scholarly journals Nursing Care In The Hemodialysis Room: Integrative Review

10.3823/2498 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Maria Nauside Pessoa da Silva ◽  
Elane Mara Fenelon Ferreira ◽  
Fabio Magalhães Rodrigues ◽  
Aíka Barros Barbosa Maia ◽  
Aurilene De Macedo Alves ◽  
...  
Keyword(s):  
Nursing Care ◽  
Multidisciplinary Team ◽  
The Body ◽  
Fear Of Death ◽  
Patient Needs ◽  
Hemodialysis Treatment ◽  
Final Sample ◽  
Exploratory Investigation ◽  
Renal Patient ◽  
Bibliographic Study

Objectives: To identify in the literature the nursing care in the hemodialysis room, as well as to evaluate the patient needs in the hemodialysis treatment. Method: Bibliographic study of descriptive origin with exploratory investigation. The search was carried out at the bases: Scielo, Bireme and Google academic, from 2010 to 2016, using the descriptors: nursing, care, hemodialysis. Results: Forty-eight articles were found and the final sample comprised 16. It was noticed that the nursing care in the hemodialysis room is very important for the safety and protection of the patients, who during the session should be observed, due to the risks that it offers. It is understood that the patient's need in hemodialytic treatment is to undergo various restrictions and be accompanied by a multidisciplinary team always aiming at the comfort and safety of the patient. Conclusion: Therefore the changes that exist in the life of the chronic renal patient are several, such as fear of death, feel excluded from living with friends, gain weight because the body can not excrete toxins and liquids, and are indefinitely imprisoned to the dialysis machine.

Patient Needs and Satisfaction With Nursing Care After Day Surgery Based on a Patient-Centered Care Framework

2016 ◽  
Vol 26 (3) ◽  
pp. 301-317 ◽  
Author(s):  
Eun-Young Jun ◽  
Hyunjin Oh
Keyword(s):  
Home Care ◽  
Nursing Care ◽  
Care Center ◽  
Patient Centered Care ◽  
Day Surgery ◽  
The Body ◽  
Patient Needs ◽  
Patient Centered ◽  
Health Care Center ◽  
Centered Care

This cross-sectional study explored the level of patient needs and satisfaction in women with day surgery. A consecutive sample of 233 women was recruited from a women’s health care center in South Korea. Demographic and disease-specific characteristics, patient needs, and satisfaction were measured. Patient needs were evaluated based on patient-centered care framework; the average mean was 4.21 (.7) out of a possible 5. The mean score for overall patient satisfaction was 3.70 (.5) out of a possible 5. Among the five subdomains of patient needs, involvement of family and friends presented the highest mean score. The focus of day surgery care should respond to the care shift from hospital to home care, so that it should prepare family and friends to provide appropriate home care. This study reports high levels of patient needs and adds to the body of knowledge on perioperative nursing care interventions for women undergoing outpatient day surgery.

scholarly journals Satisfação dos pacientes oncológicos acerca dos cuidados de enfermagem

2019 ◽  
Vol 13 (3) ◽  
pp. 752
Author(s):  
Larissa Cristina Rodrigues Alencar ◽  
Ana Hélia de Lima Sardinha ◽  
Adriana Gomes Nogueira Ferreira ◽  
Lívia Maia Pascoal ◽  
Isaura Letícia Tavares Palmeira Rolim
Keyword(s):  
Patient Satisfaction ◽  
Cancer Patients ◽  
Nursing Care ◽  
Nursing Staff ◽  
Cancer Nursing ◽  
Final Sample ◽  
Virtual Libraries ◽  
Bibliographic Study ◽  
Quality Of Nursing

