scholarly journals Speech therapy and tracheostomy rehabilitation in COVID 19: five preliminary case reports

2021 ◽  
Author(s):  
Telma Dias dos Santos ◽  
Fernanda Maria Latorre Gomes ◽  
Dafne Calsoni Gomes ◽  
Lais Yassue Taquemori ◽  
Andréia Tonelotto
Keyword(s):  
Speech Therapy ◽  
Private Hospital ◽  
Case Reports ◽  
Length Of Hospital Stay ◽  
Descriptive Study ◽  
Orotracheal Intubation ◽  
Complex Issue ◽  
Current Scenario ◽  
Open Surgical Tracheostomy ◽  
The City

Abstract Studies addressing the hospitalization of patients affected by COVID-19 have reported that length of hospital stay in intensive care unit varies between 12 and 22 days. Part of these patients require orotracheal intubation (OTI) and, in cases where OTI is prolonged and/or with complications, they consequently end up undergoing open surgical tracheostomy (OST). In most hospitals, a multidisciplinary team composed of physicians, nurses, physiotherapists and speech-language therapists is responsible for this process, which allows early removal of the tracheal cannula, making it safer for patients, with reduced risk of failure and complications. Although safety recommendations and procedures support the most diverse protocols of weaning from mechanical ventilation and tracheostomy, there is no universally accepted protocol for this transition. This is a complex issue that is necessary in the current scenario, because studies establishing weaning and decannulation criteria in patients with COVID-19 are urgent at this moment. Purpose: To describe the process of weaning from the tracheostomy in COVID-19 patients. Methods: This is a descriptive study presenting a series of case reports. It describes the decannulation process in five tracheostomized patients with COVID-19 (3 men and 2 women) aged 41 and 74 years who agreed to participate in the study and remained hospitalized in a private hospital in the city of XXXX. Results: The decannulation process of the five COVID-19 patients lasted up to 10 days (mean duration of 6.4 days).

scholarly journals The attitudes of nurses from an intensive care unit in the face of errors: an approach in light of bioethics

2010 ◽  
Vol 18 (3) ◽  
pp. 324-330 ◽  
Author(s):  
Rita de Cássia Pires Coli ◽  
Marcio Fabri dos Anjos ◽  
Luciane Lucio Pereira
Keyword(s):  
Intensive Care Unit ◽  
Content Analysis ◽  
Intensive Care ◽  
Private Hospital ◽  
Nursing Practice ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
The Face ◽  
The City ◽  
Taking Responsibility

This study analyzed the attitudes of nurses concerning the occurrence of errors in nursing procedures carried out in an Intensive Care Unit (ICU) based on the bioethics framework. This descriptive study with qualitative approach was carried out with 14 nurses from a private hospital in the city of São Paulo, Brazil. Results were analyzed according to Bardin’s proposal of content analysis. The resulting themes were: acknowledging one’s fallibility; acknowledging and reporting errors; hiding errors. The nurses’ reports are based on considerations through the lens of bioethics: taking responsibility for an error implies acknowledging one’s own vulnerabilities; acknowledging an error with responsibility implies ethical conditions in the relationships among those involved; and errors are in the context of a particular environment. This study enables re-thinking nursing practice based on bioethics, resorting to the analysis of errors focusing on the relationships between those involved.

Habilidades do Enfermeiro no Diagnóstico e Cuidado ao Portador de Depressão / Nursing Skills in Diagnosis and Care For Patients With Depression

1970 ◽  
Vol 5 (4) ◽  
pp. 13-19
Author(s):  
Cristiane Rosa Guedes ◽  
Bianca Del Ducca Alvarenga ◽  
Isabella Rotella ◽  
Débora Vitória Alexandrina Lisboa Vilella
Keyword(s):  
Data Collection ◽  
Family Involvement ◽  
Nursing Care ◽  
Direct Contact ◽  
Descriptive Study ◽  
Structured Interview ◽  
Qualitative Approach ◽  
Patient Relationship ◽  
The Subject ◽  
The City

