Nauã Rodrigues de Souza

Odor evaluation scales for odor in neoplastic wounds: an integrative review

OBJECTIVE Checking for the existence of assessment instruments for odor in neoplastic wounds. METHOD Integrative review performed in the databases Lilacs, SCiELO, Ibecs and MedLine, including national and international publications. RESULTS 15 articles were analyzed, in its majority performed by nurses and being of the revision type. Nine scales were found, of which the majority assesses only the odor intensity. The scale most used to evaluate products and/or bandage covers for neoplastic injuries was the Odor Evaluation Guideline, of qualitative-quantitative nature, that establishes the symptom within four levels; only one of which being validated (Teler scale). CONCLUSION The results of this study showed that, currently, there is only one scale that is validated for assessing odor in neoplastic wounds, pointing towards the need to develop new instruments that incorporate validated and reliable instruments in clinical practice.

Fatores predisponentes para o desenvolvimento da lesão por pressão em pacientes idosos: uma revisão integrativa

Objetivo: identificar na literatura cientifica quais sao os fatores de risco para o surgimento das lesoes por pressao em idosos. Metodo: revisao integrativa realizada nas bases de dados: LILACS, MEDLINE, SciELO, IBECS e BDENF, incluindo publicacoes nacionais e internacionais, no periodo de 2006 a 2015. Resultados:

Autoimagem e autocuidado na vivência de pacientes estomizados: o olhar da enfermagem

O objetivo deste estudo foi analisar a percepcao de pacientes estomizados sobre a sua autoimagem e autocuidado. Trata-se de estudo exploratoriodescritivo e qualitativo realizado em um hospital publico da cidade do Recife, Pernambuco, com a participacao de 11 pessoas com estomas digestivos de eliminacao. Utilizou-se entrevista semiestruturada, cujos dados foram submetidos a analise de conteudo. Dos 11 pacientes, sete eram do sexo feminino, com idade variando de 19 a 93 anos. Por meio das entrevistas emergiram tres categorias tematicas: conhecimento insuficiente para o autocuidado; viver com a colostomia e suas dificuldades; o enfrentamento relacionado ao viver com a bolsa de colostomia. Sendo assim, foi possivel perceber que a autoimagem e o autocuidado dos pacientes colostomizados estao ligados a sentimentos de vergonha, medo, inseguranca, invasao e sofrimento, os quais refletem diretamente na vida social, amorosa e laboral, sendo identificadas ainda dificuldades acerca da adaptacao e aceitacao da colostomia, refletindo no isolamento social. Recomenda-se que a enfermagem se aprofunde nos conhecimentos sobre estomas, principalmente em relacao ao autocuidado e aceitacao do paciente com um olhar diferenciado, auxiliando as pessoas estomizadas a encarar essa experiencia e que possam trabalhar em redes de apoios, contribuindo para melhor adaptacao e melhor qualidade de vida dos estomizados.(AU)

Performance Of Nurses In Radiotherapy Services

Objective: This study aimed to know the performance of nurses in radiotherapy services. Methods and Results: It is a cross-sectional, descriptive and exploratory study with a quantitative approach, developed from June to July 2015. The study sample was composed of eight nurses. The data were collected through a structured questionnaire, analyzed through descriptive statistics. It was verified that nurses are not only restricted to care, buy they work in the supervision of the nursing team, monitor the work process, elaborate the action plan, select materials and equipment, schedule the consultations. In addition, it was possible to observe the importance of the nursing consultation for the individualization of the care and effectiveness of the treatment for the patient. Conclusion: It is observed that for a good progress of the radiotherapy service, there is a need for a trained nursing team with conditions to deal with the complexity and requirements that this modality of treatment demands. Keywords: Neoplasms; Radiotherapy; Nursing; Nursing Care.

Emergência oncológica: atuação dos enfermeiros no extravasamento de drogas quimioterápicas antineoplásicas

Objective: To investigate the work of nurses in the extravasation of antineoplastic chemotherapeutic drugs. Methods: A cross-sectional study with a quantitative approach was performed with a sample of 21 nurses in a referral cancer hospital. Data were collected with a semi-structured questionnaire from October to November 2015 and analyzed through simple and percentage frequency. Results: Nurses had sufficient knowledge about risk factors, prevention, and recognition of signs and symptoms of occurrence of extravasation of chemotherapeutic drugs. However, the same was not observed regarding questions about classification of antineoplastic drugs and interventions aimed at the occurrence of this health condition. Conclusion: The results found are important, as they point to questions that must be reflected upon by hospital managers and educational institutions, apart from professionals concerned with the improvement of health care for the population affected by such disease.Objetivo: Investigar a atuacao dos enfermeiros no extravasamento de quimioterapicos antineoplasicos. Metodos: Estudo transversal, com abordagem quantitativa, realizado em um hospital de referencia em oncologia, com uma amostra de 21 enfermeiros. Os dados foram coletados por meio da aplicacao de questionario semiestruturado, nos meses de outubro e novembro de 2015, analisados por meio da frequencia simples e percentual. Resultados: Os enfermeiros evidenciaram conhecimento suficiente quanto aos fatores de risco, prevencao e reconhecimento de sinais e sintomas da ocorrencia de extravasamento por quimioterapicos. No entanto, o mesmo nao foi verificado quanto as questoes relacionadas a: classificacao das drogas antineoplasicas e intervencoes voltadas a ocorrencia do agravo. Conclusao: Os resultados encontrados sao importantes, vez que apontam para questoes que devem ser refletidas por gestores hospitalares e de instituicoes formadoras, assim como profissionais preocupados com a melhoria da assistencia a populacao acometida por essa patologia.

Lesions Associated with Pelvic Fracture: An Integrating Literature Review

Objective: To review in the scientific literature the main lesions associated with pelvic fractures. Methods and Results: An integrative review was carried out in the databases: LILACS, MEDLINE, SciELO and BDENF, including national and international publications, from 2006 to 2016, obtaining a sample for analysis of nineteen articles. Pelvic fractures can have a significant impact on the genitourinary system, with some patients having a direct lesion concomitant with the urethra or bladder. The thoracic trauma resulting from pelvic fracture, among them, rib fractures, accompanied by pneumothorax and pulmonary contusion, are often associated with abdominal injuries, the organs most affected are thoracic/abdominal organs, especially bladder, spleen, liver, urethra and kidneys. Bone lesions, including fractures of the upper and lower limbs, cranial fractures are also frequently associated with pelvic trauma, as well as hematological complications, mainly thromboembolism, deep vein thrombosis and hemorrhage. Conclusion: This study made it possible to analyze the production of lesions associated with pelvic fractures. In this context, we emphasize the need for studies that also emphasize care for these patients through humanized care, in order to minimize physical discomforts and social, psychic and emotional problems that can be generated by these injuries.