scholarly journals Estresse do paciente frente ao cancelamento do procedimento cirúrgico

Author(s):  
Cinthia Cunha Alves Santos ◽  
Jane Erica Ferreira Polgrossi ◽  
Luiz Faustino dos Santos Maia

A O cancelamento de uma cirurgia é uma falha decorrente da falta de atendimento aos requisitos do planejamento administrativo da unidade de centro cirúrgico. É um evento que deve ser avaliado considerando as repercussões que envolvem o paciente e as consequências que causam à instituição de saúde. Identificar os fatores geradores de sentimentos expressos pelos pacientes após o cancelamento de cirurgias. Trata-se de uma revisão da literatura científica de forma integrativa, nas bases de dados da SciELO, Latindex, BDENF, Redalyc, LILACS, utilizando-se os seguintes descritores: procedimentos cirúrgicos; enfermagem perioperatório; avaliação. A suspensão de um procedimento cirúrgico é uma ocorrência que nem sempre tem recebido a devida atenção por parte da equipe de saúde, bem como da administração do próprio hospital, como profissionais de saúde. Precisamos olhar com a intenção de enxergar a interrelação dos sentimentos e das repercussões que envolvem o paciente no momento da suspensão de sua cirurgia, no estudo podemos observar que a equipe cirúrgica e de enfermagem tem ações para minimizar o cancelamento cirúrgico.Descritores: Procedimentos Cirúrgicos, Enfermagem Perioperatório, Avaliação. Stress of the patient in front of the cancellation of the surgical procedureAbstract: The cancellation of a surgery is a failure arising from the lack of attendance to the requirements of the administrative planning of the Surgical center unit. It is an event that should be evaluated considering the repercussions that involve the patient and the consequences that cause the health institution. Identify the factors generating feelings expressed by the patients after the cancellation of surgeries. It is a revision of the scientific literature in an integrative way, in the databases of SciELO, Latindex, BDENF, REDALYC, LILACS, using the following descriptors: surgical procedures; perioperative nursing; evaluation. Suspension of a surgical procedure is an occurrence that has not always received due attention from the health team as well as from the hospital's own administration as health professionals. We need to look with the intention of seeing the interelação of the feelings and the repercussions that involve the patient at the time of the suspension of his surgery, in the study we can observe that the surgical and nursing team has actions to minimise the cancellation surgical.Descriptors: Surgical Procedures, Perioperative Nursing, Evaluation.Estrés del paciente frente a la cancelación del procedimiento quirúrgicoResumen: La cancelación de una cirugía es un fracaso derivado de la falta de asistencia a los requisitos de la planificación administrativa de la unidad de centro quirúrgico. Es un acontecimiento que debe ser evaluado considerando las repercusiones que implican al paciente y las consecuencias que causan a la institución de salud. Identificar los factores que generan sentimientos expresados por los pacientes después de la cancelación de las cirugías. Se trata de una revisión de la literatura científica de manera integrativa, en las bases de datos de SciELO, Latindex, BDENF, Redalyc, LILACS, utilizando los siguientes descriptores: procedimientos quirúrgicos; Enfermería perioperatoria; Evaluación. La suspensión de un procedimiento quirúrgico es una ocurrencia que no siempre ha recibido la debida atención del equipo de salud, así como de la propia administración del hospital como profesionales de la salud. Necesitamos mirar con la intención de ver la interrelación de los sentimientos y las repercusiones que implican al paciente en el momento de la suspensión de su cirugía, en el estudio podemos observar que el equipo quirúrgico y de enfermería tiene acciones para minimizar la cancelación quirúrgico.Descriptores: Fibro Geloid Edema, Ultrasonido.

Author(s):  
Gabriel Lucas Pereira Guimarães ◽  
Giovanna Nascimento Mendes ◽  
Quéren Gabriele Cunha Silva ◽  
Samylly dos Santos Santana ◽  
Nahida Sarhan de Lima ◽  
...  