RESUMOObjetivo: conhecer a satisfação dos pacientes com câncer acerca dos cuidados de enfermagem. Método: trata-se de um estudo bibliográfico do tipo revisão integrativa com buscas nas bases de dados COCHRANE, MEDLINE, LILACS e Bibliotecas Virtuais–BVS e SCIELO. Selecionaram-se os estudos publicados entre 2007 e 2017, e se apresentam em forma de figuras. Resultados: identificaram-se, inicialmente, 802 artigos, que culminaram na amostra final de 13 estudos analisados na íntegra. Evidenciam-se, na maioria dos estudos, os usuários como satisfeitos com o atendimento recebido pela equipe de Enfermagem. Conclusão: revela-se que avaliar a qualidade dos cuidados de Enfermagem, sob a ótica dos pacientes, permite analisar os problemas de diferentes perspectivas, além de buscar soluções consensuais. Descritores: Satisfação do Paciente; Cuidados de Enfermagem; Câncer; Enfermagem; Enfermagem Oncológica; Qualidade da Assistência à Saúde.ABSTRACT Objective: to assess the satisfaction of cancer patients about nursing care. Method: this is a bibliographic study of type integrative review with searches on the databases MEDLINE, Cochrane, LILACS and Virtual Libraries-BVS and SCIELO. We selected studies published between 2007 and 2017, and present themselves in the form of figures. Results: we identified, initially, 802 articles, which culminated in the final sample of 13 studies analyzed in full. Demonstrate, in most studies, as users satisfied with the care received by the nursing staff. Conclusion: reveals that evaluate the quality of nursing care, under the perspective of patients, allows to analyze the problems from different perspectives, as well as seek consensual solutions. Descriptors: Patient Satisfaction; Nursing Care; Cancer; Nursing; Nursing Oncology; Quality of Health Care.RESUMEN Objetivo: evaluar el grado de satisfacción de los pacientes con cáncer acerca de los cuidados de enfermería. Método: se trata de un estudio bibliográfico del tipo revisión integradora, con búsquedas en las bases de datos MEDLINE, COCHRANE, LILACS y bibliotecas virtuales-BVS y SCIELO. Se seleccionaron los estudios publicados entre 2007 y 2017, y se presentan en forma de cifras. Resultados: se identificaron, inicialmente, 802 artículos, que culminaron en la muestra final de 13 estudios analizados en su totalidad. Demostrar, en la mayoría de los estudios, ya que los usuarios satisfechos con la atención recibida por el personal de enfermería. Conclusión: revela que evalúan la calidad de la atención de enfermería, bajo la perspectiva de los pacientes, permite analizar los problemas desde diferentes perspectivas, así como de buscar soluciones consensuadas. Descriptores: Satisfacción del Paciente; Cuidados de Enfermería; Cáncer; Enfermería; Enfermería Oncológica; Calidad de la Asistencia Clínica.

Readers in the Underworld: Lucretius, De Rerum Natura 3.912–1075

2004 ◽  
Vol 94 ◽  
pp. 27-46
Author(s):  
Tobias Reinhardt
Keyword(s):  
The Body ◽  
Fear Of Death ◽  
De Rerum Natura ◽  
Image Position

Readers have always acknowledged the comparatively clear macrostructure of De rerum natura 3. It begins with a prooemium in which is described the terrifying impact which the fear of death has on human lives, as well as the fact that Epicurus has provided a cure against this fear, namely his physical doctrines (1–93). Particular attention is paid to fears of an afterlife in which we have to suffer pain and grief in the underworld; cf., for instance, the programmatic lines 3.37–40 (translation by Ferguson Smith, which will be used throughout):This prooemium is followed by a long passage (94–829) in which Lucretius explains the basics of Epicurean psychology and tries to show that the soul is (like the body) material and hence mortal; this last point is driven home with particular force in II. 417–829 where Lucretius lists twenty-five proofs for the mortality of the soul.

scholarly journals Protection of Residual Renal Function and Nutritional Treatment: First Step Strategy for Reduction of Uremic Toxins in End-Stage Kidney Disease Patients

Toxins ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 289
Author(s):  
Adamasco Cupisti ◽  
Piergiorgio Bolasco ◽  
Claudia D’Alessandro ◽  
Domenico Giannese ◽  
Alice Sabatino ◽  
...  
Keyword(s):  
Kidney Disease ◽  
Residual Renal Function ◽  
The Body ◽  
Uremic Toxins ◽  
End Stage Kidney Disease ◽  
Waste Products ◽  
Hemodialysis Treatment ◽  
Life Saving ◽  
Kidney Replacement Therapy ◽  
End Stage

