RITA DE CASSIA GENGO E SILVA BUTCHER
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- Defining Characteristics of Decreased Cardiac Output: A Literature Review(2011) BRANDAO, Sara Michelly Goncalves; ALTINO, Denise Meira; SILVA, Rita de Cassia Gengo e; LOPES, Juliana de LimaOBJECTIVE. The study aims to proceed a literature review of defining characteristics (DCs) of decreased cardiac output (DCO). METHODS. Medline database was used to perform this study. The descriptors used were ""low cardiac output"" and ""nursing diagnosis."" RESULTS. Seventy-nine DCs were identified. Among them, 28 have already been approved by NANDA-I. Some data from microcirculation assessment such as high levels of serum lactate and decreased oxygen venous saturation were identified as indicators of this nursing diagnosis. CONCLUSIONS. Some of the approved DCs were identified through literature review but others seem to be new as they have not been cited in the NANDA-I classification. PRACTICAL IMPLICATIONS. Further content and clinical validations are needed to confirm if data from microcirculation might be considered as DCs of DCO.
- Functional Limitation and Intermittent Claudication: Impact of Blood Pressure Measurements(2012) SILVA, Rita de Cassia Gengo e; GIRIBELA, Cassiana Rosa Galvao; WOLOSKER, Nelson; CONSOLIM-COLOMBO, Fernanda MarcianoBackground: Arterial hypertension is an important risk factor for Lower-Limb Occlusive Arterial Disease (LLOAD). However, the correlation between blood pressure and pulse pressure (PP) with LLOAD severity and functional impairment resulting from this disease is not well established in the Brazilian population. Objective: To verify whether there is a correlation between blood pressure, PP, LLOAD severity and functional capacity in patients with symptomatic LLOAD. Methods: A total of 65 patients (62.2 + 8.1 years, 56.9% males) were evaluated. They were divided into two groups: normal (A) and high (B) blood pressure. LLOAD severity was assessed using the ankle-brachial index (ABI) and functional capacity by the total and pain-free walking distance at the 6-minute walking test (6MWT). Results: Group A consisted of 17 (26.1%) patients. The systolic (SBP), diastolic blood pressure (DBP), and PP were, respectively, 125.4 +/- 11.7, 74.5 +/- 9.1 and 50.9 +/- 10.0 mmHg in group A and 160.7 +/- 19.6, 90.0 +/- 12.2 and 70.7 +/- 20.2 mmHg in group B. The ABI was significantly lower in group B (0.66 +/- 0.12 vs. 0.57 +/- 0.13, p < 0.05). SBP and PP correlated with LLOAD severity and the distances walked at the 6MWT. Patients with PP > 40 mmHg walked shorter distances. Conclusion: SBP and PP significantly correlated with the distances walked in the 6MWT, suggesting they are clinical markers of functional capacity impairment in patients with symptomatic LLOAD. (Arq Bras Cardiol 2012; 98(2): 161-166)
article 1 Citação(ões) na Scopus Immediate postoperative period of cardiac surgery: routine nursing for patient's admission to the Intensive Care Unit(2011) FERREIRA, Fatima Gil; SILVA, Rita de Cassia Gengo e; GONCALVES, Cecilia Helena Bueno; PALOMO, Jurema da Silva Herbas- A combined oral contraceptive containing drospirenone changes neither endothelial function nor hemodynamic parameters in healthy young women: a prospective clinical trial(2012) GIRIBELA, Cassiana R. G.; MELO, Nilson R.; SILVA, Rita C. G.; HONG, Valeria M.; GUERRA, Grazia M.; BARACAT, Edmund C.; CONSOLIM-COLOMBO, Fernanda M.Background: Combined oral contraceptives (COCs) may lead to a rise in cardiovascular disease risk, possibly associated with changes in blood pressure and endothelial function. Study Design: The objective was to evaluate the impact of COC containing 20 mcg of ethinylestradiol (EE) and 3 mg of drospirenone (DRSP) on the arterial endothelial function, systolic and diastolic blood pressure (SBP and DBP, respectively), heart rate (HR), cardiac output (CO) and total peripheral resistance (TPR) of healthy young women. Of the 71 women in the study, 43 were evaluated before the introduction of COC and after 6 months of its use (case group) and 28, COC nonusers, were assessed for the same parameters at the same time interval (control group). Results: No significant changes in endothelium-dependent and endothelium-independent functions or in measures of SBP, DBP, HR, CO and TPR caused by COC use were observed in the case group (p>.05 for all variables) or in the control group. Conclusion: These data suggest COC with 20 mcg EE and 3 mg DRSP does not alter arterial endothelial function or hemodynamic parameters in healthy young women.
