Analysis of the costs and complications of cataract surgery performed by residents.
To compare the costs and complication of cataract surgery, made by residents and by experienced surgeon
Prospective study, analytical and randomized.
Evolution and viability of a surgical center for ambulatory cataract surgeries on a largr scale in a university hospital.
To analyze the number of surgeries performed and financial viability during and after the interruption ot the Nation Campaign of Cataract.
Clinic study, analytical retrospective.
Difficulties of access to treatment of patient with indication of cataract surgery in the Puplic and Private Health Systems.
To estimate the value of Cataract Projects to the community, identifying characteristics and difficulties of access to diagnosis and treatment.
Transversal study
Importance of ambulatory surgical center for performing cataract surgeries on a large scale.
To analyze the importance of ambulatory surgical centers to perform the surgeries of cataract.
Descriptive study, program evaluations.
Following the selection criteria established previously, 12 articles were included, obtained in a systematic way of verifiable quality and qathered in a synoptic table. The following, it was established a general overview of assessed articles.
Among the texts included in the integrative review, three (25%) were published in the year 2004, two (16.7) in the year 2005, other two (16.7%) in the year 2010, another two (16.7%) in the yeay of 2011 and one (8.3%) article was submitted for each of the following years: 2006, 2007 and 2008.
Of the ten analyzed articles, which corresponded to (83.3%) of found works, quoting the cataract surgery, however they were built by authors exclusively doctors and medical specialists in ophthalmology residents. This author profile does not address in their goals the care they should have with the surgical patient, the guidelines and either
Occasion,scheduled - clean, curative, small appearance according to the cardiac risk and appearance I regarding duration, its realization in the ambulatory surgical center depends on the evaluation of the physiological, social and laboratory evaluation, which must ponder risks and benefits.
Some of the preoperative examinations for cataract surgery are necessary for most patients, for being considered such a simple procedure, as mentioned above. Thus, nursing should be attentive to the patient to make these requests in order not to burden financially the unified health system (SUS). This selective examination request is also a way to decrease the barriers for the surgery, since unnecessary tests can also mean going to the hospital many times and unnecessary postponement of surgeries.
The economic analysis on health in oncreasingly important, since resources are scarcer and there is a competition for sectors of different needs. For administrators of public Health can make appropriate choices, it is necessary to have knowledge of the costs and possible altenatives. Without systematic analysis, it is difficult to clearly identify the relevant alternatives.
The administrative and management activities aer skills of nurses; therefore, it is necessary a broad knowledge of all atages in which are involved the surgical procedures to comprise practical strategies in an attempt to facilitate the completion of the surgery and the reduction of harm to the patient and society, making it thus an agent facilitator of the system.
In addition to the administrative activities, the nurse has the function of monitoring the patient in the preoperative period. Preoperative patient assessment, in relation to the vital signs and specific laboratory tests,is essential,as it allows the detection of deseases hitherto suspected, correction of diseases hitherto suspected, correction of changes so that the surgical treatment or even be contraindicated in the procedure, in addition of preoperative anxiety and postoperative pain, especially of pre-surgical morbidity.
It is fundamental that the nurse know what the patient wants to know,being necessary, prepare them properly, according to their perceptions and expectations, directing the orientation according to its particularity and with its ability to assimilate information. In ambulatory surgery it is important that the nurse talk to the patien and his partner, preparing them to take on the preoperative and postoperative care, being essential that the same person who receives the guidelines prior to surgery, remains with the patient on the day and provide the care at home. This partner is essential, especially for eldery patients, because of the difficulties of self- care that this age group presents.
The nurse, in providing care in the preoperative period, has to be sure that the use of contact lenses by patients was interrupted because the lenses change the curvature of the eye and can affect the final result of the treatment. He should note also if the patient did or did not use of vessel dilator, if he is fasting during a period of at least 4 hours, if he did scalp hygiene and face before going to the hospital. The nurse also neds to be attentive to the administration of eye drops dilators, which need to be applied to every 10 minutes during four doses, at least 1 hour before suegery. Eye drops antibiotics are also administered, steroids and antiinframmatory drugs prophy lactically, to pirevent infection and post-operative inflammation.
In the trans-operative it is important that the nure is aware of thhe materials necessary for the completion of the surgical procedure and test them to make sure their functionality, in order to reduce the demage to the patient. The nurse is also responsible leading the patient. The nurse is also responsible leading the patient to the operating room, to position, to monitor and to verify the removal of adornments, he needs to register the notes of nursing during the entire procedure and, in the end, to lead the patient to the post-anesthetic recovery room.
The postoperative is a recovery of the patient after anesthesia. In the first phase of the postoperative, nursing activity consists in evaluating the respiratory rate, heart rate, blood pressure, level of consciousness, skin coloration and degree of spontaneous activities, especially when employed general anesthesia.In the second phase of the postoperative, occurs the re-adaptation of the patient to the environment identified by attitudes like sit, stand up, walk around. Nursing’s mission is to readjust the patient analyzing their disabilities and the environment in which it is inserted, requiring to be attentive to the particularities of each individual.
In the context of a cataract of ambulatory surgery, the patient receives discharge 30 minutes or less after the intervention. The guidance provided to them need to be verbal and in writing, explaining how to project the eye,to administer medication, to recognize
The signs and complication and get emergency care. The patient must be informed that after surgery it may exists minimum discomforts and professional should advise them to take an anesthetic agent according to the prescription.
