Research Journal of Emergency Medicine


THE ROLE OF THE PSYCHOLOGIST BEFORE PATIENT PAIN IN INTENSIVE CARE UNIT

Research Article of Research Journal of Emergency Medicine THE ROLE OF THE PSYCHOLOGIST BEFORE PATIENT PAIN IN INTENSIVE CARE UNIT Ana Paula Pedrosa, Cybelle Cavalcanti Accioly, Eliane Nóbrega Albuquerque, Juliana Porto Behar, Mônica de Oliveira Osório Introduction: The Intensive Care Unit is a hospital location permeated by not very positive associations, with the multidisciplinary team having to deal with the pain, fears and anxiety of their patients daily and the demands of their families for comprehensive care and less suffering for the patient. Pain is a reaction of the patient with biopsychosocial factors involved. The team does not always act successfully in the face of the patient’s pain, using the psychologist as a mediator of this situation. Objective: to reflect on the role of the psychologist in the face of the patient’s pain in the Intensive Care Unit. Methodology: experience report. Results and discussion: In the intensive care unit, the patient is distant from his family members, without clothes, with monitoring of different equipment and people, with invasive care, which can be felt as threatening his integrity. Pain is an unpleasant sensory experience that may be associated with tissue damage or not. It is a difficult phenomenon to be measured, since it can be an emotional pain, activated by psychological components or not. Each person has a different intensity, manifestation and reaction to pain. There are pain scales that can be used as a strategy to adapt the best intervention in different contexts of illness. The psychologist in this unit acts focused on the patient, his family and team, because everyone involved may be interfering in the recovery process and in the experience of pain and in its coping. In this triad, attentive, neutral listening should be offered to provide psychological support and to facilitate the mediation of these relationships ...

STUDENT’S EXPERIENCE AS A MEMBER IN AN INTENSIVE THERAPY LEAGUE: EXPERIENCE REPORT

Research Article of Research Journal of Emergency Medicine STUDENT’S EXPERIENCE AS A MEMBER IN AN INTENSIVE THERAPY LEAGUE: EXPERIENCE REPORT Bárbara Leão Barros¹*, Jéfferson Santos¹, Marina Ellen de Oliveira Barbosa¹, José César de Oliveira Cerqueira² Introduction: In an Intensive Care Unit, the nursing team needs to be qualified and endowed with technical-scientific knowledge. Many assignments such as personal and material management; patient evaluation; team supervision; decision-making, leadership and continued education, are part of the routine of an intensive care nurse. Academic practice in the hospital environment happens in a reduced way, mainly because there is still a lot of fear and insecurity from the academics, as well as from the professional nurses in accompanying them. However, when the academic practice in this environment make itself available, the students have presented a significant technical-scientific evolution, collaborating decisively in the formation of the future professional nurse. An important and nice strategy for the student to enter specific sectors, such as the Intensive Care Unit, in order to internship, is the construction of Academic Leagues. Objective: To report the experience of nursing students in the Intensive Care Unit through the Academic League. Methods: This is a report of experience based on experiences during the extracurricular practice in the Intensive Care Unit provided by the Academic League of Intensive Therapy of Arapiraca. Results: Initially we realized that, although we have specific training, technical visits and laboratory practices with professionals in the field, the academic is often afraid of the critical environment, generating a feeling of impotence towards difficult patients. This often leads to thoughts about abandoning practical experience. However, with time, what is new becomes more familiar and the insecurities begin to stop being a part of the context, consequently, the construction of the professional future begins to exist. Conclusion: It is evident that ...