Objective: To highlight what has been published in the scientific literature on care strategies and protocols used by the nursing team regarding oral health and how dentistry can contribute, guide and improve the care process for inpatients. Methodology: Integrative literature review performed with original articles, available in full, indexed between 2015 and 2020 in the PubMed, LILACS, SciELO and Google academic databases. Results: Eight studies were selected between 2015 and 2020 through critical synthesis that deal with oral care in hospitalized patients. Final considerations: The relationship between dentistry and nursing with oral care and the inclusion of the Dental Surgeon in the health team, contribute to the prevention and treatment of oral conditions, leading to the synergy of the health team, reducing risk factors, enabling a healing process and reducing possible nosocomial infections in the hospital environment.


Author(s):  
Shigeyuki Nagata ◽  
Shohei Maeda ◽  
Satoko Nagamatsu ◽  
Seiichiro Kai ◽  
Yasuro Fukuyama ◽  
...  

Abstract Background Poor preoperative nutritional and immunological status are major risk factors for postoperative complications in patients with various malignancies. Lower preoperative prognostic nutrition index (PNI) is associated with higher rates of postoperative complications and poorer prognosis in those patients. The aim of this study was to analyze the predictive value of the PNI for post-hepatectomy complications in patients with hepatocellular carcinoma (HCC), and evaluate its utility in the surgical procedure. Methods This retrospective study included 510 patients who underwent open hepatectomies for HCC. The predictive value of the preoperative nutritional and immunological status for postoperative complications was assessed using the PNI. Postoperative complications were defined as grade II or higher per the Clavien-Dindo classification. Postoperative complication rates were compared according to surgical procedure (major hepatectomy vs minor hepatectomy). Results Patients with postoperative complications had significantly lower PNIs than those without (43.1 ± 5.5 vs 47.0 ± 5.7, P < 0.001). In the multivariate analysis, low preoperative PNI (< 45) was an independent risk factor for postoperative complications after hepatectomy (hazard ratio, 3.85). When patients were classified per their PNI (high vs low) and extent of surgical procedures (major vs minor), there were more complications among patients with low PNI than those with high PNI, regardless of the extent of surgical procedures. Specifically, the group of patients with low PNI who underwent major hepatectomy had significantly higher rates of postoperative complications than the other groups. Conclusions Adding the resection range to the PNI is useful for predicting the postoperative morbidities of hepatectomy patients.


2014 ◽  
Vol 26 (01) ◽  
pp. 1450016 ◽  
Author(s):  
Ming-Dar Tsai ◽  
Feng-Chou Tsai ◽  
Chih-Lung Lin ◽  
Ming-Shium Hsieh

In facial contouring surgery, surgeons operate the facial bone to correct bone morphology and thus achieve esthetic feminine face. To evaluate the face appearance after surgery and rehearse every surgical procedure in facial contouring surgery, simulations for tissue peeling, incising and suturing on the face together with bone burring and grafting on the facial bone are required. This paper presents a method that transforms respective tissue vertices to simulate tissue peeling. The transformation is based on specified incisions and clamps as in real facial contouring surgery. This paper also uses an auxiliary structure to represent and record tissue boundary changes inside the face. The elastic, partially plastic and plastic tissue deformation and wound formation during an incision can be simulated by manipulating these boundary changes. The incised wound recorded in the auxiliary structure is also manipulated to simulate tissue generation in wound healing during a suture. This volume manipulation method is combined with the reported method for bone burring and grafting simulations so that high-quality 3D images for illustrating surgical procedures both on the face and facial bone can be achieved. Simulations of two case examples including tissue peeling, incising and suturing procedures, and three modalities of facial contouring surgery demonstrate the effectiveness of the proposed method and system.


2019 ◽  
Vol 34 (2) ◽  
pp. 97-108 ◽  
Author(s):  
C. Rinaldi ◽  
A. D’Alleva ◽  
F. Leigheb ◽  
K. Vanhaecht ◽  
S. Knesse ◽  
...  

2006 ◽  
Vol 88 (6) ◽  
pp. 576-578 ◽  
Author(s):  
Samuel CL Leong ◽  
Alison J Waghorn

INTRODUCTION The aim of this survey was to ascertain the level of competency and training of basic surgical trainees (SHOs) in performing incision and drainage of a perianal abscess (a minor surgical procedure). MATERIALS AND METHODS Questionnaires were sent to SHOs enquiring about preferred methods of incision and drainage and the teaching received to perform this procedure. RESULTS Of respondent SHOs, 10% did not receive teaching when performing their first incision and drainage and over half did not received any feedback from their trainers. A mere 65% received practical supervision. Use of the curette and de-roofing of the abscess are not routine methods used. In addition, 13% reported inadequate incision and drainage, which required a second procedure. CONCLUSIONS Competency-based training in minor surgical procedures benefits not only from didactic teaching, immediate supervision and appraisal but also from frequent practise. This was found to be lacking for incision and drainage of perianal abscesses by basic surgical trainees surveyed in the study.


