Asistencia de enfermería a un paciente con Diabetes Mellitus

Trata-se de um estudo de caso, desenvolvido num Centro de Saúde, do Distrito Federal, com o propósito de relatar a Assistência de Enfermagem a um paciente com Diabetes Mellitus. Para desenvolver este estudo foi aplicado o Processo de Enfermagem, nas etapas: Coleta de Dados; Diagnósticos de Enfermagem; Planejamento; Intervenções e Avaliação da Assistência proporcionada. Os Diagnósticos encontrados foram: Controle Ineficaz do Regime Terapêutico; Adaptação prejudicada; Imagem Corporal perturbada e Risco para Integridade da Pele Prejudicada. O Planejamento da Assistência de enfermagem visou principalmente contribuir para a adesão ao tratamento e diminuir riscos potenciais, fazendo uso da educação para saúde. Com a interação e o uso da comunicação terapêutica, observou-se uma pequena mudança nos hábitos de vida do paciente. ______________________________________________________________________________________ ABSTRACTIt's a case study, developed in a Health Center, of the Federal District, with the purpose of describing the Nursing Attendance to a patient with Diabetes Mellitus. To develop this study the Nursing Process was applied, in the stages: Data Collection; Nursing Diagnoses; Planning; Interventions and Evaluation of the given assistance. It were found the following Diagnoses: Ineffective control of the therapeutic regimen; prejudiced Adaptation; disturbed image Corporal and Risk for the Integrity of Harmed Skin. The nursing assistance Planning sought mainly to contribute for the adhesion to the treatment and to reduce potential risks, making use of the health education. With the interaction and the use of the therapeutic communication, a small change was observed in the habits of the patient's life. ______________________________________________________________________________________ RESUMENSe trata de un estudio de caso, que desarrolló en un Centro de Salud, del Distrito Federal, con el propósito de describir el asistencia de Enfermería a un paciente con la Diabetes Mellitus. Para desarrollar este estudio fue aplicado el Proceso de Enfermería, en las fases: colección de Datos; Diagnósticos de Enfermería; Planeando; Intervenciones y Evaluación de la Asistencia proporcionada. Los Diagnósticos fueran: Control Ineficaz del Régimen Terapéutico; Adaptación perjudicada del Imagen Corpórea y Riesgo para la Integridad de Pele Dañado. La Planificación de la Asistencia de enfermería buscó contribuir para la adherencia al tratamiento y reducir los riesgos potenciales, principalmente, mientras haciendo uso de la educación para la salud. Con la interacción y el uso de la comunicación terapéutica, un cambio se observó en los hábitos de vida del paciente

O LETRAMENTO ACADÊMICO VIABILIZADO PELA PERSPECTIVA DOS GÊNEROS DISCURSIVOS

O letramento acadêmico como diretriz teórico-pedagógica para a disciplina Língua Portuguesa e Redação e Estilística, presente no currículo de formação de oficiais do Exército Brasileiro, pela Academia Militar das Agulhas Negras (AMAN), é o tema desta pesquisa, um recorte de investigação mais ampla. Constatação de professores da Instituição sobre dificuldades dos cadetes na produção escrita motivou a busca de uma perspectiva didático-pedagógica atualizada para essa disciplina. O objetivo deste trabalho é interpretar dados bibliográficos que possam subsidiar o processo de ensino e aprendizagem de produção escrita dos cadetes da AMAN, em uma perspectiva de letramento acadêmico. Metodologicamente, tem caráter qualitativo interpretativista e é do tipo bibliográfica. A análise da bibliografia sobre o tema apontou para o conceito bakhtiniano de gênero discursivo como forma de operacionalização do letramento acadêmico. A partir desse primeiro resultado, a pesquisa direcionou-se a esse conceito. Considerando a disciplina em foco, concluiu que o gênero discursivo relatório é o que deve ser abordado prioritariamente na perspectiva do letramento acadêmico na AMAN, como forma de contribuir para o desenvolvimento das dimensões discursiva, linguística, cognitiva e sociocultural esperadas na formação acadêmica do cadete, futuro oficial do Exército Brasileiro

Aplikasi Lembar Data Keselamatan Bahan (LDKB) Berbasis Smartphone Android sebagai Penunjang Keselamatan dan Kinerja Riset Kimia

