scholarly journals Mental health assistance: identification of nursing diagnoses in a community mental health service

2022 ◽  
Vol 75 (2) ◽  
Author(s):  
Eurides Santos Pinho ◽  
Adrielle Cristina Silva Souza ◽  
Ana Caroline Gonçalves Cavalcante Moreira ◽  
Luzana Eva Ferreira Lopes Nogueira ◽  
Amanda Melo e Santos Limongi ◽  
...  

ABSTRACT Objective: to map and identify nursing diagnoses targeted at night care users in a Psychosocial Care Center according to NANDA-I Taxonomy. Method: this is a descriptive-exploratory study, of documentary research type of 319 records in medical records. It was held in a Psychosocial Care Center III in Goiás, from 2014-2018. Nursing diagnoses and records were extracted with non-standardized language. Results: 813 records of nursing diagnoses identified in 53 different titles, in 10 domains, were identified. The most frequent diagnosis was risk for self-extermination. The domain with the highest number of diagnostic records was activity/rest. There was a predominance of diagnoses focused on the problem. Final considerations: mapping contributes to the planning of evidence-based nursing interventions and to the strengthening of professional identity in mental health. It is evident the need for practices that go beyond the symptoms in a preventive perspective, with a view to comprehensiveness.

2018 ◽  
Vol 12 (12) ◽  
pp. 3344
Author(s):  
Taís Tasqueto Tassinari ◽  
Marlene Gomes Terra ◽  
Keity Laís Siepmann Soccol ◽  
Valquiria Toledo Souto ◽  
Larissa Goya Pierry ◽  
...  

RESUMOObjetivo: caracterizar a população de mulheres que realizaram tratamento em um Centro de Atenção Psicossocial Álcool e Outras Drogas. Método: trata-se de um estudo quantitativo, documental, retrospectivo, a partir de consulta em prontuários de um Centro de Atenção Psicossocial Álcool e Drogas II. Utilizou-se, como instrumento de coleta de dados, um formulário criado pelas autoras a partir da plataforma Google. Analisaram-se os dados segundo análises estatísticas descritivas simples, a partir de tabelas. Resultados: verificou-se que, do total de 140 prontuários, o perfil predominante foi de mulheres solteiras (46,4%), com idade entre 30 e 49 anos (55%), com um filho (27,1%), com ensino fundamental incompleto (35,7%) e em uso de múltiplas drogas (41%), sendo o início do uso antes dos 18 anos (46,4%). Conclusão: reforça-se a necessidade de um recorte de gênero nas questões relacionadas ao uso de drogas, de forma que possam ser realizadas estratégias específicas de prevenção e cuidado adequadas, considerando as características identificadas. Descritores: Saúde Mental; Mulheres; Usuários de Drogas; Saúde da Mulher; Transtornos Relacionados ao Uso de Substâncias; Serviços de Saúde Mental.                                                                                                           ABSTRACT Objective: to characterize the population of women who underwent treatment at a Psychosocial Care Center for Alcohol and Other Drugs. Method: this is a quantitative, documentary, retrospective study, based on the consultation in medical records of a Psychosocial Alcohol and Drug II Care Center. A form created by the authors from the Google platform was used as a data collection tool. Data was analyzed using simple descriptive statistical analyzes from tables. Results: it was found that of the total of 140 medical records, the predominant profile was single women (46.4%), aged between 30 and 49 years (55%), with one child (27.1%), with incomplete elementary school (35.7%) and multiple drug use (41%), with use beginning before age 18 (46.4%). Conclusion: the need for a gender cut in issues related to drug use is reinforced, so that specific prevention and care strategies can be carried out, considering the identified characteristics. Descriptors: Mental Health; Women; Drug Users; Women's Health; Substance-Related Disorders; Mental Health Services.                                                                                                            RESUMEN Objetivo: caracterizar la población de mujeres que realizaron tratamiento en un Centro de Atención Psicosocial Alcohol y Otras Drogas. Método: se trata de un estudio cuantitativo, documental, retrospectivo, a partir de la consulta en registros de un Centro de Atención Psicosocial Alcohol y Drogas II. Se utilizó, como instrumento de recolección de datos, un formulario creado por las autoras desde la plataforma Google. Se analizaron los datos según análisis estadísticos descriptivos simples, a partir de tablas. Resultados: se verificó que, del total de 140 registros, el perfil predominante fue de mujeres solteras (46,4%), con edad entre 30 y 49 años (55%), con un hijo (27,1%), con enseñanza media incompleta (35,7%) y en uso de múltiples drogas (41%), siendo el inicio del uso antes de los 18 años (46,4%). Conclusión: se refuerza la necesidad de un recorte de género en las cuestiones relacionadas al uso de drogas, de forma que puedan ser realizadas estrategias específicas de prevención y cuidado adecuadas, considerando las características identificadas. Descritores: Salud Mental; Mujeres; Consumidores de Drogas; Trastornos Relacionados con Sustancias; Salud de la mujer; Servicios de Salud Mental.


