PERCORRENDO CAMINHOS: ITINERÁRIO TERAPÊUTICO DE MULHERES USUÁRIAS DE ÁLCOOL E/OU OUTRAS DROGAS DURANTE CICLO GRAVÍDICO-PUERPERAL

2021 ◽  
Vol 58 (1) ◽  
pp. eUJ3950
Author(s):  
Isabelle Caroline Vitor da Silva ◽  
◽  
Ana Vanessa Deffaccio Rodrigues ◽  
Maria Aparecida Moreira das Neves ◽  
◽  
...  
Keyword(s):  
Pregnant Women ◽  
Legal Rights ◽  
Postpartum Women ◽  
Psychoactive Substances ◽  
Individual Interviews ◽  
Healthcare Network ◽  
Alcohol And Drugs ◽  
Role Of Nursing

Pregnancy, childbirth and postpartum care is provided in accordance with gestational risk factors, such as use of alcohol and/or other drugs by pregnant women. The objective of this study was to trace the therapeutic itinerary of pregnant women who use alcohol and/or other drugs in the health network of a city in the Mid-North of the state of Paraná. This is a qualitative, exploratory study conducted through individual interviews. Firstly, the therapeutic itineraries were built, then the speeches were analyzed in accordance with Bardin and discussed with the aid of current literature. Regarding the therapeutic itinerary, the interviewees accessed primary care, high-risk prenatal care, and hospital services. The results identified two categories: Considerations on the use of alcohol and drugs during pregnancy, and Strengths and weaknesses of the healthcare network’s points of attention. From the statements, probable biological and social implications of using psychoactive substances during pregnancy emerged, such as complications during gestation, fetal alterations, and loss of legal rights over children. As for the points of attention, the importance of multidisciplinarity and the role of nursing were highlighted. On the other hand, the network’s disarticulation and professionals’ inability, represented by inappropriate comments and lack of guidance, appear as weakness. It was concluded that it is necessary to provide comprehensive follow-up to pregnant and postpartum women who use alcohol and drugs, with the articulation of the healthcare network and professionals free from judgment to provide a care that meets their biopsychosocial demands.

scholarly journals Sheehan’s Syndrome Revisited: Underlying Autoimmunity or Hypoperfusion?

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
José Gerardo González-González ◽  
Omar David Borjas-Almaguer ◽  
Alejandro Salcido-Montenegro ◽  
René Rodríguez-Guajardo ◽  
Anasofia Elizondo-Plazas ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Diagnostic Criteria ◽  
Postpartum Hemorrhage ◽  
Hypovolemic Shock ◽  
Sheehan’S Syndrome ◽  
History Of ◽  
Sheehan's Syndrome ◽  
Pituitary Antibodies

Sheehan’s syndrome remains a frequent obstetric complication with an uncertain pathophysiology. We aimed to assess the incidence of hypopituitarism (≥2 hormonal axis impairment) within the first six postchildbirth months and to determine the existence of anti-pituitary antibodies. From 2015 to 2017, adult pregnant women, who developed moderate to severe postpartum hemorrhage (PPH), were consecutively included in the study. Pituitary function was assessed 4 and 24 weeks after PPH. At the end of the study, anti-pituitary antibodies were assessed. Twenty women completed the study. Mean age was 26.35 (±5.83) years. The main etiology for severe PPH was uterine atony (65%) which resulted mostly in hypovolemic shock grades III-IV. Within the first four weeks after delivery, 95% of patients had at least one hormonal pituitary affected and 60% of the patients fulfilled diagnostic criteria for hypopituitarism. At the end of the study period, five patients (25%) were diagnosed with hypopituitarism (GH and cortisol axes affected). Anti-pituitary antibodies were negative in all patients. At 6 months follow-up, one in every four women with a history of moderate-to-severe PPH was found with asymptomatic nonautoimmune-mediated hypopituitarism. The role of autoimmunity in Sheehan’s syndrome remains uncertain. Further studies are needed to improve the remaining knowledge gaps.

