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J Piazza

Publications and source records attributed to J Piazza.

3 recordsLinked to original sources

[Post-traumatic coma and pre-traumatic memory].

Instead of thinking that it is impossible to enter in the internal world of a comatose patient, we are now put before a new and encouraging prospective, that of the possibility, even though minimal, of influencing the vital residual organisation of the patient and to induce him perhaps to accept again external stimulations, which previously were too intense. As loss of conscience often causes loss of memory, our intention was to examine the problem of memory loss in comatose patients after accidents. The analysis of 50 questionnaires distributed to trauma-patients awakening from a comatose state and interviews give clear indications that: 1) the patients remember absolutely nothing during the time of the coma; 2) in the majority of cases (34) the patients remember in the moment preceding the accident a clear autodestructive tendency especially if they were the cause of the accident; and 3) almost all patients (41) agree to have benefited greatly from the trauma itself and from its memory.

Amnesia

["Soft" parameters and invisible resuscitation].

Caring for a patient implies performing technical interventions and caring for the whole person, recognising his/her personal life, habits, family, wills. The working experience of an intensive care unit of Bellinzona is described: the theoretical framework that led the health team to start this new approach to intensive care patients and its translation in everyday practice. Verbal and non verbal communication skills (with the patient and the team) are pivotal in this approach; relatives are considered partners in the care of the patient and an essential element of the caring environment. Nurses identified meaningful data (soft data) related to living experience of the patient, to the interaction with the healing environment, his/her patterns of communication, and their use in the intensive care unit is described.

Communication

[The inducers of stress in a hospital department].

The stress level of general medical ward (18), intensive care (15) and emergency department nurses (13) was measured with a questionnaire. For 13 intensive care and 3 emergency department nurses stress level was measured also with a computerized system (COMES). Main sources of stress among nursing personnel are death and dying, and workload. There are no differences between full time and part time nurses and apparently intensive care and emergency department nurses do not experience more stress than general medical ward nurses.

Adaptation, Psychological