scholarly journals Processo de enfermagem: acolhimento com classificação de risco a gestante

Author(s):  
Bruna Mazon e Souza ◽  
Ivanilde Marques da Silva Rocha ◽  
Anderson Luiz da Silva Lima

O Acolhimento com Classificação de Risco (ACCR) é um marcador que permite avaliar o risco do paciente e atender os casos urgentes com prioridade. O objetivo deste estudo foi descrever importância da participação da enfermagem no processo de acolhimento com classificação de risco para gestantes. Trata-se de uma revisão da literatura, utilizando as bases de dados LILACS e SCIELO, foram utilizadas publicações entre 2009 e 2016. O ACCR é um excelente recurso que deve ser utilizado em todas as maternidades, pois permite melhorar o fluxo de atendimento, a superlotação, qualificar e elevar o nível de assistência a gestante. Percebeu-se que a inserção da enfermagem nesse processo gerou diversos benefícios para a maternidade, para os profissionais e para as gestantes. Conclui-se a importância da participação da enfermagem no processo de ACCR para gestantes é algo fundamental por gerar benefícios, qualificar, dignificar e humanizar o atendimento a gestante.Descritores: Acolhimento, Classificação de Risco, Gestante. Nursing process: reception with classification of risk pregnant Abstract: The Reception with Risk Rating (ACCR) is a marker that allows assessment of patient risk and meet the urgent cases with priority. The aim of this study was to describe the importance of nursing participation in the host process with risk classification for pregnant women. This is a literature review, using the LILACS and SciELO databases, publications were used between 2009 and 2016. The ACCR is a great resource that should be used in all maternity hospitals, it allows improving the flow of care, overcrowding, qualify and raise the level of the maternity care. It was felt that the inclusion of nursing in this process generated many benefits for maternity, for professionals and for pregnant women. It follows the importance of nursing participation in ACCR process for pregnant women is fundamental for generating benefits, qualify, dignifying and humanizing the care of pregnant women.Descriptors: Home, Risk Rating, Pregnant. Proceso de enfermería: recepción con clasificación de riesgo embarazada Resumen: La recepción de Calificación de Riesgo (ACCR) es un marcador que permite la evaluación de riesgo del paciente y conoce a los casos urgentes con prioridad. El objetivo de este estudio fue describir la importancia de la participación de la enfermería en el proceso de acogida con clasificación de riesgo para las mujeres embarazadas. Se trata de una revisión de la literatura, utilizando la base de datos LILACS y SciELO, se utilizaron las publicaciones entre 2009 y 2016. El ACCR es un gran recurso que se debe utilizar en todos los hospitales de maternidad, que permite mejorar el flujo de la atención, hacinamiento, calificar y elevar el nivel de la atención de maternidad. Se consideró que la inclusión de la enfermería en este proceso genera muchos beneficios para la maternidad, para los profesionales y para las mujeres embarazadas. De ello se desprende la importancia de la participación de la enfermería en el proceso de ACCR para las mujeres embarazadas es fundamental para la generación de beneficios, calificar, dignificar y humanizar el cuidado de las mujeres embarazadas.Descriptores: Inicio, Calificación de Riesgo, Embarazada.

Author(s):  
Bruna Mazon e Souza ◽  
Ivanilde Marques da Silva Rocha ◽  
Anderson Luiz da Silva Lima