scholarly journals La enfermera escolar: comunicación eficaz para la prevención y detención del acoso escolar = The school nurse: effective communication for prevention and arrest of bullying

2017 ◽  
Vol 8 (2) ◽  
pp. 247
Author(s):  
Virginia Chamorro Aguado
Keyword(s):  
School Setting ◽  
Relevant Information ◽  
School Nurse ◽  
Nursing Intervention ◽  
Community Health Nursing ◽  
Health Nursing ◽  
Role Of Nursing ◽  
Educational Field

Resumen: Introducción: La adolescencia se considera una de las etapas de la vida más vulnerables que pueden verse influenciadas por patologías como son la depresión, los trastornos de adaptación y trastorno de la personalidad. La intervención de enfermería ayudaría a superarlo tratando de potenciar actividades protectoras y realizar una prevención de acoso. Objetivos: Conocer la comunicación que debe de emplear la enfermera escolar en el alumnado para la eliminación del “bullying”. Profundizar las conductas suicidas en adolescentes que sufren “Bullying”. Conocer el papel de enfermería en los colegios e institutos. Método: Se realizó una revisión bibliográfica buscando información relevante a partir de base de datos como son Medline, Pubmed y CINAHL Complete. Se hizo hincapié en la presencia e intervención de la enfermera en el ámbito escolar. Resultado y Discusión: La mayoría de casos de Bullying se dan en el ámbito educativo por lo que la presencia de enfermería en este ámbito y el desarrollo de actividades ayudaría a que las cifras de suicidios por estas causas descendieran. Conclusión: Enfermería es fundamental para la prevención, detección y seguimiento en los casos de “Bullying” así como la posible eliminación de intentos suicidas por este fenómeno.Palabras clave: Acoso escolar, Adolescente, Enfermería en salud comunitaria, Prevención primaria. Abstract: Introduction: Adolescence is considered one of the most vulnerable stages of life that can be influenced by pathologies such as depression, adaptive disorders and personality disorder. Nursing intervention would help overcome this by trying to strengthen protective activities and prevent harassment. Objetives: To know the communication that must be used by the school nurse in the students to eliminate "bullying". To deepen the suicidal behaviors in adolescents who suffer "Bullying". To know the role of nursing in colleges and institutes. Methods: A bibliographic review was carried out looking for relevant information from database such as Medline, Pubmed and CINAHL Complete. Emphasis was placed on the presence and intervention of the nurse in the school setting. Result and Discussion: Most cases of Bullying occur in the educational field, so the presence of nursing in this area and the development of activities would help to reduce suicide rates. Conclusion: Nursing is fundamental for prevention, detection and follow-up in cases of "Bullying" as well as the possible elimination of suicidal attempts by this phenomenon.Keywords: School harassment, Adolescent, Community health nursing, Primary prevention.

scholarly journals "Because of the baby": reduction on drug use during pregnancy

2020 ◽  
Vol 20 (1) ◽  
pp. 313-317
Author(s):  
Eliza Maria Tamashiro ◽  
Helaine Maria Milanez ◽  
Renata Cruz Soares de Azevedo
Keyword(s):  
Longitudinal Study ◽  
Drug Use ◽  
Pregnant Women ◽  
Brief Intervention ◽  
Window Of Opportunity ◽  
Psychoactive Substances ◽  
Spontaneous Reduction ◽  
Alcohol Users ◽  
Crack Users

Abstract Objectives: evaluate changes in the use of psychoactive substances (PAS) throughout pregnancy. Methods: longitudinal study, with pregnant women users of PAS at a prenatal follow-up. Results: 76 pregnant women used: tobacco (84.2%, n=64), alcohol (73.7%, n=56), cocaine (27.6%, n=21), marijuana (26.3%, n=20) and crack (13.1%, n=10). Spontaneous interruption had occurred in 60% (n=6) of crack users, 57.1% (n=12) of cocaine and 50% (n=28) of alcohol. After the Brief Intervention, 78.9% (15 of the total of 19) of alcohol users and 70% (7 of the total of 10) of marijuana users discontinued the consumption and there was a reduction in smoking cigarettes. Conclusions: the spontaneous reduction in the consumption of PAS and after the interventions, pregnancy is a window of opportunity to reduce the use of drugs.

