The difficulties of implementing palliative care Araújo, Mariângela Ferraz Rodrigues; Santos, Ana Paula Saldanha; Amorim, Andressa Jordânia Alves de ...
International Journal of Advanced Engineering Research and Science,
2022, Letnik:
9, Številka:
9
Journal Article
Odprti dostop
Palliative Joint Care (PC) is a set of palpable care practices that aim to prevent patients from increasing patients with diseases or a more advanced stage according to their disease. Care is ...provided by a multidisciplinary team, composed of nurses, nutritionists, nutritionists, doctors, whose purpose is to relieve autonomy, making what has one and the patient possible to prepare the death in their own way. The study aims to analyze the importance through qualitative data and what are the difficulties for the implementation of palliative care in the Adult Intensive Care Unit (ICU). It consists of a literature review, through a bibliographic survey, with an exploratory and relative approach, not on the physiotherapeutic performance in palliative care within the same Intensive Care (ICU) system, and how the environment among professionals is seen and graphic care multidisciplinary teams within hospitals. Realizing the importance of palliative care for critically ill patients, endorsing the phases of the patient's importance, was possible, in addition to the importance in this process. The prioritization of the patient's well-being in an intensive environment is always the focus of the treatment from the initial point, until its delivery, always maximizing its intention, psychological and physical health in a global way, where all the professionals involved are of paramount importance. with responsibility.
Decentralization and Humanization of Public Health Services e Silva, Marlene Simões; do Lago, Pamela Nery; Pinto, Carolina Costa ...
International Journal of Advanced Engineering Research and Science,
2022, Letnik:
9, Številka:
7
Journal Article
Odprti dostop
The public disservice in health has become part of the daily lives of citizens, even with public policies of humanization and decentralization of services, representing an exceptional milestone for ...Brazilian public health. Thus, this research will investigate the proposal for decentralization and humanization of services to users, in line with article 6 of the Federal Constitution of Brazil (1988), and the Universal Declaration of Human Rights. It consists of a bibliographic survey, in which it was investigated through the Virtual Library in Saúyde, in the SciELO, LILACS databases and in the national legislation portal, in which the laws, decrees and ordinances referring to the subject of the study were researched, since which aims to present a proposal for the decentralization and humanization of health services to users in Brazil. 17 publications were analyzed in full, which were suitable for the purpose of this review. The decentralization of health services in Brazil is an important advance, bringing autonomy to health regions and a more directed management towards the adequate allocation of public resources to health in the country. Despite the legal support, what is perceived in practice is still far from what was expected and there is a long way to go to reach the desired quality standard when it comes to humanization of care. It is concluded, then, that even if the current legislation, there is still an important path to be followed for the health services provided in our country, present the desired level of excellence.
This is a descriptive study with a qualitative approach, carried out through a literature review. The aim of the study was to address the use of educational technologies in self-care guidance for ...ostomy patients. As a method, twelve scientific articles were used, published between 2016 and 2021 on scientific websites and platforms. The results showed that an educational technology aimed at guiding people with an ostomy is important due to the changes that occur after the ostomy and that the use of technologies during educational actions is seen as a tool that complements the process of knowledge construction for care and o taking care of oneself, qualifying interventions in health practice with people with stoma and their families. Health professionals play the role of educators and must participate in the process of elaboration, development and evaluation of the need to implement educational technologies with ostomy patients and their families.
Background
Lipomatous neurofibroma (Lnf) is a histopathological variant with adipocytes noted among cells of cutaneous neurofibromas. We aimed to investigate the prevalence and clinicopathological ...features of Lnfs of neurofibromatosis 1 (NF1)‐associated cutaneous neurofibromas and to review the literature systematically. We also evaluated the expression of leptin (a hormone involved in lipid metabolism) in neurofibromas to better understand the pathogenesis of Lnfs.
Methods
A prospective histologic study was conducted on 229 cutaneous neurofibromas from 85 NF1 individuals. Leptin expression was immunohistochemically evaluated in 111 cutaneous neurofibromas. To systematically review the literature, two authors independently performed literature searches without year restriction.
Results
Forty (17.5%) neurofibromas were lipomatous. Lnfs were significantly larger lesions and associated with females. Eighteen (7.9%) of all neurofibromas had multinucleated floret‐like giant cells, and these were associated with Lnfs. All neurofibromas expressed leptin. We systematically reviewed 13 articles. Three large studies investigated Lnfs mainly in sporadic neurofibromas and suggested that 0.3% to 8.0% of tumors (NF1 and sporadic) are Lnfs.
Conclusion
In NF1, Lnfs are common, mainly in larger tumors and women. All cutaneous NF1‐neurofibromas express leptin. It is unknown if the expression of leptin accounts for the lipomatous variant, but it may have a role in the pathogenesis of cutaneous neurofibroma.