2021 ◽  
Vol 74 (suppl 3) ◽  
Author(s):  
Aline Silvia Esteves Morais ◽  
Gisele Fernandes Tarma Cordeiro ◽  
Angela Aparecida Peters ◽  
Tatiana Marques dos Santos ◽  
Rosa Gomes dos Santos Ferreira ◽  
...  

ABSTRACT Objective: To analyze how the nursing team from a Psychosocial Care Center II relates its insertion in the service with the work process. Methods: Descriptive, analytical research outlined as a case study with a qualitative approach. The data were collected through semi-structured interviews with nursing professionals and went through content analysis subsidized by Bardin’s work. Results: Two thematic categories emerged: a) Ways of intake in the nursing services at the Psychosocial Care Center; b) Setbacks in nursing routine at the Psychosocial Care Center. Final considerations: The fact that the professionals have not planned to work in mental health nor have training impacts the rhythm of psychosocial care development at the Psychosocial Care Center, forcing them to seek training in the field after admission. Unmotivated by the working conditions, the nursing team suffers from the absence of an interdisciplinary partnership and goes to great lengths to approach psychosocial care.


2019 ◽  
Vol 9 (9) ◽  
pp. 73
Author(s):  
Marcos Hirata Soares ◽  
Adriano Luiz da Costa Farinasso ◽  
Fernanda Pâmela Machado ◽  
Layla Karina Ferrari Ramos ◽  
Cristiane De Souza Gonçalves

Background and objective: The need to measure treatment outcomes in mental health services from the perspective of users and family members has been highlighted in the literature as a fundamental aspect to improve the care provided. The objective of this study was to measure the treatment outcome provided by a Brazilian Psychosocial Care Center from the perspective of outpatients and their family members.Methods: A correlational study was performed with 84 outpatients and 40 family members, between 2015 and 2016, interviewing them using the Satisfaction (SATIS-BR), Perception of Change (PCS), Independent Living Skills (ILSS) and Family Burden (FBIS-BR) scales.Results: There was a high index of satisfaction with the mental health service, with a mean of 4.23 for the users interviewed and 4.36 for the family members. The perception of change presented a mean of 2.58 for the patients and 2.19 for the family members. The independent living ability presented a mean of 2.52.Conclusions: The high indices of satisfaction suggest successes, as well as points to be improved in the mental health policy implemented in the municipality. However, reintegration into the labor market was presented as an aspect with a need for investments through health and labor policies, since it was related to the subjective burden.


2009 ◽  
Vol 3 (3) ◽  
pp. 630
Author(s):  
Nadja Cristiane Lappann Botti ◽  
Vanessa Carvalho Araújo

