Leonardo Tadeu de Andrade

Papel da enfermagem na reabilitação física

This study reviews the literature concerning improvement of rehabilitation nurse role, suggesting paths to reach this goal and evoking a still poorly discussed area. Some questions were raised to provoke reflection and discussion. It is evident, based on the literature, that nurses have a total role in rehabilitation, however the boundaries are not clearly defined. Professional nurses must must join rehabilitation practice with permanent education, that will contribute for a more efficient and influence in processes and rehabilitation services.Este estudo revisa a literatura sobre o desenvolvimento do papel do enfermeiro na reabilitacao e sugere formas dos enfermeiros alcancarem as suas potencialidades nessa area. Algumas questoes foram levantadas para provocar reflexao e discussao. E evidente, a partir da literatura, que os enfermeiros tem um papel integral na reabilitacao, mas estes limites nao sao claramente definidos. Os enfermeiros precisam aliar a pratica em reabilitacao com a educacao e formacao, o que contribuira para uma maior eficacia e influencia no processo e nos servicos de reabilitacao.

Disreflexia autonômica e intervenções de enfermagem para pacientes com lesão medular

O presente trabalho trata-se de estudo retrospectivo realizado em 2009 que objetivou identificar diagnosticos e intervencoes de enfermagem para o cuidado de pacientes com lesao medular (LM). Os dados foram coletados de 465 prontuarios de pacientes com LM em processo de reabilitacao. Identificou-se o diagnostico de enfermagem Risco para disreflexia autonomica em 271 (58,3%) prontuarios, dos quais 80 pacientes desenvolveram disreflexia autonomica. Predominaram homens jovens, com idade media de 35,7 anos, sendo o trauma a principal causa da LM e o nivel neurologico igual ou acima da sexta vertebra toracica. As intervencoes de enfermagem foram organizadas em dois grupos, um voltado para a prevencao da disreflexia autonomica e outro, para seu tratamento. Desenvolveu-se um guia de intervencoes para uso na pratica clinica de enfermeiros reabilitadores e para insercao em sistemas de informacao. Ressalta-se a importância da retirada do estimulo causador da disreflexia autonomica como terapeutica mais eficaz e como melhor intervencao na pratica de enfermagem.This retrospective study, performed in 2009, aimed to identify nursing diagnoses and interventions for the care of patients with spinal cord injury. Data were collected from the nursing records of 465 patients with SCI undergoing rehabilitation. The nursing diagnosis Risk for autonomic dysreflexia was identified in 271 clinical records (58, 3%). Approximately 80 patients developed autonomic dysreflexia, with a predominance in young men around 35.7 years old, who had experienced a trauma as the main cause of the injury. Their neurological injury level was at the sixth thoracic vertebra or above. Nursing interventions were arranged in two groups, one focused on prevention and the other on treatment. An intervention guide was developed and can be used by nurses in their clinical practice of rehabilitation and can be included into information systems. The removal of the stimulus which causes autonomic dysreflexia was identified as the most effective therapy and the best intervention.

Validação de intervenções de enfermagem para pacientes com lesão medular e mobilidade física prejudicada

