A aplicabilidade das pics na assistencia de enfermagem em pacientes com doença crônica: revisão integrativa / The applicability of pics in nursing care for patients with chronic disease: integrative review / La aplicabilidad de la pics en los cuidados de enfermería a pacientes con enfermedades crónicas: revisión integradora

A implementação das PICs no Brasil é uma realidade, dessa forma, compreende-se que o enfermeiro é o profissional que em tese deve possuir habilidades para aplicar as técnicas em pacientes. Com base nisso, o objetivo do trabalho foi descrever a atuação da enfermagem através de Planos de ações por intermédio das PICs em individuos com diminuição da qualidade de vida em razão do desenvolvimento de doenças crônicas degenerativas. Dessa forma, o presente artigo trata-se de uma revisão integrativa de literatura. Os resultados obtidos mostram que a aplicabilidade das PICs, está consolidada, sendo uma prática bastante utilizada na intervenção terapêutica de indivíduos portadores de doenças crônicas degenerativas, na qual as mais utilizadas são: plantas medicinais, reiki, homeopatia, acupuntura e auricuoterapia, entretanto, em relação a assistência de enfermagem, foi observado impasses em relação a capacitação profissional. Logo, concluímos que com base nas produções cientificas existentes a respeito das PICs, a prática infere em diversos benefícios ao indivíduo, estas que se convergem a promoção de maior qualidade de vida ao paciente com doenças crônicas, porém, a falta de capacitação profissional revela um impasse ainda persistente.

The implementation of PICs in Brazil is a reality, therefore, it is understood that the nurse is the professional who, in theory, must have the skills to apply the techniques to patients. Based on this, the objective of the study was to describe the role of nursing through Action Plans through PICs in individuals with reduced quality of life due to the development of chronic degenerative diseases. Thus, this article is an integrative literature review. The results obtained show that the applicability of PICs is consolidated, being a practice widely used in the therapeutic intervention of individuals with chronic degenerative diseases, in which the most used are: medicinal plants, reiki, homeopathy, acupuncture and auricutherapy, however, in regarding nursing care, impasses regarding professional training were observed. Therefore, we conclude that based on the existing scientific productions regarding PICs, the practice infers in several benefits to the individual, these that converge to the promotion of a better quality of life for the patient with chronic diseases, however, the lack of professional training reveals a stalemate still persistent.

La implementación de los PICs en Brasil es una realidad, por lo tanto, se entiende que la enfermera es el profesional que, en teoría, debe tener las habilidades para aplicar las técnicas a los pacientes. Con base en esto, el objetivo del estudio fue describir el papel de la enfermería a través de Planes de Acción por medio de PICs en individuos con calidad de vida reducida debido al desarrollo de enfermedades crónico degenerativas. Así, este artículo es una revisión bibliográfica integradora. Los resultados obtenidos muestran que la aplicabilidad de los PICs está consolidada, siendo una práctica ampliamente utilizada en la intervención terapéutica de individuos con enfermedades crónicas degenerativas, en la que las más utilizadas son: plantas medicinales, reiki, homeopatía, acupuntura y auricuterapia, sin embargo, en lo que respecta a los cuidados de enfermería, se observaron impasses en cuanto a la formación profesional. Por lo tanto, concluimos que con base en las producciones científicas existentes en relación a las PICs, la práctica infiere en varios beneficios al individuo, estos que convergen a la promoción de una mejor calidad de vida para el paciente con enfermedades crónicas, sin embargo, la falta de formación profesional revela un impasse aún persistente.

Improvement of Physical Function in Three Cases of Severe COVID-19 / The Japanese Journal of Rehabilitation Medicine

Many acute and subacute complications of coronavirus disease 2019 (COVID-19) have been reported. However, the recovery process in severely ill patients is not clear. Here, we report three patients with favorable physical function after severe COVID-19. All three patients were older than 65 years and had comorbidities such as diabetes mellitus, hypertension, and smoking habits. During respiratory failure, they received mechanical ventilation support for more than 4 days. Two patients had undergone tracheostomy, and one had undergone extracorporeal membrane oxygenation (ECMO). At the time of transfer to our hospital, they had lower-limb muscle weakness, respiratory distress on exertion, exercise-induced hypoxemia (EIH), and complications from immobility, such as peroneal nerve palsy. During rehabilitation, we monitored peripheral blood oxygen saturation, adjusted the workload, and administered temporary orthotic therapy. The patients improved within 150 days after the onset of the disease, and they were discharged home and were able to walk as a practical means of transportation. Even after severe COVID-19, the patients achieved good physical function. Interventions for EIH and complications due to immobility were additionally necessary. In the future, we must examine the relationship between improvements in physical function and rehabilitation.