RESUMOObjetivo: Identificar o significado para o enfermeiro em prestar cuidados para pacientes com Depressão.  Materiais e métodos: Estudo exploratório e descritivo com abordagem qualitativa, a amostra foi de 12 enfermeiras, o cenário de estudo foram Unidades Básicas de Saúde e Estratégias de Saúde da Família, urbanas da cidade de Itajubá-MG. A coleta de dados foi por meio do roteiro de entrevista semiestruturada composta por questionário contendo uma pergunta inerente ao assunto. Resultados: Encontramos oito categorias como estigma da depressão, suicídio, dificuldade em lidar, tempo escasso, envolvimento familiar, aceitação da doença, acolhimento e dar medicamento, de acordo com os discursos dos sujeitos coletados na entrevista. Conclusão: Os enfermeiros não estão em contato direto com portadores de depressão no seu trabalho, não entendem que é sua tarefa identificar e encaminha-los para tratamento especializado. Sugerimos que outros estudos sejam desenvolvidos sobre essa temática.Palavras-chave: Depressão. Relação Enfermeiro-Paciente. Assistência de Enfermagem. ABSTRACTObjective: To identify the meaning for nurses when providing care for patients with depression. Materials and Methods: exploratory and descriptive study with qualitative approach, the sample consisted of 12 nurses, the study scenario was the urban Unidades Básicas de Saúde e Estrategia de Saúde da Família, in the city of Itajubá. Data collection was done through semi-structured interview guides consisting of a questionnaire containing a question related to the subject. Results and Discussion: we found eight categories as stigma of depression, suicide, coping difficulties, scarce time, family involvement, acceptance of the disease, host and give medicine, according to the speeches of the subjects collected in the interview. Conclusion: nurses are not in direct contact with individuals with depression in their work, do not understand that it is their job to identify and refer them to specialized treatment. We suggest that other studies be developed on this theme.Keywords: Depression, Nurse-patient Relationship, Nursing care.

scholarly journals Billing of nursing procedures at an intensive care unit

2011 ◽  
Vol 19 (3) ◽  
pp. 573-580 ◽  
Author(s):  
Raquel Silva Bicalho Zunta ◽  
Valéria Castilho
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Private Hospital ◽  
Quantitative Approach ◽  
Essential Information ◽  
Nursing Managers ◽  
Important Argument ◽  
The City ◽  
Hospital Revenues ◽  
Safe Care

This study aimed to: estimate the billing of nursing procedures at an intensive care unit and calculate how much of total ICU revenues are generated by nursing. An exploratory-descriptive, documentary research with a quantitative approach was carried out. The study was performed at a general ICU of a private hospital in the city of Sao Paulo. The sample consisted of 159 patients. It was concluded that the nursing procedures were responsible for 15.1% of total ICU revenues, which breaks down to an average 11.3% of revenues coming from nursing prescriptions and 3.8% from medical prescriptions. Demonstrating how much nursing contributes to hospital revenues is essential information for nursing managers, as it is an important argument to obtain resources and guarantee safe care.

scholarly journals Video-assisted thoracoscopic extended thymectomy in myasthenic children

2013 ◽  
Vol 5 (1) ◽  
pp. 4 ◽  
Author(s):  
Rita Sonzogni ◽  
Lorenzo Novellino ◽  
Alberto Benigni ◽  
Ilaria Busi ◽  
Magda Khotcholava ◽  
...  
Keyword(s):  
Case Reports ◽  
Preoperative Evaluation ◽  
Surgical Techniques ◽  
Length Of Hospital Stay ◽  
Ventilator Weaning ◽  
New Drugs ◽  
Extended Thymectomy ◽  
Myasthenic Patient ◽  
Surgical Department ◽  
Video Assisted

