Camila Fernandes da Silva Carvalho

Contextual analysis of gynaecological care provided to women with physical disability

This is a theoretical-reflective study that aimed to analyze the contexts associated with gynaecological care for women with physical disabilities. Discussion consisted of contextual analysis according to Hinds, Chaves and Cypress, leading to four interconnected layers: immediate, specific, general and metacontext. Analysis showed that gynaecological assistance to clients with physical disabilities is influenced by attitudinal, structural, financial and informational barriers. Other influential issues are social beliefs and stigmas and the persistence of a biomedical model, which is hegemonic in this type of assistance. Therefore, gynaecological care must be valued based on the holistic paradigm offered by a transdisciplinary team in orderto provide quality care to women with physical disabilities.

The partner as a caregiver in the birth process

Objective : to analyze the scientific production about the role of the man as a caregiver during the birth process of his partner. Methods : integrative review held in electronic databases Scopus, Cumulative Index to Nursing and Allied Health Literature, PubMed, ISI Web of Knowledge, and Latin American and Caribbean in Health Sciences. Results : there were 389 scientific articles located, of which 26 studies were selected that showed active roles - physical and emotional support - and passive roles – spectator or total lack of viewer participation – of the partner during the birth process. The monitoring of this event by the father is considered positive experience. However, the lack of incentive limits their active participation. Conclusion : despite the historical, religious, cultural, institutional or individual barriers, there is a desire to actively participating in the child´s birth, even though sometimes parents are unprepared to provide the support they would like.

Análisis contextual de la consulta ginecológica de la mujer con discapacidad física

This is a theoretical-reflective study that aimed to analyze the contexts associated with gynaecological care for women with physical disabilities. Discussion consisted of contextual analysis according to Hinds, Chaves and Cypress, leading to four interconnected layers: immediate, specific, general and metacontext. Analysis showed that gynaecological assistance to clients with physical disabilities is influenced by attitudinal, structural, financial and informational barriers. Other influential issues are social beliefs and stigmas and the persistence of a biomedical model, which is hegemonic in this type of assistance. Therefore, gynaecological care must be valued based on the holistic paradigm offered by a transdisciplinary team in orderto provide quality care to women with physical disabilities.

Análise contextual do atendimento ginecológico da mulher com deficiência física

This is a theoretical-reflective study that aimed to analyze the contexts associated with gynaecological care for women with physical disabilities. Discussion consisted of contextual analysis according to Hinds, Chaves and Cypress, leading to four interconnected layers: immediate, specific, general and metacontext. Analysis showed that gynaecological assistance to clients with physical disabilities is influenced by attitudinal, structural, financial and informational barriers. Other influential issues are social beliefs and stigmas and the persistence of a biomedical model, which is hegemonic in this type of assistance. Therefore, gynaecological care must be valued based on the holistic paradigm offered by a transdisciplinary team in orderto provide quality care to women with physical disabilities.

Conceptions of physically disabled women in terms of motherhood: an exploratory-descriptive study

Problem: Women’s daily experiences in terms of their disability and their influence on their lives, on their families and in the social environment, interfere with important decisions such as motherhood. Aim: To understand the conceptions of physically disabled women in terms of their ability to gestate, give birth or raise a child. Method: This is an exploratory and descriptive study in which a qualitative approach was used, carried out with twelve (12) physically disabled women registered in three non-governmental organizations in Natal, Rio Grande do Norte (RN), Brazil. Data collection occurred during the period from April to June 2014, by means of semi-structured interviews. A script consisting of socio-demographic questions and guiding question was used. The information obtained follows the precepts of Bardin’s content analysis, and makes use of the thematic analysis technique. The principles of Symbolic Interactionism proposed by Blumer and correlated scientific literature was adopted as a theoretical and methodological framework.

