scholarly journals Peripheral oxygen measurements in suspected elderly COVID-19 patients can be an effective tool for alerting physicians

2021 ◽  
Author(s):  
Carmino A De Souza ◽  
Eliana C M Miranda ◽  
Deise Hadich ◽  
Monica Nunes ◽  
Debora Masetto ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Pulse Oximeter ◽  
Shortness Of Breath ◽  
Health Unit ◽  
Alert System ◽  
Paulo State ◽  
Primary Health ◽  
South West ◽  
Oxygen Measurements ◽  
Monitoring Report

Abstract Since December 2019 the world has been facing a newly identified coronavirus named SarsCov-2 which is the causative agent of COVID-19 that produces different symptoms. One of these symptoms is asymptomatic hypoxia, particularly in elderly patients. Despite the absence of signs of respiratory distress, many patients evolve to respiratory failure. The cause of this asymptomatic hypoxia remains unclear; therefore our goal was to evaluate the utility of peripheral oxygen measurements using oximetry in elderly patients with suspected COVID-19 and with no apparent signs of shortness of breath, during 10 consecutive days. Every elderly patient with suspected COVID-19 who sought medical care at one of the 12 Primary Health Unit (PHU) in the South-West area of Campinas, Sao Paulo State was enrolled in the 10-days monitoring report. Each patient had the levels of oxygen saturation (SpO2) monitored by pulse oximeter from the fifth to the tenth days after the onset of symptoms and, when possible, twice a day; 1297 patients (pts) were followed during the period from August 2020 to February 2021. A total of 9023 measurements were carried out using a SpO2 pulse oximeter. 163 (12.5%) cases were referred to the Emergency Room and 37 (3%) had to be hospitalized. The highest frequencies of symptoms occurred during the 6th and 8th day and included cough (16.8%), fatigue (12.8%), headache (9.7%), loss of taste and/or smell (6.8%). Among the patients who were hospitalized, 13 died (1%). The asymptomatic hypoxia remains unclear; however, the measurement of SpO2 levels appears to be a cheap and effective tool to be used as an alert system for further evaluation.

scholarly journals Sociodemographic profile and health condition of elderly patients attended at a community primary health center

2016 ◽  
Vol 7 (3) ◽  
pp. 93-98 ◽  
Author(s):  
Fernanda Borges Carlucio da Silva ◽  
Rosangela Filipini ◽  
Ana Paula Guarnieri ◽  
Nathalia Grangeiro Vieira ◽  
Andrea Bonvini ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Health Center ◽  
Health Condition ◽  
Primary Health Center ◽  
Primary Health ◽  
Sociodemographic Profile

scholarly journals Integralidade da assistência na visita domiciliar: relato de experiência

2020 ◽  
Vol 10 (32) ◽  
pp. 324-331
Author(s):  
Anna Rebeka Oliveira Ferreira ◽  
Wanderson Rocha Oliveira ◽  
Brenda Melissa Barros Mota dos Santos ◽  
Claudia Regina Marchiori Antunes Araújo
Keyword(s):  
Nursing Care ◽  
Home Visit ◽  
Nursing Process ◽  
Health Unit ◽  
Unified Health System ◽  
Primary Health ◽  
History Of ◽  
Nursing Diagnoses ◽  
Care Nursing