- Distances walked in the six-minute walk test: suggestion of defining characteristic for the nursing diagnosis Ineffective Peripheral Tissue Perfusion(2012) SILVA, Rita de Cassia Gengo e; BRUNORIO, Ludimila; GIRIBELA, Cassiana Rosa Galvao; BORTOLOTTO, Luiz Aparecido; WOLOSKER, Nelson; CONSOLIM-COLOMBO, Fernanda MarcianoDistances walked in walking tests are important functional markers, although they are not accepted as defining characteristics of Ineffective Peripheral Tissue Perfusion. The aims of this study were to verify the distances participants with and without this nursing diagnosis walked in the six-minute walk test and if these measures may be considered defining characteristics of this phenomenon. Participants with (group A; n=65) and without (group B; n=17) this nursing diagnosis were evaluated regarding physical examination, vascular function and functional capacity. Participants of group A seemed to have worse vascular function and functional capacity compared with those of group B. Pain-free travelled distance was predictive of the nursing diagnosis. These results are important for the refinement of this diagnosis. In conclusion, this study provides evidences that the distances walked in the six-minute walk test may be considered defining characteristics of Ineffective Peripheral Tissue Perfusion.
- Lower functional capacity is associated with higher cardiovascular risk in Brazilian patients with intermittent claudication(2015) SILVA, Rita de Cassia Gengo e; MELO, Vanessa Ferreira Amorim de; WOLOSKER, Nelson; CONSOLIM-COLOMBO, Fernanda MarcianoThe purpose of this study was to examine the association between cardiovascular risk estimated by the Framingham Risk Score and functional capacity in patients with peripheral artery disease using a 6-minute walk test. Fifty-six participants with intermittent claudication were recruited. The Framingham Risk Score was calculated and used to split the participants into two groups: Group A (mild and moderate risk) and group B (severe risk). The ankle-brachial index (ABI) was calculated for each leg using a handheld Doppler probe. Walking ability was verified by a 6-minute walk test. Descriptive statistics were used to describe the sample's demographic and clinical characteristics. To compare clinical data between the two groups, a t test or Mann-Whitney test was used as appropriate according to the type of variable being analyzed. The Pearson coefficient was used to verify the association between cardiovascular risk and functional capacity. Group A had 19 participants (60.5 +/- 6.3 years; 36.8% male) and group B had 37 participants (63.4 +/- 8.7 years; 73% male). No differences were observed when comparing the ABI between both groups. The total distances covered by the men in group A were shorter compared with those of group B (331.4 + 51.5 vs 257.9 + 84.0; P =.02). The cardiovascular risk score was negative and was significantly correlated with total distances for men (r = -0.53; P = .001) and with painfree distances for women (r = -0.46; P = .03). Functional capacity, evaluated through a 6-minute walk test, seems to be associated with 10-year total mortality risk.
- Pain evaluation scales for elderly patients with dementia(2015) CUSTÓDIA, Andressa Caio Eira da; MAIA, Flávia de Oliveira Motta; SILVA, Rita de Cassia Gengo eABSTRACT BACKGROUND AND OBJECTIVES: Elderly people with dementia are impaired in the way they interpret and communicate pain, being important the use of specific tools for accurate diagnosis. This study aimed at summarizing literature data on tools for pain evaluation in hospitalized elderly patients with dementia. CONTENTS: This is a literature review of the following databases: LILACS, Pubmed/Medline, CINAHL, SCOPUS, Cochrane, Web of Science and Joanna-Briggs Institute. Eligibility criteria were established for studies selection. A specific tool was used for critical evaluation. From 383 studies found, 4 were included in this review. Studies have evaluated the performance of 8 observational or self-report scales. CONCLUSION: Our study results suggest that observational and self-report scales may be used to evaluate pain in hospitalized elderly patients with dementia, provided the level of cognitive impairment is observed to select the scale, thus avoiding inadequate evaluations and consequently the undertreatment of pain.