Martensboyd4388
Family members care for the hospitalized child based on their cultural reference and it is important that nurses take this aspect into consideration during care practice. Cultural care aggregates knowledge and can be considered a new paradigm for nursing care that allows an affective, reflective, human, empathic relationship between nurse/child/family.
to identify, through the contributions of hospitalized children and adolescents, the characteristics they consider necessary for a hospital that promotes well-being and development.
descriptive and exploratory study, with qualitative data analysis, carried out with a total of 30 hospitalized children and adolescents. Data were collected through semi-structured interviews, mediated by drawing, and analyzed by inductive thematic analysis, supported by the theoretical framework of the humanization of health care and the Florence Nightingale's Environmental Theory.
the designed hospital takes up the principles of Florence Nightingale's Environmental Theory, as well as one of the guidelines of the National Humanization Policy, the environment, from two perspectives elements and material resources from the physical environment; elements of comfort and well-being environment.
hospitals such as the projected institution corroborate what is recommended in public policies, as they qualify health care.
hospitals such as the projected institution corroborate what is recommended in public policies, as they qualify health care.
Reflect on the gaps in the care of Children with Special Needs in Health that demand complex clinical care with dependence on technological support for the maintenance of life, in the Unified Health System.
This is a reflection study based on recent policies and literature related to the theme.
Despite the advances achieved with the Unified Health System with regard to access to health services and the expansion of Primary Care, with the aim of reorienting health, it can be said that the health care model for CSHCN in Brazil is still centered on the hospital and medical knowledge.
There are gaps in the policies for children aimed at the new paediatric profile, and little is discussed about its implications for the Unified Health System.
There are gaps in the policies for children aimed at the new paediatric profile, and little is discussed about its implications for the Unified Health System.
To identify available evidence about the self-reported experience of hospitalized children.
An integrative review was carried out, and the survey occurred between September and November 2017, in the electronic sources DLTD-USP, CAPES, IBICT, MEDLINE, LILACS and BDENF.
Ten studies were found, prevailing samples with descriptive design and approach in qualitative and mixed methods research. BGJ398 The literature evidenced the experience of hospitalized children through the report of parents and health professionals; few were self-reported by the child itself. Five themes were identified Understanding the time of hospital admission, relevance of care received, feeling of pain, importance of the patient companion, information received about hospitalization.
It was found that experiences in childhood are able to have repercussions throughout life, and it is relevant that nursing is attentive to their clients' perception in order to have more satisfaction and the negative impact is diminished.
It was found that experiences in childhood are able to have repercussions throughout life, and it is relevant that nursing is attentive to their clients' perception in order to have more satisfaction and the negative impact is diminished.
Photodynamic therapy (PDT) of an extrahepatic cholangiocarcinoma using a digital cholangioscopy to deliver the laser.
Cholangiocarcinoma is an aggressive neoplasm that usually requires palliative biliary drainage. Photodynamic therapy (PDT) has been described as a successful adjunct treatment to malignant biliary obstruction.
To describe the use of digital cholangioscope to help provide laser light during biliary PDT session using locally developed light source.
Patient receives intravenous photosensitizer 24 h before the procedure. It starts with a regular duodenoscopy. After identification of the major papilla and retrograde cannulation, the digital cholangioscope is introduced into the common bile duct. Then, the cholangioscopic examination helps to identify the neoplastic stricture. Under direct visualization lighting catheter is advanced through the cholangioscope. Repositioning is recommended every centimeter to cover all strictured area. At the end of the procedure, a final cholangioscopy assesses the bile duct for the immediate result and adverse events.
This procedure was applied in one 82-year-old male due to obstructive jaundice in the last two months. EUS and ERCP revealed a severe dilation of the common bile duct associated with choledocholithiasis. Besides, was revealed dilation of hepatic duct up to a well-circumscribed hypoechoic solid mass measuring 1.8x2 cm compressing the common hepatic duct. The mass was deemed unresectable and the patient was referred for palliative treatment with PDT. He remained asymptomatic for three months. He perished due to complications 15 months after the PDT session.
Digital cholangioscopy-guided biliary PDT is feasible and seems safe and effective as an adjunct modality in the palliation of extrahepatic cholangiocarcinoma.
Digital cholangioscopy-guided biliary PDT is feasible and seems safe and effective as an adjunct modality in the palliation of extrahepatic cholangiocarcinoma.
Esophageal atresia is congenital anomaly with high mortality. Surgical complications and changes in nutritional status are common problems after surgical correction.
o evaluate nutritional status, esophageal stenosis, and respiratory complications among children who had repaired esophageal atresia.
Children aged >2 months old with repaired esophageal atresia were included in the current study. Gender, age, weight, and height were recorded for each case. Height for age and weight for age were calculated for each case.
According to weight for length percentile, 41.02% of the cases were underweight. Esophageal stenosis was seen in 54.76% of the obtained esophagograms.
Underweight was present in 41.02 of the patients according to weight-for-height percentile.
Underweight was present in 41.02 of the patients according to weight-for-height percentile.
