scholarly journals Hospital discharge management of premature newborns: nurses’ knowledge / O manejo da alta hospitalar do recém nascido prematuro: saberes dos enfermeiros

2021 ◽  
Vol 13 ◽  
pp. 634-639
Author(s):  
Luziane de Almeida Anacleto ◽  
Valdecyr Herdy Alves ◽  
Diego Pereira Rodrigues ◽  
Bianca Dargam Gomes Vieira ◽  
Audrey Vidal Pereira ◽  
...  
Keyword(s):  
Hospital Discharge ◽  
Rio De Janeiro ◽  
Premature Newborns ◽  
Discharge Management ◽  
Nurses Knowledge

Objetivo: analisar os saberes dos enfermeiros durante o processo de alta hospitalar do recém nascido prematuro.Método: estudo descritivo, exploratório, qualitativo, realizado entre janeiro e maio de 2019 em uma unidade neonatal do Hospital Municipal Dra. Naelma Monteiro da Silva, vinculado ao Município de Rio das Ostras, Estado do Rio de Janeiro. Participaram do estudo onze  enfermeiros atuantes na Unidade, sendo os dados coletados por meio de entrevista semiestruturada submetidos à análise de conteúdo na modalidade temática. Resultados: constatou-se que os enfermeiros demonstraram conhecimento dos saberes acerca dos cuidados ao recém nascido na alta hospitalar, destacando-se a amamentação, a higiene corporal, o coto umbilical, a criação de vínculo e o plano de alta hospitalar com o propósito de evitar as reinternações. Conclusão: há necessidade de uma assistência qualificada, segura e humanizada, com acolhimento e respeito às subjetividades, tendo como propósito conhecer as necessidades do recém nascido, e promover estratégias para a educação em saúde, em especial no que tange aos cuidados do recém-nascido prematuro.

Postnatal growth at hospital discharge in extremely premature newborns in Spain

2017 ◽  
Vol 87 (6) ◽  
pp. 301-310
Author(s):  
Fermín García-Muñoz Rodrigo ◽  
Josep Figueras Aloy ◽  
Pedro Saavedra Santana ◽  
Alfredo García-Alix
Keyword(s):  
Hospital Discharge ◽  
Postnatal Growth ◽  
Premature Newborns

scholarly journals Cutaneous Nocardiosis Simulating Cutaneous Lymphatic Sporotrichosis

2017 ◽  
Vol 9 (2) ◽  
pp. 119-129 ◽  
Author(s):  
Pedro Secchin ◽  
Beatriz Moritz Trope ◽  
Larissa Araujo Fernandes ◽  
Glória Barreiros ◽  
Marcia Ramos-e-Silva
Keyword(s):  
Molecular Biology ◽  
Early Diagnosis ◽  
Hospital Discharge ◽  
Rio De Janeiro ◽  
The State ◽  
Endemic Region ◽  
Nocardia Brasiliensis ◽  
Appropriate Treatment ◽  
Diagnostic Hypothesis ◽  
The City

Sporotrichosis is the subcutaneous mycosis caused by several species of the Sporothrix genus. With worldwide occurrence, the State of Rio de Janeiro is presently undergoing a zoonotic sporotrichosis epidemic. The form of lymphocutaneous nocardiosis is rare, being caused especially by Nocardia brasiliensis. It appears as a nodular or ulcerated lesion, with multiple painful erythematous nodules or satellite pustules distributed along the lymphatic tract, similar to the lymphocutaneous variant of sporotrichosis. We present a 61-year-old man who, after an insect bite in the left leg, developed an ulcerated lesion associated with ascending lymphangitis, nonresponsive to previous antibiotic therapies. The patient was admitted for investigation, based on the main diagnostic hypothesis of lymphatic cutaneous sporotrichosis entailed by the highly suggestive morphology, associated with the epidemiologic information that he is a resident of the city of Rio de Janeiro. While culture results were being awaited, the patient was medicated with sulfamethoxazole-trimethoprim to cover CA-MRSA and evolved with total healing of the lesions. After hospital discharge, using an ulcer fragment, an Actinomyces sp. was cultivated and N. brasiliensis was identified by molecular biology. The objective of this report is to demonstrate a case of lymphocutaneous nocardiosis caused by N. brasiliensis after a probable insect bite. Despite the patient being a resident of the State of Rio de Janeiro (endemic region for sporotrichosis), it is highlighted that it is necessary to be aware of the differential diagnoses of an ulcerated lesion with lymphangitis, favoring an early diagnosis and appropriate treatment of the illness.

Caring for the Hospitalized Child

2013 ◽  
Author(s):  
Keyword(s):  
Sexual Abuse ◽  
Infectious Diseases ◽  
Hospital Discharge ◽  
Inpatient Care ◽  
Eye Trauma ◽  
Pediatric Hospitals ◽  
Discharge Management ◽  
Hands On ◽  
Pediatric Inpatient ◽  
Physical And Sexual Abuse

Get immediate, on-the-spot help for safe, effective, confident inpatient care! Developed by top pediatric hospitals, the all-new Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics is sure to become your go-to resource from initial evaluation through hospital discharge management. Pediatric hospitalists with extensive hands-on experience offer proven recommendations for dozens of pediatric inpatient problems. Here's what you need to know - and what you need to do - for anaphylaxis; cardiac conditions; dermatological; ENT and GI issues; infectious diseases; seizure; eye trauma; fractures; physical and sexual abuse; and much more.

scholarly journals SPECTRA OF MOTHERS OF PREMATURE CHILDREN ABOUT THE EDUCATIVE CIRCLE OF CULTURE