Myasthenia gravis (MG) is an autoimmune disease marked by weakness of voluntary musculature. Medical and surgical therapy of adult myasthenia is well documented. There is little pediatric surgical evidence, only a few case reports being available. The aim of this paper is to verify whether the surgical and anesthesiological techniques can warrant an early and safe discharge from the operating room. The secondary aim is to assess the presence of perioperative indicators that can eventually be used as predictors of postoperative care. During the years 2006-2009, 10 pediatric patients were treated according to a surgical approach based on video assisted thoracoscopic extended thymectomy (VATET). Standard preoperative evaluation is integrated with functional respiratory tests. Anesthetic induction was made with propofol and fentanyl/remifentanyl and maintenance was obtained with sevoflurane/desflurane/propofol ± remifentanyl. A muscle relaxant was used in only one patient. Right or left double-lumen bronchial tube (Ruesch Bronchopart® Carlens) placement was performed. Six patients were transferred directly to the surgical ward while 4 were discharged to the intensive care unit (ICU); ICU stay was no longer than 24 h. Length of hospital stay was 4.4±0.51 days. No patient was readmitted to the hospital and no surgical complications were reported. Volatile and intravenous anesthetics do not affect ventilator weaning, extubation or the postoperative course. Paralyzing agents are not totally contraindicated, especially if short-lasting agents are used with neuromuscular monitoring devices and new reversal drugs. Perioperative evaluation of the myasthenic patient is mandatory to assess the need for postoperative respiratory support and also predict timely extubation with early transfer to the surgical department. Availability of new drugs and of reversal drugs, the current practice of mini-invasive surgical techniques, and the availability of post anesthesia care units are the keys to the safety and successful prognosis of patients affected by MG who undergo thymectomy.

scholarly journals Rejuvenation of City Gateway as the Identity of Medan

2020 ◽  
Vol 4 (2) ◽  
pp. 210-216
Author(s):  
Dwi Lindarto Hadinugroho ◽  
Eunice Ananda Putri Matondang
Keyword(s):  
Significant Role ◽  
Descriptive Study ◽  
City Image ◽  
City Area ◽  
City Gates ◽  
Qualitative Descriptive ◽  
Pass Through ◽  
The City

As a developing city, Medan carries out a significant role in establishing the identity and image of the city and the development of the surrounding cities and districts. One effort to establish the identity and image of the city can be created through the existence of city gates that can produce a plot, rhythm, and balance for the city bounded. The gate of Medan City has not succeeded in becoming a city gate that meets the needs needed by migrants who pass through the city gate area. This study will address the problems discovered at the Medan City gate in Binjai, Tanjung Morawa, Tembung, and Pancur Batu and relate them to the rejuvenation of the city area through revitalization methods in supporting Metropolitan Mebidangro. The research aims to analyze predetermined variables, namely elements of the city image, namely path, edge, district, nodes, and landmark. For this reason, a qualitative descriptive study was carried out, which was realized through observation and interviews and also documentation studies. The results of the research obtained from this study can be used as a reference and solution to find out the problems that exist int the area around Medan City gate and also give functional supports to develop the area around Medan City.

scholarly journals Fenomena Kesurupan Dalam Persepsi Psikolog Dan Peruqyah

2019 ◽  
Vol 6 (2) ◽  
pp. 108
Author(s):  
Syarifah Irkani
Keyword(s):  
Data Collection ◽  
Psychological Theory ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
The Body ◽  
Psychological Problems ◽  
Islamic Studies ◽  
The Difference ◽  
The City ◽  
Scientific Competencies

This study aims to compare the perceptions of psychologists and who do people ruqyah to trans possession phenomena. This research is a comparative descriptive study using a qualitative approach. The subjects of this study amounted to 6 people consisting of 3 people who work as psychologists and 3 people who work as who do people ruqyah in the Pondok Sehat Al-Wahida. Data collection techniques used are interviews, observation, and documentation. Analysis of the data used with descriptive-comparative methods.Based on the results of the research can be concluded that there are differences and similarities of perceptions of psychologists and people who do ruqyah in viewing at the trance phenomenon in the city of Banjarmasin. The difference between the perception of psychologists and people who do ruqyah in viewing the phenomenon of trance is that psychologists view the phenomenon of possession using psychological theory, while peruqyah views the phenomenon of possession using Islamic studies so that treatment given by psychologists and people who do ruqyah has this difference in accordance with their scientific competencies. As for the similarities between the perception of psychologists and people who the ruqyah in viewing at  the phenomenon of possession can be caused by psychological problems but they also believe in Islamic studies can be caused by a genie that penetrates the body,

scholarly journals Peran Guru Dalam Membangun Karakter Wirausaha pada Mata Pelajaran Ekonomi Di Kota Padang

