Two Patients Colonised with Absidia Corymbifera in an Intensive Care Unit Likely Secondary to an Abnormally Plumbed Renal Dialysis Point

Objetivo: Construir e validar um checklist para segurança de pacientes submetidos à hemodiálise em unidade de terapia intensiva. Método: Pesquisa metodológica de validação em primeira instância. Procedeu-se o estudo em três fases: revisão da literatura; construção do material apoiado no levantamento bibliográfico e experiência clínica autoral; e validação de conteúdo e aparência por cinco experts. Resultados: Houve total concordância em relação à pertinência dos itens elencados no material, e os ajustes necessários foram em relação à clareza da redação dos itens, o que foi ajustado. O checklist, na sua terceira e “última” versão, apresenta um total de 34 itens de verificação dicotômicos (sim/não), distribuídos em cuidados pré (n=15), durante (n=8) e pós-hemodiálise (n=11). Conclusão: Concluiu-se que o checklist é válido à prática assistencial, perfazendo uma contribuição de teor instrumental à segurança do paciente dialítico em terapia intensiva. Recomenda-se novos estudos em relação à aplicabilidade do checklist.Palavras-chave: Lista de checagem. Segurança do paciente. Hemodiálise. Enfermagem em nefrologia. Unidade de terapia intensiva. ABSTRACTObjective: To construct and validate a checklist for the safety of patients admitted to an Intensive Care Unit undergoing hemodialysis. Method: Methodological research of validation in the first instance. The study was carried out in three phases: literature review; construction of the material supported in the bibliographical survey and clinical authorial experience; and content and appearance validation by five experts. Results: There was complete agreement regarding the pertinence of the items listed in the material, and the necessary adjustments were in relation to the clarity of the wording of the items, which was adjusted. The checklist, in its third and last version, presents a total of 34 dichotomic verification items (yes / no), distributed in pre-care (n=15), during (n=8) and post-hemodialysis (n=11). Conclusion: It was concluded that the checklist is valid to the care practice, making an instrumental contribution to the safety of the dialysis patient in intensive care. Further studies are recommended regarding the applicability of the checklist.Keywords: Checklist. Patient safety. Renal dialysis. Nephrology nursing. Intensive care unit.

Download Full-text

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_persp-19-00097 ◽

2019 ◽

Vol 4 (6) ◽

pp. 1507-1515

Author(s):

Lauren L. Madhoun ◽

Robert Dempster

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Hospital Discharge ◽

Neonatal Intensive Care ◽

Oral Feeding ◽

Medical Attention ◽

Primary Role ◽

Speech Language Pathologists ◽

The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

Download Full-text