Comunicação não verbal entre enfermeiros e idosos à luz da proxêmica / Nonverbal communication between nurses and the elderly based on the proxemics / Comunicación no verbal entre enfermeros y ancianos a la luz de la proxémica

Objetivou-se analisar a comunicação não verbal entre enfermeiros e idosos na consulta de enfermagem à luz do referencial teórico de Hall. Estudo exploratório descritivo com abordagem quantitativa, realizado por filmagens das consultas de enfermagem com idosos em Unidades Básicas de Saúde do município de João Pessoa-Paraíba, analisadas a cada um minuto, totalizando 1.575 interações não verbais. A análise mostra predomínio de enfermeiros (90,63%) e idosos (65,63%) do sexo feminino e classificação regular para a maioria dos fatores com prevalência da postura sentada (80,09%), cadeiras uma em frente a outra (64,46%), distância pessoal (91,40%), expressão facial tranquila (59,78%), uso do toque apenas ao realizar um procedimento técnico (53,33%), interação visual enquanto manipula objetos (57,69%) e volume de voz inalterado (48,79%). Esses resultados refletem a necessidade de os enfermeiros dominarem conscientemente suas manifestações corporais e faciais a fim de melhor interagirem com o idoso.

The aim is to analyze the nonverbal communication between nurses and the elderly in the nursing consultation based on the theory by Hall. The research concerns a descriptive exploratory study and it has a quantitative approach. It took place through filmings of the nursing consultations which happened in Health Basic Units in João Pessoa, Paraíba, Brazil, observed every minute, a total of 1.575 nonverbal interactions. The analysis has showed the predominance of the female nurses (90.63%) and the elderly (65.63) and a regular classification for most of the factors as a prevalence of a sitting set (80.09), opposite chairs (64.46%), personal distance (91.40%), calm facial expression (59.78%), touch was used for a technical procedure (53.33%), visual interaction for the manipulation of the objects (57.69) and no alteration in the voice volume (48.79%). These results reflect the necessity of the nurses to domain consciously their corporal and facial manifestations in order to improve the interaction with the elderly.

El objetivo es analizar la comunicación no verbal entre enfermeros y ancianos en la consulta de enfermería bajo la teoría de Hall. Estudio exploratório descriptivo con abordaje cuantitativa, realizada a través de filmaciones de consultas con ancioanos en Unidades Básicas de Saúde de João Pessoa - Paraíba, totalizando 1.1575 interacciones no verbales. El análisis muestra predomínio de enfermeros (60,63%) y ancianos (65,63%) de sexo femenino y classificación Regular para la mayoría de factores con predominio de postura sentada (80,09%), sillas una frente a otra (64,46%), distancia personal (91,40%), expresión facial tranquila (59,78%), uso de contacto sólo para realizar procedimientos técnicos (53,33%), interacción visual cuando manipula objetos (57,69%) y volumen de voz inalterado (48,79%). Estos resultados reflejan la necessidad de que los enfermeros dominen conscientemente manifestaciones corporales y faciales a fin de mejorar la interacción con el anciano.

Colecistitis + Colelitiasis / Colecistitis + Colelitiasis

Presenta estudio de proceso de enfermería aplicado a paciente masculino de sala de cirugia del Hospital César Amador Molina de Matagalpa con el diagnóstico de Colelitiasis mas colecistitis. El proceso fue con el objetivco de brindar mejor atención al paciente, brindar planes de cuidados de enfermería. Durante el estudio se obervo que la mayoría de los factores causales del cálculos por colesterol son: obesidad, aumento de colesterol, etc. Uno de los logros fue brindar los cuidados de enfermería que se habían planteado, enriquecer los conocimientos acerca del diagnóstico de esta enfermedad. Se bridan algunas recomendaciones como: que los proximos egresados de la escuela de enfermería elaboren planes de cuidados para dar mejor atención a los pacientes; orientar al paciente que tienen esta enfermedad buscar atención médica, para evitar complicaciones tardías y a las futuras generaciones que para la elaboración de un proceso de enfermería lo hagn con etica y esmero.

Treatment of cholelithiasis in children with sickle cell disease.

Medical and surgical advances have improved the treatment of cholelithiasis (ie, gallstones) in children with sickle cell disease (SCD). Children with SCD have an increased risk of developing pigment gallstones that initially may be asymptomatic but that can lead to acute symptoms of cholelithiasis. An elective laparoscopic cholecystectomy procedure is recommended for pediatric patients with SCD to prevent the risk of requiring an emergency cholecystectomy procedure. The primary benefits of this approach include a shorter hospital stay after surgery, decreased postoperative discomfort, decreased risk of complications, and a quicker return to normal activities.

Laparoscopic cholecystectomy.

Judith presented with a long-standing history of right upper quadrant pain which was found to be the result of cholelithiasis. She was treated by means of a laparoscopic cholecystectomy and underwent an uneventful recovery apart from complaining of tiredness. This may have been due to chronic overstrain caused by trying to cope with the needs of her family and her two elderly parents. Her problems stemmed from uncertainty about the procedure and worry about how her husband would cope while she was recovering. Both problems were resolved by explanation and discussion, bringing in other family members to support her so that her feelings of guilt could be recognized and dealt with. To date, she continues to make a good recovery and is keen to resume her normal family role.

Actigall (ursodiol) capsules/CIBA.

Actigall (Urodiol) capsules, a product by CIBA-GEIGY Pharmaceuticals, is an agent intended to dissolve cholesterol (radiolucent, noncalcified) gallstones. It represents a treatment option for nonemergency patients with small-to-medium sized cholesterol gallstones who refuse to undergo surgical removal of the gallbladder or are high-risk surgical candidates.

Postanesthesia care of the biliary lithotripsy patient.

Alabama Lithotripsy Services is a consortium of Baptist Medical Centers in Birmingham, Montclair, and Princeton, Druid City Regional Medical Center in Tuscaloosa, and Huntsville Hospital in Huntsville, AL. This consortium is the first of two mobile lithotripsy services currently involved in the Food and Drug Administration investigational study using the Medstone (Medstone International, Inc, Irvine, CA) STS Lithotripter in the treatment of biliary gallstones. This procedure is a safe and effective alternative to abdominal surgery. Postanesthesia nurses need to know the population and criteria for selecting patients, how the lithotripter operates, postanesthesia care, possible complications, advantages, and disadvantages, as well as the future consideration of biliary lithotripsy using the Medstone STS Biliary Lithotripter.