Thirst management: perspective of burnt surgical patient
DOI:
https://doi.org/10.5433/1679-0367.2022v43n1p177Keywords:
Thirst, Burns, Perioperative nursing, Burn units, XerostomiaAbstract
Objective: explore thirst perception of a burnt surgical patient and its management in the preoperative and immediate postoperative period.
Case report: study with a qualitative and exploratory approach, named as case study. Inclusion criteria were: inpatient at burnt treatment unit, undergone surgical procedure or balneotherapy, experienced thirst in the preoperative or postoperative period and received thirst management. For data collection, semi-structured interviews were performed, recorded and transcribed. Female patient, 32 years old, admitted with second degree burns in extension of thorax, upper limbs and neck due to attempted self-extermination with alcohol. Underwent six procedures and was hospitalized for 15 days until the data collection. Experienced thirst discomfort during preoperative and postoperative fasting, which was considered intense and very stressful during his hospitalization.
Conclusion: since the identification of thirst discomfort, the ice popsicle was used as a strategy, which made difference in her treatment. The thirst management model is pioneer in care of burnt patients and has benefits to alleviate thirst.
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Aguilar-Nascimento JE, Dock-Nascimento DB. Reducing preoperative fasting time: A trend based on evidence. World J Gastrointest Surg. 2010;2(3):57-60. doi: 10.4240%2Fwjgs.v2.i3.57
American Society of Anesthesiologists. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology. 2017;126(3):376-93. doi: 10.1097/ALN.0000000000001452
Arai S, Stotts N, Puntillo K. Thirst in critically III patients: from physiology to sensation. Am J Crit Care. 2013;22(4):328-35. doi: 10.4037/ajcc2013533
Armstrong EL, Kavouras AS. Thirst and Drinking Paradigms: evolution from single factor effects to brainwide dynamic networks. Nutrients 2019;11(12):2864. doi: 10.3390/nu11122864
Armstrong LE, Muñoz CX, Armstrong EM. Distinguishing low and high water consumers: a paradigm of disease risk. Nutrients. 2020;12(3):858. doi: 10.3390/nu12030858
Bender MS, Jason SL, Franck LS, Lee KA. Theory of symptom management. In: Smith MJ, Liehr PR, editors. Middle range theory for nursing. 4th ed. New York, NY: Springer Publishing Company; 2018. p. 147-78.
Bichet DG. Vasopressin and the regulation of thirst. Ann Nutr Metab, 2018;72(Suppl 2):3-7. doi: 10.1159/000488233
Camponogara S, Soares SGA, Silveira M, Viero CM, Barros CS, Cielo C. Percepções de pacientes sobre o período pré-operatório de cirurgia cardíaca. Rev Min Enferm. [Internet]. 2012. [citado 2021 mar 20];16(3):382-90. Disponível em: https://cdn.publisher.gn1.link/reme.org.br/pdf/v16n3a10.pdf
Campos SBG, Barros-Neto JA, Guedes GS, Moura FA. Pre-operative fasting: why abbreviate? ABCD Arq Bras Cir Dig. 2018;31(2):e1377. doi: 10.1590/0102-672020180001e1377
Carlucci VDS, Rossi LA, Ficher AMFT, Ferreira E, Carvalho EC. Burn experiences from the patient's perspective. Rev Esc Enferm USP. 2007;41(1):21-8. doi: 10.1590/S0080-62342007000100003
Castro RJA, Leal PC, Sakata RK. Tratamento da dor em queimados. Rev Bras Anestesiol. 2013;63(1):154-8. doi: 10.1590/S0034-70942013000100013
Conchon MF, Fonseca LF. Efficacy of an ice popsicle on thirst management in the immediate postoperative period: a randomized clinical trial. J Perianesth Nurs. 2018;33(2):153-61. doi: 10.1016/j.jopan.2016.03.009
Conchon MF, Nascimento LA, Fonseca LF, Aroni P. Perioperative thirst: an analysis from the perspective of the Symptom Management Theory. Rev Esc Enferm USP. 2015;49(1):122-8. doi: 10.1590/S0080-623420150000100016
