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Plano de cuidados compartilhado junto a clientes estomizados: a pedagogia Freireana e suas contribui??es à prática educativa da enfermagem
Martins, Paula Alvarenga de Figueiredo;Alvim, Neide Aparecida Titonelli;
Texto & Contexto - Enfermagem , 2012, DOI: 10.1590/S0104-07072012000200005
Abstract: the aim of this qualitative research was to get to know the sharing of knowledge and practices with ostomized clients on intestinal and urinary elimination stoma maintenance in the outpatient context, and to discuss its possible repercussions in the home context. the subjects were 17 adult and elderly ostomized clients under outpatient follow-up in campos dos goytacazes - rio de janeiro. the convergent care research method and thematic content analysis were applied. the confection of the care plan was the product obtained through experience and knowledge exchange at the clinic. during the education process, the problematizing pedagogy facilitated the ostomized clients' learning. when the clients returned to the clinic, the success deriving from the adopted pedagogy could be observed. their critical and reflexive conditions were sharpened, practicing stoma maintenance care with more security and autonomy, at the same time as they assessed and modified habits and transformed reality.
Perspectiva educativa do cuidado de enfermagem sobre a manuten??o da estomia de elimina??o
Martins, Paula Alvarenga de Figueiredo;Alvim, Neide Aparecida Titonelli;
Revista Brasileira de Enfermagem , 2011, DOI: 10.1590/S0034-71672011000200016
Abstract: this research aimed to describe ostomized users' knowledge and practices with regard to the maintenance of an intestinal and urinary elimination ostomy; and to analyze the pertinence of sharing this knowledge and practice with fundamental nursing care in an outpatient context. the care-converging research method was employed. a form was used to identify to ostomized patient and a semistructured interview to produce the data. all ethical aspects were complied with. the research revealed the need for further dissemination about these users' concrete reality, so that they can feel more welcomed, strengthened to cope with difficulties that may arise in their daily reality of living with the surgical derivation.
Plano de cuidados compartilhado junto a clientes estomizados: a pedagogia Freireana e suas contribui es à prática educativa da enfermagem
Paula Alvarenga de Figueiredo Martins,Neide Aparecida Titonelli Alvim
Texto & Contexto - Enfermagem , 2012,
Abstract: Investigación cualitativa, objetivando conocer el intercambio de conocimientos y prácticas de clientes ostomizados sobre el manejo de la ostomía y la eliminación intestinal y urinaria en el contexto ambulatorio, y discutir las posibles repercusiones en el contexto domiciliar. Los sujetos fueron 17 clientes adultos y ancianos ostomizados bajo seguimiento ambulatorio en el municipio de Campos dos Goytacazes-RJ. Se utilizó un abordaje metodológico de pesquisa convergente-asistencial y un análisis del contenido temático. La realización del plan de atención fue producto del intercambio de experiencias y conocimientos en la clínica, siendo el facilitador en la solución de problemas de aprendizaje, el clientes ostomizado. Con el regreso de los clientes en el ambulatorio se pudo denotar los éxitos derivados de la pedagogía utilizada en el proceso educativo. Su pensamiento crítico y reflectivo se agudizó; ejerciendo con mayor seguridad y autonomía los cuidados relacionados manejo de su ostomía, evaluando, modificando hábitos y transformando la realidad.
SABERES E PRáTICAS DE CLIENTES ESTOMIZADOS SOBRE A MANUTEN O DA ESTOMIA DE ELIMINA O INTESTINAL E URINáRIA E SUA PERTINêNCIA NO CUIDADO
Paula Alvarenga de Figueiredo Martins,Neide Aparecida Titonelli Alvim
Perspectivas Online : Biológicas e Saúde , 2012,
Abstract: O cuidado ao estomizado requer atitude profissional e envolve todo o contexto social e familiar do sujeito,sendo mister considerar o conjunto de saberes e práticas do cliente em compartilhamento com os saberes epráticas da enfermeira no processo de cuidar. Nesse ínterim, os objetivos da pesquisa foram: Descrever ossaberes e práticas de clientes estomizados sobre a manuten o da estomia de elimina o intestinal e urináriae Discutir a rela o de tais saberes e práticas com a enfermagem fundamental. Foi utilizado o métodoPesquisa Convergente-Assistencial para produ o das informa es junto a 17 clientes estomizados emacompanhamento ambulatorial. Os aspectos éticos foram atendidos. Do processo de categoriza o temática,emergiram as categorias: “Saberes e práticas de clientes estomizados sobre a manuten o da estomia deelimina o intestinal e urinária” e “Rela es dos saberes e práticas compartilhados com a EnfermagemFundamental”. No compartilhamento das informa es, enfermeira-pesquisadora e cliente refletem juntos eanalisam criticamente a pertinência, ou n o, de determinada prática, e quando consideradas inadequadas aocontexto do cliente, ambos, se mobilizam para a mudan a. Houve trocas sobre dois aspectos fundamentais:cuidado com o corpo e tecnologias. Destaca-se que novos saberes podem ser inseridos no leque depossibilidades de cada sujeito e a atividade de encontrar estratégias para a efetividade do cuidado, advémmais a partir do cliente, que vivencia o cuidado, do que da enfermeira-pesquisadora, que experiência isso,pois o cuidado é direcionado a ele que detém as dimens es culturais, políticas, econ micas e sociaispermeando a situa o do seu cuidado.