2021 ◽  
Vol 2 (4) ◽  
pp. 01-02
Author(s):  
Carlos Teixeira Brandt ◽  
Camilla Ribeiro Lima de Farias ◽  
Kalyanne Mayara Luna Alves

Sexual functioning is an important, yet often overlooked, aspect of life quality for many individuals with obesity, especially regarding to man. Fertility and sperm quality are even less explored in the scientific literature. To the best of our knowledge, there is no report of man being a father after bariatric surgery. Here, we report a four men recruited from a prospective cohort of individuals, from both gender, who underwent bariatric surgery in the past three years. The total sample was 192 (146 women – 76.0% and 46 men – 24.0%). From the 46 men, 4 (8.7%) became father of six normal offspring. The ages of the men were respectively: 34; 38; 41; and 43 years of age. These patients were married. The post bariatric surgery pregnancies, from the samespouses before surgical procedures, were without any abnormalities and the newborns presented no congenital anomalies. These individuals referred increased sexual desire after surgery and improvement of erectile function. This case seriesreported highlights the contribution of bariatric surgery in the sexuality, fertility and fatherhood of obese man.


Bionorte ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 9-19
Author(s):  
Jacina Santos Dias ◽  
Woochiton Ramos Lopes Pereira ◽  
Leonardo Augusto Couto Finelli

Objective: Identify the team's difficulties in dealing with the death process of patients under their care. Materials and Methods: the research carried out is classified as exploratory, qualitative, cross-sectional, with a field research design. We interviewed professionals from the health team of the oncology sector, then the data were analyzed from discourse analysisprocedures that sought connections between objects, strategies, concepts and enunciative types. To these data were verified systems of unity and coherence, reached by the analysis of the summary descriptions that were collected. Results: it was verified that there is no preparation offered by the institution so that the professionals learn the best deal with death. Therefore, it is urgent that the question of professional qualification be restored. Conclusion: the need for future research on the subject, which is suggestive of testingproposals and intervention models, such as the continuous training of professionals, is aimed at, among other purposes, the training of health professionals in dealing with process of death and death of its patients.


2020 ◽  
Vol 19 (3) ◽  
pp. 178
Author(s):  
Jefferson Petto ◽  
Igor Macedo De Oliveira ◽  
Alice Miranda De Oliveira ◽  
Marvyn De Santana Do Sacramento

The earliest accounts of scientific thought date back to thousands of years BC, where problems in the daily lives of our predecessors led to the search for effective and replicable forms of resolution. Nowadays, in the advent of science and technology, health professionals' decision making has been organized based on the analysis of the diverse evidence available in the scientific literature. This process has been identified Evidence Based Practice (EBP)...


2014 ◽  
Vol 23 (4) ◽  
pp. 1145-1152 ◽  
Author(s):  
Vera Regina Waldow

This theoretical study aimed to share and propose a vision regarding collaborative work in the area of health, in the perspective of care. The nurse is considered the leader in this process, responsible for spreading and motivating principles of care among the nursing team and the other health professionals; the goal is collaborative work impacting positively on the relationships between the various professionals, patients and family members, resulting in an atmosphere where behaviors of care, such as solidarity, cooperation and respect, may be shown, contributing to competent and sensitive care.


2010 ◽  
Vol 1 (3) ◽  
pp. 98-102
Author(s):  
S A Levakov ◽  
A G Kedrova ◽  
N S Wanke

Gynecologic laparoscopy has evolved from a limited surgical procedure used only for diagnosis and tubal ligations to a major surgical tool used to treat a multitude of gynecologic indications. Today, laparoscopy is one of the most common surgical procedures performed by gynecologists. The review presents the main trends of development of modern surgery in gynecology with the author's personal views on the key contentious issues of endoscopic sinus surgery.


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