RESUMOA adolescência é uma etapa da vida em que ocorrem mudanças no aspecto biológico praticamente semelhante para quaisquer adolescentes. O presente estudo procura compreender os esclarecimentos fornecidos pelas adolescentes grávidas referenciadas a uma Unidade de Saúde da Família, localizada em um bairro periférico de um município do Sul do Rio Grande do Sul. Os sujeitos do estudo foram três adolescentes grávidas, acompanhadas de um familiar. Estas foram selecionadas conforme a ordem de chegada para consulta de pré-natal à referida unidade de saúde, no mês de dezembro de 2006. A metodologia adotada é qualitativa e descritiva. O método utilizado para a coleta de dados foi entrevista semiestruturada, juntamente com a construção do genograma e ecomapa de cada adolescente. As entrevistas foram gravadas e transcritas. Após a análise dos dados os resultados apontaram que as adolescentes tinham informação sobre métodos contraceptivos, mas tinham a ideia mágica da não ocorrência da gestação. Salientamos a importância da atuação dos profissionais de saúde em promover o acesso à educação sexual e reprodutiva das adolescentes, fazendo com que esse número crescente de adolescentes grávidas venha a diminuir. Descritores: Saúde da família; Adolescência; Gravidez; Enfermagem; Família. ABSTRACTAdolescence is a stage of the life where changes in biological aspect are quite similar to any teenagers. This study seeks to understand the explanations provided by pregnant teenagers referred to a Family Health Unit, located in a peripheral neighborhood of a city in South Brazil, State of Rio Grande do Sul. The study was based on three pregnant teenagers, accompanied by a relative. These adolescents were selected according to the order of arrival for pre-natal consultations to the health unit in december (2006). The methodology is qualitative and descriptive. The method used to collect data was semi-structured with the construction of genogram and ecomap of each teenager. The interviews were recorded and transcribed. After analysis of the data the results indicate that the adolescents had information about contraceptive methods, but they thought that the pregnancy would not occur. We point out the importance of health professionals to promote access to sexual and reproductive education for adolescents, so making the growing number of pregnant teenagers decrease. Descriptors: Family Health; Adolescence; Pregnancy; Nursing; Family. RESUMENLa adolescencia es una fase de la vida en que ocurren cambios en el aspecto biológico prácticamente semejantes para cualquier adolescente. El presente estudio intenta entender las aclaraciones presentadas por las adolescentes embarazadas referenciadas en una Unidad de Salud de la Familia, ubicada en un barrio periférico de un distrito municipal del Sur de Rio Grande do Sul. Las personas del estudio fueron tres adolescentes embarazadas, acompañadas de un pariente. Estas se seleccionaron según el orden de la llegada a la consulta de prenatal en la Unidad de Salud referenciada, en el mes de diciembre de 2...

Objetivo: Descrever as complicações tardias relacionadas às estomias intestinais em pacientes submetidos à demarcação pré-operatória. Método: Estudo descritivo com abordagem quantitativa. A amostra foi de conveniência e composta por 15 pessoas com estomias intestinais submetidas à demarcação pré-operatória. A coleta de dados foi realizada entre janeiro e março de 2014 por meio de roteiro pré-estabelecido que norteou o exame físico e questionário contendo 13 questões relacionadas ao perfil sociodemográfico, ao diagnóstico e à demarcação pré-operatória. Resultados: Verificou-se que em 13 (87,7%) pessoas que tiveram estomia demarcada, esta estava localizada a uma distância superior a 5 cm de cicatrizes cirúrgicas, crista ilíaca, cicatriz umbilical e linha da cintura. Duas pessoas com ileostomia (13,3%) tinham protrusão da alça intestinal aquém do recomendado. No que se relaciona a complicações pós-operatórias, três participantes (20%) apresentaram dermatite periestomia e um (6,7%), além da dermatite, prolapso da estomia. Conclusão: O estudo mostrou que as complicações pós-operatórias relatadas pelos pacientes submetidos à demarcação pré-operatória da estomia foram pouco observadas e essas foram a dermatite periestomia e o prolapso de estomia.

Aims and objectives: To map and synthesise the existing literature on topical therapies for malignant fungating wounds pain management and the gaps involved.Background: Most cancer patients with malignant fungating wounds suffer from wound-related pain, affecting their quality of life. Unfortunately, even though pain is a relevant symptom in cancer and palliative care, little is currently known about topical treatments' availability and impact on pain management. Design: A scoping review following JBI® methodologyMethods: Searches were performed in CINAHL, LILACS, Embase, Web of Science, PubMed, Cochrane, NICE, Scopus, JBISRIR and grey literature, in English, Portuguese and Spanish, with no time limit. Two authors independently reviewed all citations and a third was called in case of divergence, and studies in adults with malignant fungal wounds reporting topical pain interventions were included. In addition, a data extraction tool for synthesis and thematic analysis was developed. This study followed the PRISMA-ScR Checklist.Results: Seventy publications were selected from 796 records retrieved from databases. The studies mainly included non-systematic reviews and case studies with only six clinical trials. According to the narrative synthesis, twenty therapies were identified, including the use of wound dressings (58.6%), analgesic drugs (55.7%), topical antimicrobials (25.7%), skin barriers (15.7%), cryotherapy (5.7%) and negative pressure wound therapy (4.3%). Therapies were recommended to be applied to the wound bed or the periwound skin. In 68.5% of the studies, a standardised assessment for pain was not described.Conclusions: Topical therapies applied to malignant fungating wounds or periwound areas had been examined for pain management. However, their effectiveness was analysed in a few interventional studies, indicating the need for further primary studies to inform evidence-based practice.

Objectives: Analyze critically the “1st Brazilian Recommendation for Biofilm Management in Chronic and Complex Wounds” (from Portuguese, “1a Recomendação Brasileira para o Gerenciamento de Biofilme em Feridas Crônicas e Complexas”). Method: Reviewing information contained in said document according to current literature. Results: The publication was showed to lack methodology compatible with its title; gaps in the recommendations were perceived regarding evidence classification, as well as an absence of grounding from important international consensus, published in the last three years, about treatment of complex wounds with suspected biofilm. Conclusion: The document was concluded to be inadequate for use as a clinical guideline, being considered only a bibliographic review about the theme.

Objectives: Describe late complications related to intestinal ostomies in patients undergoing a preoperative site marking. Method: Descriptive study with a quantitative approach. The convenience sample and was composed of 15 people with intestinal ostomies who underwent a preoperative site marking. Data collection was performed between January and March 2014 through a pre-established script that guided the physical examination and a questionnaire containing 13 questions related to the sociodemographic profile, diagnosis, and preoperative site marking. Results: It was verified that in 13 (87.7%) people who had site marked ostomies, it was located at a distance of more than 5 cm of surgical scars, iliac crest, umbilical scar, and waistline. Two people with ileostomy (13.3%) had intestinal loop protrusion short of recommended. Regarding postoperative complications, three participants (20%) presented peristomal dermatitis and one (6.7%), in addition to dermatitis, prolapse of the ostomy. Conclusion: The study showed that the postoperative complications reported by patients who underwent a preoperative stomatal site marking were poorly observed and that these was consisted of peristomal dermatitis and prolapse of the ostomy.