Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Rehabilitation nursing in Brazil is established, primarily, within the Specialized Rehabilitation Center, where nurses develop care actions to reach the maximum health potential of the user. In this context, the pandemic scenario causes multiple changes in the care process, influencing new ways of thinking about the nurse's work in this context. Therefore, the study aims to understand how rehabilitation nurses are experiencing the world pandemic scenario, answering the question "How is the reality of rehabilitation nursing in the state of Santa Catarina - Brazil facing the pandemic scenario?". For this, the research has a qualitative approach, outlined by the method of multiple case studies, showing the reality of five rehabilitation nurses in four rehabilitation centers in the state of Santa Catarina. From the data, three categories emerged, which describe how the preparations were made for the closure of services, how nursing reinvented itself in times of pandemic, what were the challenges and potential found in this trajectory and what is expected of the future. It is concluded that in view of the changes experienced by the rehabilitation nurses, each institution assumed a position that directly impacted the nurses' work process, being necessary to reinvent the way of caring and create mechanisms to share preventive measures in the midst of social isolation.

Introduction: The new coronavirus infection appeared in China in December 2019, it spread rapidly throughout the world, and was considered a pandemic by the World Health Organization in March 2020. This infection can cause pneumonia requiring hospitalization in intensive care units. The prone position is one of the interventions that can help in the treatment of acute respiratory distress syndrome in these people. Objective: to identify the effects of the prone position in the treatment of patients with acute respiratory distress syndrome caused by the corona virus. Method: integrative literature review conducted in May 2020. The following databases were used for data collection: SCOPUS, MEDLINE, and Google Scholar. Inclusion and exclusion criteria were applied. Results: Of the 241 articles identified, 13 articles were selected, all published in 2020. The data was synthesized in 3 main subjects, indications, frequency of position changing and duration, and lastly, the effects of the prone position. Conclusions: The prone position in this context, helps improve ventilatory and blood gas parameters, dyspnea symptoms, facilitates recovery, and consequently, early discharge, reduces hospitalization days and reduces mortality at 28 and 90 days.

The pandemic has generated the need to reinvent the way we share knowledge, that said, social media is configured as an alternative to provide dissemination of knowledge, aiming to reduce the barriers that difficult the valorization of rehabilitation nursing in the Brazilian context. The study aims to understand the impact of using social media, in times of pandemic, as an instrument to share knowledge about nursing, health and rehabilitation. The Exploratory Social Network Analysis method allows the definition, manipulation, determination of structural characteristics and visual inspection of social media.The results express that the digital media impacts on the sharing of knowledge, challenging social distance and the scenario of global sorrow. We conclude that nursing needs to rehabilitate itself for the future of health and technology, opening its reflections on care with digital and accessible look.

Introduction: people with COVID-19 will mostly present mild to moderate forms of the disease and will remain at home under telephone monitoring. The person must maintain specialized monitoring leading to the optimization of their healing process, without associated complications, responsible for readmissions. Objective: describe the gains in knowledge and skills learning with the implementation of a telerehabilitation program in a person with dyspnea, anxiety and changes in expiratory flow in the context of COVID 19. Method: quantitative and qualitative approach study, case study. Refers to a case of a 53-year-old person with COVID 19 hospitalized followed by discharge with home isolation. An intervention was made using tele-rehabilitation, through 4 videos. Ethical research principles were followed. Results: there were evidences of gains in the person's training in the control of dyspnea, in the reduction of anxiety and depression and in the air flow. Conclusion: the use of telerehabilitation in the context of COVID 19 can bring benefits to the training of the person in the control of symptoms, allow the recovery of the person at home and avoid hospitalization.

In December 2019, the China Popular Republic informed the world that an outbreak caused by a highly contagious coronavirus, capable of developing severe cases of bilateral pneumonia, had been detected. The disease spread throughout the world and, in March 2020, the World Health Organization considered it a pandemic. Since social isolation measures have been instituted in various parts of the world, it was considered urgent to reflect on the impact of the COVID-19 pandemic on stroke patients to obtain some important subsidies for the future. Therefore, a narrative literature review was carried out and it was found that the state of the art reveals that there was a significant decrease in stroke patients admitted to hospital units, as well as a decrease in consultations, health education sessions and treatments, including rehabilitation, which is particularly worrying in a population that has already shown a high rate of unmet needs.

EDITORIAL

Aim: This study aims to describe rehabilitation nurse interventions in Respiratory Kinesitherapy in critically ill with COVID-19 patient undergoing venovenous extra-corporeal membrane oxygenation and its response concerning to gasometric and ventilatory parameters before and after each session. Methodology: Case study of a 63-year-old person with history of obesity and high blood pressure. Retrospective data were collected from the clinical process, referring to a 38-day ICU stay. Results: The most performed techniques used in Respiratory Kinesitherapy by rehabilitation nurses were suctioning through closed system, vibrations, sudden decompression, selective costal openings, forced manual expiration, directed ventilation and mechanical in-exhaler. Globally, all sessions showed that there was an improvement in inspiratory and expiratory volumes, as well as in static compliance. Machanical in-exhaler was used after a week of hospital stay, after all other possible interventions were performed, and all outcomes showed global improvements, without any adverse events. Conclusion: Implementation of structured and individualized respiratory kinesitherapy interventions can significantly benefit recovery of critical ill patients. Techniques that weren´t described for covid 19 cases were used effectively.

