PubMed Health⌕ Search

Biomedical subjects

L A Rossi

Publications and source records attributed to L A Rossi.

18 recordsLinked to original sources
PubMed2005

The stigma of burns Perceptions of burned patients' relatives when facing discharge from hospital.

The objective of this ethnographic study was to investigate the cultural meanings reported by 25 relatives of burned patients about their loved one's impending hospital discharge. Data were collected by means of participant observation and semi-structured interviews conducted during hospital visiting hours, and support group meetings with relatives. The following inter-related phases were considered in the analysis process: reading of the material and data reduction (selection of data using the objective of the study as a guide), data display, conclusion outlining, and verification. Following this process, the data were coded and similar codes were grouped into categories. It was found that the relatives of burned patients felt afraid when faced with the prospect of hospital discharge. Their descriptions reveal the family's feelings and attitudes in face of other people's reactions, and in face of the patient's own reactions in the context of possible changes in their social roles.

Adolescent↗
PubMed2002

Body image of patients with burns sequellae: evaluation through the critical incident technique.

The present investigation is a descriptive study, with a retrospective, ex-post facto, design. The objectives of this study were to characterize the body image changes in patients with burn sequellae, through the critical incident technique and to identify and categorize critical incidents, comparing them to the characteristics defined by the Taxonomy of the North American Nursing Diagnoses Association (NANDA) for the body image disturbance nursing diagnosis. Thirty-five patients were interviewed. Two types of critical incidents were identified: 'facing the mirror'--the moment the patient looks at himself/herself and notices the changes in his/her body, and 'facing other people'--the moment the patient becomes aware that he/she calls the attention of others. Associated with the perceptions of changes in their bodies, the patients reported feelings of fear (19), rebellion (18) and shame (12). They also presented coping mechanisms of denial (12), rationalization (7), minimization (7) and repression (2). NANDA's body image disturbance diagnosis was identified in all patients.

Adolescent↗
PubMed2001

[The process of caring for burned patients: cultural significance attributed by relatives].

This study aimed at investigating the cultural meanings attributed by relatives to their participation in the process of delivering care to burned people; identifying the care strategies focused on by relatives during their participation in the care process. Data were collected by means of semi-structured interviews with 25 relatives of burned patients admitted in a Unit for Burned and by participant observation. The results of this study show that the perspective of giving care to a burned person has two dimensions: a physical dimension and a moral one; and generates mainly fear.

Adolescent↗
PubMed2001

[Evaluation of nursing notes based on the nursing process].

This is a retrospective study that analyzed the nursing notations in a Specialized Unit which develops the care to the patient based on Nursing Process. The data were collected through two promptuaries utilizing instrument constructed for this purpose. Aspects which valuate appearance and content were considered in the analysis. The nursing assistant was distinguished in the results considering the bigger number of extensive and not very specific notations, and in the registrations achieved by the nurse, it was observed a bigger number of legible and objective notations. By expressing the Nursing work, greater investments must be made to become more objective and full the nursing notations.

Nursing Process↗
PubMed2001

[Implementation strategies of nursing processes for an HIV-positive patient].

Aiming at valuing the use of strategies such as teaching and learning methods, the relaxation technique and coping are described in a case study concerning a hospitalized HIV-positive person presenting the Acquired Immuno-Defficiency Syndrome (AIDS). The Conceptual Model proposed by Dorothéia Orem (OREM, 1985), Risner's proposal for the conduction of diagnostic thinking and the Nursing Diagnostic Unifying System proposed by NANDA (NANDA, 1996) were use as theoretical framework. Among the identified diagnoses, three were selected in order to exemplify the planning, implementation and process evaluation phases.

HIV Infections↗
PubMed2000

Analysis of cost of dressings in the care of burn patients.

This study aimed at analyzing the costs of material used in the occlusive dressings of burn patients. The subjects of the study were patients over the age of 18 years who were admitted to the Burns Unit of the Ribeirão Preto Medical School Clinical Hospital, University of São Paulo-Brazil, from 15 January to 11 September 1998. Data were collected concerning the costs and duration of bathing and dressing of these patients. We concluded that there was a positive relation between the real costs of the materials used and the percentage of the body surface burned. In addition, there was a positive correlation between the number of staff involved in care and the size of the burns. There was no significant difference between the cost of materials used in dressings for burns of different depths.