Plano de Cuidados Compartilhado: convergência da proposta educativa problematizadora com a teoria do cuidado cultural de enfermagem Plan de Cuidados Compartido: la convergencia de la propuesta educativa problematizadora con la teoría del cuidado cultural de enfermería Shared Care Plan: convergence between the educational problematizing perspective and the theory of nursing cultural care
Paula Alvarenga de Figueiredo Martins,Neide Aparecida Titonelli Alvim
Revista Brasileira de Enfermagem , 2012, DOI: 10.1590/s0034-71672012000200025
Abstract: O presente artigo é uma reflex o que assinala uma mudan a de perspectiva na rela o de cuidado entre a enfermeira e o cliente, no ambito da implementa o do processo educativo. Emerge um Plano de Cuidados Compartilhado como uma proposta educativa-cuidativa, na convergência entre os teóricos Paulo Freire e Leininger, no que tange à pedagogia problematizadora e ao cuidado cultural de enfermagem. No que se refere aos elementos considerados essenciais ao cuidado, a aprendizagem conjunta permite o desvelamento de uma realidade peculiar e a inser o de possibilidades para a transforma o, por op o do sujeito, da realidade concreta revelada. A autonomia planejada se torna real, fazendo com que os clientes n o mais exer am práticas fragmentadas, decorrentes da pedagogia tradicional. O cliente aut nomo alcan a, pois, a plenitude das a es. Este artículo es una reflexión que marca un cambio de perspectiva en la relación de cuidado entre la enfermera y el cliente, en la ejecución del proceso educativo. Emerge un Plan de Atención Compartida como una propuesta educativa-cuidativa, en la convergencia entre los teóricos Paulo Freire y Leininger, con respecto a la pedagogía problematizadora y los cuidados culturales de enfermería. Con respecto a los elementos considerados esenciales para el cuidado, el aprendizaje en conjunto permite la revelación de una realidad peculiar de posibilidades para la integración y transformación de la realidad revelada, mediante elección de la propia persona. La autonomía prevista se convierte en realidad, de modo que los clientes ya no ejecutan prácticas fragmentadas, derivadas de la pedagogía tradicional. El cliente autónomo alcanza, por lo tanto, la plenitud de las acciones. This report is a reflection that marks a change of perspective in the care relation between nurse and client, in the implementation context of the educative process. It emerged a Shared Care Plan as an educational-caring proposal, in the convergence among theorists Paulo Freire and Leininger, regarding the dialogical pedagogy and nursing cultural care. With regard to the elements considered essential to the care, learning together allows the unveiling of a peculiar reality of possibilities for integration and transformation of the reality revealed, by choice of the person. Autonomy planned becomes real, so that customers no longer carry fragmented practices, stemming from traditional pedagogy. The stand-alone client reaches, then, the fullness of the action.
Tecnologias leves em saúde e sua rela??o com o cuidado de enfermagem hospitalar
Silva, Denise Concei??o da;Alvim, Neide Aparecida Titonelli;Figueiredo, Paula Alvarenga de;
Escola Anna Nery , 2008, DOI: 10.1590/S1414-81452008000200014
Abstract: the object of the research was the incorporation of lightweight technologies in the hospital context, in the perspective of nurses and their relation with the nursing care. objectives: to characterize the technologies considered light in the hospital, in the perspective of nurses; and to analyze the conceptions of the nurses about the use of these technologies in the nursing care. it was based on the classification of different types of technologies at the work in health and in assumptions about the nursing care. exploratory research, qualitative, descriptive, developed at two university hospitals in the city of rio de janeiro. the data were collected through the technique of creativity and sensitivity "almanaque" kind, combined with a semi-structured interview. from the speech of the nurses emerged technologies based on their experiences of care. their conceptions about light technology revealed what theorists of nursing refer to as attributes of the human relationship in care. these discussed in the field of the nursing care emerge as a quality of the care itself.