Mothers´ lived experience in the rooming-in facing the kangaroo-mother method

ABSTRACT Objective: to describe the experience of mothers facing the Kangaroo-Mother Method (KMM) in rooming-in and identify the family involvement in this process. Method: qualitative and descriptive study using as a data-collection technique the focus group with recorded interviews, in two groups of kangaroo-mothers puerperas in a rooming-in of a public maternity on Natal/RN, in the period of one week, from the research thematic entitled: e xperience of mothers facing the KMM in rooming-in and the family involvement in this process . The study was approved by the Ethics in Research Committe of UFRN, under Embodied Opinion Prot. No. 84/03 CEP-UFRN Results: it emerged three thematic points: Helping child in developing slowly, step by step; Promoting contact with the baby that should still be in the womb; and expecting every day for the baby’s growing and adjustment. Conclusion: despite the difficulties in keeping this method by institutional problems nowadays, it is still an efficient method. These difficulties can be minimized by existing perinatal policies, aimed at preventing damage to the health of premature babies, creating peacefulness for the neonatal healthcare team and the whole family. Descriptors: premature; rooming-in; kangaroo; mother; family. RESUMO Objetivos: descrever a vivencia de maes frente ao Metodo Mae Canguru (MM-C) no alojamento conjunto e identificar o envolvimento da familia nesse processo. Metodo: estudo descritivo qualitativo utilizando como tecnica de coleta o grupo focal com entrevistas gravadas em dois grupos de puerperas maes-canguru no alojamento conjunto de uma maternidade publica em Natal/RN, no periodo de uma semana, a partir de um roteiro tematico: v ivencia de maes frente ao MM-C em alojamento conjunto e o envolvimento da familia nesse processo. O estudo foi aprovado pelo Comite de Etica em Pesquisa da UFRN com Parecer Consubstanciado Prot. No 84/03 CEP-UFRN. Resultados: e mergiram tres nucleos tematicos: Ajudando o filho no desenvolvimento lento, passo a passo; Favorecendo o contato com o bebe que deveria ainda estar no utero e Expectando a cada dia o aumento e a adaptacao do bebe. Conclusoes: apesar das dificuldades em se manter esse metodo pelas dificuldades institucionais na atualidade, ainda e um metodo eficiente. Essas dificuldades podem ser minimizadas pelas politicas perinatais vigentes, visando prevencao de danos a saude de bebes prematuros, gerando tranquilidade para toda equipe neonatal e familiar. Descritores: prematuro; alojamento conjunto; canguru; mae; familia. RESUMEN Objetivos: describir la vivencia de madres frente al Metodo Madre-Canguro (MM-C) en el alojamiento conjunto, e identificar el envolvimiento de la familia en ese proceso. Metodo: estudio descriptivo y cualitativo utilizando como tecnica de colecta el grupo focal con entrevistas grabadas en dos grupos de puerperas madres-canguro en el alojamiento conjunto de una maternidad publica en Natal/RN, en el periodo de una semana. A partir de un rotero tematico: v ivencia de Madres frente al MM-C en alojamiento conjunto y el envolvimiento de la familia en ese proceso . El estudio fue aprobado por el Comite de Etica en Pesquisa de la UFRN con parecer justificado a traves del registro numero 84/03 CEP-UFRN. Resultados: emergieron tres nucleos tematicos: Ayudando al hijo en el proceso de desarrollo lento, paso a paso; Favoreciendo el contacto con el bebe que deberia estar todavia en el utero; Observando a cada dia el aumento y la adaptacion del bebe. Conclusiones: a pesar de las dificultades en mantenerse ese metodo por las dificultades institucionales en la actualidad todavia es un metodo eficiente. Esas dificultades pueden ser minimizadas por las politicas perinatales vigentes visualizando la prevencion de danos a la salud de bebes prematuros, generando tranquilidad para todo el equipo neonatal y familiar. Descriptores: p rematuro; alojamiento conjunto; canguro; madre; familia.

Unilateral right bullectomy surgery and nursing diagnosis: a report case study

ABSTRACT Objective : to know the functioning of an Adult Intensive Care Unit; to identify the responsibilities and duties of nursing staff in this sector, to monitor a patients detailed study of its pathology and surgery who underwent, a Unilateral Right Bullectomy; serve as assessment of Technical Expertise in Adult Intensive Care of Natal Nursing School / UFRN. Methodology : this is a descriptive study with case study type. The sample consisted of one patient admitted to the Adult Intensive Care Unit of the Onofre Lopes University Hospital after being admitted to the 10th ward of this hospital, diagnosed with lung bubble as a sequel of pulmonary tuberculosis. Results : data were analyzed based on the observation, analysis and assessment in the care of postoperative, NANDA grading system, Theory of Basic Human Needs, literature, the patients medical records and interviews with history. Conclusion : the study allowed us to visualize the role of nursing staff in the context of the Intensive Care Unit Adult in order to provide comprehensive, humane and quality care of the patient. Descriptors : intensive care units; nursing; diagnosis; adult health. RESUMO Objetivo : acompanhar uma paciente em estudo sistematizado sobre sua patologia e procedimento cirurgico, uma Bulectomia Unilateral Direita; descrever as atribuicoes de uma Unidade de Terapia Intensiva. Metodologia : trata-se de um estudo descritivo do tipo estudo de caso. A amostra foi composta por uma paciente admitida na Unidade de Terapia Intensiva Adulto do Hospital Universitario Onofre Lopes apos ter sido internada na 10a enfermaria do hospital em questao, com diagnostico de Bolha Pulmonar como sequela de tuberculose. Resultados : os dados foram analisados com base na observacao, analise e apreciacao no processo do cuidar pos-operatorio, sistema de classificacao da NANDA, teoria das Necessidades Humanas Basicas, pesquisa bibliografica, prontuario da paciente e entrevista com anamnese. Conclusao : o estudo permitiu visualizar o papel da equipe de enfermagem no contexto da Unidade de Terapia Intensiva Adulto no intuito de prestar assistencia integral, humanizada e de qualidade ao paciente. Descritores : unidades de terapia intensiva; enfermagem; diagnostico; saude do adulto. RESUMEN Objetivo : conocer el funcionamiento de una Unidad de Terapia Intensiva de Adultos; identificar las competencias y atribuciones del equipo de enfermeria en este sector, acompanar una paciente en estudio detallado sobre su patologia y procedimiento quirurgico por la cual fue sometida, especificamente, una bulectomia unilateral derecha; servir de evaluacion de la Especializacion Tecnica en Terapia Intensiva Adulto de la Escuela de Enfermeria de Natal/UFRN. Metodologia : se trata de un estudio descriptivo del tipo estudio de caso. La muestra fue compuesta por una paciente admitida en la Unidad de Terapia Intensiva Adulto del Hospital Universitario Onofre Lopes despues de haber sido internada en la 10a enfermeria del hospital en cuestion, con diagnostico de Burbuja Pulmonar como secuela de tisis. Resultados : los datos fueron analizados con base en la observacion, analisis y apreciacion en el proceso de lo cuidar postoperatorio, sistema de clasificacion de la NANDA, teoria de las Necesidades Humanas Basicas, pesquisa bibliografica, historico de la paciente y entrevista con anamnesis. Conclusion : el estudio permitio visualizar el papel del equipo de enfermeria en el contexto de la Unidad de Terapia Intensiva Adulto en el intuito de prestar asistencia integral, humanizada y de cualidad al paciente. Descriptores : recursos humanos; unidades de terapia intensiva; enfermeria; diagnostico; salud del adulto.