Adolescent↗
PubMed2000

[Nursing diagnosis of the patient in the immediate postoperative period].

The aim of this study was to identify the nursing diagnoses that are more frequent in patients in immediate post-operative period. Data were collected and recorded on specially cards, through evaluation of 28 patients in the first two hours after the admission of the patient. The nursing diagnoses were set by one of the authors, based on Taxonomy I, proposed by North American Nursing Diagnosis Association--NANDA. The diagnoses that occurred mostly were: Risk for injury (100.0%), Risk for infection (92.8%), Sensory perceptual alterations (89.2%), Risk for aspiration (82.1%), Impaired physical mobility (71.4%), Impaired tissue integrity (82.1%) and Hypothermia (67.8%).

Humans↗
PubMed2000

[The pain of burns: terrible for him who feels it, stressful for those who care for him].

The goals of the study were to understand the cultural meaning that the nursing team and burn patients attribute to burn pain. Participant observations were carried out during one year at a Burn Unit. Semi-structured interviews with four nurses, five nursing auxiliaries and 12 patients were recorded. The burn pain is understood by nurses as physical and emotional pain. For professionals and patients, bath and dressing changes are stressful. For patients, burn pain is terrible and they can not explain it. However, they feel they should hold it up.

Attitude of Health Personnel↗
PubMed2000

[Incidence hepatitis C virus seroconversion after the implementation of a prevention and control program at a hemodialysis unit].

This study aimed at reporting the incidence of the hepatitis C virus as well as the prevention and control measures adopted in an hemodialysis unit. It is a prospective study developed with patients attended from September 1996 to December 1998 in an hemodialysis unit. The consultations from September 1996 to December 1996 were considered the control group and the ones from January 1997 to December 1998 the intervention group. Regarding the period of the control group, the routine of the unit was organized based on the regulation 2042 that systematizes the services of renal therapy. In the subsequent period, complementary measures were implemented. From 1997 to 1998, authors observed the reduction in the number of cases of hepatitis C.

Ambulatory Care Facilities↗
PubMed2000

[Nursing diagnoses from NANDA's taxonomy in women with hospitalized premature child and King's conceptual system].

This study aimed at identifying nursing diagnoses presented by mothers with a hospitalized preterm child in an NICU by the use of King's Conceptual System and Taxonomy I of NANDA's nursing diagnoses. The case-study methodology was applied to 35 puerperal women. Eight diagnoses were identified, the frequency of which was over 50%, as follows: Risk of Infection, Risk of Injury, Impaired Tissue Integrity, Altered Health Maintenance, Risk of Inefficient Breast-feeding; Risk of Altered Parent/Infant Attachment; Fear; Parental Role Conflict and Impaired Social Interaction.

Adult↗
PubMed1999

[Ethical and legal aspects of the nursing records of organ donors for transplant].

The objective of this study was to verify the ethical and legal aspects concerning the documentation of nursing practice in the organ donor's records. The records of the 12 organ donors admitted in a Brazilian University Hospital, from January/1992 to august/1996 were analysed. The donor consent was reported by nurses in 16.7% of the records. Defects that preclude legal value for the charting such as missing date or signature, erasure were found in 91.7% of the records.

Brazil↗
PubMed1998

Childhood burn injuries: circumstances of occurrences and their prevention in Ribeirão Preto, Brazil.

The objectives of this study were to verify which circumstances are present in burn accidents of patients under 12 years of age and to gather information to ground strategies to prevent those accidents. Parents or guardians of 26 patients aged under 12 years, admitted to the burns unit of the Clinical Hospital of Ribeirão Preto Medical School, Brazil, were interviewed, from March 1996 to March 1997. Fifty percent of the injured children were under 3 years of age and had suffered a scald. The kitchen and the backyard were identified as the places where the majority of accidents (84.6%) happened. At least one parent was present in 80.7% of cases. The results speak for the necessity of implementation of programs to prevent burn accidents, focusing on the domestic setting, chiefly activities in the kitchen.