The Development of Self-Compassion Among Women Varsity Athletes

2017 ◽  
Vol 31 (4) ◽  
pp. 317-331 ◽  
Author(s):  
Meghan S. Ingstrup ◽  
Amber D. Mosewich ◽  
Nicholas L. Holt
Keyword(s):  
Research Question ◽  
Self Awareness ◽  
Individual Interviews ◽  
Self Compassion ◽  
Varsity Athletes ◽  
Role Of Parents ◽  
Learning From Others ◽  
Compassion Scale

The purpose of this study was to explore factors that contributed to the development of self-compassion among highly self-compassionate women varsity athletes. More specifically, the research question was: how did women varsity athletes with high self-compassion perceive they became self-compassionate? To purposefully sample participants, 114 women varsity athletes completed the Self-Compassion Scale (Neff, 2003b). Ten athletes with high self-compassion scores then participated in individual interviews and a follow-up second interview. Data were analyzed using interpretive phenomenological analysis (Smith & Osborn, 2003). Analysis produced three main themes that contributed to the development of self-compassion: (a) role of parents (seeking and receiving help from parents, parents teaching self-kindness, parents putting experiences in perspective); (b) gaining self-awareness; and (c) learning from others (peers, siblings, coaches, sport psychologists). These findings provide insights into the ways in which self-compassion can be learned and taught, and have implications for practitioners who work with women athletes.

scholarly journals The Role of Nursing Homes in the Spread of Antimicrobial Resistance Over the Healthcare Network

2016 ◽  
Vol 37 (7) ◽  
pp. 761-767 ◽  
Author(s):  
Carline van den Dool ◽  
Anja Haenen ◽  
Tjalling Leenstra ◽  
Jacco Wallinga
Keyword(s):  
Antimicrobial Resistance ◽  
Nursing Homes ◽  
Control Strategies ◽  
Surveillance Systems ◽  
Patient Transfers ◽  
Healthcare Network ◽  
Sis Epidemic Model ◽  
Potential Impact ◽  
Role Of Nursing

OBJECTIVERecerntly, the role of the healthcare network, defined as a set of hospitals linked by patient transfers, has been increasingly considered in the control of antimicrobial resistance. Here, we investigate the potential impact of nursing homes on the spread of antimicrobial-resistant pathogens across the healthcare network and its importance for control strategies.METHODSBased on patient transfer data, we designed a network model representing the Dutch healthcare system of hospitals and nursing homes. We simulated the spread of an antimicrobial-resistant pathogen across the healthcare network, and we modeled transmission within institutions using a stochastic susceptible–infected–susceptible (SIS) epidemic model. Transmission between institutions followed transfers. We identified the contribution of nursing homes to the dispersal of the pathogen by comparing simulations of the network with and without nursing homes.RESULTSOur results strongly suggest that nursing homes in the Netherlands have the potential to drive and sustain epidemics across the healthcare network. Even when the daily probability of transmission in nursing homes is much lower than in hospitals, transmission of resistance can be more effective because of the much longer length of stay of patients in nursing homes.CONCLUSIONSIf an antimicrobial-resistant pathogen emerges that spreads easily within nursing homes, control efforts aimed at hospitals may no longer be effective in preventing nationwide outbreaks. It is important to consider nursing homes in planning regional and national infection control and in implementing surveillance systems that monitor the spread of antimicrobial resistance.Infect Control Hosp Epidemiol 2016;37:761–767

scholarly journals The working world of nursing unit managers: responsibility without power

2008 ◽  
Vol 32 (2) ◽  
pp. 256 ◽  
Author(s):  
Penelope S Paliadelis
Keyword(s):  
New South ◽  
New South Wales ◽  
Deep Understanding ◽  
Nursing Unit ◽  
Individual Interviews ◽  
South Wales ◽  
Role Of Nursing ◽  
Role Responsibilities ◽  
Working World