O Acolhimento com Classificação de Risco (ACCR) é um marcador que permite avaliar o risco do paciente e atender os casos urgentes com prioridade. O objetivo deste estudo foi descrever importância da participação da enfermagem no processo de acolhimento com classificação de risco para gestantes. Trata-se de uma revisão da literatura, utilizando as bases de dados LILACS e SCIELO, foram utilizadas publicações entre 2009 e 2016. O ACCR é um excelente recurso que deve ser utilizado em todas as maternidades, pois permite melhorar o fluxo de atendimento, a superlotação, qualificar e elevar o nível de assistência a gestante. Percebeu-se que a inserção da enfermagem nesse processo gerou diversos benefícios para a maternidade, para os profissionais e para as gestantes. Conclui-se a importância da participação da enfermagem no processo de ACCR para gestantes é algo fundamental por gerar benefícios, qualificar, dignificar e humanizar o atendimento a gestante.Descritores: Acolhimento, Classificação de Risco, Gestante. Nursing process: reception with classification of risk pregnant Abstract: The Reception with Risk Rating (ACCR) is a marker that allows assessment of patient risk and meet the urgent cases with priority. The aim of this study was to describe the importance of nursing participation in the host process with risk classification for pregnant women. This is a literature review, using the LILACS and SciELO databases, publications were used between 2009 and 2016. The ACCR is a great resource that should be used in all maternity hospitals, it allows improving the flow of care, overcrowding, qualify and raise the level of the maternity care. It was felt that the inclusion of nursing in this process generated many benefits for maternity, for professionals and for pregnant women. It follows the importance of nursing participation in ACCR process for pregnant women is fundamental for generating benefits, qualify, dignifying and humanizing the care of pregnant women.Descriptors: Home, Risk Rating, Pregnant. Proceso de enfermería: recepción con clasificación de riesgo embarazada Resumen: La recepción de Calificación de Riesgo (ACCR) es un marcador que permite la evaluación de riesgo del paciente y conoce a los casos urgentes con prioridad. El objetivo de este estudio fue describir la importancia de la participación de la enfermería en el proceso de acogida con clasificación de riesgo para las mujeres embarazadas. Se trata de una revisión de la literatura, utilizando la base de datos LILACS y SciELO, se utilizaron las publicaciones entre 2009 y 2016. El ACCR es un gran recurso que se debe utilizar en todos los hospitales de maternidad, que permite mejorar el flujo de la atención, hacinamiento, calificar y elevar el nivel de la atención de maternidad. Se consideró que la inclusión de la enfermería en este proceso genera muchos beneficios para la maternidad, para los profesionales y para las mujeres embarazadas. De ello se desprende la importancia de la participación de la enfermería en el proceso de ACCR para las mujeres embarazadas es fundamental para la generación de beneficios, calificar, dignificar y humanizar el cuidado de las mujeres embarazadas.Descriptores: Inicio, Calificación de Riesgo, Embarazada.


Author(s):  
Vanessa Kelly Cardoso Estumano ◽  
Letícia Gabrielli da Silveira de Melo ◽  
Priscila Benites Rodrigues ◽  
Antônio Cláudio do Rêgo Coelho

Muitas vezes a mulher é tratada com atos e submetida a procedimentos que afetam a sua integridade física, moral e que violam o seu processo reprodutivo, caracterizando a violência obstétrica. Este artigo tem como objetivo analisar os resultados de pesquisas, sobre as reflexões acerca da violência obstétrica, analisando a percepção das parturientes acerca da violência e as principais formas de violência obstétrica sofrida pelas mulheres brasileiras. Trata-se de uma revisão de literatura com abordagem qualitativa, desenvolvida através das bases de dados encontradas à BVS, LILACS, SciELO e BDENF. Foram encontrados 15 artigos. Conclui-se que a discussão sobre a violência obstétrica ainda é pouco presente na sociedade, porém esse tipo de violência vem se tornando cada vez mais comum, mas ainda se esconde no interior das instituições públicas e privadas da saúde.Descritores: Violência contra a mulher, Obstetrícia, Direitos da Mulher. AbstractObstetric violence in Brazil: increasingly frequent casesOften women are subjected to procedures and acts that affect their physical and moral integrity, violating their reproductive process, characterizing obstetric violence. This article aims to analyze research results, about reflections on obstetric violence, analyzing the perception of pregnant women about violence and the main forms of obstetric violence suffered by Brazilian women. This is to a literature review with a qualitative approach, developed through database found BVS, LILACS, SciELO and BDENF. There were 15 articles. It is concluded that the discussion on obstetric violence is still not present in society, yet this kind of violence has become increasingly common, yet still hiding within public and private institutions.Descriptors: Violence Against Women, Obstetrics, Women Rights. ResumenViolencia obstétrica en Brasil: casos más frecuentesMuchas veces la mujer es tratada con actos y sometida a procedimientos que afectan su integridad física, moral y que violan su proceso reproductivo, que caracterizan la violencia obstétrica. Este artículo tiene como meta analizar los resultados de la investigación acerca de las reflexiones de la violencia obstétrica, planteando la percepción de las mujeres embarazadas acerca de la violencia y de las principales formas de violencia obstétrica que padecen las mujeres brasileñas. Es una revisión de la literatura con abordaje cualitativa, desarrollado a través de las bases de datos BVS, LILACS, SciELO y BDENF. Se ha encontrado 15 artículos. Se concluye que la discusión acerca de la violencia obstétrica aún es poco presente en la sociedad, sin embargo, ese tipo de violencia se ha tornado cada vez más común, pero todavía se oculta adentro de las instituciones publicas y privadas de la salud.Descriptores: Violencia Contra la Mujer, Obstetricia, Derechos de la Mujer.


