Browsing by Author "Cunha, Sara"
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- Intervenções de enfermagem na pessoa em cuidados paliativos com fadiga: Uma scoping reviewPublication . Cunha, Sara; Jasmins, Conceição; Barroso, Cristina; Almeida Reis, Laura MariaIntrodução: A fadiga é um dos sintomas mais comuns na pessoa em situação paliativa que afeta a sua qualidade de vida e, cuja gestão permanece um desafio. Objetivo: Mapear as intervenções de enfermagem utilizadas no controlo da fadiga na pessoa em situação paliativa. Métodos: Scoping Review de acordo com a metodologia do Joanna Briggs Institute. Dois investigadores independentes realizaram a análise, extração e síntese dos resultados. Resultados: Intervenções de enfermagem como Intervenção Psicossocial, Massagem Aromática, Cuidados paliativos standard, Intervenção colaborativa Online, Terapia Cognitivo Comportamental, Exercício físico e acupuntura foram identificadas. Conclusão: Os estudos apontam para intervenções multidisciplinares multimodais, onde o enfermeiro tem um papel primordial. No entanto, não há estudos em pessoas numa fase terminal da sua doença, ou seja, nos últimos meses ou dias de vida, pelo que se sugerem novas investigações sobre a eficácia das intervenções no controlo da fadiga da pessoa em cuidados paliativos e a adoção de estratégias que permitam melhorar o conhecimento dos profissionais de saúde sobre o impacto da fadiga.
- Intervenções no controlo da xerostomia na pessoa em situação paliativa – scoping reviewPublication . Cunha, Sara; Silva, Patrícia; Oliveira, Sandra; fernandes, olga; Lourenço, MarisaIntroduction:Xerostomia is the subjective sensation of dry mouth; itoccurs when less saliva is secreted than the amount of water lost through evaporation and absorption from the oral mucosa. It has multiple consequences for the general and oral health ofpeople in a palliative situation, and quality of life.Objective:Toexamine and map the interventions implemented to relieve xerostomia of the person in palliative situation.Methods:A scoping review was conducted following the Joanna Briggs Institute methodology. Data search was performed in the following databases: CINAHL COMPLETE®, PUBMED®, MEDLINE COMPLETE®, SCOPUS® and SciELO®.Results: A total of 707 articles were identified, and 19 were extracted for final analysis. This scoping review considered the studies focused on people with advanced and irreversible chronic disease, in a palliative situation and at the end of life, aged 18 years or more. Interventions for the control of xerostomia are: non-pharmacological, assessment of the oral cavity, acupuncture, saliva substitutes, saliva stimulants and oral hygiene education programmes; pharmacological parasympathomimetic: pilocarpine and bethanechol chloride.Conclusion: Xerostomia is a health condition that can cause social embarrassment and chronic discomfort, with a great impact on people's quality of life. Grouping the available evidence, within this theme, can help health professionals to incorporate it into care practice, contributing to the increase in the person’s quality of life and the relief of suffering
- Raising awareness and early detection of atrial fibrillation, an experience resorting to mobile technology centred on informed individualsPublication . Cunha, Sara; Antunes, Eduardo; Antoniou, Sotiris; Tiago, Sália; Relvas, Rui; Fernandez-Llimós, Fernando; Costa, Filipa Alves daBackground: Atrial fibrillation (AF) is a cardiac arrhythmia responsible for one third of ischemic strokes. Early detection of AF plays an important role in preventing embolic stroke. Objectives: This study aimed to test the feasibility of an awareness event including opportunistic screening for atrial fibrillation; and to test the reliability of the innovative portable electrocardiogram (ECG) device used. Methods: An awareness campaign was held during two weeks, where individuals consenting to participate in a pharmacist-led detection event, received a manual pulse check, were clinically evaluated and subject to a single-lead electrocardiogram using AliveCor Kardia® mobile. ECGs highlighted as possible AF were confirmed by the cardiologist and those signalled with abnormalities in cardiac rhythm were referred to their physician. Data were collected in a password protected application and analyzed using SPSS, v.24. The Kardia® mobile's sensitivity and specificity was tested against the standard 12-lead ECG. Results: The awareness event involved 223 individuals, among which 205 were screened. Mean age was 66 years (SD = 15) and hypertension was the most frequently reported (n = 107; 52.2%). Mean CHAD2DS2- VASc score was 3 (SD = 1.8). Cardiac irregularities were identified in 45 individuals, 14 confirmed to be new cases of AF (6.8%) by the cardiologist. The sensitivity and specificity were 90.9% and 97.4%. Conclusion: Data suggests this device to be potentially useful for opportunistic early detection of AF, provided interprofessional collaboration is guaranteed so that suspect cases are adequately managed and in a timely way. Fourteen new cases of AF were identified in the population studied, suggesting the pharmacist working in a multiprofessional context, may have had an important role in preventing potential ischemic-related strokes with this initiative. All healthcare professionals involved in the patient pathway should play a more active role in contributing to better health outcomes, particularly within primary care.