Pada zaman sekarang ini penggunaan smartphone merupakan hal yang sudah umum dalam masyarakat sekitar. Fleksibilitas merupakan alasan utama masyarakat dalam menggunakan smartphone, karena smartphone sangat membantu masyarakat dalam mencari informasi dengan praktis (portable) dan cepat. Disamping itu, kimia merupakan bidang yang tidak terlepas dari kegiatan riset. Para pelaku riset sangatlah wajib dalam memperhatikan aspek kesehatan dan keselamatan. Untuk itu diperlukan pengetahuan dan pengenalan aspek-aspek yang terkait pada suatu bahan kimia. Keterangan tersebut termuat secara rinci pada suatu dokumen yang disebut dengan Material Safety Data Sheet (MSDS) atau Lembar Data KeselamatanBahan (LDKB). Atas dasar inilah penulis ingin membuat suatu aplikasi Material Safety Data Sheet (MSDS) atau Lembar Data Keselamatan Bahan (LDKB) berbasis smartphone. Aplikasi tersebut berisi berbagai informasi tentang bahan kimia meliputi pengenalan umum, sifat-sifat bahan, cara penanganan, penyimpanan, pemindahan dan pengelolaan limbah buangan bahan kimia. Sehingga dengan dibangunnya aplikasi ini diharapkan akan menunjang kinerja dan meminimalkan potensi kecelakaan kerja para pelaku riset

Knowledge and Practice of Nursing Staff towards Infection Control Measures in the Palestinian Hospitals

Health care professionals are constantly exposed to microorganisms. Many of which can cause serious or even lethal infections. Nurses in particular are often exposed to various infections during the course of carrying out their nursing activities. Therefore nurses should have sound knowledge and strict adherence to infection control practice. Aim of the study: The study aimed to assess the level of knowledge and practice of infection control among nurses in governmental hospitals of Palestine Methods: A  cross sectional study was conducted between November, 2014 and January, 2015 in governmental hospitals found in North West bank districts. Data were collected using pre tested questionnaire on 271 nurses selected by  purposive sample. Collected data were checked, coded and transferred to SPSS version 20 for analysis. Frequency, Mean and other statistics were calculated. P-value less than 0.05 were set as statistically significant. Results: the current study revealed that, approximately half (53.9%) of the studied sample had fair knowledge level (>80%). However, the majority (91.1%) of the studied sample had Good practice (>80%). No significant statistical differences were found between mean knowledge scores towards age, years of experience, and training course (f=2.263, 1.607, 0.210) respectively at p < 0.05(0.082, 0.188, 0.647) respectively. Significant statistical differences were found  between mean knowledge scores towards gender and qualification (F = 4.205, 4.531) respectively at p < 0.05 (0.041, 0.012 ) respectively. No significant statistical differences were found between mean practice scores towards age, years of experience, training course, and qualification(f=1.482, 2.625, 0.129, 0.727 ) respectively at p < 0.05(0.220, 0.051, 0.720, 0.484) respectively. Significant statistical differences were found in mean practice scores only in relation to gender, (F = 8.569) at p < 0.05 (0.004). Conclusion: Based on findings of the current study, it can be concluded that inspite of having good practice level regarding infection control, nurses had fair knowledge level. Recommendations: Updating knowledge and practice of nurses through continuing in-service educational programs; emphasizing the importance of following latest evidence-based practices of infection control in continuing education / training program; providing training programs for newly nurses about infection control and at regular intervals; and a replication of this study using observation checklist should be done to assess the level of practice. Keywords: Infection control, Knowledge, Practice, Nurs

O ACESSO À JUSTIÇA E A IMPORTÂNCIA DO TRABALHO REALIZADO PELOS ESCRITÓRIOS MODELO DE APLICAÇÃO DAS FACULDADES DE DIREITO

O direito de acesso à justiça e de defesa está garantido na Constituição e não deve ser entendido apenas como acesso ao judiciário nem pode ser obstaculizado pela falta de recursos financeiros daquele que foi reconhecido pobre na forma da lei. É dever do Estado propiciar a essas pessoas a possibilidade de conhecimento e defesa de seus direitos e isto deveria ser feito através de seu órgão competente, que é a Defensoria Pública. Infelizmente a realidade atual demonstra que há uma grande deficiência nesse atendimento, seja por falta de estruturação e apoio dado pelos governos estaduais, seja por outros problemas no serviço que é oferecido à população marginalizada socialmente. Tendo em vista as dificuldades que se apresentam, surge a necessidade de se encontrar novos meios que facilitem o acesso à justiça por todos os cidadãos. Daí a idéia de estimular e incentivar os Núcleos de Prática Jurídica das Faculdades de Direito que, através dos Escritórios Modelo de Aplicação, prestam um grande serviço no âmbito social voltado ao atendimento dos menos favorecidos, permitindo a todos, sem distinção, o acesso pleno à justiça

The Nurses' Knowledge and Attitudes towards the Palliative Care

Background: Palliative care (PC) is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness through the prevention and relief of suffering by means of early identification, impeccable assessment and treatment of pain and other problems like physical, psychosocial and spiritual.  Palliative care is traditionally viewed as being the intense care of a patient who is close to death. In recent years, the scope of palliative care has expanded to include patients who may live for many years with end stage organ failure or cancer. Aim of the Study: The study aimed to assess the nurses' knowledge and attitudes towards PC among nurses working in selected hospitals in Northern districts, Palestine. Subjects and methods: Descriptive, cross sectional study was used for conducting the study, A purposive sample consisted of 96 nurses invited to participate in the study. Data collected through; nurses’ socio-demographic characteristic, knowledge level, and Attitude level towards PC which is developed by the researchers. Validity and pilot study were examined . Results: Study results have shown that 20.8 % of the respondents had good overall knowledge towards PC, 59.4 % had training of palliative care, and 6.2 % of participants had good attitude towards PC. There was a significant difference between Nurses' qualification, experience, and training of palliative care towards Knowledge of PC. Conclusion: The nurses had poor knowledge, but their attitude towards PC was moderate. Recommendations are that due attention should be given towards PC by the national health policy and needs to be incorporated in the national curriculum of nurse education. Keywords: Knowledge, Nurses, Palliative care.