Tipologia de cuidados de enfermagem segundo clientes hospitalizados: encontro das dimens?es técnico-científica e expressiva
Martins, Paula Alvarenga de Figueiredo;Silva, Denise da Concei??o;Alvim, Neide Aparecida Titonelli;
Revista Gaúcha de Enfermagem , 2010, DOI: 10.1590/S1983-14472010000100020
Abstract: this qualitative-descriptive study was carried out in a school hospital in rio de janeiro, brazil, from august 2007 to december 2008. nursing care was described and characterized based on the perceptions of 26 hospitalized patients. data collection was carried out through interviews and the "almanac" creative and sensitivity technique, followed by thematic content analysis from which the following category emerged: "nursing care dimensions from the subjects' perspectives: scientific-technical and expressive". the results show that these dimensions should be manifested in a coordinated way and integral care should be designed and constructed in the relationship with the other. the participants value and defend an alliance between these dimensions and expect nurses to integrate them into care actions. knowledge about the patients' perceptions concerning hospital care collaborates to the promotion of the environment and favors its restoration through effective care generated in this relationship.
Espécie nova de Mytilopsis Conrad, 1857, do rio Tocantins, Tucuruí, Pará, Brasil: (Mollusca, Bivalvia, Dreissenidae)
Alvarenga, Luiz Carlos de Figueiredo;Ricci, Célia Neli;
Memórias do Instituto Oswaldo Cruz , 1989, DOI: 10.1590/S0074-02761989000800010
Abstract: a new species of mytilopsis, mollusk bivalvi from brazilian amazon region (tocantins, pará) is described. it is different from the american other species due small dimensions and height/width relation.
Utiliza o de Lolium Perenne L. na fitoestabiliza o controlada de solos degradados por actividades mineiras Assisted phytostabilization of soils affected by mining activities using Lolium Perenne L.
Paula Alvarenga,Rosa Maria Fernandes,Amarilis de Varennes,Giovanni Vallini
Revista de Ciências Agrárias , 2011,
Abstract: Foi estudada a utiliza o de Lolium perenne L. e de diferentes resíduos organicos (RO) na fitoestabiliza o controlada de solos degradados por atividades mineiras (Mina de Aljustrel, Faixa Piritosa Ibérica). Apesar da aplica o dos RO ter permitido a imobiliza o de Cu, Pb e Zn no solo, baixando a frac o efetivamente disponível, os teores foliares destes elementos n o diminuíram significativamente. Os factores de acumula o (FA) obtidos, FA(Cu) e FA(Pb) <<1 e FA(Zn) <1, permitem considerar esta espécie adequada para a fitoestabiliza o deste tipo de solos. Os teores foliares de Pb e Cu atingiram níveis considerados tóxicos, indicando risco de entrada destes metais na cadeia alimentar humana. Métodos estatísticos multivariados evidenciaram a lama residual urbana como o RO com maior capacidade para corrigir a acidez do solo e para melhorar as características deste, seguida do composto de resíduos sólidos urbanos. Porém,observou-se um crescimento reduzido por aplica o do nível mais elevado (100 Mg ha-1) destes RO. Todos os níveis do composto de resíduos verdes foram insuficientes para corrigir as principais restri es do solo ao crescimento vegetal. We studied the application of Lolium perenne L. and of different organic residues in the assisted phytostabilization of mine-contaminated soils (Aljustrel Mine Area, Iberian Pyrite Belt). Although the application of the organic residues led to immobilization of Cu, Pb, and Zn in the soil, decreasing their effective available fraction, their concentrations in the above-ground plant material did not change. The accumulation factors (AF) obtained were AF(Cu) and AF(Pb) <<1, and AF(Zn) <1, allowing its election as a possible candidate for phytostabilization purposes. However, Pb and Cu concentrations in ryegrass shoots were considered toxic, which suggests that there is a risk of contamination of the human food chain. Multivariate statistical analysis emphasized sewage sludge as the organic residue with the greatest capacity to correct soil acidity, and to improve soil characteristics, followed by the compost obtained from municipal solid waste residues. However, an impaired growth was obtained when using the highest application rate (100 Mg ha-1) of both residues. All garden waste compost rates were unable to correct general soil constraints to plant growth.
Cultivares de alfafa em área de influência da Mata Atlantica no Estado de Minas Gerais
Botrel, Milton de Andrade;Ferreira, Reinaldo de Paula;Alvim, Maurílio José;Xavier, Deise Ferreira;
Pesquisa Agropecuária Brasileira , 2001, DOI: 10.1590/S0100-204X2001001100015
Abstract: the aim of this work was to evaluate the yields of alfalfa (medicago sativa l.) cultivars for the region under influence of the atlantic forest in minas gerais, brazil. thirty cultivars were evaluated in a randomized block design with three replications. before planting, seeds were inoculated with rhizobium melilotii br 7407. during the dry and rainy season, significant differences were observed among cultivars for forage production, leaf:stem ratio, and insect and disease resistance. regarding the crude protein content in the forage, significant differences were observed among cultivars only during the rainy season. crioula, p30, monarca and florida 77 cultivars had the best performance for the majority of evaluated parameters. high forage production during rainy and dry seasons was obtained with crioula cultivar, which should be recommended as the cultivar to be grown for forage crop in the region of this study.
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