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[PMID]:29215421
[Au] Autor:Merrigan JL
[Ad] Endereço:Joyce L. Merrigan is a Resolve Through Sharing® National Faculty member, Clinton, New Jersey. The author can be reached via e-mail at joyce.merrigan@yahoo.com.
[Ti] Título:Educating Emergency Department Nurses About Miscarriage.
[So] Source:MCN Am J Matern Child Nurs;43(1):26-31, 2018 Jan/Feb.
[Is] ISSN:1539-0683
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Miscarriage is the unwanted ending of a pregnancy before 20 weeks gestation. Women experiencing miscarriage require specialized care from nurses and other healthcare professionals. Many women are dissatisfied with emergency care related to miscarriage and desire honest communication, validation of urgency, and more robust information at discharge. Perinatal bereavement education offers an opportunity for emergency department nurses to acquire specific knowledge and communication skills that assist with understanding the individualized experience of early pregnancy loss. For many women, a miscarriage is devastating, whereas for some, a part of life. Therefore, assessing the meaning of miscarriage is an essential step to providing sensitive, supportive care. Education was offered to emergency department nurses based on a 4-hour Resolve Through Sharing curriculum. Education focused on knowledge of policy and practice, medical aspects of pregnancy loss, information on how to assess the meaning of the miscarriage, respectful handling and disposition of the remains, and communication strategies to initiate and sustain a meaningful relationship with the woman and her family, within the barriers to care that are exclusive to the emergency department. Participants embraced the information and actively participated in dialogue of an evaluation process to identify needed revisions in current policies and practices for caring for this patient population. Recommendations and guidance for emergency room nurses who care for women experiencing miscarriage are offered.
[Mh] Termos MeSH primário: Aborto Espontâneo/enfermagem
Luto
Enfermagem em Emergência/educação
Gestantes/psicologia
[Mh] Termos MeSH secundário: Serviço Hospitalar de Emergência/organização & administração
Feminino
Pessoal de Saúde/psicologia
Seres Humanos
Gravidez
Revelação da Verdade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1097/NMC.0000000000000391


  2 / 12703 MEDLINE  
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[PMID]:29215420
[Au] Autor:Catlin A
[Ad] Endereço:Anita Catlin is Manager, Research and Redesign, Kaiser Santa Rosa, and Consultant, Ethics Committee, Santa Rosa, CA. The author can be reached via e-mail at acatlin@napanet.net.
[Ti] Título:Interdisciplinary Guidelines for Care of Women Presenting to the Emergency Department With Pregnancy Loss.
[So] Source:MCN Am J Matern Child Nurs;43(1):13-18, 2018 Jan/Feb.
[Is] ISSN:1539-0683
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In April 2016, the National Perinatal Association and Kaiser Permanente Northern California Nursing Research Community Benefits Grant sponsored an interdisciplinary summit to explore the needs of women who present with actual or potential pregnancy loss to the emergency department (ED). Thirty-two experts in the field of pregnancy loss, 17 of whom represented their professional organizations, participated. These experts, which included nurses, physicians, social workers, counselors, authors, and parents, worked together to create guidelines for care of women with a pregnancy loss in the ED. Recommendations for ED healthcare providers are included. Emergency department personnel agreed that improvements in care could be offered and were willing to endorse education for their staff. The guidelines delineate how to better provide physical, emotional, and bereavement support at any stage of gestational loss. Administrative support for policies in the ED is essential to ensure the delivery of family-centered, culturally sensitive practices when a pregnancy ends.
[Mh] Termos MeSH primário: Aborto Espontâneo/psicologia
Aborto Espontâneo/terapia
Guias como Assunto
Gestantes/psicologia
[Mh] Termos MeSH secundário: Adulto
Serviço Hospitalar de Emergência/organização & administração
Feminino
Pessoal de Saúde/educação
Seres Humanos
Comunicação Interdisciplinar
Gravidez
Inquéritos e Questionários
Texas
Revelação da Verdade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1097/NMC.0000000000000399