O Nursing Now é uma iniciativa global com a duração de três anos e está a ser realizada em colaboração com o Conselho Internacional de Enfermeiros (ICN) e a Organização Mundial de Saúde (OMS)(1). Os enfermeiros têm um importante papel no seio da maioria das equipes de saúde em todo o mundo, no âmbito dos vários níveis de prevenção, ou seja, da primordial à quaternária, desenvolvendo e implementando modelos de assistência centrados nas pessoas, famílias e comunidades, dirigidos à promoção da saúde, prevenção, tratamento de doenças e gestão de sintomas. O Nursing Now(1) é baseado num relatório de Triplo Impacto que além, de contribuir para melhorar a saúde globalmente, o empoderamento dos enfermeiros ajudaria para melhorar a igualdade de gênero uma vez que maioria dos enfermeiros ainda são mulheres, por último, visa fazer o melhor uso das tecnologias e contribuir para construção de economias mais fortes. O Nursing Now(1) tem trabalhado com parceiros a nível global com a finalidade de defender mais enfermeiros em posições de liderança e ajudá-los a obter a influência que merecem. Além disso, pretende que os enfermeiros tenham acesso a melhor educação e formação, apoiando-os na partilha de resultados de estudos de investigação, no sentido de implementar as melhores evidências na prática clínica, promovendo cuidados seguros e qualidade a todos os cidadãos. Tendo em consideração os argumentos explanados anteriormente, consideramos que a metodologia de estudo de caso de acordo com Andrade e colaboradores(2) e a diretrizes do relato de caso - CAse REport (CARE)(3) que podem ser encontrados na plataforma EQUATOR [https://www.equator-network.org/reporting-guidelines/care/], ajudam a estruturar e comunicar a evidência produzida por enfermeiros de reabilitação no seu dia a dia. Neste contexto da prática baseada na evidência, surge ainda o conceito de translação do Conhecimento que segundo Crossetti e Góes,(4) é definida como um processo dinâmico, interativo, que abrange a síntese, divulgação, intercâmbio e a ética no conhecimento para promoção da saúde, prestação de serviços e fornecimento produtos de saúde com maior efetividade de modo a fortalecer o sistema de saúde. Neste sentido a Revista portuguesa de enfermagem de reabilitação quer fomentar o aumento da evidência produzida por enfermeiros de reabilitação, com base em situações de casos que se aproximam muito com a realidade da prática clínica portuguesa, por um lado, e fazer a transferência do conhecimento para a prática clínica de outros contextos, por outro. Pretende assim, devolver novamente à prática o conhecimento produzido a partir dos casos práticos, numa perspetiva de benchmarking.

Objective: To describe the process of elaboration, by the team of the Community Care Unit Vallis Longus, of a procedure for the handling of Personal Protective Equipment (PPE) during homecare visits (HCV) within the scope of COVID19. Method: The preparation of the PPE handling procedure in the context of HCV followed the following steps sequentially: a) review of the available literature; b) team discussion on the respondent's viability in the previous point; c) theoretical elaboration of the procedure; d) practical test of the procedure; e) preparation of the final version of the procedure; f) development of a video demonstrating the procedure. Results and discussion: The elaboration of the PPE management procedure in the context of the HV implies the assessment of its viability, both in terms of the necessary material resources and in terms of the use of the procedure in the real context of home care provision. The described phases made it possible to adapt what was described in the literature, so that it could be fully implemented in the daily organization of the unit and, consequently, in the direct provision of care. The production of a video facilitated the training actions related to the procedure, which mostly acquired a virtual character due to the pandemic COVID19. Conclusion: The context of the COVID19 pandemic created the need to review the PPE handling procedures inherent in HV to prevent the spread of infection. The development, in a discussion team, of a procedure based on the combination of the literature and the practical feasibility of its implementation allowed to put into operation an effective and sustainable PPE management model.

Introduction: Stroke is considered a chronic disease with implications for health, functionality and quality of life. It is essential to empower the person with stroke as well as their family, improving the skills of the family caregiver. Objective: To evaluate the intervention of the rehabilitation nurse specialist in the training of family caregivers and in providing care to the person with stroke. Methodology: This is a qualitative case study, centered on the application of the nursing process, according to the ICNP® language, using the Documentary Standards of Rehabilitation Nursing Care. The elaboration of an informative poster regarding anti-spastic positioning and its standardization of contents is presented. Subsequently, educational sessions with poster support are held with the family caregiver of the person with high dependence and presenting spasticity. Results: With the implementation of the anti-spastic positioning informative poster and a structured training session plan focused on the caregiver's needs the ability to perform the different anti-spastic positioning positions was increased; contact with support products; reduction of hemiplegic shoulder pain, prevention of spasticity development and prevention of pressure ulcers. Conclusion: By implementing an informative poster about positioning in anti-spastic pattern, it was possible to develop in the caregiver skills and ability to provide care to the person with stroke, as well as to prevent complications that may endanger the rehabilitation process.