Atuação de enfermagem diante da pandemia da COVID-19 a nível hospitalar / Nursing care in the face of the COVID-19 pandemic at the hospital level

ObjectiveTo analyze population-level changes in operative practice since the onset of the COVID-19 pandemic to contextualize observations made by individual practices and optimize future responses.Materials and MethodsThis US retrospective analysis used the Premier Perspectives Database. We investigated changes in operative volume through March 2020. Baseline operative volume for urologic surgery was calculated using data from the preceding 12 months and compared on a total and by procedure basis. Multivariable linear regression was used to identify hospital-level predictors of change in response to the pandemic.ResultsAt baseline, we captured 23,788 urologic procedural encounters per month as compared with 19,071 during March 2020– a 19.9% decrease. Urologic oncology-related cases were relatively preserved as compared to others (average change in March 2020: +1.1% versus -32.2%). Northeastern (β = -5.66, 95% confidence interval [CI]: -10.2 to -1.18, p = 0.013) and Midwestern hospitals (β = -4.17, 95% CI: -7.89 to -0.45, p = 0.027; both with South as reference region), and those with an increasing percentage of patients insured by Medicaid (β= -0.17 per percentage point, 95% CI: -0.33 to -0.01, p = 0.04) experienced a significantly larger decrease in volume.ConclusionsThere was a 20% decline in urologic operative volume in March 2020, compared with baseline, that preferentially affected hospitals serving Medicaid patients, and those in Northeast and Midwest. In the face of varying mandates on elective surgery, widespread declines in operative volume may also represent hesitancy on behalf of patients to interface with healthcare during the pandemic.

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Computer Intelligent Nursing Care of Critically III Patients Based on Improved Patient Facial Expression Recognition Method

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.543-547.2350 ◽

2014 ◽

Vol 543-547 ◽

pp. 2350-2353

Author(s):

Xiao Yan Wan

Keyword(s):

Facial Expression ◽

Critically Ill ◽

Nursing Care ◽

Facial Expression Recognition ◽

Recognition Rate ◽

Support Vector ◽

Appearance Model ◽

Expression Recognition ◽

Recognition Method ◽

The Face

In order to extract the expression features of critically ill patients, and realize the computer intelligent nursing, an improved facial expression recognition method is proposed based on the of active appearance model, the support vector machine (SVM) for facial expression recognition is taken in research, and the face recognition model structure active appearance model is designed, and the attribute reduction algorithm of rough set affine transformation theory is introduced, and the invalid and redundant feature points are removed. The critically ill patient expressions are classified and recognized based on the support vector machine (SVM). The face image attitudes are adjusted, and the self-adaptive performance of facial expression recognition for the critical patient attitudes is improved. New method overcomes the effect of patient attitude to the recognition rate to a certain extent. The highest average recognition rate can be increased about 7%. The intelligent monitoring and nursing care of critically ill patients are realized with the computer vision effect. The nursing quality is enhanced, and it ensures the timely treatment of rescue.

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Nurses’ knowledge and practices in the face of the challenge of using the systematization of nursing care as an instrument of assistance in a first aid in Brazil

Medicine ◽

10.1097/md.0000000000011509 ◽

2018 ◽

Vol 97 (33) ◽

pp. e11509

Author(s):

Rosicley S. da Silva ◽

Italla M.P. Bezerra ◽

Carlos B.M. Monteiro ◽

Fernando Adami ◽

Hugo M.F. Souza ◽

...

Keyword(s):

Nursing Care ◽

First Aid ◽

The Face ◽

Nurses Knowledge

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Nursing care in palliative care in pediatric oncology

International Journal of Family & Community Medicine ◽

10.15406/ijfcm.2021.05.00229 ◽

2021 ◽

Vol 5 (3) ◽

pp. 91-94

Author(s):

Joana Muniz Mendonça ◽

Luana Luzia de Assis Arruda Corbari ◽

Matheus Mychael Mazzaro Conchy ◽

Renan da Silva Bentes

Keyword(s):