This is a descriptive study that aimed to validate the nursing interventions proposed in the Nursing Interventions Classification for the diagnosis of Impaired physical mobility in adults with sequels of spinal cord injury, based on opinions of experts in rehabilitation about each intervention proposed. The sample consisted of 54 nurses who were asked about how they consider the interventions for the nursing diagnosis. A questionnaire was administered to nurses who work at the Sarah Network of Rehabilitation Hospitals. Among the 46 interventions studied, 17 (37%) were considered essential and should be implemented; others 15 (32.6%) were considered complementary, and 14 (30.4%) should not be used and could be discarded. Nursing interventions not described in the classification and suggested by 22 nurses (40.7%) were: Care with Orthoses: Maintenance; and Care with Orthoses: Prevention.Estudio descriptivo que tuvo como objetivo validar las intervenciones propuestas en la Clasificacion de Intervenciones de enfermeria para el diagnostico de la Movilidad fisica disminuida en adultos con lesion de la medula espinal, segun las opiniones de expertos en enfermeria de rehabilitacion. La muestra estuvo conformada por 54 enfermeras a quien se pregunto o que pensaban sobre las intervenciones esenciales para la solucion de ese diagnostico. Los datos fueron recogidos mediante un cuestionario aplicado a enfermeras que trabajan en la Red Sarah de Hospitales de Rehabilitacion. Entre las 46 intervenciones estudiadas, 17 (37%) se consideran esenciales y deben ser implementadas, otras 15 (32,6%) fueron consideradas complementarias y 14 (30,4%) no se deben utilizar y podrian ser descartadas. Las intervenciones de enfermeria no descritas en la clasificacion y sugeridas por 22 enfermeras (40,7%) fueron las siguientes: Cuidado con Orteses: Manutencion; y Cuidado con Orteses: Prevencion.

Autonomic dysreflexia and nursing interventions for patients with spinal cord injury

O presente trabalho trata-se de estudo retrospectivo realizado em 2009 que objetivou identificar diagnosticos e intervencoes de enfermagem para o cuidado de pacientes com lesao medular (LM). Os dados foram coletados de 465 prontuarios de pacientes com LM em processo de reabilitacao. Identificou-se o diagnostico de enfermagem Risco para disreflexia autonomica em 271 (58,3%) prontuarios, dos quais 80 pacientes desenvolveram disreflexia autonomica. Predominaram homens jovens, com idade media de 35,7 anos, sendo o trauma a principal causa da LM e o nivel neurologico igual ou acima da sexta vertebra toracica. As intervencoes de enfermagem foram organizadas em dois grupos, um voltado para a prevencao da disreflexia autonomica e outro, para seu tratamento. Desenvolveu-se um guia de intervencoes para uso na pratica clinica de enfermeiros reabilitadores e para insercao em sistemas de informacao. Ressalta-se a importância da retirada do estimulo causador da disreflexia autonomica como terapeutica mais eficaz e como melhor intervencao na pratica de enfermagem.This retrospective study, performed in 2009, aimed to identify nursing diagnoses and interventions for the care of patients with spinal cord injury. Data were collected from the nursing records of 465 patients with SCI undergoing rehabilitation. The nursing diagnosis Risk for autonomic dysreflexia was identified in 271 clinical records (58, 3%). Approximately 80 patients developed autonomic dysreflexia, with a predominance in young men around 35.7 years old, who had experienced a trauma as the main cause of the injury. Their neurological injury level was at the sixth thoracic vertebra or above. Nursing interventions were arranged in two groups, one focused on prevention and the other on treatment. An intervention guide was developed and can be used by nurses in their clinical practice of rehabilitation and can be included into information systems. The removal of the stimulus which causes autonomic dysreflexia was identified as the most effective therapy and the best intervention.

Terms of international classification for Nursing Practice in motor and physical rehabilitation

OBJETIVO Validar los terminos del lenguaje especial de enfermeria en rehabilitacion fisico-motora y mapearlos con los terminos de la CIPE® 2.0. METODO Investigacion metodologica basada en analisis documental, con recoleccion y analisis de terminos de 1.425 fichas. RESULTADOS Despues del procedimiento metodologico, fueron obtenidos 825 terminos, de los que 226 todavia no figuraban en la CIPE® 2.0 y que fueron distribuidos de la siguiente manera: 47 en el eje foco; 15 en el eje juicio; 31 en el eje accion; 25 en el eje ubicacion; 102 en el eje medios; tres en el eje tiempo; y tres en el eje cliente. Todos los terminos no obrantes en la CIPE® fueron validados por los expertos, habiendo alcanzado indice de concordancia ≥ 0,80. CONCLUSION La CIPE® es aplicable y utilizada en la asistencia de enfermeria en rehabilitacion fisico-motora.

