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- The role of the nurse in caring for the critical patient with sepsisPublication . Branco, Maria João Chambel; Lucas, Ana Paula Mirco; Marques, Rita Margarida Dourado; Sousa, Patrícia PontíficeOBJECTIVES: to know the nursing interventions in the identification, prevention and control of sepsis in critical patients. METHODS: integrative review of the literature, with two parallel researches using different MesH terms, using the EBSCO database and Google Scholar. Nine studies were included in the sample. RESULTS: nursing interventions are centered on the creation/implementation of protocols for the early recognition of sepsis, the training of teams to ensure a safe and effective approach and the adoption of measures for infection prevention and control as a way to prevent sepsis. FINAL CONSIDERATIONS: the evidence shows that nurses are fundamental in the early identification, control and prevention of sepsis, preventing disease progression and contributing to decreased morbidity and mortality.
- Stabilization of the spine in the trauma victim - integrative reviewPublication . Bento, Ana Filipa Gaudêncio; Sousa, Patrícia PontíficeGoal: To identify harmful effects caused by the stabilization of the vertebral column in a trauma victim and in trauma situations without indication for stabilization of the spine in the prehospital. Method: It was perform an integrative literature review guided by research questions: is there a scientific evidence of harmful effects on trauma victims caused by spinal stabilization in prehospital care? and are there situations of trauma with no indication for stabilization of the spine? Results: We have performed a Boolean search in the electronic bases Cochrane Library and Pubmed and through the EBSCOhost engine in the databases CINAHL Plus, MEDLINE, MedicLatina, SPORTDiscus, PsycARTICLES, PsycBOOKS, Psychology and Behavioral Sciences Collection, Academic Search Complete. Twelve articles were obtained and after applying the inclusion and exclusion criteria, the sample was five articles. Conclusions: Harmful effects of spinal stabilization on the victim of trauma related to airway management, pain, discomfort and pressure injuries are described. Situations of penetrating trauma with unstable circulation and victims with gunshot injuries to the head do not require stabilization of the spine. Recommendations to support the prehospital decision regarding stabilization of the spine were collected. It is crucial for the improvement of prehospital care to integrate an individualized approach of the victim that refers to its clinical state and mechanism of injury.
- Delirium: nursing interventions directed to the hospitalized adult patient – a bibliographic reviewPublication . Bento, Marta Sofia Pão Mole; Marques, Rita Margarida Dourado; Sousa, Patrícia PontíficeDelirium is a neuropsychiatric syndrome, characterized by an acute attention and cognition deficit disorder, of multifactorial etiology. It has a high prevalence in the elderly population and it’s an indicator of a poor prognosis. It leads to a negative impact, provoking deterioration in the person’s quality of life. Objectives: This study aimed to identify the nursing interventions directed to the hospitalized adult / elderly, for the control of delirium. Methodology: Using a PICO question as a reference, a review of articles published between 2012 and 2017 was carried out. That identified, which nursing interventions aimed at the adult / elderly person hospitalized with delirium. Results: In this bibliographic review 5 studies were selected, in common, they present tendentially, non-pharmacological dynamic strategies of preventive character towards the delirium. This evidences the role of nursing in carrying out preventive actions (preferentially directed to risk factors, which may trigger this neurological alteration), such as the maintenance of the sensorial balance, assessing the local environment, monitoring pain, sleep and the stimulation of the early mobility. Conclusion: The interventions for delirium should include the identification of predisposing and precipitating factors with adequate actions, for its resolution. Research is imperative, to recognize and validate witch interventions may control delirium (prevent/ treat) and thus reduce its consequences.
- Nursing strategies to reduce the risk of therapeutic obstinacy in artificial nutritionPublication . Afonso, Tânia dos Santos; Veludo, Filipa; Sousa, Patrícia PontíficeBackground: Nurses have an important role in maintaining a patient's nutrition near the end of life. Aims: To define nursing nutrition strategies with the person near the end of life and their families; systematise the elements to be considered in artificial nutrition decision-making and evaluate the nursing interventions' influence on therapeutic obstinacy risk. Methods: A sample of 11 articles were selected and the results considered strategies to promote oral feeding before artificial nutrition; the follow-up of the health-disease process by nurses and described the nurse's role as a privileged patient advocate in the defence of the ethical principles of decision-making. These principles consider symptomatology, prognosis, psychology and the emotional significance of nutrition. Conclusion: Nurses are qualified professionals with a critical role in the patient's care due to the proximity they have with the patient; the evidence seems to show a relationship between nursing interventions and the reduction of the risk of therapeutic obstinacy; however, there are no studies in this specific area.
- O conforto da pessoa idosa: projeto de vivência e cuidado co-criadoPublication . Sousa, Patrícia PontíficeA autora faz o retrato científico do contributo da enfermagem na promoção do conforto no período em que a idade nos torna mais vulneráveis às agressões do mundo. Texto indispensável para os cuidadores de quem tem as defesas diminuídas. Alexandre Castro Caldas, Médico, Professor Catedrático e Diretor do Instituto de Ciências da Saúde da UCP. Confortar carrega no seu significado a preocupação com a dignidade humana e a intenção de preservar a qualidade de vida, qualquer que seja a condição ou a doença da pessoa cuidada. Esta obra é uma referência imprescindível em qualquer estudo sobre a assistência a pessoas idosas. Margarida Vieira, Coordenadora da área de Enfermagem na UCP Vivemos a promoção cada vez maior do consumo pessoal. Poder aceder a uma obra onde se escreve e fala do conforto das pessoas maiores, constitui-se uma oportunidade excelente para saber e aprender mais enfermagem.