Author(s):  
Camila Kirdeikas Rodrigues ◽  
Rosangela Malderran ◽  
Neil Ferreira Novo

O objetivo do estudo foi avaliar o fluxo de atendimento dos pacientes quanto à classificação de risco e seu desfecho. O Estudo analisou de forma retrospectiva, descritiva e exploratória a classificação de risco recebida pelo paciente e como se deu o desfecho dos casos. Foi realizado em um Hospital Municipal de São Paulo através de busca nos prontuários de pacientes maiores de 18 anos que apresentavam dados da classificação de risco e da alta ou do óbito no mês de abril de 2018. A classificação amarela foi a mais recebida com 34,5%, 87% receberam alta e 13 % foram à óbito. Conclui-se que a Classificação de Risco realizada no hospital através do Sistema de Triagem de Manchester é um bom preditor da gravidade e que avaliar como está sendo realizada é de suma importância, tanto para a segurança dos usuários como para a gestão e o planejamento do Sistema Único de Saúde.Descripitores: Classificação de Risco, Manchester, Avaliação. Risk classification help in a safe department of the municipality of São Paulo: analysis of case outcome in studyingAbstract: The objective of the study was to evaluate the flow of care of the patients regarding the classification of risk and its outcome. The study analyzed retrospectively, descriptively and exploratory the classification of risk received by the patient and how the outcome of the cases occurred. It was performed at a Municipal Hospital of São Paulo through a search of medical records of patients older than 18 years who presented data on the risk classification and discharge or death in April 2018. The yellow classification was the most received with 34, 5%, 87% were discharged, and 13% died. It is concluded that the risk classification performed at the hospital through the Manchester Screening System is a good predictor of severity and that assessing how it is performed is of paramount importance, both for the safety of users and for the management and planning of the Health Unic System.Descriptors: Risk Rating, Manchester, Assessment. Hospitalización de clasificación de riesgos en un municipio de São Paulo: análisis de resultados de casosResumen: El objetivo del estudio fue evaluar el flujo de atención al paciente con respecto a la clasificación del riesgo y su resultado. El estudio analizó retrospectiva, descriptiva y exploratoriamente la clasificación de riesgo recibida por el paciente y cómo ocurrió el resultado de los casos. Se realizó en un Hospital Municipal de São Paulo mediante la búsqueda en los registros médicos de pacientes mayores de 18 años que presentaron datos de clasificación de riesgo y alta o muerte en abril de 2018. La clasificación amarilla fue la más recibida con 34, 5%, 87% fueron dados de alta y 13% murieron. Se concluye que la Clasificación de Riesgos realizada en el hospital a través del Sistema de Detección de Manchester es un buen predictor de gravedad y que evaluar cómo se realiza es de suma importancia tanto para la seguridad del usuario como para la gestión y la planificación. Sistema único de Salud.Descriptores: Calificación de Riesgo, Manchester, Calificación.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1402.1-1402
Author(s):  
R. Pinheiro Torres ◽  
M. H. Fernandes Lourenco ◽  
A. Neto ◽  
F. Pimentel Dos Santos ◽  
I. Silva ◽  
...  

