Manejo da dor de pacientes com aids: análise da estrutura gerencial em hospital de referência

Oliveira, Roberta Meneses; Silva, Lucilane Maria Sales da; Pereira, Maria Lúcia Duarte; Moura, Maria Aparecida Vasconcelos

doi:10.1590/s0080-62342013000200026

Cited by 5 publications

(7 citation statements)

References 8 publications

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“…According to the International Association for the Study of Pain (IASP), pain is "an unpleasant sensory and emotional experience associated with an existing or potential injury, or described in terms of such injury." When named as "chronic pain," it is characterized as continuous or recurrent pain, lasting at least for three months, often with uncertain etiology, and does not disappear with the use of conventional therapeutic procedures, becoming the cause of prolonged incapacity and disability 28,29 . This study confirms the data presented in the literature since almost 70% of the sample reported pain with chronicity.…”

Section: Discussionmentioning

confidence: 99%

Sleep alterations in patients with the human immunodeficiency virus and chronic pain

Aguiar

Dussán‐Sarria

Souza

2019

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES:In patients with chronic pain, insomnia is reported between 50 and 88% of them. It is essential to recognize sleep disorders to estimate its repercussions on the quality of life and to seek knowledge that supports the necessary interventions. This study aims to identify the possible factors that influence sleep quality, as well as its prevalence in these patients. METHODS: Sample consisting of 68 patients (58 women, 10 men), the mean age of 45.3±10.3 years, with a positive diagnosis of human immunodeficiency virus undergoing antiretroviral and chronic pain treatment in Porto Alegre, RS. The Pittsburgh Sleep Quality Index was used to assess the components of the scale as well as their overall score. For the classification of the type of chronic pain, the Leeds Assessment of Neuropathic Symptoms and Signs scale was used, which differentiates nociceptive and neuropathic pain. RESULTS: Patients classified with no pain, nociceptive pain and neuropathic pain. Overall score divided into good sleep, bad sleep and sleep disorder, where patients without pain accounted for 8.8%, 16.2 and 2.9% respectively. With nociceptive pain 4.4, 11.8 and 5.9%, respectively. With neuropathic pain 4.4, 23.5 and 22.1% respectively. Patients with neuropathic pain had the highest rates of poor sleep and sleep disorder, accounting for 50.0% and using more sleeping pills compared to the control group (p<0.05). CONCLUSION: There is a high prevalence of sleep disorders or poor sleep in patients with the human immunodeficiency virus with neuropathic pain. The importance of assessing the sleep as Sleep alterations in patients with the human immunodeficiency virus and chronic painAlterações do sono em pacientes vivendo com o vírus da imunodeficiência humana e dor crônica

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Section: Discussionmentioning

confidence: 99%

Sleep alterations in patients with the human immunodeficiency virus and chronic pain

Aguiar

Dussán‐Sarria

Souza

2019

Brazilian Journal of Pain

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“…Assim, deve-se reestruturar o modelo de gerenciamento do cuidado ao paciente hospitalizado, aprimorar os recursos organizacionais, materiais e humanos atuantes, capacitando--os para a avaliação da dor como rotina e para a cultura de análises e registros acurados desse sintoma, para que terapêu-ticas sejam melhor implementadas e garantam satisfação analgésica ao paciente (7) .…”

Section: (E11)unclassified

“…Se os opióides forem administrados corretamente por profissionais de saúde capacitados, não existe o problema do vício. Para tanto, faz-se necessário que tais medicamentos estejam amplamente acessíveis aos pacientes com dores muito fortes e constantes e que os profissionais sejam habilitados para saber como e quando usá-los (7) . Cabe salientar que o fato do tratamento medicamentoso ser um aspecto importante no cuidado a esses pacientes, por trazer o conforto imediato no âmbito fisiológico, não se deve deixar de visualizar as questões subjetivas que envolvem a experiência dolorosa.…”