  3 / 12703 MEDLINE  
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[PMID]:29364979
[Au] Autor:Thomson KA; Telfer B; Opondo Awiti P; Munge J; Ngunga M; Reid A
[Ad] Endereço:Médecins Sans Frontières (MSF) Operational Centre Brussels, Nairobi, Kenya.
[Ti] Título:Navigating the risks of prevention of mother to child transmission (PMTCT) of HIV services in Kibera, Kenya: Barriers to engaging and remaining in care.
[So] Source:PLoS One;13(1):e0191463, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Within the first year of implementation, 43% of women who tested HIV positive at their first antenatal care visit were no longer retained and being followed in the free prevention of mother to child transmission (PMTCT) of HIV program offered by the Kenyan Ministry of Health and Médecins Sans Frontières in the informal settlement of Kibera, Nairobi. This study aimed to explore barriers to enrolling and remaining engaged in PMTCT services throughout the pregnancy and postpartum periods. Qualitative data from 31 focus group discussions and 35 in-depth interviews across six stakeholder groups that included women, men, and PMTCT service providers were analyzed. Using an inductive exploratory approach, four researchers coded the data and identified key themes. Five themes emerged from the data that may influence attrition from PMTCT service in this setting: 1) HIV in the context of Kibera, 2) knowledge of HIV status, 3) knowledge of PMTCT, 4) disclosure of HIV status, and 5) male partner support for PMTCT services. A new HIV diagnosis during pregnancy immediately triggered an ongoing risk assessment of perceived hazards in the home, community, and clinic environments that could occur as a result of female participation in PMTCT services. Male partners were a major influence in this risk assessment, but were generally unaware of PMTCT services. To preserve relationships with male partners, meet community expectations of womanhood, and maintain confidentiality while following recommendations of healthcare providers, women had to continuously weigh the risks and benefits of PMTCT services and interventions. Community-based HIV testing and PMTCT education, male involvement in antenatal care, and counseling customized to assist each woman in her own unique risk assessment, may improve uptake of and retention in care and optimize the HIV prevention benefit of PMTCT interventions.
[Mh] Termos MeSH primário: Infecções por HIV/prevenção & controle
Infecções por HIV/transmissão
Transmissão Vertical de Doença Infecciosa/prevenção & controle
Complicações Infecciosas na Gravidez
[Mh] Termos MeSH secundário: Criança
Feminino
Infecções por HIV/complicações
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Recém-Nascido
Quênia
Masculino
Organizações
Participação do Paciente
Gravidez
Complicações Infecciosas na Gravidez/terapia
Cuidado Pré-Natal
Medição de Risco
Gestão de Riscos
Parceiros Sexuais/psicologia
Revelação da Verdade
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191463


  4 / 12703 MEDLINE  
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[PMID]:29243899
[Au] Autor:Laaksovirta H
[Ti] Título:Discussing a serious illness with a patient and family.
[So] Source:Duodecim;133(11):1076-80, 2017.
[Is] ISSN:0012-7183
[Cp] País de publicação:Finland
[La] Idioma:eng
[Ab] Resumo:Learning of a serious illness is unique news. Nothing certain can be known about how it will affect the hearer's outlook on the future before a conception is established about the hearer's expectations and how he/she has understood the issue. For example, a person who has been expecting muscle tension to be an explanation for back pain but hearing that a cancer metastasis is the underlying cause, will inevitably be in shock. The healthcare system is not able to influence everything, but is usually given one possibility to make a good first impression when telling about a serious diagnosis. Various lists of issues to be taken into account have been devised to help this. They do not, however, replace effective interaction, which is a matter of skill but can also be practiced. It is possible to anticipate the reactions of the hearers, as long as they remember that feelings are feelings and facts are facts.
[Mh] Termos MeSH primário: Relações Profissional-Família
Relações Profissional-Paciente
Revelação da Verdade
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171216
[St] Status:MEDLINE