This paper seeks to explore the responsibility and power of the role of nursing unit managers (NUMs) in rural New South Wales using Kanter?s theory of organisational power as a framework. Using in-depth individual interviews with twenty NUMs, data were analysed from four perspectives to gain a deep understanding of the NUMs? working world. The findings show that the NUMs? role is substantive, encompassing both clinical and managerial functions. Overall, the findings indicate that the participants lacked power commensurate with their role responsibilities.

scholarly journals Inflammatory biomarkers in pregnant women with COVID-19: a retrospective cohort study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Andrea Lombardi ◽  
Silvia Duiella ◽  
Letizia Li Piani ◽  
Agnese Comelli ◽  
Ferruccio Ceriotti ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Viral Disease ◽  
Inflammatory Biomarkers ◽  
Postpartum Women ◽  
C Reactive Protein ◽  
Prognostic Role ◽  
Oxygen Supplementation ◽  
Inflammatory Biomarker ◽  
Reactive Protein

AbstractCoronavirus disease 2019 (COVID-19) is a pandemic viral disease affecting also obstetric patients and uncertainties exist about the prognostic role of inflammatory biomarkers and hemocytometry values in patients with this infection. To clarify that, we have assessed the values of several inflammatory biomarkers and hemocytometry variables in a cohort of obstetric patients hospitalized with COVID-19 and we have correlated the values at admission with the need of oxygen supplementation during the hospitalization. Overall, among 62 (27.3%) pregnant women and 165 (72.7%) postpartum women, 21 (9.2%) patients received oxygen supplementation and 2 (0.9%) required admission to intensive care unit but none died. During hospitalization leukocytes (p < 0.001), neutrophils (p < 0.001), neutrophils to lymphocytes ratio (p < 0.001) and C reactive protein (p < 0.001) decreased significantly, whereas lymphocytes (p < 0.001), platelets (p < 0.001) and ferritin (p = 0.001) increased. Lymphocyte values at admission were correlated with oxygen need, with a 26% higher risk of oxygen supplementation for each 1000 cells decreases. Overall, in obstetric patients hospitalized with COVID-19, C reactive protein is the inflammatory biomarker that better mirrors the course of the disease whereas D-dimer or ferritin are not reliable predictors of poor outcome. Care to the need of oxygen supplementation should be reserved to patients with reduced lymphocyte values at admission.

The role of nursing in the rehabilitation of acute stroke patients: Toward a unified theoretical perspective

Pflege ◽  
1999 ◽  
Vol 12 (1) ◽  
pp. 21-27
Author(s):  
Marit Kirkevold
Keyword(s):  
Acute Stroke ◽  
Theoretical Perspective ◽  
Stroke Patients ◽  
Role Of Nursing ◽  
Rolle Der Pflegenden

Eine Übersicht der bestehenden Literatur weist auf Unsicherheiten bezüglich der spezifischen Rolle der Pflegenden in der Rehabilitation von Hirnschlagpatientinnen und -patienten hin. Es existieren zwei unterschiedliche Begrifflichkeiten für die Rolle der Pflegenden, keine davon bezieht sich auf spezifische Rehabilitationsziele oder Patientenergebnisse. Ein anfänglicher theoretischer Beitrag der Rolle der Pflege in der Genesung vom Hirnschlag wird als Struktur unterbreitet, um die therapeutischen Aspekte der Pflege im Koordinieren, Erhalten und Üben zu vereinen. Bestehende Literatur untermauert diesen Beitrag. Weitere Forschung ist jedoch notwendig, um den spezifischen Inhalt und Fokus der Pflege in der Genesung bei Hirnschlag zu entwickeln.

Psychological Resilience Provides No Independent Protection From Suicidal Risk

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey
Keyword(s):  
Risk Factors ◽  
Well Being ◽  
Current Status ◽  
Psychological Resilience ◽  
Cross Sectional ◽  
Life Project ◽  
Resilience Factors ◽  
First Time

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.

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