2014 ◽  
Vol 48 (spe2) ◽  
pp. 3-8 ◽  
Author(s):  
Camila Santos do Couto ◽  
Milena Colares Tupinambá ◽  
Aldecira Uchôa Monteiro Rangel ◽  
Mirna Albuquerque Frota ◽  
Elis Mayre da Costa Silveira Martins ◽  
...  
Keyword(s):  
Social Support ◽  
Health Education ◽  
Hospital Discharge ◽  
Thematic Analysis ◽  
Newborn Care ◽  
Descriptive Study ◽  
Premature Newborns ◽  
Maternal Experience ◽  
Premature Children

Abstract We sought to know the spectra of mothers of premature children regarding their experience with circle of culture of educational character and identifying the learning provided by the circle of culture about newborn care after hospital discharge. A descriptive study was performed in a hospital located in Fortaleza, Brazil. Three meetings of a circle of culture with 17 mothers of premature newborns were performed. The interpretation of the corpus was performed using thematic analysis. Emerged from the categories: Maternal experience in a circle of culture; Promoted social support among mothers through the circle of culture; and Learning provided by the circle of culture. It was concluded that teaching parents during the hospitalization of the child should be held in a way to involve parents in the care of the newborn, provide moments of health education, opportunities for support and dialogue between professionals and family.

scholarly journals ANÁLISE DA IMPLEMENTAÇÃO DE SISTEMAS INTELIGENTES PARA A GESTÃO DA ALTA HOSPITALAR

2019 ◽  
Vol 16 (1) ◽  
pp. 129
Author(s):  
Steffan Macali Werner ◽  
Enzo Morosini Frazzon ◽  
Fernando Antônio Forcellini
Keyword(s):  
Hospital Discharge ◽  
Information Technologies ◽  
Cyber Physical Systems ◽  
Physical Systems ◽  
Diffusion Of Information ◽  
Current State ◽  
Discharge Management ◽  
Hospital Resources ◽  
New Policies ◽  
Systems Simulation

A necessidade de alcançar uma maior eficiência na utilização dos recursos hospitalares torna necessária a sincronização dos processos internos. Para tanto, é essencial a aproximação entre os fluxos físicos e de informação envolvidos nos processos, como, por exemplo, a gestão da alta hospitalar. Essa aproximação é apoiada pela difusão de Tecnologias da Informação e pela contínua adoção dos conceitos de Sistemas Ciber-Físicos. Neste contexto, o presente artigo tem por objetivo propor e analisar políticas de sincronização dos processos internos de gestão da alta hospitalar, por meio da adoção de Sistemas Ciber-Físicos inteligentes. Para isto, após realizar uma proposição do estado futuro almejado, um modelo de simulação foi construído para apoiar sua comparação com o estado atual do processo. Assim, foi possível evidenciar possíveis ganhos de eficiência na utilização dos recursos hospitalares, bem como redução do tempo de permanência dos pacientes.Palavras-chave: Alta hospitalar. Gestão hospitalar. CPS - Cyber-Physical Systems. Simulação. Sincronização.ABSTRACTThe need for better utilization of hospital instigates the synchronization of internal processes. For that, it is essential to approximate the physical and information flows involved in the processes, such as hospital discharge management. This approach is supported by the diffusion of information technologies and by the continuous adoption of the concepts of Cyber-Physical Systems. In this context, the aim of this article is to propose and analyze new policies for synchronization of internal hospital discharge processes management, made possible by the adoption of intelligent Cyber-Physical Systems. To this, a simulation model was elaborated to support its comparison with the current state of the process. Thus, it was possible to show possible gains in efficiency in the use of hospital resources, as well as reduction of patients' time of permanence.Keywords: Hospital discharge. Hospital management. CPS - Cyber-Physical Systems. Simulation. Synchronization.

scholarly journals Pharmaceutical Discharge Management: Implementation in Swiss Hospitals Compared to International Guidelines

Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 33
Author(s):  
Helene Studer ◽  
Fabienne Boeni ◽  
Kurt E. Hersberger ◽  
Markus L. Lampert
Keyword(s):  
Hospital Discharge ◽  
Online Survey ◽  
Medication Management ◽  
Community Pharmacies ◽  
Structured Interviews ◽  
International Guidelines ◽  
Cochrane Reviews ◽  
Discharge Management ◽  
Hospital Pharmacies ◽  
Depth Interviews

Readmissions to the hospital are frequent after hospital discharge. Pharmacist-led interventions have been shown to reduce readmissions. The objective of this study was to describe pharmacist-led interventions to support patients’ medication management at hospital discharge in Switzerland and to compare them to international guidelines. We conducted a national online survey among chief hospital pharmacists focusing on medication management at hospital discharge. To put our findings in perspective, Cochrane reviews and guidelines were searched for summarised evidence and recommendations on interventions. Based on answers in the survey, hospitals with implemented models to support patients at discharge were selected for in-depth interviews. In semi-structured interviews, they were asked to describe pharmacists’ involvement in the patients’ pathway throughout the hospital stay. In Swiss hospitals (n = 44 survey participants), interventions to support patients at discharge were frequently implemented, mostly “patient education” (n = 40) and “communication to primary care provider” (n = 34). These interventions were commonly recommended in guidelines. Overall, pharmacists were rarely involved in the interventions on a regular basis. When pharmacists were involved, the services were provided by hospital pharmacies or collaborating community pharmacies. In conclusion, interventions recommended in guidelines were frequently implemented in Swiss hospitals, however pharmacists were rarely involved.

Coping in Mothers of Premature Newborns After Hospital Discharge

2016 ◽  
Vol 16 (3) ◽  
pp. 105-109 ◽  
Author(s):  
Mayut Delgado Galeano ◽  
Beatriz Villamizar Carvajal
Keyword(s):  
Hospital Discharge ◽  
Premature Newborns

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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