  5 / 12703 MEDLINE  
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[PMID]:29172332
[Au] Autor:Muñoz MG
[Ti] Título:Delivering Death Notifications. Performing and emotionally surviving notifications of death to a patient's family.
[So] Source:JEMS;41(8):42-4, 2016 08.
[Is] ISSN:0197-2510
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Pessoal Técnico de Saúde
Morte
Serviços Médicos de Emergência
Relações Profissional-Família
Revelação da Verdade
[Mh] Termos MeSH secundário: Pessoal Técnico de Saúde/educação
Pessoal Técnico de Saúde/psicologia
Emoções
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


  6 / 12703 MEDLINE  
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[PMID]:28740198
[Au] Autor:Granieri A
[Ad] Endereço:Department of Psychology, University of Turin, Via Po 14, 10123, Turin, Italy. antonella.granieri@unito.it.
[Ti] Título:The Drive For Self-Assertion And The Reality Principle In A Patient With Malignant Pleural Mesothelioma: The History of Giulia.
[So] Source:Am J Psychoanal;77(3):285-294, 2017 Sep.
[Is] ISSN:1573-6741
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Life in a contaminated environment is often marked by a cumulative psychological trauma that exhibits a variety of social-environmental aspects. This is why I suggested a psychotherapeutic group intervention for the population of Casale Monferrato, a municipality in Northern Italy that is sadly renowned for asbestos-related events and the high mortality rate of its inhabitants. Groupality appears to show the point of contact between psyche and soma, while also promoting the birth of a more realistic approach to the various levels of suffering and their configuration. The multifamily approach seemed to be the most adequate to elaborate the feelings of rage and fear that are concurrent with the aerial contagion. In the "long wave" of group work we have learned to work with participants as well as with empty chairs, the ghosts of the dead: live traces in the mind. Whereas the mind recovers the possibility of entering into a dialogue with the feelings connected to the trauma, without bypassing them towards actions that are apparently more assertive of one's sense of Ego, the will of conciliation can reactivate a thought that is oriented towards the plane of reality.
[Mh] Termos MeSH primário: Asbestos/efeitos adversos
Família/psicologia
Mesotelioma/psicologia
Neoplasias Pleurais/psicologia
Apoio Social
Revelação da Verdade
[Mh] Termos MeSH secundário: Seres Humanos
Itália
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
1332-21-4 (Asbestos)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.1057/s11231-017-9099-0