The retention of uremic toxins and their pathological effects occurs in the advanced phases of chronic kidney disease (CKD), mainly in stage 5, when the implementation of conventional thrice-weekly hemodialysis is the prevalent and life-saving treatment. However, the start of hemodialysis is associated with both an acceleration of the loss of residual kidney function (RKF) and the shift to an increased intake of proteins, which are precursors of uremic toxins. In this phase, hemodialysis treatment is the only way to remove toxins from the body, but it can be largely inefficient in the case of high molecular weight and/or protein-bound molecules. Instead, even very low levels of RKF are crucial for uremic toxins excretion, which in most cases are protein-derived waste products generated by the intestinal microbiota. Protection of RKF can be obtained even in patients with end-stage kidney disease (ESKD) by a gradual and soft shift to kidney replacement therapy (KRT), for example by combining a once-a-week hemodialysis program with a low or very low-protein diet on the extra-dialysis days. This approach could represent a tailored strategy aimed at limiting the retention of both inorganic and organic toxins. In this paper, we discuss the combination of upstream (i.e., reduced production) and downstream (i.e., increased removal) strategies to reduce the concentration of uremic toxins in patients with ESKD during the transition phase from pure conservative management to full hemodialysis treatment.

scholarly journals Spiritual nursing care: A concept analysis

Curationis ◽  
2012 ◽  
Vol 35 (1) ◽  
Author(s):  
Lydia V. Monareng
Keyword(s):  
Nursing Care ◽  
Concept Analysis ◽  
Operational Definition ◽  
The Body ◽  
Empirical Literature ◽  
Spiritual Needs ◽  
Optimal Care ◽  
Health Crisis ◽  
Group Interviews ◽  
Definition Of

Although the concept ‘spiritual nursing care’ has its roots in the history of the nursing profession, many nurses in practice have difficulty integrating the concept into practice. There is an ongoing debate in the empirical literature about its definition, clarity and application in nursing practice. The study aimed to develop an operational definition of the concept and its application in clinical practice. A qualitative study was conducted to explore and describe how professional nurses render spiritual nursing care. A purposive sampling method was used to recruit the sample. Individual and focus group interviews were audio-taped and transcribed verbatim. Trustworthiness was ensured through strategies of truth value, applicability, consistency and neutrality. Data were analysed using the NUD*IST power version 4 software, constant comparison, open, axial and selective coding. Tech’s eight steps of analysis were also used, which led to the emergence of themes, categories and sub-categories. Concept analysis was conducted through a comprehensive literature review and as a result ‘caring presence’ was identified as the core variable from which all the other characteristics of spiritual nursing care arise. An operational definition of spiritual nursing care based on the findings was that humane care is demonstrated by showing caring presence, respect and concern for meeting the needs not only of the body and mind of patients, but also their spiritual needs of hope and meaning in the midst of health crisis, which demand equal attention for optimal care from both religious and nonreligious nurses.

Abstract WP404: Stroke Cognitive Recovery Model

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Susan Alderman
Keyword(s):  
Cognitive Deficits ◽  
Cognitive Abilities ◽  
Belief Systems ◽  
Healthcare Providers ◽  
The Body ◽  
Patient Needs ◽  
Coordinated Care ◽  
Recovery Model ◽  
Cognitive Recovery ◽  
Transitional State

Background: After an acute stroke, 90% of patients have cognitive deficits; 50% remain impaired and 30% develop dementia within one year. Cognitive recovery may not occur without early and coordinated care. Many cognitive deficits, i.e. memory and neglect, are not addressed early, care is not coordinated, and depends on each institution’s guidelines. Nurses must consider all patient needs yet no holistic cognitive recovery model exists to guide them. Purpose: To create a holistic, post-stroke, patient-centered cognitive recovery model capable of guiding care. Methods: Concept synthesis is a new way of grouping or ordering information when relevant data is unclear or unknown. A concept synthesis was performed due to limitations in prior biomedical models, specifically in psychology and rehabilitation, which resulted in ill-defined terms and bias. Results: Cognitive recovery is defined as a transitional state in which a person’s cognitive abilities can be modified to approach pre-injury levels, by the interactions of personal capabilities and four encompassing Environments. Personal capabilities (acceptance, agency and congruence) are internally oriented forces which control self-care behavior. The Environments (resources or forces interacting to help/hinder recovery) are depicted as the Physical (the body), External (social support, therapists, etc.), Internal (psychiatric or emotional forces), and Created (belief systems, attitudes, etc.). Conclusions: When interactions between personal capabilities and Environments are adequate cognitive recovery will progress. Recovery should be comprehensive and nurses are uniquely qualified to ensure all aspects of the person are addressed. This model promotes collaboration among healthcare providers and guidance in identifying and addressing patient needs.

scholarly journals Estado nutricional y preferencia del sabor dulce en adultos chilenos

