Ana Maria Calil Sallum

Knowledge of doctors and nurses on pain in patients undergoing craniotomy

The study objectives were to characterize the profile of the doctors and nurses caring for patients in the craniotomy postoperative period, checking pain assessment methods and to identify the existence of analgesia protocols. Cross-sectional and analytical study. The casuistry is constituted of 30 doctors and 30 nurses. The results revealed that 83.3 % of the nurses were female, 63.3% knew pain scales, and 16.6% said that analgesia protocols exist. Regarding doctors 60% were male, 70% knew the pain scales, 3.3% had specialization in pain treatment, 13.3% they stated that there are analgesia protocols. The ignorance on the part of doctors and nurses about the assessment scales and pain assessment methods reveals the need for the creation of institutional policies on controlling pain, the use of instruments for the measurement of the pain phenomenon and analgesia protocols in the institution.The study objectives were to characterize the profile of the doctors and nurses caring for patients in the craniotomy postoperative period, checking pain assessment methods and to identify the existence of analgesia protocols. Cross-sectional and analytical study. The casuistry is constituted of 30 doctors and 30 nurses. The results revealed that 83.3 % of the nurses were female, 63.3% knew pain scales, and 16.6% said that analgesia protocols exist. Regarding doctors 60% were male, 70% knew the pain scales, 3.3% had specialization in pain treatment, 13.3% they stated that there are analgesia protocols. The ignorance on the part of doctors and nurses about the assessment scales and pain assessment methods reveals the need for the creation of institutional policies on controlling pain, the use of instruments for the measurement of the pain phenomenon and analgesia protocols in the institution.

Nursing diagnoses in trauma victims with fatal outcomes in the emergency scenario

The objective of this study was to identify and analyze the nursing diagnoses that constitute risk factors for death in trauma victims in the first 6 hours post-event. This is a cross-sectional, descriptive and exploratory study using quantitative analysis. A total of 406 patients were evaluated over six months of data collection in a tertiary hospital in the municipality of São Paulo, according to an instrument created for this purpose. Of the total, 44 (10.7%) suffered death. Multivariate analysis indicated the nursing diagnoses ineffective respiratory pattern, impaired spontaneous ventilation, risk of bleeding and risk of ineffective gastrointestinal tissue perfusion as risk factors for death and ineffective airway clearance, impaired comfort, and acute pain as protective factors, data that can direct health teams for different interventionist actions faced with the complexity of the trauma.El objetivo de este estudio fue identificar y analizar diagnosticos de enfermeria que constituyen factores de riesgo para muerte en victimas de trauma en las primeras 6 horas despues del evento. Se trata de un estudio transversal, descriptivo y exploratorio con analisis cuantitativo. Se evaluo 406 pacientes durante seis meses de recoleccion en un hospital terciario del Municipio de Sao Paulo, segun instrumento creado para esa finalidad. Del total, 44 (10,7%) evolucionaron para muerte. El analisis multivariado apunto los diagnosticos de enfermeria: patron respiratorio ineficaz, ventilacion espontanea perjudicada, riesgo de sangramiento y riesgo de perfusion tisular gastrointestinal ineficaz, como factores de riesgo para muerte; la desobstruccion ineficaz de vias aereas, confort perjudicado y dolor agudo como factores de proteccion, datos que pueden orientar a los equipos de salud para realizar acciones intervencionistas diferenciadas frente a la complejidad del trauma.O objetivo deste estudo foi identificar e analisar diagnosticos de enfermagem que constituem fatores de risco para obito, em vitimas de trauma, nas primeiras 6 horas apos o evento. Trata-se de estudo transversal, descritivo e exploratorio, com analise quantitativa. Avaliaram-se 406 pacientes durante seis meses de coleta em um hospital terciario do municipio de Sao Paulo, segundo instrumento criado para essa finalidade. Do total, 44 (10,7%) evoluiram para obito. Analise multivariada apontou os diagnosticos de enfermagem padrao respiratorio ineficaz, ventilacao espontânea prejudicada, risco de sangramento e risco de perfusao tissular gastrintestinal ineficaz como fatores de risco para obito e desobstrucao ineficaz de vias aereas, conforto prejudicado e dor aguda como fatores de protecao, dados que podem direcionar as equipes de saude para acoes intervencionistas diferenciadas frente a complexidade do trauma.