Términos de la Clasificación Internacional para la Práctica de Enfermería en Rehabilitación físico-motora

OBJETIVO Validar los terminos del lenguaje especial de enfermeria en rehabilitacion fisico-motora y mapearlos con los terminos de la CIPE® 2.0. METODO Investigacion metodologica basada en analisis documental, con recoleccion y analisis de terminos de 1.425 fichas. RESULTADOS Despues del procedimiento metodologico, fueron obtenidos 825 terminos, de los que 226 todavia no figuraban en la CIPE® 2.0 y que fueron distribuidos de la siguiente manera: 47 en el eje foco; 15 en el eje juicio; 31 en el eje accion; 25 en el eje ubicacion; 102 en el eje medios; tres en el eje tiempo; y tres en el eje cliente. Todos los terminos no obrantes en la CIPE® fueron validados por los expertos, habiendo alcanzado indice de concordancia ≥ 0,80. CONCLUSION La CIPE® es aplicable y utilizada en la asistencia de enfermeria en rehabilitacion fisico-motora.

Disreflexia autonómica e intervenciones de enfermería para pacientes con lesión medular

O presente trabalho trata-se de estudo retrospectivo realizado em 2009 que objetivou identificar diagnosticos e intervencoes de enfermagem para o cuidado de pacientes com lesao medular (LM). Os dados foram coletados de 465 prontuarios de pacientes com LM em processo de reabilitacao. Identificou-se o diagnostico de enfermagem Risco para disreflexia autonomica em 271 (58,3%) prontuarios, dos quais 80 pacientes desenvolveram disreflexia autonomica. Predominaram homens jovens, com idade media de 35,7 anos, sendo o trauma a principal causa da LM e o nivel neurologico igual ou acima da sexta vertebra toracica. As intervencoes de enfermagem foram organizadas em dois grupos, um voltado para a prevencao da disreflexia autonomica e outro, para seu tratamento. Desenvolveu-se um guia de intervencoes para uso na pratica clinica de enfermeiros reabilitadores e para insercao em sistemas de informacao. Ressalta-se a importância da retirada do estimulo causador da disreflexia autonomica como terapeutica mais eficaz e como melhor intervencao na pratica de enfermagem.This retrospective study, performed in 2009, aimed to identify nursing diagnoses and interventions for the care of patients with spinal cord injury. Data were collected from the nursing records of 465 patients with SCI undergoing rehabilitation. The nursing diagnosis Risk for autonomic dysreflexia was identified in 271 clinical records (58, 3%). Approximately 80 patients developed autonomic dysreflexia, with a predominance in young men around 35.7 years old, who had experienced a trauma as the main cause of the injury. Their neurological injury level was at the sixth thoracic vertebra or above. Nursing interventions were arranged in two groups, one focused on prevention and the other on treatment. An intervention guide was developed and can be used by nurses in their clinical practice of rehabilitation and can be included into information systems. The removal of the stimulus which causes autonomic dysreflexia was identified as the most effective therapy and the best intervention.

Validation of nursing interventions for patients with spinal cord injury and impaired physical mobility

