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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.
- Palliative care for patients with heart failure in critical care: scoping reviewPublication . Pousinho, Fábio; Bacalhau, Lúcia; Pontifice Sousa, PatríciaIntroduction: Heart failure is a chronic condition affecting thousands globally. At some stage of their illness, these individuals require critical care. Palliative care is essential throughout the course of the disease. Objective: To map the evidence on palliative care for people with heart failure in critical care. Methods: A scoping review was conducted following the methodology proposed by the Joanna Briggs Institute. Searches were performed in electronic databases: MEDLINE Complete (via EBSCO), CINAHL (via EBSCO), PubMed, Web of Science, and Repositórios Científicos de Acesso Aberto de Portugal (RCAAP, via b-on). Results: 10 sources of evidence were included in this review. The results were grouped into 2 categories-palliative care in the emergency department and palliative care in the intensive care unit. Eight subcategories were identified: identification of the need for palliative care; symptom control; communication, decision-making and advance care planning; management of implantable cardiac devices and ventricular assistance; the dying process; culturally sensitive care; definition of prognosis; bioethical principles and informed consent. Conclusion: Critical care settings are the places where people with heart failure turn to for help with their illness. There are specific interventions for each context that can increase people's quality of life.