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2.
Rev. esp. investig. quir ; 16(3): 113-118, jul.-sept. 2013. tab
Artigo em Espanhol | IBECS | ID: ibc-116947

RESUMO

Las discrepancias entre autores respecto a la correcta diferenciación entre úlceras por presión (upp) y lesiones por humedad, así como las implicaciones que de ello se deriva, han favorecido la aparición de recientes líneas de trabajo entre grupos de expertos en el ámbito de los cuidados de la piel y las heridas. Tres van a ser los pilares básicos estructurales de este artículo: -la relevancia en términos de elección de estrategias preventivas y actitudes terapéuticas, la confirmada dificultad clínica en la diferenciación entre ambas entidades en la práctica asistencial diaria y el desconocimiento de muchos profesionales de enfermería sobre estas líneas de trabajo.Hemos elegido abordarlo bajo la perspectiva del caso clínico de una mujer de 96 años que presenta lesión por humedad entendiendo que se brinda una oportunidad para actualizar conocimientos bajo el deseo de contribuir a que las enfermeras ejecuten las medidas preventivas más adecuadas o proporcionen los cuidados enfermeros oportunos al deterioro de la integridad cutánea y/o tisular (AU)


There is a discrepancy between authors regarding the differentiation between pressure ulcer and lesions due to humidity, as well as their implications. This has raised new research lines concerned with the care of the skin and wounds. This review has three basic sections: the importance of selecting appropriate preventive and therapeutic strategies, the confirmed clinical difficulty in differentiation between the two entities in the daily medical practice, and the unawareness of many nurses about these new research lines. We present a clinical case of a 96-year-old woman with skin lesions due to humidity. The described management of this case gives the opportunity to update the knowledge about the most appropriate preventive measures and nursing care to avoid he deterioration of the skin integrity in case of moisture (AU)


Assuntos
Humanos , Úlcera por Pressão/enfermagem , Umidade/efeitos adversos , Cuidados de Enfermagem/métodos , Higiene da Pele/métodos , Incontinência Urinária/complicações , Diagnóstico de Enfermagem
3.
Prenat Diagn ; 17(8): 737-42, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9267897

RESUMO

Three hundred and forty-three Cuban women at risk of having children with sickle cell anaemia or sickle cell-haemoglobin C disease were interviewed 2-8 years after the index pregnancy (that in which their risk was detected). The aim was to collect information on their attitude towards prenatal diagnosis in subsequent pregnancies. Twenty-two per cent (75/343) had dissolved their marriage and 9 per cent of these (7/75) considered that their at-risk status had influenced the separation. Sixty-three per cent of stable couples at risk (168/268) had decided to have no further children; 27 per cent of these (45/168) were afraid of having an affected child and 4 per cent (7/168) were afraid of the obstetric procedure. Nineteen per cent of the stable couples at risk (52/268) had had at least one further child or pregnancy. Of these, 44 per cent (23/52) requested prenatal diagnosis early and spontaneously, and a further 44 per cent (23/52) requested prenatal diagnosis but after re-identification by screening and recounselling. Only 12 per cent (6/52) did not request prenatal diagnosis. Attitude towards prenatal diagnosis was most positive among more educated women. The general perception of the prevention programme was good.


Assuntos
Anemia Falciforme/diagnóstico , Diagnóstico Pré-Natal/psicologia , Atitude , Cuba , Divórcio , Escolaridade , Feminino , Seguimentos , Aconselhamento Genético , Doença da Hemoglobina SC/diagnóstico , Humanos , Masculino , Gravidez , Fatores de Risco
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