Este relato possui como objetivo realizar a elaboração e aplicação de um instrumento para concretização do Processo de Enfermagem durante as visitas domiciliares. O relato foi realizado em uma Unidade Básica de Saúde de Maringá. Primeiramente foi realizado um aprofundamento teórico e observação da realidade para a construção de roteiros com histórico de enfermagem, diagnósticos e intervenções de acordo com a Classificação Internacional de Práticas em Saúde Coletiva (CIPESC), articulada à Sistematização da Assistência de Enfermagem específica para cada fase do ciclo da vida, para posterior aplicação e avaliação. O instrumento possibilitou a efetivação do princípio da integralidade do Sistema Único de Saúde por parte dos discentes e enfermeiros, o que facilitou a identificação das necessidades do paciente e família de uma forma holística, e contribuiu para uma maior autonomia do enfermeiro durante o processo do cuidar.Descritores: Visita Domiciliar, Educação em Saúde, Atenção Primaria a Saúde, Processo de Enfermagem. Integrality of assistance in home visit: experience reportAbstract: This report aims to carry out the elaboration and application of an instrument for  implementation of the Nursing Process during home visits. This report was carried out in a Basic Health Unit at Maringá. First of all, we carried out a theoretical deepening and observation of reality, for the construction of scripts with a history of nursing, diagnoses and interventions according to the International Classification of Public Health Practices (CIPESC) linked to the Systematization of Nursing Care specific to each phase of the life cycle, and later, application and evaluation. The instrument enabled the implementation of the principle of integrality of the Unified Health System by students and nurses, making easier the identification of the needs of patient and family in a holistic way and adding to the greater autonomy of nurses during the care process.Descriptors: Home Visit, Health Education, Primary Health Care, Nursing Process. Integralidad de la asistencia durante las visitas domiciliares: informe de experienciaResumen: Este informe tiene como objetivo llevar a cabo la elaboración y aplicación de un instrumento para implementación del Proceso de Enfermería durante las visitas domiciliarias. Este informe se realizó en una Unidad Básica de Salud en Maringá, en primer realizamos una profundización teórica y observación de la realidad, para la construcción de guiones con antecedentes de enfermería, diagnósticos e intervenciones según la Clasificación Internacional de Prácticas en Salud Colectiva (CIPESC), vinculado a la Sistematización de la Asistencia de Enfermería, específica para cada fase del ciclo de vida, para su posterior aplicación y evaluación. El instrumento permitió la aplicación del principio de integración del Sistema Único de Salud por parte de estudiantes y enfermeros, facilitando la identificación de las necesidades del paciente y la familia de manera integral y contribuyendo a una mayor autonomía de las enfermeras durante el proceso de atención.Descriptores: Visita Domiciliaria, Educación Sanitária, Atención Primaria de Salud, Proceso de Enfermería.

scholarly journals Use of contraceptive methods by users of a basic health unit/Uso de métodos contraceptivos por usuárias de uma unidade básica de saúde/El uso de métodos anticonceptivos por los usuarios de una unidad básica de salud

2015 ◽  
Vol 4 (1) ◽  
pp. 11 ◽  
Author(s):  
Patrícia Viana Carvalhêdo Lima ◽  
Raiana Dantas Leopoldino Rocha ◽  
Inez Sampaio Nery ◽  
Jeferson Costa Pereira Silva
Keyword(s):  
Health Unit ◽  
Women Of Childbearing Age ◽  
Contraceptive Methods ◽  
Childbearing Age ◽  
Primary Care Unit ◽  
Primary Health ◽  
Lack Of Information ◽  
Health Nursing ◽  
Age Range ◽  
Structured Questionnaire

Objective: to analyze the contraceptive methods used by women of childbearing age in a primary care unit. Method: a descriptive study with a quantitative approach. It was held in a Primary Health Teresina-PI/Brazil. Involved a sample of 100 women aged between 10 and 49 years. We applied a semi-structured questionnaire and data were analyzed with the aid of Excel 2010. Approved by the Ethics and Research UFPI with CAAE No. 0181.0.045.000-11. Results: predominant age range of 20 to 29 years, 44% have completed high school, the majority (43%) are married, all participants knew the usefulness of contraceptive methods, as the most used contraceptive methods stand out condoms (82 %) and oral (73%). Conclusion: the majority of respondents holds knowledge about contraceptive methods, but there is a lack of information, such as the correct use and usefulness. Descriptors: Women's health. Nursing. Contraceptives. 

scholarly journals VIVENCIANDO O CLIMATÉRIO: PERCEPÇÕES E VIVÊNCIAS DE MULHERES ATENDIDAS NA ATENÇÃO BÁSICA

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Tereza Maria Mageroska Vieira ◽  
Cristiane Richter De Araujo ◽  
Elvira Carvalho da Silva De Souza ◽  
Maria Antonia Ramos Costa ◽  
Élen Ferraz Teston ◽  
...  
Keyword(s):  
Hormone Replacement ◽  
Signs And Symptoms ◽  
Qualitative Approach ◽  
Semistructured Interview ◽  
Health Unit ◽  
Calidad De Vida ◽  
Primary Health ◽  
Las Mujeres ◽  
Experiences Of Women

