DSpace Collection:
http://hdl.handle.net/20.500.12207/5419
2024-03-28T09:14:32ZEarly enteral nutrition in postoperative of gastrointestinal surgery: A review
http://hdl.handle.net/20.500.12207/6234
Title: Early enteral nutrition in postoperative of gastrointestinal surgery: A review
Authors: Romão, Lara; Vieira, João Vítor; Ferreira, Rogério Ferrinho; Goes, Margarida Palma; Mestre, Teresa
Abstract: Background: The surgical patient is often at risk of malnutrition, especially when he is affected by gastrointestinal pathology. When such risk is confirmed its common to intervene with an additional nutritional support. Whenever possible, the enteric route should be privileged, once it is the most physiological, it maintains the structural and functional integrity of the intestinal barrier and it helps to stimulate the secretion of intestinal hormones, preventing the atrophy of the intestinal mucosa.
Objective: To access the benefits and the safety of early enteral nutrition in the postoperative of gastrointestinal surgery. Method: Review of the literature that used the PICO methodology to compile the research question. The research was performed in CINAHL Complete, Cochrane Central Register of Controlled Trials; Cochrane Database of Systematic Reviews and Pubmed databases to identify studies published between 2015 and 2019. Nine randomized clinical trials and six systematic reviews were selected. Results: Most of the articles included in this review point to the benefits of early enteral in people undergoing gastrointestinal surgery, namely the rapid recovery of intestinal function and reduction in hospital stay, which in turn reduces hospital costs. Only two articles considered this nutritional approach not viable/safe due to the increase in postoperative complications in its participants.
Conclusion: This review reveals that early enteral nutrition is a beneficial and safe intervention in the postoperative of gastrointestinal surgery. However, due to some limitations of the studies analyzed and given the wide range of scenarios and surgical interventions, further studies are suggested.2020-02-01T00:00:00ZPerceptions of intensive care unit nurses of therapeutic futility: A scoping review
http://hdl.handle.net/20.500.12207/6232
Title: Perceptions of intensive care unit nurses of therapeutic futility: A scoping review
Authors: Vieira, João Vítor; Deodato, Sérgio; Mendes, Felismina
Abstract: Introduction: Intensive care units are contexts in which, due to the remarkable existence of particularly technological resources, interventions are promoted to extend the life of people who experience highly complex health situations.
This ability can lead to a culture of death denial where the possibility of implementing futile care and treatment cannot be
excluded.
Objective: To describe nurses’ perceptions of adult intensive care units regarding the therapeutic futility of interventions implemented to persons in critical health conditions.
Method: Review of the literature following the Scoping Review protocol of the Joanna Briggs Institute. The Population,
Concept, and Context mnemonic was used to elaborate the research question and the research was performed using the EBSCOHost search engine in the CINAHL Complete databases, MEDLINE Complete, Cochrane Central Register of Controlled Trials, and Cochrane Database of Systematic Reviews to identify studies published between 1990 and 2019. Seven studies were selected.
Results: Nurses consider that therapeutic futility, a current problem in adult intensive care units, may have a negative
impact on persons in critical health conditions and that contributes directly to resource expenditure and moral conflicts and consequently leads to emotional exhaustion.
Conclusion: Due to the complexity of this concept, knowing and understanding people’s and families’ perceptions is crucial to the decision-making process, for which reason nurses can play a key role in managing these situations.2020-06-01T00:00:00ZThe concept of futility in health: A scoping review
http://hdl.handle.net/20.500.12207/6231
Title: The concept of futility in health: A scoping review
Authors: Vieira, João Vítor; Deodato, Sérgio; Mendes, Felismina Rosa Parreira
Abstract: Introduction:Duetotheconstant scientificandtechnological development, healthprofessionalsareregularlyconfrontedwithsituations inwhichtherearealways therapeuticoptions, regardlessof theseverityof thepatient’scondition.However, regardingthesetherapeuticoptionsas feasible inall situationscanbeharmful, since it isuniversally acceptedthat,despitealladvancesinhealth,thereareinevitablelimitsandthepromotionofsomeinterventionsmaybe uselessor futile. Objective:Tocharacterizetheuseof theconceptof futility inthehealthliterature. Method:ReviewoftheliteraturefollowingtheScopingReviewprotocoloftheJoannaBriggsInstitute.Theresearchwas performed inCINAHL,Cochrane, Pubmed, Scopus eWebof Science to identify studies publishedprior to2020. Nineteenstudieswereselected. Results:There isnouniversallyaccepteddefinition for theconceptof futility. Inthe literature therearedifferent conceptionsfortheconceptoffutilitythatpointtoqualitativeandquantitativerootsandthatareassociatedwithethical dilemmasthatmakeitdifficult toconceptualizethisconceptandmakeitoperational inclinicalpractice. Conclusion:Thecentralelementsoftheconceptof futilityinclude: thediagnosisof futilityiscloselyrelatedtoclinical judgment; futilityhasbothquantitativeandqualitativeroots; futilityisalwaysappreciatedposteriori; futilityisrelatedto thelackofbenefit. It isessential topromoteadiscussionthatenablesthedefinitionof theconceptandthatmakes it possibletopromoteethicalprinciples incare,especiallywhentheinevitablelimitsof treatmentsarereached.2020-11-26T00:00:00ZGains from nursing care in mobilizing the elderly person after hip arthroplasty
http://hdl.handle.net/20.500.12207/6230
Title: Gains from nursing care in mobilizing the elderly person after hip arthroplasty
Authors: Pereira, Iromisa; Ferreira, Rogério; Vieira, João Vítor; Goes, Maria M.; Mestre, Teresa; Oliveira, Henrique
Abstract: The thigh and proximal fracture of the femur appear as affections of the musculoskeletal system that cause a greater disability and, consequently, a decrease in the quality of life in the elderly. Hip arthroplasty is the treatment of choice in order to restore the autonomy of the elderly. However, the changes resulting from the surgery, give rise to self-care deficit. The nursing care in the mobilization at the time of surgery becomes a key element to empower the elderly and maximize the functionality of the operated limb.
Objective: Identify the gains of nursing care intervention in mobilizing the elderly person after hip arthroplasty.
Method: Research conducted in MEDLINE Complete and CINAHL Complete databases through the EBSCOhost platform in order to identify articles published between 2015 and 2020. After implementing the inclusion and exclusion criteria seven studies were selected. The evidence levels of the articles were ensured by Melnyk and Fineout-Overholt.
Results: Nursing interventions in mobilizing the elderly after hip arthroplasty contribute to functional recovery, well-being and self-care, prevention of complications, health promotion, decrease in length of stay and client satisfaction.
Conclusion: Nursing care in mobilization are essentials for the recovery of the elderly undergoing hip arthroplasty. The use of technologies, namely via WeChat, is essential to ensure the continuity of your rehabilitation process after hospital discharge.2021-01-01T00:00:00Z