Aspects related to healthy aging human

ABSTRACT Objective : to analyze the human aging healthy point of view of health, allowing to inform the professional a more critical and stimulating discussion regarding the subject mentioned. Methodology : this is about a descriptive and exploratory study, conducted through literature integrative review, taking as the database LILACS for articles in the period between the months of August and September 2009. Results : the findings showed that one of the strategies to leverage the gains of the aging process would be to search for a healthy life, thanks to a series of activities encouraged in order to promote health by preventing or delaying the installation of chronic conditions, slowing functional decline, encouraging their autonomy and independence. Thus, it preserved the cognitive aspect of social integration and enhancement of interpersonal relationships and affective. Conclusion : the aging of a population is a natural aspiration of any society. But by it self, is not enough. It is also important aim is to improve the quality of life of those who have aged or are in the process of aging, regardless of their social, cultural and biological. Thus, it is necessary that public policy be directed and implemented specifically for this age group aimed at promoting health perspective of healthy aging. Descriptors : demographic aging; aged; nursing. RESUMO Objetivo : analisar o envelhecimento humano saudavel do ponto de vista da saude, levando ao conhecimento do profissional uma visao mais critica e incentiva a reflexao em relacao ao tema referido. Metodologia : estudo descritivo realizado por meio da revisao de literatura integrativa, utilizando a base de dados o LILACS para artigos no periodo entre os meses de agosto a setembro de 2009. Resultados : os achados mostraram que uma das estrategias de potencializar os ganhos do processo de envelhecimento seria a busca por uma vida saudavel, fruto de uma serie de atividades com a finalidade de promover a saude, prevenindo ou postergando a instalacao de patologias cronicas, retardando o declinio funcional, favorecendo sua autonomia e independencia. Logo, seria preservado o aspecto cognitivo de integracao social e de valorizacao das relacoes interpessoais e afetivas. Conclusao : o envelhecimento de uma populacao e uma aspiracao natural de qualquer sociedade. No entanto, e importante almejar a melhoria na qualidade de vida daqueles que envelheceram ou que estao no processo de envelhecer, independente de sua situacao social, cultural e biologica. Assim, faz-se necessario que Politicas Publicas sejam dirigidas e programadas especificamente para este segmento etario visando promocao a saude numa perspectiva de um envelhecimento saudavel. Descritores : envelhecimento da populacao; idoso; enfermagem. RESUMEN Objetivo : analizar los recursos humanos envejecimiento saludable punto de vista de la salud, lo que permite informar a los profesionales un analisis mas critico y estimulante sobre el tema mencionado. Metodologia : estudio descriptivo y exploratorio realizado a traves de revision de la literatura integrativa, tomando como base de datos LILACS de articulos en el periodo comprendido entre los meses de agosto y septiembre de 2009. Resultados : los resultados mostraron que una de las estrategias para aprovechar los beneficios del proceso de envejecimiento seria la busqueda de una vida sana, gracias a una serie de actividades alento a fin de promover la salud mediante la prevencion o retraso de la instalacion de enfermedades cronicas, la desaceleracion el declive funcional, el fomento de su autonomia e independencia. Por lo tanto, conserva el aspecto cognitivo de la integracion social y la mejora de las relaciones interpersonales y afectivas. Conclusion : el envejecimiento de una poblacion es una aspiracion natural de cualquier sociedad. Sin embargo, por si misma, no es suficiente. Tambien es importante objetivo es mejorar la calidad de vida de las personas que han envejecido o estan en proceso de envejecimiento, con independencia de su condicion social, cultural y biologica. Por lo tanto, es necesario que la politica publica sera administrado y aplicado especificamente para este grupo de edad destinada a promover la perspectiva de la salud de un envejecimiento saludable. Descriptores : envejecimiento de la poblacion ; anciano; enfermeria .