Revista Contexto & Saúde

009-014

Authors: Ana Cláudia Seus Falke , Viviane Marten Milbrath , Vera Lucia Freitag

Introduction: Childhood hospitalization can develop confused and dichotomous feelings in the child and family, such as death and healing, sadness and joy, fear and trust, thus making the hospital an environment of painful experiences of great importance for life, thus, it is important that nursing professionals develop strategies that minimize these feelings. Objective: To know the strategies used by nursing professionals to approach hospitalized children. Method: Descriptive and exploratory study, with qualitative approach, carried out in the period from June to December 2015, in the pediatrics of a Teaching Hospital in the south of Rio Grande do Sul/Brazil, with eight nursing professionals (three nurses and five nursing technicians). The study was approved by the Research Ethics Committee of the College of Medicine of the Federal University of Pelotas, under number 1.195.440, 08/24/2015. Results: The nursing team uses playful actions, as well as the dialogue in order to approach the child in the hospital environment, in order to create a bond and minimize the trauma that hospitalization can cause. Conclusions: The nursing team needs to use strategies such as toys and dialogue in order to reduce the impact of hospitalization for children, favoring a humanized care not only for the child, but also for the family.

020-026

Authors: Mariane Gonzaga Goi , Daniela Ramos Oliveira

It is t is about a review of literature, using method of a narrative type, whose objective was to know the scientific production of nursing about palliative care. The search was performed in the online databases Lilacs, BDENF and Medline. Ten original articles published in these databases have been included, which deal with “The patient without possibility of cure: perceptions of nurses and multidisciplinary team” and “The role of communication in the practice of palliative care”. It was possible to verify that there are few studies produced by the nursing about palliative care and to verify that there is concern of some researchers about the development of this subject, but it is still incipient. The professionals lack the training to enable better assistance and the use of communication strategies is necessary in this perspective of care.

036-042

Authors: Fernanda Penido Matozinhos, Manoel Messias Pacheco de Freitas, Glaucia Tatiane Pontes Pascoal, Juliana Oliveira Santos, Lilian Ismenia de Jesus, Suely Medeiros dos Santos, Valeria Aparecida da Silva, Larissa Cristina Silva Bastos

The nutritional problems are, undoubtedly, one of the most important public health problems worldwide, are directly rela- ted to socioeconomic conditions and cultural underprivileged and have as their biggest victim, the child. In this context, it is worth noting that one of the ways to prevent, diagnose and treat cases of child morbidity is characterized by actions that aim to improve and control of possible eating disorders. One of these actions refers to nutritional assessment. Thus, this article describes the experience carried out with children aged 1 to 5 years of age enrolled in a nursery schools located in a muni- cipality in the metropolitan region of Belo Horizonte, Minas Gerais. The goal of the experiment and study was to report the experience of an assessment of the nutritional status, by means of anthropometric values of these children, in addition to educational actions for children and educators outside the scenario encountered.The study was conducted with 62 children and the variables for the same were sex, age, weight (kg), height/height (cm) and body mass index (BMI) (kg/m2). Initially, education activities were carried out in health and then there was the test of weight and height of the children. BMI values in the children were introduced to the children’s BMI graphic. The data were processed and analyzed using the Statistical Software program (Stata). This study showed that a trend for underweight disorder is even more aggravating than overweight and also showed that some progress are being made, but the underweight and overweight are major problems in the field of child care. The attention to children’s health is a priority within the care for public health care and the inclusion in the child’s environment made us reflect on the need for better attention concerning to our country’s adults future.

053-057

Authors: Willian Guerra de Lima, Bruna Knob, Fernanda Lorenzet Bresolin, Letícia Aparecida Bolzan, Dáfne dos Santos Ribeiro, Caroline Zanin, Matheus Santos Gomes Jorge, Lia Mara Wibelinger

Introduction: Dermatopolymyositis and rheumatoid arthritis are rheumatic diseases that can occur in concomitance, cause pain and impact on postural balance and quality of life of affected individuals. Aim: The objective of the present study was to verify the effects of physiotherapy in an individual with dermatopolymyositis and rheumatoid arthritis. Materials and Methods: It is a case study, woman, 49 years old, with diagnosis of dermatopolymyositis at 25 years and of rheumatoid arthritis at 23 years. Physiotherapy intervention consisted of 30 sessions of kinesiotherapy (19 sessions) and hydrokinesiotherapy (11 sessions). Were performed exercises of Muscle stretching, muscle strengthening, manual therapy, proprioception, postural balance and gait. Results: There was a decrease in pain in three points (visual analogue scale), increase of the postural balance in five points (Berg balance scale) and improvement of the quality of life in aspects functional capacity, limitation by emotional aspects, social aspects, pain, general health and vitality (questionnaire quality of life SF-36). Conclusion: The proposed physiotherapeutic plan was beneficial in pain, postural balance and quality of life in an individual with dermatopolymyositis and rheumatoid arthritis.

069-076

Authors: Giordana Gabrielle Frick, Matias Nunes Frizzo

Anemia affects everyone 1.62 billion people, pregnant women and children and some of the population groups most affected. This study proposes to determine the prevalence of anemia and its determinants in pregnant women. Were analyzed for hemoglobin (Hb), hematocrit (Ht) and mean corpuscular volume (MCV) of 107 pregnant women, with only 77 of them were interviewed, due to the fact that 3 resulted in abortion and 27 did not reside in the municipality, to determine the characteristics and determinants in the development of anemia. It was found 14% (n=15) pregnant women with Hb less than 11g/ dL, among them, three 3% (n=3) with Ht less than 33%. Still, 14% (n=15) patients had MCV below 80 fL. Among the pregnant women interviewed, 16% (n=12) had anemia, these eight 67% (n=8) with incomes less than two minimum wages, 75% (n=9) reported as educated elementary school and 25% (n=3) consumed fewer foods containing iron and non ferrous sulfate used as a supplement. The prevalence of anemia was 14% in the 107 pregnant women evaluated. This number being directly related to the socioeconomic conditions of the pregnant women, which reflected in the knowledge of the pathology as well as in the diet during pregnancy. This index serves as an important indicator for the accomplishment of measures that make it possible to identify, prevent, and guide these pregnant women.

083-090

Authors: Yeril Chana Benitez, Elitiele Ortiz dos Santos, Ernande Valentin do Prado

This article presents an experience report of a Cuban doctor linked to the “More Doctors” Program, on the implementation of an intervention made in a Family Health Strategy in the municipality of Boa Vista/RR. The intervention aimed to improve care for adults with Systemic Arterial Hypertension and/or Diabetes Mellitus in the coverage area. The actions were carried out from March to June 2015, and had the participation of all the professionals of the team. Were developed monitoring and evaluation actions, organization and management, qualification of clinical practice and public engagement. There was better organization of the service, integration and capacitation of professionals to work in primary care. It was also possible to improve the care of the target group with increased coverage, access and adherence to the actions of health promotion.