Section: Eu Pouco Uso Dolantina Porque Tem Uma Dependência Muito Graunclassified

Chronic pain related to AIDS: perspective of nurses and doctors

Oliveira¹,

Silva²

2014

Revista Brasileira De Enfermagem

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RESUMOObjetivou-se identifi car as características e o manejo da dor crônica associada à síndrome da imunodefi ciência adquirida (AIDS) na perspectiva de enfermeiros e médicos. Estudo qualitativo realizado em hospital de referência de Fortaleza-CE, Brasil, com 20 profi ssionais. Aplicou-se entrevista semiestruturada e os discursos foram analisados pela técnica de análise de conteúdo de Bardin, emergindo três categorias: Caracterização da dor; Avaliação clínica da dor; e Cuidado Clínico da dor. Encontrou-se que a dor na AIDS manifesta-se como persistente, incapacitante e de difícil controle, sendo seu manejo baseado na identifi cação acurada dos fatores causais e na implementação do tratamento farmacológico e não farmacológico prestado pela equipe interdisciplinar. O estudo traz dados relevantes sobre a dor em pacientes com AIDS hospitalizados, demonstrando a necessidade de repensar o modelo gerencial de cuidado para promover intervenções de maior efi cácia analgésica e de aprimorar o atendimento interdisciplinar à dor para sua melhor avaliação e tratamento. Descritores: Enfermagem; Dor; Síndrome da Imunodefi ciência Adquirida; HIV; Pessoal de Saúde. ABSTRACTThe objective was to identify the features and the management of chronic pain associated to Acquired Immunodefi ciency Syndrome (AIDS) from the perspective of nurses and doctors. Qualitative study conducted at a reference hospital in Fortaleza-CE, Brazil, with 20 professionals. It was applied semi-structured interview and the speeches were analyzed using content analysis of Bardin, emerging three categories: Characterization of pain, Clinical evaluation of pain and Clinical care of pain. It was found that pain in AIDS manifests itself as persistent, disabling, with diffi cult control, and its management based on accurate identifi cation of the causal factors and on implementation of pharmacological and non pharmacological treatment offered by the interdisciplinary team. The study provides relevant data on pain in AIDS patients, demonstrating the need to rethink the model of care management interventions to promote greater effi cacy of analgesia and to improve interdisciplinary approach to pain for better pain evaluation and treatment. Key words: Nursing; Pain; Acquired Immunodefi ciency Syndrome; HIV; Health Personnel. RESUMENEl objetivo fue identifi car las características e el tratamiento del dolor crónico asociado con el síndrome de inmunodefi ciencia adquirida (SIDA) en la perspectiva de enfermeros y médicos. Estudio cualitativo realizado en hospital de referencia en Fortaleza-CE, Brasil, con 20 profesionales. Se aplicó entrevista semi-estructurada y los discursos fueron analizados utilizando análisis de contenido de Bardin, surgiendo tres categorías: Caracterización del dolor, Evaluación clínica del dolor y Cuidado clínico del dolor. Se encontró que el dolor en SIDA es persistente, incapacitante y difícil de controlar, su gestión es basada en la identifi cación precisa de los factores causales y en la aplicación del tratamiento farmacológico y no farmaco...

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“…The scales available for patients' behavioral assessment are the Children's and Infant's Postoperative Pain Scale (CHIPPS) and the Neonatal Infant Pain Scale (NIPS) (6,9) . School-age children tend to express subjectivity more assertively by qualifying and quantifying their pain and providing more accurate information.…”

Section: Introductionmentioning

confidence: 99%

Pain assessment in pediatrics

Sedrez

Monteiro

2020

Rev. Bras. Enferm.

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Objectives: to investigate how the pain assessment and management process in pediatric patients is performed and suggestions for its improvement. Methods: exploratory, qualitative study. Nine professionals from the nursing team of a pediatric hospital unit in Porto Alegre/RS participated in the study. A sociodemographic questionnaire and semi-structured interviews were used with content analysis. Results: the results reinforced the importance of pain assessment with family participation and the need to use tools and process improvements in the training and sensitization of professionals. Final Considerations: after the study was concluded, there was a clear need to address the issue, highlighting its relevance for pain resolution in pediatric patients.

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Manejo da dor de pacientes com aids: análise da estrutura gerencial em hospital de referência

Cited by 5 publications

References 8 publications

Sleep alterations in patients with the human immunodeficiency virus and chronic pain

Sleep alterations in patients with the human immunodeficiency virus and chronic pain

Chronic pain related to AIDS: perspective of nurses and doctors

Pain assessment in pediatrics

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