Morte encefálica em criança: subsídios para a prática clínica

El cuidado de los pacientes en muerte cerebral es una situacion compleja que, generalmente, se desarrolla como resultado de procesos agudos. Constituye una condicion medica que requiere accion inmediata y definitiva, en la que lo enfermero es responsable de gran parte de los servicios. Asi, a traves de este articulo, basado en un relato de experiencia tiene como objetivo proporcionar subvenciones para la practica de enfermeria en el manejo clinico de urgencia, para proponer temas relevantes para la discusion y reflexion entre profesores y estudiantes y puntuacion de los aspectos etico-legales asociados la practica de la enfermeria.

Diagnósticos de enfermagem em vítimas fatais decorrentes de trauma no cenário da emergência

The objective of this study was to identify and analyze the nursing diagnoses that constitute risk factors for death in trauma victims in the first 6 hours post-event. This is a cross-sectional, descriptive and exploratory study using quantitative analysis. A total of 406 patients were evaluated over six months of data collection in a tertiary hospital in the municipality of São Paulo, according to an instrument created for this purpose. Of the total, 44 (10.7%) suffered death. Multivariate analysis indicated the nursing diagnoses ineffective respiratory pattern, impaired spontaneous ventilation, risk of bleeding and risk of ineffective gastrointestinal tissue perfusion as risk factors for death and ineffective airway clearance, impaired comfort, and acute pain as protective factors, data that can direct health teams for different interventionist actions faced with the complexity of the trauma.El objetivo de este estudio fue identificar y analizar diagnosticos de enfermeria que constituyen factores de riesgo para muerte en victimas de trauma en las primeras 6 horas despues del evento. Se trata de un estudio transversal, descriptivo y exploratorio con analisis cuantitativo. Se evaluo 406 pacientes durante seis meses de recoleccion en un hospital terciario del Municipio de Sao Paulo, segun instrumento creado para esa finalidad. Del total, 44 (10,7%) evolucionaron para muerte. El analisis multivariado apunto los diagnosticos de enfermeria: patron respiratorio ineficaz, ventilacion espontanea perjudicada, riesgo de sangramiento y riesgo de perfusion tisular gastrointestinal ineficaz, como factores de riesgo para muerte; la desobstruccion ineficaz de vias aereas, confort perjudicado y dolor agudo como factores de proteccion, datos que pueden orientar a los equipos de salud para realizar acciones intervencionistas diferenciadas frente a la complejidad del trauma.O objetivo deste estudo foi identificar e analisar diagnosticos de enfermagem que constituem fatores de risco para obito, em vitimas de trauma, nas primeiras 6 horas apos o evento. Trata-se de estudo transversal, descritivo e exploratorio, com analise quantitativa. Avaliaram-se 406 pacientes durante seis meses de coleta em um hospital terciario do municipio de Sao Paulo, segundo instrumento criado para essa finalidade. Do total, 44 (10,7%) evoluiram para obito. Analise multivariada apontou os diagnosticos de enfermagem padrao respiratorio ineficaz, ventilacao espontânea prejudicada, risco de sangramento e risco de perfusao tissular gastrintestinal ineficaz como fatores de risco para obito e desobstrucao ineficaz de vias aereas, conforto prejudicado e dor aguda como fatores de protecao, dados que podem direcionar as equipes de saude para acoes intervencionistas diferenciadas frente a complexidade do trauma.

Brain death in children: resources for clinical practice

El cuidado de los pacientes en muerte cerebral es una situacion compleja que, generalmente, se desarrolla como resultado de procesos agudos. Constituye una condicion medica que requiere accion inmediata y definitiva, en la que lo enfermero es responsable de gran parte de los servicios. Asi, a traves de este articulo, basado en un relato de experiencia tiene como objetivo proporcionar subvenciones para la practica de enfermeria en el manejo clinico de urgencia, para proponer temas relevantes para la discusion y reflexion entre profesores y estudiantes y puntuacion de los aspectos etico-legales asociados la practica de la enfermeria.

