Revista gaúcha de enfermagem / EENFUFRGS
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This quantitative study proposed to apply Activity-Based Management in an Intensive Care Unit (ICU) of a teaching hospital Porto Alegre, Rio Grande do Sul, Brazil. The objective of applying that tool was to direct the establishment of strategies, aiming at reducing costs and optimizing human, technological, and financial resources used in intensive care. ⋯ Data were collected in sir collective interviews with 13 ICU team members. The results showed that Activity-Based Management can be used in an ICU, replicated, and that understanding the care process helps to provide information that aid the management to make decision, to identify the need of improvement, and to include the team members in the ICU management practice.
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Pain is one of the main complaints at admission in emergency services. This article aims at presenting pain assessment methods in trauma patients using objective tools in pre- and intra-hospital settings. The harmful effects of pain in the post-trauma patients, and the benefits of early analgesia are discussed. We found that acute pain in emergency wards is rarely studied in Brazil, which points out a significant gap in terms of care and research.