Accidents, Home↗
PubMed1998

[Fluid volume deficit: profile of defining characteristics in patients with burns].

The present study aimed at describing the profile of defining characteristics in patients with the nursing diagnosis "Fluid volume deficit" related to active loss of fluid secondary to burns. Data were collected by means of a tool, containing 29 possible defining characteristics of this diagnosis. Seven nurses, that worked at the Burnt Unit for at least five years ago, provided opinions about the degree to which each defining characteristic is indicative of this diagnosis. Nurses rated each defining characteristic of diagnosis being tested on a scale of zero to one. The results confirmed all, except one (increased body temperature) defining characteristics presented by NANDA for this diagnosis and indicated 10 new defining characteristics.

Attitude of Health Personnel↗
PubMed1998

[Burns: characteristics of cases treated in a teaching hospital in Ribeirão Preto (São Paulo), Brazil].

Burns are a significant health problem in Brazil, but there have been few data collected that could shape treatment and prevention programs. To help overcome that knowledge gap, this study looked at the types of accidents and the characteristics of 138 burn patients admitted into the burn unit of the University of São Paulo Hospital in Ribeirão Preto, state of São Paulo, Brazil, between November, 1991, and December, 1993. Patient charts were reviewed to collect data on age, sex, region of the body affected, burn depth and surface affected, agent causing the burn, and circumstances in which the burn happened. Of the 138 cases, 71% occurred in the home. In 50% of all accidents the victims were children. Boiling water was the agent responsible for 59% of the accidents among children younger than 3 years of age; fuel alcohol used in the home for cooking and other purposes caused 57% of the accidents among children between 7 and 11 years, the most affected pediatric group. Among adults, the group between 20 and 39 years of age was the most affected (23%); 84% of the victims in this age group were male. Seventeen percent of all cases involved adult males at work. Women suffered burns in accidents at home (67%) and in suicide-related events (33%). Seventy-five percent of the suicide cases were women. The strategies to reduce the incidence of burn injuries should aim at eliminating environmental risk factors and implementing educational programs disseminated through radio and television.

Accidents, Home↗
PubMed1995

Influence of a changed care environment on bacterial colonization of burn wounds.

This study investigated the influence of a conditioned care environment per se on bacterial colonization of burn wounds. Two cohorts of burn patients were treated in the successive years 1992 and 1993, the first group in a (permanent) purpose-designed unit and the second in wards of traditional 'open' design, during renovation of the unit. Patients who were admitted to the permanent and temporary units numbered 224 and 231 respectively, the groups being similar in features that generally influence the course and outcome of burn injuries. The principles and practice of treatment by the burn care team remained the same in both years. No significant difference in wound colonization rates was found between the two groups. We conclude that while the other known advantages of managing burn patients in purpose-designed units remain valid, a conditioned care environment per se does not influence bacterial colonization rates of burn wounds.

Adult↗
PubMed1995

[The nursing process in a burn unit: analysis and reformulation of teaching].

The present study aims at elaborating and applying an education plan for nurses in an Unit for Burnt Patients, with the proposal of analysing and reformulating the practice of the nursing process in this service. The framework proposed by Charles MAGUEREZ, was employed as a guideline, which led to the selection and application of the teaching and learning strategies implemented in this plan. We concluded that the framework proposed by MANGUEREZ made possible a substantial improvement in the nursing process in this service, and that this new reality claims for further studies.

Burn Units↗
PubMedDate not supplied

[The nursing process at a burns unit: an ethnographic study].

This ethnographic study aimed at understanding the cultural meaning that nursing professionals working at a Burns Unit attribute to the nursing process as well as at identifying the factors affecting the implementation of this methodology. Data were collected through participant observation and semi-structured interviews. The findings indicate that, to the nurses from the investigated unit, the nursing process seems to be identified as bureaucratic management. Some factors determining this perception are: the way in which the nursing process has been taught and interpreted, routine as a guideline for nursing activity, and knowledge and power in the life-world of the Burns Unit.

Anthropology, Cultural↗