Conocimiento de médicos y enfermeros sobre dolor en pacientes sometidos a la craniotomia

The study objectives were to characterize the profile of the doctors and nurses caring for patients in the craniotomy postoperative period, checking pain assessment methods and to identify the existence of analgesia protocols. Cross-sectional and analytical study. The casuistry is constituted of 30 doctors and 30 nurses. The results revealed that 83.3 % of the nurses were female, 63.3% knew pain scales, and 16.6% said that analgesia protocols exist. Regarding doctors 60% were male, 70% knew the pain scales, 3.3% had specialization in pain treatment, 13.3% they stated that there are analgesia protocols. The ignorance on the part of doctors and nurses about the assessment scales and pain assessment methods reveals the need for the creation of institutional policies on controlling pain, the use of instruments for the measurement of the pain phenomenon and analgesia protocols in the institution.The study objectives were to characterize the profile of the doctors and nurses caring for patients in the craniotomy postoperative period, checking pain assessment methods and to identify the existence of analgesia protocols. Cross-sectional and analytical study. The casuistry is constituted of 30 doctors and 30 nurses. The results revealed that 83.3 % of the nurses were female, 63.3% knew pain scales, and 16.6% said that analgesia protocols exist. Regarding doctors 60% were male, 70% knew the pain scales, 3.3% had specialization in pain treatment, 13.3% they stated that there are analgesia protocols. The ignorance on the part of doctors and nurses about the assessment scales and pain assessment methods reveals the need for the creation of institutional policies on controlling pain, the use of instruments for the measurement of the pain phenomenon and analgesia protocols in the institution.

Conhecimento de médicos e enfermeiros sobre dor em pacientes submetidos à craniotomia

The study objectives were to characterize the profile of the doctors and nurses caring for patients in the craniotomy postoperative period, checking pain assessment methods and to identify the existence of analgesia protocols. Cross-sectional and analytical study. The casuistry is constituted of 30 doctors and 30 nurses. The results revealed that 83.3 % of the nurses were female, 63.3% knew pain scales, and 16.6% said that analgesia protocols exist. Regarding doctors 60% were male, 70% knew the pain scales, 3.3% had specialization in pain treatment, 13.3% they stated that there are analgesia protocols. The ignorance on the part of doctors and nurses about the assessment scales and pain assessment methods reveals the need for the creation of institutional policies on controlling pain, the use of instruments for the measurement of the pain phenomenon and analgesia protocols in the institution.The study objectives were to characterize the profile of the doctors and nurses caring for patients in the craniotomy postoperative period, checking pain assessment methods and to identify the existence of analgesia protocols. Cross-sectional and analytical study. The casuistry is constituted of 30 doctors and 30 nurses. The results revealed that 83.3 % of the nurses were female, 63.3% knew pain scales, and 16.6% said that analgesia protocols exist. Regarding doctors 60% were male, 70% knew the pain scales, 3.3% had specialization in pain treatment, 13.3% they stated that there are analgesia protocols. The ignorance on the part of doctors and nurses about the assessment scales and pain assessment methods reveals the need for the creation of institutional policies on controlling pain, the use of instruments for the measurement of the pain phenomenon and analgesia protocols in the institution.

Diagnósticos de enfermería en víctimas fatales provenientes de trauma en el escenario de la atención de emergencia