Palliative Care ◽

Nursing Care ◽

Pediatric Oncology ◽

Pediatric Cancer ◽

Pediatric Patients ◽

Terminal State ◽

The Family ◽

The Face ◽

Nursing Professionals ◽

Informative Text

This research has as general theme "Nursing care in palliative care in pediatric oncology", an approach that needs to be further discussed due to the need to prepare nursing professionals working in the pediatric sector with cancer patients who are terminally. Thus, an informative text was produced with information based on authors who have already conducted research on this theme, with a qualitative approach, because this is a Bibliographic research. To guide this research, the general objective was to identify the knowledge and reactions of nursing professionals in pediatric cancer care and as specific objectives to identify the perceptions and feelings that permeate pediatric nursing practice in relation to cancer, treatment, and its implications and to know the care/care activities aimed at children hospitalized in the pediatric oncology sector. It is concluded that the courses directed to nursing need to offer disciplines that prepare these professionals to deal with pediatric patients who are in terminal state, preparing them to comfort the family in the face of the failure of the treatments that the patient underwent.

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The Impact of Emerging Technology on Nursing Care: Warp Speed Ahead

OJIN: The Online Journal of Issues in Nursing ◽

10.3912/ojin.vol18no02man01 ◽

2013 ◽

Vol 18 (2) ◽

Author(s):

Carol Huston

Keyword(s):

Nursing Care ◽

Emerging Technologies ◽

New Technology ◽

Emerging Technology ◽

Nurse Leaders ◽

Skill Sets ◽

Healthcare Settings ◽

The World ◽

The Face ◽

The Impact

While myriad forces are changing the face of contemporary healthcare, one could argue that nothing will change the way nursing is practiced more than current advances in technology. Indeed, technology is changing the world at warp speed and nowhere is this more evident than in healthcare settings. This article identifies seven emerging technologies that will change the practice of nursing; three skill sets nurses will need to develop to acquire, use, and integrate these emerging technologies; and four challenges nurse leaders will face in integrating this new technology.

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Introduction to palliative nursing care

Oxford Textbook of Palliative Nursing ◽

10.1093/med/9780199332342.003.0001 ◽

2015 ◽

pp. 3-10 ◽

Cited By ~ 4

Author(s):

Nessa Coyle

Keyword(s):

Palliative Care ◽

Nursing Care ◽

Clinical Competence ◽

Interpersonal Skills ◽

Disease Trajectory ◽

Healing Relationship ◽

Care And Support ◽

The Face ◽

The One ◽

Relationship Of

Providing palliative care depends on the nurse having strong interpersonal skills and clinical knowledge and is informed by respect for the person and the ethical principles of autonomy, beneficence, nonmaleficence, and justice. The genuine, warm, and compassionate relationship of a nurse with his or her patient is frequently a healing relationship even in the face of death. It is a combination of state-of-the art clinical competence with fidelity to the patient, the ability to listen and remain present in the face of much suffering and distress, and effective communication. It is the nurse who provides much of the care and support to patients and families throughout a disease trajectory and the one who is more likely to be present at the time of death than any other health professional.

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Development of “Medical Support Integration” Mode Architecture Design under the Background of Aging

E3S Web of Conferences ◽

10.1051/e3sconf/202128302023 ◽

2021 ◽

Vol 283 ◽

pp. 02023

Author(s):

Lexuan Li

Keyword(s):

Medical Care ◽

Nursing Care ◽

The Elderly ◽

Medical Support ◽

Design Basis ◽

Social Pension ◽

Integration Architecture ◽

The Face ◽

Integration Mode ◽

Day By Day

Based on the background of aging, the demand of social pension is increasing day by day. In the face of the continuous development of aging, the plight of shortage of pension resources. Based on the analysis of pension buildings at home and abroad, this paper puts forward a new mode of “Medical Support Integration” architecture, and summarizes the design points of the pension medical care combined architecture. The purpose of this paper is to provide a design basis for the construction of comprehensive and sustainable pension buildings, alleviate the plight of the elderly, and from the perspective of the elderly, fully consider the elderly physical and mental needs, improve the integration of medical and nursing care space, and create a paradise for the elderly.