2019 ◽  
Vol 9 (2) ◽  
pp. 145
Author(s):  
Sri Arita ◽  
Susi Evanita ◽  
Rita Syofyan
Keyword(s):  
Locus Of Control ◽  
Social Relationships ◽  
Social Relations ◽  
Descriptive Study ◽  
Young Generation ◽  
Teacher’S Role ◽  
Teacher's Role ◽  
The City

The purpose of this study was to determine the teacher's role in make entrepreneurial character in Economics. Entrepreneurial character is something that must be developed in education. The young generation is expected to create broad jobs in the community. The formation of these characters can be done in learning through several values or indicators and adopted into economic subjects. The indicator is the locus of control, willing to bear the risk, creativity and the ability to build good social relationships. This research is a descriptive study involving MGMP of Economic Subjects in Padang City, based on the results of MGMP teacher studies the city of Padang has developed entrepreneurial character in economic subjects, but still needs to be improved in several indicators, such as creativity and building good social relations.

scholarly journals PubMed-indexed neurosurgical research productivity of Iraq-based neurosurgeons

2021 ◽  
Vol 12 ◽  
pp. 223
Author(s):  
Samer S. Hoz ◽  
Zahraa F. Al-Sharshahi ◽  
Ignatius N. Esene ◽  
Ali A. Dolachee ◽  
Ali M. Neamah ◽  
...  
Keyword(s):  
Research Output ◽  
Case Reports ◽  
Current Status ◽  
Academic Productivity ◽  
Central Component ◽  
Article Type ◽  
Number Of Publications ◽  
Vascular Neurosurgery ◽  
Article Citation ◽  
The City

Background: Research is a central component of neurosurgical training and practice and is increasingly viewed as a quintessential indicator of academic productivity. In this study, we focus on identifying the current status and challenges of neurosurgical research in Iraq. Methods: An online PubMed Medline database search was conducted to identify all articles published by Iraq-based neurosurgeons between 2003 and 2020. Information was extracted in relation to the following parameters: authors, year of publication, author’s affiliation, author’s specialty, article type, article citation, journal name, journal impact factor, and topic. This data were then tabulated and analyzed. Results: Between 2003 and 2021, a total of 52 PubMed indexed papers were published from Iraq. All publications have been clustered in the period of 2012–2020. From 2012 to 2016, only four papers were published, one per year. The number of publications increased from 2017 to 2021, with an average of 12 publications per year. The most common article type was “case reports” (n = 14). Neurotrauma (n = 10) and vascular neurosurgery (n = 10) were the two most common topics. Most of the studies came from the city of Bagdad (n = 46), with just nine studies coming from peripheral governorates. The Neurosurgery Teaching Hospital in Bagdad was the neurosurgery center with the highest research output (n = 38). Conclusion: The number of publications per year has been showing a, relatively, promising trend since 2012. However, to promote sustained growth in academic productivity, a strategic plan that acknowledges the political, financial, and health-system-related challenges are urgently needed.

scholarly journals PERSEPSI TERHADAP WISATA HALAL DI KOTA PADANG

2019 ◽  
Vol 4 (2) ◽  
pp. 117
Author(s):  
SRI MARYATI
Keyword(s):  
Descriptive Study ◽  
Development Strategies ◽  
Tourism Industry ◽  
Survey Method ◽  
Comprehensive Understanding ◽  
Tourist Attractions ◽  
National Priority ◽  
The City ◽  
Islamic Values

Halal tourism is tourism that puts forward the values and norms of Islamic Sharia as a basic foundation. As a new concept in the tourism industry, halal tourism requires efforts and development strategies as well as a comprehensive understanding of how to accommodate Islamic values in tourism activities. This study aims to see how the perception of tourist visitors in the city of Padang, one of the National Priority Halal destinations. This research is a descriptive study with a survey method conducted on 100 respondents chosen randomly in Padang destinations and tourist attractions. The halal tourism dimension is adapted from indicators applied by the Global Muslim Travel Index (GMTI)

Sign in / Sign up

Export Citation Format

Share Document