Browsing by Author "Pinto, C."
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- Differential diagnosis in pressure ulcers and medical devicesPublication . Alves, P.; Eberhardt, T.; Soares, R.; Pinto, M.; Pinto, C.; Vales, L.; Morais, J.; Oliveira, I.Background: Pressure ulcers (PU) are considered to an adverse event and constitute a constant challenge for all health professionals and institutions. Aim: Study the prevalence and incidence of PU in a intensive care unit (ICU) and the difficulties of classification and characterization of the lesions in critical ill patients. .Materials and methods: Retrospective cohort analysis of electronic health record database from adult patients admitted to a ICU during 2012/1013. Barriers/difficulty's to classification of PUs 'were also studied in the nursing staff. Results: Epidemiologic sample study included 600 participants, and differential diagnoses study 27 nurses. The episodes in the study period (n = 600), 98 'were identified with at least one PU present during hospitalization period, corresponding to a prevalence rate of 16.3%. The remaining 502 had no PU recording at entry or during hospitalization, 98 patients who were identified with PU, 40.8% presented it upon admission, and 59.2% developed ulceration in the service after 24 hours of admission (n = 58), which resulted in an incidence rate of 11.4%. The categorization of the PU ulcers identified in the present study, the most prevalent was category II (36,1%), followed by IV (35,4%), then I (13.1%) and III (10.8%). Regarding barriers of the differential diagnosis, 77.7% reported difficulty in evaluating PU in patients with peripheral arterial disease; 92.5% referred difficulty in evaluating Category I in dark skin; 81.5% referred subjectivity in the characterization in the mucosa; 40.7% reported difficulty PU associated to medical devices; 96.3% considered essential training as a way to reduce subjectivity. Conclusion: Extra attention needs to be taken to prevent PU in ICU. The incidence of PU is higher if associated with a medical device, Staff must adopt multiple strategies to prevent it. More education and sharing experiences is needed to reduce the subjectivity of differential diagnosis in PU.
- Here4You-Footsteps... building the future: an action research project to prevent tobacco consumption in the 3rd CyclePublication . André, C.; Amendoeira, J.; Figueiredo, M. C.; Martins, M. R.; Pinto, C.; Nunes, M.; Rainha, L.; Godinho, A.; Ferreira, M.; Pintor, M.; Oliveira, M.Introduction Tobacco is the first preventable cause of morbidity and mortality, and should be targeted at younger age groups, with the school being considered as a privileged space for this intervention. The project “ Here4You - Footsteps…Building the future – Health Promoting School “ aims to enable 3rd cycle students to make responsible decision making in the prevention of tobacco consumption by building knowledge, attitudes, skills regarding healthy lifestyles, and behaviours related to risk factors associated with tobacco use. Objectives To disclose the gains from the development of the project. Methods Project developed in partnership between the School of Health of Santarém, as Health Promotion School - Health Indicators Monitoring Unit, and the Community Care Unit of Chamusca/Golegã. It is inserted in the methodology of Action Research: Diagnosis, Planning, Intervention and Evaluation, in the 7th and 8th years, from 2015/2016 until 2018/2019. The Global Youth Tobacco Survey, Portuguese version, was used at the beginning (7th year) and at the end of the intervention (8th year). Results 460 students were interviewed, with 279 sessions of health education in the classroom context. All the sessions were evaluated, using a questionnaire that integrates questions related to the contents and a grid of opinion about the session, constituted by 5 items, with scores between [5; 25]. In the last edition of the project, 13% of 7th graders said they had already smoked and, in the previous one, 10% of the students said they smoked, the lowest value found. Conclusions In order to foster complementarity and convergence solutions to generate positive synergies, the intervention occurred in the classroom in the different disciplines. Obtaining health outcomes implies a consistent and continuous intervention that accompanies the students throughout their formative course. With the GYTS it has been possible to evaluate the impact of the developed intervention.