Exploring the Work Related Stress Sources and Its Effect among the Palestinian Nurses at the Governmental Hospitals

Background: Nursing is a highly stressful occupation. Nurses are particularly at risk from stress-related problems, with high rates of turnover, absenteeism, and burnout. At the same time, it should be noted that stress is unavoidable and may even be desirable to a certain degree. At moderate levels, stress is a motivator and improves a worker's participation in his or her job. However, when stress becomes excessive, it may become distracting, de-motivating, and even hazardous. Aim of the Study: The study aimed to explore the work related stress sources and its effects on the physical and mental health among Palestinian nurses working at intensive care units and neonatal units at  ministry of health hospitals Rafedia, Thabet Thabet, and Khalil Solaiman hospitals at North West Bank Cities. Design: Descriptive, cross sectional design utilized in the current study. Sample: 82 Palestinian nurses were included and working in the 3 hospitals affiliated to ministry of health. Procedure: Data collected through nurses’ socio-demographic characteristic, work related stress, physical and mental health problems Scale which is developed by the researchers. Validity and pilot study were examined . Results: Study results have shown that the most common type of work-related stress for Palestinian nurses was due to dealing with death and dying followed by workload. Nearly half of nurses were suffering from physical and mental illnesses. Our study proved a highly statistically significant relation between mental problems and working stress and statistically significant relation between working stress, physical problems. Conclusion and recommendation: Work related stress affect physical and mental health of Palestinian nurses, so they need to provide continued administrative support, appropriate training programs to deal with potentially stressful conditions in the health facility. Keywords: work related stress, intensive care unit, neonatal uni

GERAKAN ARON DI TANAH KARO TAHUN 1942

Artikel ini akan membahas mengenai bagaimana gerakan-gerakan Aron yang terjadi di Tanah Karo .Yang dimana gerakan aron ini muncul karena adanya masalah tanah,ketika peralihan dari pemerintahan Belanda ke Jepang yang berlansung pada tahun 1942.Pada awalnya itu muncul karena ada sebuah ketidakpastian dasar umum dan reorientasi yang juga menyertai perubahan rezim,pada saat itu mereka yang tidak memilki posisi dan peluang untuk menuntut hak mereka.Kata Aron sendiri sering digunakan di kalangan Batak karo Deli dibuat untuk menyebut sekelompok orang pedesaan yang memanen secara kolektif berpindah-pindah di ladang masing-masing anggotanya secara bergantian. Namun, pada akhir tahun 1930-an, sistem itu runtuh di bawah tekanan populasi yang meningkat pesat di Sumatera Timur yang makmur, dan ketidak sabaran yang tumbuh dari perkebunan atas sistem jaluran. Setiap tahun membawa konflik yang lebih besar mengenai jaluran yang didistribusikan, terutama di daerah Karo yang lebih eksplosif. Isu tersebut memuncak pada tahun 1938, diperparah dengan diumumkannya rancangan undang-undang untuk menghapuskan jaluran sama sekali demi blok-blok penghidupan tetap bagi petani, sehubungan dengan penulisan ulang hak-hak perkebunan dalam bentuk erfpaohten (sewa jangka panjang)

Penerapan Aplikasi TikTok Dalam Mendorong Kinerja UMKM di Kota Purwokerto

In 2022, as many as 13 percent of the total MSMEs (64.2 million) there are MSMEs that have low knowledge about technology and do not have high competitiveness. This study aims to determine the benefits of transforming Micro, Small and Medium Enterprises (MSMEs) in the digital era through live streaming on the TikTok Application. This research is qualitative research with descriptive analysis method. The sample in this study was 20 MSME actors in the city of Purwokerto. The results of this study show that MSME players in the city of Purwokerto who implement live streaming and who have not implemented the business strategy are comparable, namely by 50 percent. MSME players who implement live streaming business strategies show an increase in income. MSME players are faced with several obstacles, including obstacles that have not reached the minimum limit of TikTok followers, HR constraints, namely MSME players are not yet confident to speak in front of the camera, and MSME players are not ready for business competition on TikTok, this raises fears of not selling the products sold. The implication of this study is that MSME actors must train good communication skills and have communication media that support live streaming business strategies