Factores asociados en el desarrollo del síndrome de cuidados post-intensivos en personas con cáncer / Factors associated in the development of post-intensive care syndrome in people with cancer

Introducción: El síndrome de cuidados post intensivos (PICS) es un deterioro nuevo y/o empeoramiento en algún dominio de la cognición, la salud mental y la función física después de la estancia en la UCI, ha sido recientemente descrito en EU y Europa. En México no existen antecedentes del fenómeno, que afectan a la persona y al proxy. Objetivo: Determinar los factores asociados al síndrome de cuidados post-intensivos en personas con cáncer en los dominios físico, mental y cognitivo al 1er mes de egreso de la UCI en una institución de alta especialidad oncológica. Métodos: Estudio transversal, descriptivo, prospectivo, participantes seleccionados por pertenencia con edad 18 a <65 años, egresados de la UCI, en estadios oncológicos I, II y III evaluados al 1er mes de alta, con las siguientes escalas: calidad de vida en cáncer QLQ- C30, fatiga FAC-12 en el dominio físico, la escala HADS dominio mental y MoCa para el cognitivo. Se respetaron los principios bioéticos y se solicitó el consentimiento informado. Resultados: muestra de 62 personas, el 74.2 % de los egresaron presentaron PICS, 7 de cada 10 tenían afectación física y cognitiva, 56.2% tenia alteración en 2 dominios. El uso de benzodiacepinas aumenta 733 el riego de PICS, estancia >7 días agrega 11 en riesgo, el uso de fentanilo se reconoce como un factor protector. Conclusiones: La presencia del PICS es alta, la identificación de los factores asociados fortalecerá la implementación de estrategias para la reducción con un enfoque interdisciplinar. Repercute positivamente en su calidad de vida.

Introduction: Post-intensive care syndrome (PICS) is a new deteriorarion and/or cognition, mental or physical aggravation subsequent to stay in the intensive care unit (ICU), it has been recently described in the US and Europe. In México there is no background information phenomenon affecting the person and the proxy. Objective: Establish factors associated with post-intensive care syndrome in cancer patients in the physical, mental and cognitive domains at the first month of discharge from the ICU, in a high oncological specialty institution. Methods: Cross-sectional, descriptive and prospective study, participants were selected by membership aged 18 to <65 years, discharge from the ICU, in I, II, and III oncologic stages, evaluated at the first month of discharge, in the following scales: quality of life QLQ-C30, FAC-12 fatigue in the physical domain, the HADS scale for mental domain and MoCa for the cognitive domain. Bioethical principles were respected and informed consent was requested. Results: In a sample of 62 people, 74.2% of the patients presented PICS, 7 out of 10 had physical and cognitive affections, 56.2% had an alteration in 2 domains. The use of benzodiazepines increases 733 the risk of PICS, stay >7 days add 11 at risk, also fentanyl is recognized as a protective factor. Conclusions: There is a high presence of PICS, identifying associated factors will strengthen the implementation of strategies for reduction with an interdisciplinary approach, in order to have a positive impact on their quality of life.

Effects of Pharmacy Intelligent Control System on Waiting Time in Outpatient Pharmacy / 中国药师

Objective:To investigate the waiting time in the outpatient pharmacy to provide reference for shortening the waiting time and improving the quality of pharmacy service. Methods:Based on the pharmacy intelligent control system ( PICS) , the informa-tion of recipe time was calculated for statistically analyzing the number of patients and the waiting time. Results:The waiting time could be shortened effectively by PICS. The peak hours were 9:01-11:00 am and 14:01-16:00 pm, the waiting time of 72. 87% outpatients was in 10 minutes and that of 90. 08% outpatients was in 15 minutes. Conclusion: By optimizing dispense, adding special pharmacy and strengthening the training of pharmacists, shortened waiting time and uplifted satisfactory degree of patients will be realized.