Therapeutic Toy in Primary Care: Contributions for the Systematization of Nursing Care

Abstract

Objective: to analyze the role of the therapeutic toy as a tool for the nursing diagnosis in the setting of care for the child with diabetes. Method: a qualitative multiple-case study conducted with children diagnosed with Type 1 Diabetes mellitus and living in the inland of Paraná. The data were collected in 2018 through interviews, field diary and sessions using the therapeutic toy. Nursing diagnoses were elaborated according to the North American Nursing Diagnosis Association Taxonomy I and a targeted content analysis was performed, resulting in four categories. Results: using the dramatic therapeutic toy allows the child to show their perception of the disease and of the care provided. The sessions with the dramatic therapeutic toy made it possible to identify five nursing diagnoses, which were later worked on by means of an instructional therapeutic toy. Conclusion: systematization of assistance mediated by the use of the toy allows nurses to establish bonds with the child with diabetes and their family, revealing their perceptions of the disease and treatment, thereby stimulating a more active participation of the binomial in the management of this coping process.

Prevention of Corneal Injury in Critically Ill Sedated and Mechanically Ventilated Patients: Theoretical and Evidence-Based Practice

“…According to previous studies, the incidence of corneal injury is lower in units that have eye care protocols implemented and nursing training to prevent the event. However, evidence-based practices are still incipient [2,[13][14][15]. Developing and implementing continuing education programs for promoting eye care knowledge, attitude, and practice are strongly recommended [2,16,17].…”

“…The high incidence rate of corneal injury in sedated and mechanically ventilated patients reflects that eye care has been neglected by the health team. This occurs due to the lack of knowledge and attitude of nurses and the absence of patient complaints about dryness and visual discomfort that can culminate in temporary or permanent loss of vision, with preventable adverse events [15,[38][39][40].…”