RESUMO
Agricultural workers are at risk for developing skin cancer due to exposures to ultraviolet radiation. Occupational health nurses implemented a skin cancer screening during an agricultural trade show to facilitate primary and secondary prevention of skin cancer through risk assessment, visual skin examination, counseling, and education. The purpose of this article is to present an evidence-based practice model that describes the demographics of a skin cancer screening population, self-reported risk factors, the occurrence of presumptive diagnoses, and compliance with health-related recommendations. Eighty-eight individuals were screened. Thirty-nine (44%) of all screened participants were referred for further evaluation. Of the 39 referrals, 16 (41%) were recommended for biopsy. One month after the screening, 21 (54%) of the participants had completed or arranged follow-up. Status of the identified lesion was also explored. General comments yielded statements that demonstrated appreciation for the screening, teaching, reminders, and encouragement.
Assuntos
Doenças dos Trabalhadores Agrícolas/prevenção & controle , Prática Clínica Baseada em Evidências/organização & administração , Programas de Rastreamento/organização & administração , Enfermagem do Trabalho/organização & administração , Neoplasias Cutâneas/prevenção & controle , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Doenças dos Trabalhadores Agrícolas/diagnóstico , Doenças dos Trabalhadores Agrícolas/epidemiologia , Feminino , Exposições Educativas , Humanos , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem , New England/epidemiologia , Papel do Profissional de Enfermagem , Pesquisa em Avaliação de Enfermagem , Educação de Pacientes como Assunto/organização & administração , Autocuidado , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/epidemiologia , Adulto JovemRESUMO
The purpose of this study was to assess the effectiveness of coronary heart disease risk screening as a primary prevention tool. Screening included a lipid screening and American College of Cardiology Framingham cardiac risk profile for volunteers 45 years and older desiring A (interior) or B (exterior) classifications. Health surveillance records from 1998 to 2003 were reviewed for all firefighters and emergency medical services personnel in a rural New York county. Of the 1,458 volunteers evaluated, 1,166 were men and 292 were women. Three hundred fifteen individuals were screened for coronary heart disease risk; 52 had scores indicative of substantially increased risk. Subsequently, a health care provider or cardiologist saw 39 of these individuals, 26 (67%) of whom received pharmacologic, surgical, or other health care intervention. Coronary heart disease risk screening is an effective intervention in this population, and provides volunteers and their primary care providers with added motivation to actively reduce the risk of coronary heart disease via early intervention.