  7 / 12703 MEDLINE  
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[PMID]:28991913
[Au] Autor:Montalto GJ; Sawe FK; Miruka A; Maswai J; Kiptoo I; Aoko A; Oreyo C; Obiero E; Korir S; Bii SK; Song KX; Kunz AN
[Ad] Endereço:Division of Adolescent Medicine, Department of Pediatrics, Naval Medical Center San Diego, San Diego, California, United States of America.
[Ti] Título:Diagnosis disclosure to adolescents living with HIV in rural Kenya improves antiretroviral therapy adherence and immunologic outcomes: A retrospective cohort study.
[So] Source:PLoS One;12(10):e0183180, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND & AIMS: Emphasis on adolescent HIV has increased worldwide as antiretroviral treatment has greatly extended life expectancies of HIV-positive children. Few evidence-based guidelines exist on the optimal time to disclose to an adolescent living with HIV (ALHIV); little is known about the medical effects of disclosure. This study looked to determine whether disclosure is associated with improved medical outcomes in ALHIV. Prior work has tended to be qualitative, cross-sectional, and with an emphasis on psychosocial outcomes. This paper addresses the adolescent cohort retrospectively (longitudinally), building upon what is already known about disclosure. METHODS: Retrospective, longitudinal clinical record reviews of ALHIV seen at Kericho District Hospital between April 2004 and November 2012 were performed. Patient demographics and clinical outcomes were systematically extracted. The student's t-test was used to calculate changes in mean CD4 count, antiretroviral therapy (ART), and cotrimoxazole adherence pre- vs. post-disclosure. Linear regression modelling assessed for trends in those clinical outcomes associated with age of disclosure. RESULTS: Ninety-six ALHIV (54 female, 42 male) were included; most (73%) entered care through the outpatient department. Nearly half were cared for by parents, and 20% experienced a change in their primary caregiver. The mean time in the study was 2.47 years; mean number of visits 10.97 per patient over the mean time in the study. Mean disclosure age was 12.34 years. An increase in mean ART adherence percentage was found with disclosure (0.802 vs. 0.917; p = 0.0015). Younger disclosure age was associated with significantly higher mean CD4 counts over the course of the study (p = 0.001), and a nonsignificant trend toward a higher mean ART adherence percentage (p = 0.055). CONCLUSION: ART adherence and improved immunologic status are both associated with disclosure of HIV infection to adolescent patients. Disclosure of an HIV diagnosis to an adolescent is an important means to improve HIV care.
[Mh] Termos MeSH primário: Antirretrovirais/uso terapêutico
Infecções por HIV/tratamento farmacológico
Infecções por HIV/psicologia
Cooperação do Paciente
Revelação da Verdade
[Mh] Termos MeSH secundário: Adolescente
Anti-Infecciosos/uso terapêutico
Contagem de Linfócito CD4
Criança
Estudos Transversais
Feminino
HIV/isolamento & purificação
Infecções por HIV/diagnóstico
Infecções por HIV/epidemiologia
Seres Humanos
Quênia/epidemiologia
Masculino
Relações Profissional-Paciente
Estudos Retrospectivos
População Rural
Resultado do Tratamento
Combinação Trimetoprima e Sulfametoxazol/uso terapêutico
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Infective Agents); 0 (Anti-Retroviral Agents); 8064-90-2 (Trimethoprim, Sulfamethoxazole Drug Combination)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171010
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183180


  8 / 12703 MEDLINE  
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[PMID]:28980651
[Au] Autor:Zaidi A
[Ti] Título:Make plans to eliminate cholera outbreaks.
[So] Source:Nature;550(7674):9, 2017 10 03.
[Is] ISSN:1476-4687
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Cólera/epidemiologia
Cólera/prevenção & controle
Surtos de Doenças/prevenção & controle
Surtos de Doenças/estatística & dados numéricos
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Cólera/microbiologia
Vacinas contra Cólera/administração & dosagem
Confidencialidade
Haiti/epidemiologia
Seres Humanos
Malaui/epidemiologia
Saneamento/normas
Somália/epidemiologia
Sudão do Sul/epidemiologia
Revelação da Verdade
Microbiologia da Água
Abastecimento de Água/normas
Organização Mundial da Saúde
Iêmen/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cholera Vaccines)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171006
[St] Status:MEDLINE
[do] DOI:10.1038/550009a


  9 / 12703 MEDLINE  
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[PMID]:28973625
[Au] Autor:Frush BW
[Ad] Endereço:University of North Carolina at Chapel Hill School of Medicine, Chapel Hill.
[Ti] Título:To Those "Out There".
[So] Source:JAMA;318(12):1107-1108, 2017 Sep 26.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Internato e Residência
Transtornos Mentais
Estereotipagem
Estudantes de Medicina/psicologia
Revelação da Verdade
[Mh] Termos MeSH secundário: Seres Humanos
Candidatura a Emprego
[Pt] Tipo de publicação:JOURNAL ARTICLE; PERSONAL NARRATIVES
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171004
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.10823


  10 / 12703 MEDLINE  
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[PMID]:28947553
[Au] Autor:Kidd M
[Ti] Título:Enjoy every sandwich.
[So] Source:CMAJ;189(38):E1221, 2017 09 25.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Neoplasias/psicologia
Relações Médico-Paciente/ética
Assistência Terminal/ética
Revelação da Verdade/ética
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:PERSONAL NARRATIVES
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170927
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.170982



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