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Primeiro caso de COVID-19 em uma unidade de Cuidados Paliativos oncológicos: relato de experiência

Enfermagem em Foco ◽

10.21675/2357-707x.2020.v11.n2.esp.3847 ◽

2020 ◽

Vol 11 (2.ESP) ◽

Author(s):

Fernanda Barcellos Santiago ◽

Ana Lúcia Abrahão Da Silva

Keyword(s):

Palliative Care ◽

Nursing Care ◽

Medical Records ◽

Rio De Janeiro ◽

Rapid Evolution ◽

Physical Symptoms ◽

Use Of Technology ◽

Ventilatory Assistance ◽

The Face ◽

Mixed Feelings

Objetivo: Relatar a experiência da assistência de Enfermagem à primeira paciente em Cuidados Paliativos oncológicos com COVID-19, no Rio de Janeiro. Método: Trata-se de estudo descritivo do tipo relato de experiência acerca da assistência de Enfermagem à paciente com COVID-19 em instituição de referência. Resultados: Durante o levantamento de dados, constatou-se que a assistência de Enfermagem é fragmentada e sem sistematização em registros e prontuário, consistindo em: vigilância do estado geral da paciente, assistência ventilatória e risco de queda. Incluíram-se medidas para aliviar o medo frente aos sintomas físicos mais expressivos. O uso da tecnologia por videochamada foi o recurso utilizado para amenizar a ansiedade. Conclusão: A abordagem da equipe de enfermagem à paciente com doença avançada e com COVID-19 se torna peculiar pela rápida evolução desta doença, tornando a assistência de enfermagem múltipla, complexa, com cuidados biopsicossocioculturais. O rápido agravamento da doença, isolamento, ausência de cuidador/familiar e risco de contaminação da equipe frente à adequação do serviço de internação hospitalar no contexto da pandemia fizeram com que a assistência de enfermagem fosse mais específica e cuidadosa. Em meio ao caos, à mistura de sentimentos e ao medo, vivenciou-se a verdadeira essência do Cuidado Paliativo.Descritores: COVID-19; Cuidado Paliativo; Enfermagem.FIRST CASE OF COVID-19 IN AN ONCOLOGICAL PALLIATIVE CARE UNIT: EXPERIENCE REPORTObjective: To report the experience of nursing care to the first patient in palliative care oncology with COVID-19, in Rio de Janeiro. Method: This is a descriptive study of an experience report about nursing care for patients with COVID-19 in a reference institution. Results: During data collection, it was found that nursing care is fragmented and without systematization in records and medical records, consisting of: surveillance of the general condition of the patient, ventilatory assistance and risk of falling. Measures to alleviate fear in the face of the most expressive physical symptoms were included. The use of technology by video call was the resource used to alleviate anxiety. Conclusion: The nursing team's approach to patients with advanced disease and with COVID-19 becomes peculiar due to the rapid evolution of this disease, making nursing care multiple, complex, with biopsychosociocultural care. The rapid worsening of the disease, isolation, absence of caregiver / family and risk of contamination of the team in view of the adequacy of the hospitalization service in the context of the pandemic made nursing care more specific and careful. In the midst of chaos, mixed feelings and fear, the true essence of Palliative Care was experienced.Descriptors: COVID-19; Palliative Care; Nursing.PRIMER CASO DE COVID-19 EN UNA UNIDAD DE CUIDADOS PALIATIVOS ONCOLÓGICOS: INFORME DE EXPERIÊNCIAObjetivo: informar la experiencia de la atención de enfermería al primer paciente en oncología de cuidados paliativos con COVID-19, en Río de Janeiro. Método: Este es un estudio descriptivo de un informe de experiencia sobre cuidados de enfermería para pacientes con COVID-19 en una institución de referencia. Resultados: Durante la recolección de datos, se encontró que la atención de enfermería está fragmentada y sin sistematización en los registros y registros médicos, que consiste en: vigilancia del estado general del paciente, asistencia respiratoria y riesgo de caídas. Se incluyeron medidas para aliviar el miedo frente a los síntomas físicos más expresivos. El uso de la tecnología por videollamada fue el recurso utilizado para aliviar la ansiedad. Conclusión: El enfoque del equipo de enfermería para pacientes con enfermedad avanzada y con COVID-19 se vuelve peculiar debido a la rápida evolución de esta enfermedad, lo que hace que la atención de enfermería sea múltiple, compleja y con atención biopsicosociocultural. El rápido empeoramiento de la enfermedad, el aislamiento, la ausencia del cuidador / familia y el riesgo de contaminación del equipo en vista de la idoneidad del servicio de hospitalización en el contexto de la pandemia hicieron que la atención de enfermería fuera más específica y cuidadosa. En medio del caos, sentimientos encontrados y miedo, se experimentó la verdadera esencia de los cuidados paliativos.Descriptores: COVID-19; Cuidados paliativos; Enfermería.

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