This is a descriptive study that aimed to validate the nursing interventions proposed in the Nursing Interventions Classification for the diagnosis of Impaired physical mobility in adults with sequels of spinal cord injury, based on opinions of experts in rehabilitation about each intervention proposed. The sample consisted of 54 nurses who were asked about how they consider the interventions for the nursing diagnosis. A questionnaire was administered to nurses who work at the Sarah Network of Rehabilitation Hospitals. Among the 46 interventions studied, 17 (37%) were considered essential and should be implemented; others 15 (32.6%) were considered complementary, and 14 (30.4%) should not be used and could be discarded. Nursing interventions not described in the classification and suggested by 22 nurses (40.7%) were: Care with Orthoses: Maintenance; and Care with Orthoses: Prevention.Estudio descriptivo que tuvo como objetivo validar las intervenciones propuestas en la Clasificacion de Intervenciones de enfermeria para el diagnostico de la Movilidad fisica disminuida en adultos con lesion de la medula espinal, segun las opiniones de expertos en enfermeria de rehabilitacion. La muestra estuvo conformada por 54 enfermeras a quien se pregunto o que pensaban sobre las intervenciones esenciales para la solucion de ese diagnostico. Los datos fueron recogidos mediante un cuestionario aplicado a enfermeras que trabajan en la Red Sarah de Hospitales de Rehabilitacion. Entre las 46 intervenciones estudiadas, 17 (37%) se consideran esenciales y deben ser implementadas, otras 15 (32,6%) fueron consideradas complementarias y 14 (30,4%) no se deben utilizar y podrian ser descartadas. Las intervenciones de enfermeria no descritas en la clasificacion y sugeridas por 22 enfermeras (40,7%) fueron las siguientes: Cuidado con Orteses: Manutencion; y Cuidado con Orteses: Prevencion.

Validación de intervenciones de enfermería para pacientes con lesiones de médula espinal y problemas de movilidad física

This is a descriptive study that aimed to validate the nursing interventions proposed in the Nursing Interventions Classification for the diagnosis of Impaired physical mobility in adults with sequels of spinal cord injury, based on opinions of experts in rehabilitation about each intervention proposed. The sample consisted of 54 nurses who were asked about how they consider the interventions for the nursing diagnosis. A questionnaire was administered to nurses who work at the Sarah Network of Rehabilitation Hospitals. Among the 46 interventions studied, 17 (37%) were considered essential and should be implemented; others 15 (32.6%) were considered complementary, and 14 (30.4%) should not be used and could be discarded. Nursing interventions not described in the classification and suggested by 22 nurses (40.7%) were: Care with Orthoses: Maintenance; and Care with Orthoses: Prevention.Estudio descriptivo que tuvo como objetivo validar las intervenciones propuestas en la Clasificacion de Intervenciones de enfermeria para el diagnostico de la Movilidad fisica disminuida en adultos con lesion de la medula espinal, segun las opiniones de expertos en enfermeria de rehabilitacion. La muestra estuvo conformada por 54 enfermeras a quien se pregunto o que pensaban sobre las intervenciones esenciales para la solucion de ese diagnostico. Los datos fueron recogidos mediante un cuestionario aplicado a enfermeras que trabajan en la Red Sarah de Hospitales de Rehabilitacion. Entre las 46 intervenciones estudiadas, 17 (37%) se consideran esenciales y deben ser implementadas, otras 15 (32,6%) fueron consideradas complementarias y 14 (30,4%) no se deben utilizar y podrian ser descartadas. Las intervenciones de enfermeria no descritas en la clasificacion y sugeridas por 22 enfermeras (40,7%) fueron las siguientes: Cuidado con Orteses: Manutencion; y Cuidado con Orteses: Prevencion.

Rol de la enfermería en la rehabilitación física

This study reviews the literature concerning improvement of rehabilitation nurse role, suggesting paths to reach this goal and evoking a still poorly discussed area. Some questions were raised to provoke reflection and discussion. It is evident, based on the literature, that nurses have a total role in rehabilitation, however the boundaries are not clearly defined. Professional nurses must must join rehabilitation practice with permanent education, that will contribute for a more efficient and influence in processes and rehabilitation services.Este estudo revisa a literatura sobre o desenvolvimento do papel do enfermeiro na reabilitacao e sugere formas dos enfermeiros alcancarem as suas potencialidades nessa area. Algumas questoes foram levantadas para provocar reflexao e discussao. E evidente, a partir da literatura, que os enfermeiros tem um papel integral na reabilitacao, mas estes limites nao sao claramente definidos. Os enfermeiros precisam aliar a pratica em reabilitacao com a educacao e formacao, o que contribuira para uma maior eficacia e influencia no processo e nos servicos de reabilitacao.