Background:Juvenile idiopathic arthritis (JIA), one of the most common chronic diseases in children, can be classified in seven different categories according to its onset presentation. Concerns about pregnancy outcomes play a secondary role in disease approach. However, recent data showed an increased risk of pre-term birth in women with JIA instead the small patient samples analysed.Objectives:In this review, our aim is to describe the current available knowledge on JIA adverse, maternal and fetal, outcomes.Methods:A systematic literature review was conducted since January of 2000 until December 2020, by searching the PubMed and Embase bibliographic databases. The search was limited to articles in English language, presenting a comparator group (healthy individuals or patients without known auto-immune rheumatic diseases) and at least one clinical outcome of interest. Two independent reviewers screened the titles and abstracts followed by a full-text review to assess papers regarding their eligibility.Results:Ten observational studies out of 1560 references, fulfilled the inclusion criteria, of which, 9 were retrospective and 1 prospective. A total of 6.214 women with JIA (with 6.811 pregnancies) and 18.659.513 healthy controls (with 21.339.194 pregnancies) were included in this review.Concerning maternal outcomes, delivery by caesarian section (CS) was more frequent among JIA women (in 4 out of 6 studies). Pre-eclampsia was referred in 3 out of 6 studies and a higher risk of vaginal bleeding and placenta previa in one additional study. No study found an increased risk for gestational diabetes or hypertension in pregnant women with JIA.Regarding fetal outcomes, 8 studies revealed significantly increased of pre-term birth (only in first births in one study) but one study didn’t show any increased risk. Two studies showed a higher risk of small gestational age (SGA) and in another 2, increased risk for low birth weight (LBW). No evidence of increased risk of major congenital malformations.Conclusion:This systematic review suggests an increased risk for pre-eclampsia, preterm birth, delivery by CS, SGA and LBW, among pregnant women with JIA. Conclusions should be carefully interpreted, giving the heterogeneity of studied populations regarding demography, disease type, disease activity, and prescribed medication.Disclosure of Interests:None declared


2021 ◽  
Vol 1 ◽  
pp. 51-60
Author(s):  
Peter Welzbacher ◽  
Gunnar Vorwerk-Handing ◽  
Eckhard Kirchner

AbstractThe importance of considering disturbance factors in the product development process is often emphasized as one of the key factors to a functional and secure product. However, there is only a small number of tools to support the developer in the identification of disturbance factors and none of them yet ensures that the majority of occurring disturbance factors is considered. Thus, it is the aim of this contribution to provide a tool in form of a control list for the systematic identification of disturbance factors. At the beginning of this contribution, the terms “disturbance factor” and “uncertainty” are defined based on a literature review and different approaches for the classification of uncertainty are presented. Subsequently, the fundamentals of multipole based model theory are outlined. Moreover, a first approach in terms of a control list for a systematic identification of disturbance factors is discussed. Based on the discussed approach and taking the identified weaknesses as a starting point, a control list is presented that combines the existing basic concept of the control list with the fundamentals of multipole based model theory.


2021 ◽  
Vol 79 ◽  
pp. S1309
Author(s):  
R. Thenault ◽  
L. Beuzit ◽  
N. Rioux-Leclercq ◽  
Z-E. Khene ◽  
A. Gasmi ◽  
...  

2012 ◽  
Vol 29 (4) ◽  
pp. 2895-2900 ◽  
Author(s):  
Akinori Minato ◽  
Naohiro Fujimoto ◽  
Tatsuhiko Kubo ◽  
Shuji Harada ◽  
Soichiro Akasaka ◽  
...  

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 14-15
Author(s):  
B Moreau ◽  
E Robidoux

Abstract Background A recent classification of high and low risk alleles associated with celiac disease (CD) shows that the presence of a single allele (DQA1*05 or DQB1*02; coding together for HLA-DQ2), without a positive genotype (HLA-DQ2 and or HLA-DQ8), represents a risk of developing the disease. Aims The aim of this study is to evaluate the use and interpretation of the HLA-DQ2/DQ8 genotyping by pediatric gastroenterologists, as there is no study on the matter and the latest guidelines do not address this risk classification. Methods A web-based survey was sent by email to all NASPGHAN (North American society of pediatric gastroenterolgy, hepatology and nutrition) members. Results Results 294 pediatric gastroenterologists sent a complete survey. 86,1% use the HLA-DQ2/DQ8 genotyping according mainly to the NASPGHAN and ESPGHAN guidelines. The main indications considered were to exclude CD in a patient on a gluten-free diet with a resolution of his symptoms and in a seronegative patient with equivocal biopsies. A minority would consider the genotyping for screening high risk groups or for making a diagnosis in children with high specific CD antibodies and strong clinical suspicion without performing biopsies, as suggested by the ESPGHAN guidelines. The alleles associated with CD are not well known, but 76,7% the participants are aware of the risk classification. While only 62,8% have access to the complete genotype, 47,8% consider it useful. Nevertheless, 82,6% would still want to know the presence of a low risk allele. Conclusions The risk classification of alleles related to CD warrants a modification of the genotyping result with access to the alleles and an adaptation of the guidelines. Funding Agencies None


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