LIGHT TECHNOLOGY IN A HIGH-COMPLEXITY HEALTH UNIT: A MULTIPROFESSIONAL EXPERIENCE

Research Article of Research Journal of Emergency Medicine LIGHT TECHNOLOGY IN A HIGH-COMPLEXITY HEALTH UNIT: A MULTIPROFESSIONAL EXPERIENCE Tacyanne Bilro de Miranda1*Thatiane Guedes de Oliveira Machado2 Introduction. The Neonatal Intensive Care Unit (NICU) is marked by the hard technology and dominated by the technical language, and can become a scenario of strong emotions, conflicts and feelings for the family, settling in a hostile environment. In this context, parents experience feelings of guilt, fear, anguish, and disability. In this perspective, it is necessary to think of care strategies that use light technology in health care in hospitals of high complexity. Objective. Provide a playful moment with the mothers of babies hospitalized in the Neonatal ICU. Methods. Report of experience of the celebration of the day of the children, on October 12, 2018, carried out by the multiprofessional team of the Maternity School Januário Cicco, in the auditorium of said institution.There were jokes, children’s dances and a karaoke. Popcorn was distributed as a souvenir in the shape of a slipper with jujube, made with disposable cup, in blue and pink, depending on the sex of the baby. This memory was made by residents of the Multiprofessional Residence in Neonatal Intensivism. Results. The activity counted on the participation of 15 mothers, 1 professional and 8 residents of said service, providing teaching-service integration. Through this activity it was possible to provide a moment of integration, communication, creativity and affectivity. Both mothers and residents were able to develop their communicative and bonding skills. Conclusion. The activity revealed the importance of including playfulness in the hospital as an instrument capable of modifying unpleasant situations arising from the prolonged hospitalization process, since it proposes to care in an integrated way. The entire process, in addition to benefiting children and residents, has made the local health service more ...

Factors associated with morbidity in ICU

Review Article of Research Journal of Emergency Medicine Factors associated with morbidity in ICU AK Mohiuddin World University, Plot: 5 - 8, Avenue 6 & Lake Drive Road, Sector: 17/H, Uttara, Dhaka - 1230, Bangladesh The beginnings of caring for critically ill patients date back to Florence Nightingale’s work during the Crimean War in 1854, but the subspecialty of critical care medicine is relatively young. Many factors are hypothesized to contribute to the relatively high incidence and associated morbidity of medication errors in the ICU. The patients themselves are the most complex and critically ill in the hospital setting [1]. Critical care areas present a particular challenge with regard to medication errors. They are a dynamic environment with critically ill patients who often require rapid adaptation of ongoing management. ICUs can be error-prone settings, where even otherwise minor adverse events can lead to serious disability. By virtue of being sicker, older, and having more comorbidities, these patients are less resilient to errors. Because they require a higher intensity of care provision and may receive more medications, they may be at greater risk of iatrogenic harm. Pharmacokinetics of medications can also be altered in critically ill patients, principally through changes in volume of distribution and drug clearance. Large volume resuscitations, positive pressure ventilation, surgical procedures, systemic inflammatory response, and changes in protein binding, all common in ICU patients, affect the pharmacokinetics of many drugs. In addition, these patients are usually unable to help facilitate their own care, a problem aggravated by the volume of transfers to and from ICUs. Medication safety in ICUs might also be compromised because of the risks associated with the use of multiple medications per patient and the use of high-risk drugs associated with potentially severe adverse events [2]. Drugs used in the ICU are more likely ...

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1.Machado T.G.O, Miranda T.B, Neves A.P.S.M, Morais E.S, Carvalho S.M, Vieira J.M.F.Health and Spirituality: a Humanization Proposal for Care.Research Journal of Emergency Medicine, 2018, 1:3 
2.Souza, R.L.S; Albuquerque, L.A; Santos, C.R.N; Moraes, M.C.G; Silva, L.E.S; Magalhães, K.L. Clinical Aspects and Direct Micological Examination in the Presuptive Diagnosis of Surface Micoses in Patients of the Intensive Care Unit of Hospital University of Petrolina-PE.Research Journal of Emergency Medicine, 2018, 1:5

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Research Journal of Emergency Medicine is a peer reviewed open access journal publishing research manuscripts, review articles, editorials, letters to the editor in Emergency Medicine  (Indexing information).

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