López Díaz S, García García P, Salinero Hernando M
… +2 more, Ramírez López Díaz S, García García P, Salinero Hernando M, Ramírez de Antón Molina O, Fernández Alonso E
In our society a huge tension is caused by three types of contradictory messages in relation to our body structure: medical message, aesthetic message and gastronomic message. The abundance of food, some very attractive,...In our society a huge tension is caused by three types of contradictory messages in relation to our body structure: medical message, aesthetic message and gastronomic message. The abundance of food, some very attractive, together with the social "order" of having to be slim to be accepted, originates very complicated internal situations that lead predisposed people to develop an eating disorder. In concrete, bulimia nervosa is a disorder nobody spoke about three decades ago, and there are only some detailed references about it in the last 80 years. In 1979, Rusell coined the name of bulimia nervosa and considered it as a variation of the anorexia. From the 80s on, it has been noticed how the incidence of the bulimia nervosa has increased, with an important quantitative variability, being a reason for concern among health professionals and our society in general, and for the families who suffer its consequences in particular. Not likely to be a new disorder, since the references to excesses with food and to vomiting are so old that they cannot be traced in time. The origin of this disorder is multifactorial and although personality factors and environmental elements are implied, it is also true that there is a genetic predisposition that is not still well known. The individuals with bulimia nervosa show a wide range of functional limitations that are linked to the disorder, being the social field the one which can probably be affected more negatively. For all this, nowadays the deployment of resources and efforts has been increased by the health authorities, in order to implement therapeutic procedures, to boost ways of prevention and to reinforce the rehabilitation of all the aspects implied in the disorder.
Lapeña-Moñux YR, Palmar Santos AM, Martínez González O
… +3 more, Maciá Soler ML, Orts Cortes MI, Pedraz Marcos A
Rev Enferm
· 2017 Feb · PMID 30272421
INTRODUCTION: The complex chronic disease requires a model of care based found on multidisciplinary teams. The aim of this study was to analyse the development of nursing leadership in managing the complex chronic patien...INTRODUCTION: The complex chronic disease requires a model of care based found on multidisciplinary teams. The aim of this study was to analyse the development of nursing leadership in managing the complex chronic patient (CCP) and to identify how the resources for the attention and follow up of these patients are managed. METHOD: A qualitative descriptive approach was followed through participant observation, in-depth interview to 7 health professionals (5 nurses, a doctor, and a social worker) and a discussion group with 9 Primary Health Care nurses from a intentional sample. Discourse analysis was undertaken following Conde approach: fixing discurse positions, creating and analyzing symbolic configuratons, analyzing and interpreting semantic configurations and drawing up the discourse. RESULTS: From discourse analysis two main dimensions emerged on the nursing leadership and management: a) nursing as the leader of care: the need of nursing leadership and of improvement in the coordination structures were recognized, and b) nursing as resources manager in the CCP care related to social and health risks and resources coordination. CONCLUSIONS: Our findings enhance the case management and the home delivery care as foundations to be effective handle of CCP, where nursing has a privileged role.
Domínguez Álvarez R, Mejías Estéve M, Galán González-Serna JM
Rev Enferm
· 2017 Feb · PMID 30272405
OBJECTIVE: To control the physical symptoms in end-of-life pharmacological management involves major intervention. The aim of this article is to review the relevant issues in the management of clinical nursing situation...OBJECTIVE: To control the physical symptoms in end-of-life pharmacological management involves major intervention. The aim of this article is to review the relevant issues in the management of clinical nursing situation and drugs commonly used in palliative sedation in agony. METHODOLOGY: Nursing management in Palliative Sedation recommended by scientific literature search in Scopus, CINAHL, Medline-PubMed and Google Scholar, with key words "palliative sedation", "pharmacology", "nursing care" and "palliative care" are selected. RESULTS: The goal of palliative sedation (PS) is to reduce the level of consciousness as the only way to relieve intense suffering in terminally ill patients, such as refractory delirium or dyspnea, massive bleeding, convulsive status, crackles premortem or refractory psychological suffering. The route of choice in PS is subcutaneous injection (sc). First line drugs in sedation are midazolam and levomepromazina. Opioids should be kept at equi-analgesic doses, morphine chloride being the most widely used. The fundamental role of nursing in SP is monitoring the level of sedation based on the Ramsay scale (or similar) and recognition of the indicative signs of discomfort for administration rescue sedative or analgesic medication and/or screening treatable intercurrent process (distended bladder, constipation, obstruction way, final dose effect, etc.).
Mohammed Yasin H, Isla Pera P, López Matheu C
… +1 more, Juvé Udina ME
Rev Enferm
· 2017 Feb · PMID 30272401
The school comes the second place where children's lives developed. Their ability to learn is closely related to their welfare and health. this paper aimed to define the roles that school nurses can play in the schools t...The school comes the second place where children's lives developed. Their ability to learn is closely related to their welfare and health. this paper aimed to define the roles that school nurses can play in the schools to help the children reach their educational goals through keeping them healthy and safe, and on the other hand, it will help us to evaluate the significance of school nurses and find out whether it is needed in the schools or not.
Dolado Martín C, Berlanga Fernández S, Fabrellas Padres N
Rev Enferm
· 2017 Feb · PMID 30272396
INTRODUCTION: There are more than 165,000 mobile applications (apps) related to health (mHealth) available to patients, promoting their empowerment and reducing healthcare costs; but not all are reliable , safe and quali...INTRODUCTION: There are more than 165,000 mobile applications (apps) related to health (mHealth) available to patients, promoting their empowerment and reducing healthcare costs; but not all are reliable , safe and quality. OBJECTIVE: To analyze the use of mHealth for patients in a Primary Care Center (CAP). METHOD: Cross-sectional study based on surveys of 274 patients, aged 16 to 65 years attending nursing consultation CAP Santa Eulalia Sud (L'Hospitalet de LLobregat) that have a mobile device with Internet. RESULTS: Most respondents (68%) use my health: physical exercise (63.4%), food (41.4%) and information about health services (26.3%); discharged following recommendations from family/friends (71%), Internet (45.9%), social networks (40.3%), media (31.7%) and health professionals (12.9%). Perceived drawbacks download: suitability of the apps (61.3%), reliability of information (58.1%) and error in interpreting the information (30.1%). Users (89%) and non-users (70%) of mHealth are interested in the information provided by a health professional about it. CONCLUSIONS: More and more users of mHealth and criteria in selecting their apps that cast doubt discharged reliable and quality. The difficulties expressed and desire information demonstrate the need for health professionals to guide and advise on such apps, indicating the patient the most appropriate, the most reliable, the easiest to interpret and manage to avoid mistakes, and provide them with knowledge on how to use them.
INTRODUCTION: The process of biological aging of people is irreversible, and starts virtually from birth. Health and social advances have made life expectancy increases exponentially, making the syndromes associated with...INTRODUCTION: The process of biological aging of people is irreversible, and starts virtually from birth. Health and social advances have made life expectancy increases exponentially, making the syndromes associated with aging become one of the main problems of the XXI century. Neurodegenerative diseases are the paradigm of chronic disabling disease. People with dementia are often the most regular users in the elderly care homes. They also suffer significant alterations in cognitive functions, and may have the so-called physiological and behavioural symptoms of dementia (BPSD). OBJECTIVES: To determine the prevalence of diagnosis of dementia in the population of a nursing home and how many users present undiagnosed cognitive impairment. CONCLUSIONS: There are a significant percentage of users who have cognitive impairment in diagnostic tests without being diagnosed with dementia.