RESUMO
Caring for an individual with a halo vest can be a frustrating and anxiety-provoking experience for healthcare professionals, the patient, and their families. Physicians or trained nurses apply halo vests in various situations in which cervical spine stabilization is required for an extended period. This device can be used as a first-line treatment in the management of nonoperative cervical trauma, that is, fractures, or placed following cervical surgery. Standardizing the application techniques and care associated with the halo vest, pin site care, and day-to-day activities of daily living will increase the comfort and self-confidence of healthcare professionals and the patient and family members in the provision of care. A collaborative approach among three greater Toronto area teaching hospitals aided in the development of standardizing care and patient educational materials for patients with halo vests.
Assuntos
Pinos Ortopédicos , Braquetes , Vértebras Cervicais/lesões , Protocolos Clínicos , Higiene da Pele , Fraturas da Coluna Vertebral/terapia , Atividades Cotidianas , Pinos Ortopédicos/efeitos adversos , Braquetes/efeitos adversos , Comportamento Cooperativo , Desenho de Equipamento , Falha de Equipamento , Hospitais de Ensino , Humanos , Controle de Infecções/métodos , Controle de Infecções/normas , Avaliação em Enfermagem/métodos , Avaliação em Enfermagem/normas , Ontário , Enfermagem Ortopédica/métodos , Enfermagem Ortopédica/normas , Educação de Pacientes como Assunto/métodos , Educação de Pacientes como Assunto/normas , Higiene da Pele/métodos , Higiene da Pele/enfermagem , Higiene da Pele/normas , Fraturas da Coluna Vertebral/psicologiaRESUMO
BACKGROUND: Despite education and changes in public policy, trauma-related injuries continue to exact an unacceptably high morbidity and mortality, particularly among young people. Most injuries are preventable and can often be attributed to poor choices. STUDY DESIGN: A mixed methods study involving 262 high school students was conducted to study the effect on knowledge and risk assessment after a day-long injury prevention program, and to develop a theoretic framework to better understand attitudes and beliefs that underlie commonly seen behaviors among young people. RESULTS: Knowledge about injury increased after participation in the program, but was not durable over time. Risk perception and capacity to discern safer options improved after the program and persisted for up to 30 days. A qualitative analysis revealed seven themes that reflect a sense of invincibility and a belief that fate is more important than choice in determining the outcomes of a situation. CONCLUSIONS: Effective injury prevention programs should include risk perception training that is informed by the attitudes and beliefs of the recipients.