ABSTRACTObjective: to analyze the understanding of nurses on care in the area of Mental Health and identify the association between bioethics and care in mental health. Methodology: qualitative research in the Psychosocial Care Center (CAPS III), located in the countryside of Minas Gerais state. Data were collected through interviews with four nurses from the CAPS III. The results were analyzed through the technique of the Discourse of the Collective Subject. The research project was approved of the Research Ethics Committee of the Catholic University of Minas Gerais (CAAE 0047.0.213.000-08). Results: the nurses’ role in mental health as it is hybrid and that requires different skills. Conclusion: there is the paradigm shift from the practice of nurses in mental health to still find itself in duality models of care to the sufferers of mental disorders. Descriptors: bioethics; mental health; nursing; mental health service.RESUMOObjetivos: analisar a compreensão do enfermeiro em relação a cuidado na área da Saúde Mental e identificar a associação entre Bioética e cuidado no campo da Saúde Mental. Metodologia: pesquisa qualitativa no Centro de Atenção Psicossocial (CAPS III) do interior de Minas Gerais. Os dados foram coletados através de entrevistas com quatro enfermeiros do CAPS III. Os resultados foram analisados pela técnica do Discurso do Sujeito Coletivo. O projeto de pesquisa foi aprovado pelo Comitê de Ética da Universidade Católica de Minas Gerais (CAAE 0047.0.213.000-08). Resultados: a atuação do enfermeiro no campo da Saúde Mental se revela como híbrida e diferenciada que exige capacitação. Conclusão: verifica-se transição paradigmática da prática dos enfermeiros no campo da Saúde Mental por ainda encontrar-se dualidade de modelos no cuidado ao portador de sofrimento mental. Descritores: bioética; saúde mental; enfermagem; serviço saúde mental.RESUMENObjetivo: analizar la comprensión de los enfermeros en la atención en el área de Salud Mental y determinar la asociación entre la bioética y los cuidados en salud mental. Metodología: se realizó una investigación cualitativa en el Centro de Atención Psicosocial (CAPS III), en el interior de Minas Gerais. Los datos fueron recolectados a través de entrevistas con cuatro enfermeras de los CAPS III. Los resultados fueron analizados por la técnica del Discurso del Sujeto Colectivo. El estudio fue aprobado por el Comité de Ética de la Universidad Católica de Minas Gerais (CAAE 0047.0.213.000-08). Resultados: el papel del personal de enfermería en salud mental, ya que es híbrido y que requiere de diferentes habilidades. Conclusión: Es el cambio de paradigma de la práctica de enfermería en salud mental para encontrar todavía en la dualidad de modelos de atención al portador de sufrimiento mental. Descriptores: bioética; salud mental; enfermería; servicio de salud mental.


2019 ◽  
Vol 13 ◽  
Author(s):  
Carolina Amaral Oliveira Rodrigues ◽  
Natália Hiany Fonseca Santos ◽  
Samara Frantheisca Almeida Barbosa ◽  
Diego Dias de Araújo ◽  
Ricardo Otávio Maia Gusmão ◽  
...  

Objetivo: caracterizar o perfil sociodemográfico e clínico dos pacientes atendidos em um Centro de Atenção Psicossocial. Método: trata-se de estudo quantitativo, transversal, descritivo e documental, com prontuários de usuários em um Centro de Atenção Psicossocial. Coletaram-se os dados em dezembro de 2017 e janeiro de 2018, organizando-os em um banco de dados do Programa SPSS, versão 20.0. Resultados: verificou-se, quanto ao perfil sociodemográfico, que a maioria dos usuários era do sexo feminino; solteira; com idade média de 36 anos; com Ensino Fundamental incompleto; não trabalhava; não tinha filhos; possuía cuidador/acompanhante. Observou-se, em relação ao perfil clínico, que a maioria esteve em tratamento semi-intensivo; teve alguma internação psiquiátrica; apresentou diagnóstico de esquizofrenia e depressão. Conclusão: considerou-se que conhecer o perfil desses usuários poderá auxiliar gestores e equipes de Saúde Mental no planejamento de políticas locais e de ações de saúde nos diversos níveis de atenção por possibilitar o fortalecimento das relações intersetoriais, visto que o cuidado em Saúde Mental deve ser de corresponsabilidade dos setores de Saúde, Assistência Social, Justiça e Educação. Descritores: Saúde Mental; Epidemiologia; Transtornos Mentais; Humanização da Assistência; Serviços de Saúde Mental; Psicanálise.AbstractObjective: to characterize the sociodemographic and clinical profile of patients treated at a Psychosocial Care Center. Method: this is a quantitative, cross-sectional, descriptive and documentary study, with medical records of users in a Psychosocial Care Center. Data was collected in December 2017 and January 2018 and organized into a database of the SPSS Program, version 20.0. Results: it was found, regarding the sociodemographic profile, that the majority of users were female; single; with average age of 36 years; with incomplete elementary school; didn't work; I had no children; had caregiver / companion. Regarding the clinical profile, most of them were in semi-intensive treatment; had any psychiatric hospitalization; presented diagnosis of schizophrenia and depression. Conclusion: it was considered that knowing the profile of these users can help managers and teams of Mental Health in the planning of local policies and health actions at various levels of care by enabling the strengthening of intersectoral relationships, since Mental Health care should be co-responsible for the Health, Social Welfare, Justice and Education sectors. Descriptors: Mental Health; Epidemiology; Mental Disorders; Humanization of Assistance; Mental Health Services; Psychoanalysis.ResumenObjetivo: caracterizar el perfil sociodemográfico y clínico de los pacientes tratados en un Centro de Atención Psicosocial. Método: este es un estudio cuantitativo, transversal, descriptivo y documental, con registros médicos de usuarios en un Centro de Atención Psicosocial. Los datos se recopilaron en diciembre de 2017 y enero de 2018, y se organizaron en una base de datos del Programa SPSS, versión 20.0. Resultados: se encontró en cuanto al perfil sociodemográfico, que la mayoría de los usuarios eran mujeres; solteros; con edad promedio de 36 años; con escuela primaria incompleta; no funcionó; no tenía hijos; tenía cuidador / acompañante. En cuanto al perfil clínico, la mayoría estuvo bajo tratamiento semi-intensivo; tuvo alguna hospitalización psiquiátrica; presentó diagnóstico de esquizofrenia y depresión. Conclusión: se consideró que conocer el perfil de estos usuarios puede ayudar a los gerentes y equipos de Salud Mental en la planificación de políticas locales y acciones de salud en los diversos niveles de atención al permitir el fortalecimiento de las relaciones intersectoriales, ya que la atención de Salud Mental debería ser corresponsable de los sectores de salud; asistencia social; justicia y educación. Descriptores: Salud Mental; Epidemiología Trastornos Mentales; Humanización de la Atención; Servicios de Salud Mental; Psicoanálisis.