The objective of this study was to identify and analyze the nursing diagnoses that constitute risk factors for death in trauma victims in the first 6 hours post-event. This is a cross-sectional, descriptive and exploratory study using quantitative analysis. A total of 406 patients were evaluated over six months of data collection in a tertiary hospital in the municipality of São Paulo, according to an instrument created for this purpose. Of the total, 44 (10.7%) suffered death. Multivariate analysis indicated the nursing diagnoses ineffective respiratory pattern, impaired spontaneous ventilation, risk of bleeding and risk of ineffective gastrointestinal tissue perfusion as risk factors for death and ineffective airway clearance, impaired comfort, and acute pain as protective factors, data that can direct health teams for different interventionist actions faced with the complexity of the trauma.El objetivo de este estudio fue identificar y analizar diagnosticos de enfermeria que constituyen factores de riesgo para muerte en victimas de trauma en las primeras 6 horas despues del evento. Se trata de un estudio transversal, descriptivo y exploratorio con analisis cuantitativo. Se evaluo 406 pacientes durante seis meses de recoleccion en un hospital terciario del Municipio de Sao Paulo, segun instrumento creado para esa finalidad. Del total, 44 (10,7%) evolucionaron para muerte. El analisis multivariado apunto los diagnosticos de enfermeria: patron respiratorio ineficaz, ventilacion espontanea perjudicada, riesgo de sangramiento y riesgo de perfusion tisular gastrointestinal ineficaz, como factores de riesgo para muerte; la desobstruccion ineficaz de vias aereas, confort perjudicado y dolor agudo como factores de proteccion, datos que pueden orientar a los equipos de salud para realizar acciones intervencionistas diferenciadas frente a la complejidad del trauma.O objetivo deste estudo foi identificar e analisar diagnosticos de enfermagem que constituem fatores de risco para obito, em vitimas de trauma, nas primeiras 6 horas apos o evento. Trata-se de estudo transversal, descritivo e exploratorio, com analise quantitativa. Avaliaram-se 406 pacientes durante seis meses de coleta em um hospital terciario do municipio de Sao Paulo, segundo instrumento criado para essa finalidade. Do total, 44 (10,7%) evoluiram para obito. Analise multivariada apontou os diagnosticos de enfermagem padrao respiratorio ineficaz, ventilacao espontânea prejudicada, risco de sangramento e risco de perfusao tissular gastrintestinal ineficaz como fatores de risco para obito e desobstrucao ineficaz de vias aereas, conforto prejudicado e dor aguda como fatores de protecao, dados que podem direcionar as equipes de saude para acoes intervencionistas diferenciadas frente a complexidade do trauma.

Prevalência de dor no pós-operatório de craniotomia eletiva

Objetivo: Identificar a presenca de dor em pacientes submetidos a craniotomia eletiva e a localizacao dela. Metodo: Pesquisa descritiva, longitudinal com abordagem quantitativa. A casuistica constituiuse de 92 pacientes submetidos a craniotomia eletiva. Resultados: Os dados demonstram que 60,9% dos pacientes eram do sexo feminino, 56,5%, solteiros e 34,8%, oriundos da capital. No primeiro dia pos-operatorio 63% dos pacientes queixavam-se de dor, e a cefaleia foi a principal queixa em 39,1% dos entrevistados. Constatou-se que 23,9% dos pacientes apresentavam dor intensa no primeiro dia pos-cirurgia. Em 6,5% dos entrevistados, a dor intensa persistia ate o oitavo dia pos-cirurgia. A posicao foi o fator agravante da dor em 10,9% dos pacientes no primeiro dia pos-operatorio. Conclusao: A dor esteve presente na maioria dos pacientes submetidos a craniotomia eletiva, e a cefaleia foi a principal queixa dolorosa, caracterizada como moderada a intensa. O manejo adequado da dor nao deve ser negligenciado, tendo em vista que o controle da dor e um direito do paciente. Objective: To Identify the presence of pain in patients undergoing craniotomy and its location. Method: Descriptive, longitudinal research with a quantitative approach was performed. The series consisted of 92 patients undergoing elective craniotomy. Results: 60.9% of patients were female, 56.5% single, 34.8% originated from the capital city. On the first postoperative day 63% of patients complained of pain and migraine was the main complaint in 39.1% of the interviewees. It was found that 23.9% of patients had severe pain on the first day after surgery. In 6.5% of the interviewees, the intense pain persisted until the eighth day after surgery. The position was the aggravating factor of pain in 10.9% of patients in the first postoperative day. Conclusion: The pain was present in most patients undergoing craniotomy, and the main complaint was the migraine pain, characterized as moderate to severe. Proper handling of pain should not be neglected, once pain control is a patient?s right.

Muerte cerebral en niños: subsidios para la práctica clínica

El cuidado de los pacientes en muerte cerebral es una situacion compleja que, generalmente, se desarrolla como resultado de procesos agudos. Constituye una condicion medica que requiere accion inmediata y definitiva, en la que lo enfermero es responsable de gran parte de los servicios. Asi, a traves de este articulo, basado en un relato de experiencia tiene como objetivo proporcionar subvenciones para la practica de enfermeria en el manejo clinico de urgencia, para proponer temas relevantes para la discusion y reflexion entre profesores y estudiantes y puntuacion de los aspectos etico-legales asociados la practica de la enfermeria.