Objetivo: apreender as percepções de mulheres que vivenciam o climatério. Metodologia: estudo descritivo exploratório com abordagem qualitativa, realizado na Unidade Básica de Saúde de um município do Noroeste do Paraná. Os dados foram coletados por meio de entrevista semiestruturada junto a 16 mulheres em dezembro de 2016 e submetidos a análise de conteúdo, modalidade temática. Resultados: as percepções das mulheres que vivenciam o climatério resultou em duas categorias: Vivenciando o climatério e a menopausa: sinais e sintomas; e Tratamento utilizado no climatério. Observou-se a influência direta dos sinais e sintomas na qualidade de vida dessas mulheres e muitas vezes a não procura por reposição hormonal devido ao desconhecimento. Conclusão: o acolhimento e atendimento integral à mulher deve fazer parte da rotina de cuidado dos profissionais, em especial da Atenção Básica, oportunizando o conhecimento das necessidades particulares e o planejamento de ações de cuidado.Descritores: Saúde da mulher, Climatério, Atenção Primária à Saúde.LIVING THE CLIMATE: PERCEPTIONS AND EXPERIENCES OF WOMEN SERVED IN BASIC ATTENTIONObjectives: to apprehend the perceptions of women who experience the climacteric. Methodology: descriptive exploratory study with a qualitative approach, carried out at the Basic Health Unit of a municipality in the Northwest of Paraná. Data were collected through a semistructured interview with 16 women in December 2016 and submitted to content analysis, thematic modality. Results: the perceptions of women experiencing climacteric resulted in two categories: experiencing climacteric and menopause: signs and symptoms; and Treatment used in climacteric. It was observed the direct influence of signs and symptoms on the quality of life of these women and often the search for hormone replacement due to ignorance. Conclusion: the reception and integral care of the woman should be part of the routine of care of the professionals, especially of the Basic Attention, providing the knowledge of the particular needs and the planning of care actions.Descriptores: Women’s Health, Climacteric, Primary Health Care.EXPERIMENTANDO EL CLIMATERIO: PERCEPCIONES Y VIVENCIAS MUJERES RESPONDIERON EN ATENCIÓN PRIMARIAObjetivo: aprehender las percepciones de mujeres que experimentan el climaterio. Metodología: estudio descriptivo exploratorio con abordaje cualitativo, realizado en la Unidad Básica de Salud de un municipio del Noroeste de Paraná. Los datos fueron recolectados por medio de una entrevista semiestructurada junto a 16 mujeres en diciembre de 2016 y sometidos a análisis de contenido, modalidad temática. Resultados: las percepciones de las mujeres que experimentan el climaterio resultaron en dos categorías: Vivenciando el climaterio y la menopausia: signos y síntomas; y Tratamiento utilizado en el climaterio. Se observó la influencia directa de los signos y síntomas en la calidad de vida de esas mujeres y muchas veces la no busca por reposición hormonal debido al desconocimiento. Conclusión: la acogida y atención integral a la mujer debe formar parte de la rutina de cuidado de los profesionales, en especial de la Atención Básica, oportunizando el conocimiento de las necesidades particulares y la planificación de acciones de cuidado.Descriptores: Salud de la mujer, Climaterio, Atención primaria de salud.

Effects of Pharmaceutical Pictograms on Medication Adherence in Elderly Patients with Chronic Diseases at Primary Health Care Center in Hat Yai, Songkhla

2021 ◽  
Vol 104 (3) ◽  
pp. 482-488
Keyword(s):  
Medication Adherence ◽  
Elderly Patients ◽  
Chronic Diseases ◽  
Care Center ◽  
The Elderly ◽  
Control Group ◽  
Health Care Center ◽  
Primary Health ◽  
Pill Counts ◽  
Experimental Group

Objective: To compare drug adherence with or without pharmaceutical pictograms in the elderly with chronic diseases. Materials and Methods: The present study was a randomized controlled trial conducted between April 2019 and June 2019 at a primary health care center in Hat Yai, Songkhla, Thailand. The elderly patients with chronic diseases were randomly allocated to the experimental group (n=25) and the control group (n=25). The experimental group received pictogram labels, text labels, and verbal information on the consumption of medications from the pharmacist. The control group received text labels and verbal information from the pharmacist. Both groups received follow-up home visits two weeks later. Results: The present study results showed that medication adherence using pill counts in the experimental group was significantly higher than in the control group. The median medication adherence scores from pill counts was (interquartile range, IQR) 100 (100, 100) versus 95.56 (90.25, 100), respectively, p=0.011. The medication adherence with the medication taking behavior measure for Thai patients (MTB-Thai) significantly increased in the experimental group (100.0%) compared with the control group (45.8%) (p=0.0002). Conclusion: The present study showed that medication adherence is greatly improved when the medication instruction is supplemented with pictograms. Therefore, medication should include pictograms on labels to better convey medical instructions to elderly patients with chronic diseases. Keywords: Pharmaceutical pictograms, Medication adherence, Chronic disease, Elderly patients

scholarly journals Influence of multiprofessional work on the production of care and access to primary health care

