Raciocínio clínico é o processo usado por profissionais da área da saúde para refletir e planejar o tratamento do paciente, ou seja, é a chamada tomada de decisão. Serve para orientar e conduzir da melhor maneira possível o tratamento do paciente. Identificar e analisar referências bibliográficas de enfermagem nas bases de dados LILACS, BVS, SciELO e REBEM sobre o raciocínio clínico e pensamento crítico chegando a um diagnóstico de enfermagem a partir da queixa do paciente. Trata-se de estudos de revisão de literatura com caráter exploratórios, retrospectivos e análise crítica da literatura que foi realizado por meio de uma pesquisa em documentos eletrônicos publicados em periódicos, sendo utilizados artigos científicos, dissertações e teses; foi dispensado o uso do termo de livre esclarecido por se trata de uma revisão de literatura. Da análise bibliográfica identificou-se que o raciocínio clínico se desenvolve a partir do conhecimento científico dos profissionais de enfermagem dentro do âmbito hospitalar, e que não se tem muito estudo nesta área. Todos os profissionais praticam o raciocínio clínico no dia a dia, em qualquer situação, pois, todas as ações desenvolvidas por profissionais dentro do âmbito hospitalar têm que raciocinar para chegar a uma intervenção. Conclui-se que existem diversas formas pessoais e institucionais para o aprimoramento desse raciocínio pelos profissionais da saúde, tendo a necessidade da criação de programas de formação sobre o assunto. Acredita-se também que a revisão literária forneceu subsídios para uma melhoria na reflexão e no entendimento do raciocínio clínico pelos futuros profissionais.
Professionals face various environmental, physical, mental risks, accidents and occupational diseases, and often face inadequate working conditions. The aim of this study is to describe the multiprofessional role in workers' health. The methodology is a narrative review of literature with an approach of exploratory, observational, retrospective studies that were searched in the literature 23 articles between 2010 to 2022. Results: Within an organization, the presence of nurses, doctors, physiotherapists, biochemists and other professionals can give employees greater security and better performance in their functions, as they must be monitored and must gain confidence where they can count on a professional nurse always available. Professionals face various environmental, physical, mental risks, accidents and occupational diseases, and often face inadequate working conditions. The health of the worker started to be seen in a worrying way when men realized the link between work and illness, which has existed since antiquity. Occupational nursing focuses on caring for workers, especially those who care about work. It is concluded that the ideas presented in this study lead to the conclusion that the multidisciplinary work of occupational health is extremely important in promoting the health and well-being of workers, as it has the technical knowledge and can act in the prevention of accidents and occupational diseases.
Pressure injury is a localized damage to the underlying skin and / or soft tissue, usually on a bony prominence or related to the use of a medical device or other artifact. The lesion can appear on intact skin or as an open ulcer and can be painful. The injury occurs as a result of intense and / or prolonged pressure in combination with shear. Tolerance of soft tissue to pressure and shear can also be affected by microclimate, nutrition, perfusion, comorbidities and their condition. The objective of identifying the associated factors and preventive measures for pressure injuries in an intensive care unit, in order to support the professional in decision making to improve the care provided to these patients. The methodology is a narrative review study with an exploratory, observational, retrospective study approached in 07 articles in the databases (PUBMED, LILACS, BVS, SciELO, REBEN) between 2008to 2016 During the review, it was found that most pressure injuries could be avoided by taking simple actions such as changing the position, using pressure relief devices in areas of bone prominence, careful observation of the skin and greater knowledge by health professionals, making it necessary to qualify health professionals with regard to the main characteristics of patients who develop pressure injuries and risk assessment scales such as the Braden scale, with the possibility of making prognoses and, thus, prevent them. It is concluded that the majority
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