2020 ◽  
Vol 70 (4) ◽  
pp. 247-254
Author(s):  
Paula Ledesma Gutiérrez ◽  
Rocío Martínez Garrido ◽  
Fanny Flores Sandoval ◽  
Ana Acuña Dericke ◽  
Favián Treulen Seguel ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Negative Impact ◽  
Sweet Taste ◽  
Nutritional Composition ◽  
Lifestyle Changes ◽  
The Body ◽  
Final Sample ◽  
Sweet Solution ◽  
Degree Of Satisfaction ◽  
Para Determinar

El dramático aumento de la prevalencia e incidencia de la obesidad sugiere que factores ambientales y cambios en el estilo de vida contribuyen de forma importante a su tendencia epidémica. En humanos, se han reportado diferencias interindividuales en los umbrales de detección y preferencia del sabor dulce, lo que podría afectar la ingesta habitual de azúcares, y por ende al estado nutricional. Objetivo: El presente estudio busca determinar la relación entre el estado nutricional y la preferencia al sabor dulce en la comunidad de un establecimiento de educación superior. Método: Muestra fue constituida por estudiantes, funcionarios y docentes, entre 18 y 60 años, pertenecientes a la Universidad Mayor, Sede Temuco. Para determinar preferencia al sabor dulce se empleó prueba organoléptica que mide grado de satisfacción frente a solución dulce, junto a ello se realizaron mediciones de peso y talla para determinar el Índice de Masa Corporal. Resultados: Muestra final comprendió de 319 personas, de las cuales un 30,1% fueron hombres y 69,9% mujeres. No se observaron diferencias significativas en la preferencia hacia las soluciones con mayor concentración de sacarosa según el estado nutricional. Sin embargo, el modelo predictivo desarrollado arrojó que hombres prefieren las soluciones con mayor concentración de azúcar independiente de la edad y estado nutricional. Conclusiones: Es necesario desarrollar nuevos estudios que permitan aclarar si la preferencia al sabor dulce favorece el desarrollo de obesidad y sobrepeso, o si es la composición nutricional de los alimentos procesados o ultraprocesados, lo que está teniendo un mayor impacto negativo en el estado nutricional de la población. The dramatic increase in the prevalence and incidence of obesity seems to suggest that environmental factors and lifestyle changes are contributing significantly to the epidemic trend of this pathology. In humans, inter-individual differences in the thresholds of preference of sweet taste have been reported, which could affect habitual sugar intake, and therefore the nutritional status. Objective: The present study seeks to determine the relationship between nutritional status and the preference of sweet taste in the population of a higher education establishment. Method: Sample was constituted by students, officials and teachers between 18 and 60 years, belonging to the Universidad Mayor, Temuco. To determine the perception of the sweet taste, an organoleptic test was used that measures the degree of satisfaction with the sweet solution, along with this, weight and height measurements were made to determine the Body Mass Index. Results: Final sample comprised 319 people, of which 30.1% were men and 69.9% women. No significant differences were observed in the preference for solutions with a higher concentration of sucrose according to nutritional status. However, a predictive model developed showed that men prefer the solutions with the highest concentration of sugar regardless of age and nutritional status. Conclusions: It is necessary to develop new studies to clarify whether the preference for sweet taste favors the development of obesity and overweight, or if it is the nutritional composition of processed or ultraprocessed foods, which is having a greater negative impact on the nutritional status of the population.

Measurement of CO2 production by the doubly labeled water technique

1986 ◽  
Vol 61 (3) ◽  
pp. 1200-1202 ◽  
Author(s):  
J. R. Speakman ◽  
P. A. Racey
Keyword(s):  
Isotopic Analysis ◽  
Accurate Estimate ◽  
The Body ◽  
Co2 Production ◽  
Doubly Labeled Water ◽  
Human Metabolism ◽  
Multiple Sampling ◽  
Final Sample ◽  
Nonsteady State ◽  
Sample Method

Recent applications of the doubly labeled water technique to the study of human metabolism have employed multiple sampling of body water over protracted periods, rather than the more traditional method of taking only an initial and final sample for isotopic analysis. In addition fractional turnovers of the body pools have been estimated by fitting curves to the sequential log-converted isotope enrichment against time. By manipulation of data collected in the field in a study of metabolism of vespertilionid bats, it is shown the curve-fitting technique results in an accurate estimate of CO2 production only when the rate of CO2 production is constant. Biologically realistic nonsteady-state conditions result in errors in estimates of CO2 production of up to 30%. In conditions where CO2 production is known to be temporally variable, the more traditional two-sample method may provide a more accurate estimate of CO2 production.

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