Revista CEFAC ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 342-352 ◽  
Author(s):  
Erica Lima Costa de Menezes ◽  
Magda Duarte dos Anjos Scherer ◽  
Flávia Regina Souza Ramos
Keyword(s):  
Health Workers ◽  
Family Health ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
Health Unit ◽  
Work Process ◽  
Access Methods ◽  
Primary Health ◽  
The Individual ◽  
The Relationship

ABSTRACT Objective: to analyze how the work of four family health teams, in Brazilian Midwest and South regions, influences the capacity of the services in guaranteeing access. Methods: this is a descriptive study with a qualitative approach. Results: the results were systematized in nine elements, namely: (I) formation/ Knowledge of standards; (II) experience; (III) affinity of professionals with a particular theme, grievance or group of people; (IV) professional satisfaction; (V) workload; (VI) management and organization of the work process (VII) teamwork; (VIII) actions carried out with the participation of the community and; (IX) respect for the autonomy of people and different knowledge and cultures. Conclusion: the identified elements related to the individual issues, the organization of the service and the relationship and participation of the community in the actions of the health unit should be considered both in the training of new health workers and in the formulation of public policies.

scholarly journals Prevalence of L. monocytogenes in environmental samples collected in dairy plants of Sassari Province, Italy

2015 ◽  
Vol 4 (3) ◽  
Author(s):  
Giovanni Terrosu ◽  
Antonio Fadda ◽  
Giorgio Frongia ◽  
Antonietta Sanna ◽  
Rita Melillo
Keyword(s):  
Veterinary Medicine ◽  
Environmental Samples ◽  
Food Production ◽  
Competent Authority ◽  
Local Health ◽  
Health Unit ◽  
Production Environment ◽  
Alert System ◽  
Local Health Unit ◽  
Rapid Alert System

<em>Listeria</em> (<em>L.</em>) <em>monocytogenes</em> is frequently isolated from food production environment and often persists in dairy plants despite vigorous sanitation regimes. In recent years several alert notifications were sent to <em>Rapid Alert System for Food Products</em> system as a consequence of <em>Listeria monocytogenes</em> contamination of ricotta cheese. After the alert of 2012, competent authority (Local Health Unit of Sassari Province) organised an environmental monitoring plan with the partnership of the Institute for Experimental Veterinary Medicine of Sardinia to verify analysis of dairy plants own-check according to Regulation (EC) N° 2073/05 and further modifications. In 2014 n. 665 processing areas samples of n. 50 dairy plants of Sassari Province were examined. UNI EN ISO 11290-1:2005 for detection of <em>L. monocytogenes</em> was used. Non-compliance in n. 5 diary plants are observed (n. 8 positive samples). Post-non-compliance environmental sanitisation was efficient and own-check plans included appropriate corrective actions.

GP and community nurse co-location in a disadvantaged community

2011 ◽  
Vol 17 (4) ◽  
pp. 300 ◽  
Author(s):  
Vanessa K. Rose ◽  
Elizabeth Harris ◽  
Elizabeth Comino ◽  
Teresa Anderson ◽  
Mark F. Harris
Keyword(s):  
Psychosocial Health ◽  
Psychosocial Issues ◽  
Socioeconomically Disadvantaged ◽  
Community Nurse ◽  
Disadvantaged Community ◽  
High Burden ◽  
Disadvantaged Communities ◽  
Primary Health ◽  
South West ◽  
Sydney Australia

People living in socioeconomically disadvantaged communities have a high burden of disease but often receive ‘inverse care’. We explored a model of general practitioner and community nurse co-location in a disadvantaged community in south-west Sydney, Australia. Co-location resulted in increased referrals from doctors to the community nurse, including an increase in referrals related to psychosocial issues. This small study suggests integrated primary health care might have an impact on specialised state-based psychosocial health services.

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