difficulties in this process. In this sense, it seems necessary to develop reliable evaluation tools, based on criteria and indicators, that can verify the performance of the student in action and their earliest possible approximation to real learning scenarios.

Keywords: Competency-Based Education. Education. Nursing. Learning. Evaluation.

from International Archives of Medicine
http://ift.tt/2kWjCDO

Accommodation To Elderly People In The Health Family Unities: Professionals View

We seek to know the elderly accommodation strategy utilization in the family health unities professionals’ view. It is about an exploratory study, with qualitative approach, conducted in Family Health Unities in João Pessoa/ Paraíba/ Brazil. 248 basic attention professionals took part of the research, chosen randomly and per convenience. It was used a semi-structured questioning with guideline questions about the elderly accommodation strategy utilization, was pointed 3 semantic classes: Class 1 – Knowledge about accommodation; class 2 – elderly as priority; and class 3 – accommodation’s difficulties and perspectives. It is revealed that the professionals understand the accommodation as a tool that propitiate the improvement of the relation between the professional and the user, optimizing the provided attendance. However, there are indicatives of the lack of knowledge and qualification from some professionals, this fact denote the health permanent education importance.

Descriptors: User accommodation. Elderly. Primary Health Care.

from International Archives of Medicine
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Evaluation Of Pain In Newborn In Intensive Therapy In The Vision Of Health Professionals

Objective: Evaluate how health professionals perceive the pain in the NBs hospitalized in the Neonatal Intensive Care Unit.

Method: This is a descriptive, exploratory research with a qualitative approach, developed in the maternity hospital Instituto de Saúde Elpídio de Almeida (ISEA), in the period from February to March 2016, after approval by the Research Ethics Committee (CESED), where the technique of data collection was through an interview with a prior script divided into two parts: the first part deals with socio-demographic issues, while the second part deals with issues related to pain in the NB, where they were recorded and transcribed in their entirety, using the content treatment through content analysis of the thematic type proposed by Laurence Bardin.

Results: The results show that all health professionals perceive the pain in the neonate, where three categories emerged: “relates the evaluation of pain with physiological and behavioral measurements”; “know, but do not evaluate with pain score”, “do not evaluate with pain score”. Regarding the use of some method for pain relief, two categories emerged: “use of non-pharmacological methods for pain relief”; “Use of simultaneous pharmacological and non-pharmacological methods”.

Conclusion: All the professionals contributed to the growth of this research, being necessary more studies about the pain, mainly with regard to the use of multidimensional scales, since there is a lack of knowledge on the part of the professionals and teams that work in the NICU.

from International Archives of Medicine
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Nursing Assistance At The Puerperium: Integrative Review

INTRODUCTION: The Puerperium is a critical time for the woman, her baby and her family, due to psychological and physiological changes. At that moment, the woman experiences significant changes and needs qualified attention in health.

OBJECTIVE: The objective of this research is to describe the scientific production on nursing care in the postpartum period, justifying that the woman, at the moment, undergoes many changes requiring a qualified attention.

METHOD: The methodology used was the integrative review of the literature on nursing care in the puerperal period, in the databases of articles and scientific publications, present in the Virtual Health Library, from 2008 to 2014.

RESULTS: The results highlight the importance of Nursing during puerperal care to resolve and improve the quality of life of puerperal patients.

 

from International Archives of Medicine
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