Analysis of the costs and complications of cataract surgery performed by residents.
To compare the costs and complication of cataract surgery, made by residents and by experienced surgeon
Prospective study, analytical and randomized.
Evolution and viability of a surgical center for ambulatory cataract surgeries on a largr scale in a university hospital.
To analyze the number of surgeries performed and financial viability during and after the interruption ot the Nation Campaign of Cataract.
Clinic study, analytical retrospective.
Difficulties of access to treatment of patient with indication of cataract surgery in the Puplic and Private Health Systems.
To estimate the value of Cataract Projects to the community, identifying characteristics and difficulties of access to diagnosis and treatment.
Transversal study
Importance of ambulatory surgical center for performing cataract surgeries on a large scale.
To analyze the importance of ambulatory surgical centers to perform the surgeries of cataract.
Descriptive study, program evaluations.
Following the selection criteria established previously, 12 articles were included, obtained in a systematic way of verifiable quality and qathered in a synoptic table. The following, it was established a general overview of assessed articles.
Among the texts included in the integrative review, three (25%) were published in the year 2004, two (16.7) in the year 2005, other two (16.7%) in the year 2010, another two (16.7%) in the yeay of 2011 and one (8.3%) article was submitted for each of the following years: 2006, 2007 and 2008.
Of the ten analyzed articles, which corresponded to (83.3%) of found works, quoting the cataract surgery, however they were built by authors exclusively doctors and medical specialists in ophthalmology residents. This author profile does not address in their goals the care they should have with the surgical patient, the guidelines and either
Occasion,scheduled - clean, curative, small appearance according to the cardiac risk and appearance I regarding duration, its realization in the ambulatory surgical center depends on the evaluation of the physiological, social and laboratory evaluation, which must ponder risks and benefits.
Some of the preoperative examinations for cataract surgery are necessary for most patients, for being considered such a simple procedure, as mentioned above. Thus, nursing should be attentive to the patient to make these requests in order not to burden financially the unified health system (SUS). This selective examination request is also a way to decrease the barriers for the surgery, since unnecessary tests can also mean going to the hospital many times and unnecessary postponement of surgeries.
The economic analysis on health in oncreasingly important, since resources are scarcer and there is a competition for sectors of different needs. For administrators of public Health can make appropriate choices, it is necessary to have knowledge of the costs and possible altenatives. Without systematic analysis, it is difficult to clearly identify the relevant alternatives.
The administrative and management activities aer skills of nurses; therefore, it is necessary a broad knowledge of all atages in which are involved the surgical procedures to comprise practical strategies in an attempt to facilitate the completion of the surgery and the reduction of harm to the patient and society, making it thus an agent facilitator of the system.
In addition to the administrative activities, the nurse has the function of monitoring the patient in the preoperative period. Preoperative patient assessment, in relation to the vital signs and specific laboratory tests,is essential,as it allows the detection of deseases hitherto suspected, correction of diseases hitherto suspected, correction of changes so that the surgical treatment or even be contraindicated in the procedure, in addition of preoperative anxiety and postoperative pain, especially of pre-surgical morbidity.
It is fundamental that the nurse know what the patient wants to know,being necessary, prepare them properly, according to their perceptions and expectations, directing the orientation according to its particularity and with its ability to assimilate information. In ambulatory surgery it is important that the nurse talk to the patien and his partner, preparing them to take on the preoperative and postoperative care, being essential that the same person who receives the guidelines prior to surgery, remains with the patient on the day and provide the care at home. This partner is essential, especially for eldery patients, because of the difficulties of self- care that this age group presents.
The nurse, in providing care in the preoperative period, has to be sure that the use of contact lenses by patients was interrupted because the lenses change the curvature of the eye and can affect the final result of the treatment. He should note also if the patient did or did not use of vessel dilator, if he is fasting during a period of at least 4 hours, if he did scalp hygiene and face before going to the hospital. The nurse also neds to be attentive to the administration of eye drops dilators, which need to be applied to every 10 minutes during four doses, at least 1 hour before suegery. Eye drops antibiotics are also administered, steroids and antiinframmatory drugs prophy lactically, to pirevent infection and post-operative inflammation.
In the trans-operative it is important that the nure is aware of thhe materials necessary for the completion of the surgical procedure and test them to make sure their functionality, in order to reduce the demage to the patient. The nurse is also responsible leading the patient. The nurse is also responsible leading the patient to the operating room, to position, to monitor and to verify the removal of adornments, he needs to register the notes of nursing during the entire procedure and, in the end, to lead the patient to the post-anesthetic recovery room.
The postoperative is a recovery of the patient after anesthesia. In the first phase of the postoperative, nursing activity consists in evaluating the respiratory rate, heart rate, blood pressure, level of consciousness, skin coloration and degree of spontaneous activities, especially when employed general anesthesia.In the second phase of the postoperative, occurs the re-adaptation of the patient to the environment identified by attitudes like sit, stand up, walk around. Nursing’s mission is to readjust the patient analyzing their disabilities and the environment in which it is inserted, requiring to be attentive to the particularities of each individual.
In the context of a cataract of ambulatory surgery, the patient receives discharge 30 minutes or less after the intervention. The guidance provided to them need to be verbal and in writing, explaining how to project the eye,to administer medication, to recognize
The signs and complication and get emergency care. The patient must be informed that after surgery it may exists minimum discomforts and professional should advise them to take an anesthetic agent according to the prescription.
การแปล กรุณารอสักครู่..