2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Dionasson Altivo Marques ◽  
Marcelo da Silva Alves ◽  
Fábio da Costa Carbogim ◽  
Divane de Vargas ◽  
Graziela Lonardoni de Paula ◽  
...  

ABSTRACT Objective: To understand the perception of a multiprofessional team regarding the use of music in a therapeutic workshop developed by nurses. Method: Qualitative study, of the exploratory type. Data were collected through semi-structured interviews, with the participation of 13 professionals from a Psychosocial Care Center in a municipality of Minas Gerais’ Zona da Mata, and analyzed according to Michel Maffesoli’s comprehensive sociology approach. Results: The testimonies revealed that the use of music in the nurse’s activities in mental health represents a re-signification of nursing care and favors the user’s subjectivity. Final considerations: This study allowed us to show that nurses need to listen to the music that comes from the heart, from the soul, and to the truths that are not always stated in the scenarios of therapeutic practices with individuals going through psychic suffering. Therefore, the care offered should be centered on the human history, which wants to be unveiled and understood.


2018 ◽  
Vol 28 (0) ◽  
Author(s):  
Gabriela Martins Silva ◽  
Ottar Ness ◽  
Carla Guanaes-Lorenzi

Abstract In Brazilian context, literature points to Continuing Education in Health (CEH) policy as a means to actualize the Psychiatric Reform. Although it is also a challenge considering its proposal of close connectedness with each context in which it occurs. This study aimed to understand how mental health professionals learn together in CEH-processes, identifying and understanding conversational transformations that occurred in the interactional process. An educational process inspired by the CEH policy was then carried out with a group of eight professionals from a Psychosocial Care Center. This process was analyzed from the notion of critical moments, with a social constructionist stance. In doing so, the critical moment “Sharing the Feeling of Standstill” was delimited considering its effects on the conversational process. With this, it is argued that, even in conversations that seem saturated by problems, it is possible to identify generative moments, as a relational achievement, through dialogue.


2014 ◽  
Vol 23 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Leandro Barbosa de Pinho ◽  
Luciane Prado Kantorski ◽  
Agnes Olschowsky ◽  
Jacó Fernando Schneider ◽  
Annie Jeanninne Bisso Lacchini

This study proposes to analyze the discourse of workers in a Psychosocial Care Center regarding the operation of the ideologies which express the dimension of social practices incorporated at this service. This was a qualitative research, and the corpus was originated by transcription of semi-structured interviews, applied to 17 out of the 25 workers of a substitute service in a city in southern Brazil. The theoretical-methodological analysis of the operation of ideologies by John Thompson was used. The discourse analysis of the workers' practice shows a plurality of ideological manifestations, so that they reserve the changing practices with innovative and creative features such as the maintenance of obsolete models, hindering or even preventing these changes. In conclusion, these issues should be worked continuously in everyday services, being a major challenge to the consolidation of the psychiatric reform in Brazil.


Rev Rene ◽  
2018 ◽  
Vol 18 (6) ◽  
pp. 763
Author(s):  
Fabíola Lisboa da Silveira Fortes ◽  
Maria Angélica De Almeida Peres ◽  
Tânia Cristina Franco Santos ◽  
Gizele Da Conceição Soares Martins ◽  
Hercília Regina do Amaral Montenegro ◽  
...  

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