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Intervenções de Enfermagem para o empoderamento da pessoa com doença renal crónica

Delgado, Elisabete

Enquadramento: A doença renal crónica (DRC) é uma patologia que exige grandes mudanças e adaptações na vida da pessoa, de elevado impacte emocional e psicossocial, face à sua imprevisibilidade de evolução e resultados dos tratamentos. O enfermeiro desempenha um papel fundamental, neste processo de transição, através de intervenções promotoras de empoderamento da pessoa. Neste sentido, surge a questão de investi...


Hemodialysis vascular access coordinator: Three‐level model for access management

Sousa, Clemente Neves; Teles, Paulo; Sousa, Rui; Cabrita, Filipa; Ribeiro, Olga; Delgado, Elisabete; Coutinho, Sara; Moura, Sandra Cristina Mendo

Management of vascular access is a challenge for the dialysis team, particularly tokeep the arteriovenous access working. The vascular access coordinator can posi-tively contribute to increase the number of arteriovenous fistulas and reduce centralvenous catheters. In this article, we introduce a new approach to vascular accessmanagement centered on (the results of setting up) the role of vascular access coor-d...


How to choose the appropriate cannulation technique for vascular access in hemo...

Sousa, Clemente Neves; Teles, Paulo; Ribeiro, Olga; Sousa, Rui; Lira, Marta Nunes; Delgado, Elisabete; Oliveira, Debora; Campos, Luís; Fernandes, Filipa

The cannulation technique is important for the survival of the arteriovenous access. Choosing the appropriate technique is a complex decision. Such choice must be customized to patients, considering their characteristics, the type of arteriovenous access and the experience of the hemodialysis team. We describe seven items that can help nurses to identify the appropriate cannulation technique: type of arterioven...


Radio‐cephalic fistula recovered with drainage to median basilic vein by straig...

Costa, Luísa Lemos; Matos, António Norton; Almeida, Paulo; Teles, Paulo; Loureiro, Luís; Campos, Luís; Delgado, Elisabete; Oliveira, Debora

The distal arteriovenous fistula (AVF) has less complications and better patency than the proximal fistula, when it works properly. The complications of outflow of the fistula are complex, and it is necessary to analyze all solutions to solve the problem. We introduce a novel approach to solve outflow problems of a radio-cephalic AVF by straightening of the forearm cephalic vein with drainage into the median ba...


Radio‐cephalic fistula recovered with drainage to median basilic vein by straig...

Costa, Luísa Lemos; de Matos, António Norton; Almeida, Paulo; Teles, Paulo; Loureiro, Luís; Campos, Luís; Delgado, Elisabete; Oliveira, Debora

The distal arteriovenous fistula (AVF) has less complications and better patency than the proximal fistula, when it works properly. The complications of outflow of the fistula are complex, and it is necessary to analyze all solutions to solve the problem. We introduce a novel approach to solve outflow problems of a radio-cephalic AVF by straightening of the forearm cephalic vein with drainage into the median ba...


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