Dessote CAM, Furuya RK, Rodrigues HF, Rossi LA, Dantas RAS. Relation between stressors and hemodynamic instability in the postoperative period after cardiac surgery. Texto Contexto Enferm. 2018;27(3):e4530017. doi: 10.1590/0104-070720180004530017
Eccles R, Du-Plessis L, Dommels Y, Wilkinson JEE. Cold pleasure. Why we like ice drinks, ice-lollies and ice cream. Appetite. 2013;71:357-60. doi: 10.1016/j.appet.2013.09.011
Garcia ACKA, Nascimento LA, Conchon MF, Garcia AKA, Fonseca LF. Anesthesiologist’s perspective regarding thirst in the immediate postoperative period. Cien Cuid Saude. 2017;16(3). doi: 10.4025/cienccuidsaude.v16i3.37241
Garcia AKA, Fonseca LF, Lodi CR. O silêncio que permeia a sede perioperatória: um estudo de caso. In: Anais do 10º Encontro Internacional de Produção Científica – EPCC [Internet]; 2017 out 24-26. [citado 2021 abr 12]. Disponível em: https://proceedings.science/epcc/papers/o-silencio-que-permeia-a-sede-perioperatoria%3A-um-estudo-de-caso?lang=pt-br
Gois CFL, Aguilar OM, Santos V, Rodríguez EOL. Stress factor for patients undergoing cardiac surgery. Invest Educ Enferm [Internet]. 2012 [cited 2021 Abr 12];30(3):312-9. Available from: http://www.scielo.org.co/pdf/iee/v30n3/v30n3a03.pdf
Marcarini M, Rosa SC, Wieck FP, Betti AH. Abreviação do jejum: aspectos clínicos perioperatórios de pacientes submetidos à cirurgia cardíaca. Braspen J. [Internet]. 2017 [citado 2021 mar 12];32(4):375-9. Disponível em: http://arquivos.braspen.org/journal/out-dez-2017/13-Abreviscao-do-jejum.pdf
Martins PR, Fonseca LF, Rossetto EG, Mai LD. Developing and validating the perioperative thirst discomfort scale. Rev Esc Enferm USP. 2017;51:e03240. doi: 10.1590/S1980-220X2016029003240
Millard-Stafford MM, Wendland DM, O’Dea NK, Norman TL. Thirst and hydration status in everyday life. Nutr Rev. 2012;70(Suppl 2):147-51. doi: 10.1111/j.1753-4887.2012.00527.x
Montanari T. Histologia: texto, atlas e roteiro de aulas práticas. 3a ed. Porto Alegre: UFRGS; 2016.
Nascimento LA, Fonseca LF, Santos CB. Inter-rater reliability testing of the safety protocol for thirst management. J Perianesth Nurs. 2016;33(3):527-36. doi: 10.1016/j.jopan.2016.07.008
Nascimento LA, Garcia AKA, Conchon MF, Aroni P, Pierotti I, Martins PR, et al. Advances in the management of perioperative patients’ thirst. AORN Journal. 2020;111(2):165-79. doi: https://doi.org/10.1002/aorn.12931
Pavani MM, Fonseca LF, Conchon MF. Thirst in surgical patients: perceptions of the nursing team in inpatient units. Rev Enferm UFPE. 2016;10(9):3352-60. doi: 10.5205/reuo l.9571-83638-1-SM1009201621
Piccolo MTS, Daher RP, Daher SP, Alves O Neto. Dor em pacientes queimados. In: Alves O Neto, Costa CMC, Siqueira JTT, Teixeira MJ. Dor princípios e prática. Porto Alegre: ARTMED; 2009. p. 847-57.
Pierotti I, Fracarolli IFL, Fonseca LF, Aroni P. Avaliação da intensidade e desconforto da sede perioperatória. Esc Anna Nery. 2018;22(3):e20170375. doi: 10.1590/2177-9465-ean-2017-0375
Razera APR, Braga EM. The importance of communication during the postoperative recovery period. Rev Esc Enferm USP. 2011;45(3):630-5. doi: 10.1590/S0080-62342011000300012
Saker P, Farrell MJ, Egan GF, McKinley MJ, Denton DA. Influence of anterior midcingulate cortex on drinking behavior during thirst and following satiation. Proc Nat Acad Sci USA. 2018;15(4):786-91. doi: 10.1073/pnas.1717646115
Silva AH, Miguez BB, Oliveira AP, Ferreira JM. A importância da redução do tempo de jejum pré-operatório: uma revisão literária. Rev Cad Med. [Internet]. 2019 [citado 2021 abr 10];2(2):174-82. Disponível em: http://www.revista.unifeso.edu.br/index.php/cadernosdemedicinaunifeso/article/view/1389/604
Silva LCJR, Aroni P, Fonseca LF. I am thirsty! Experience of the surgical patient in the perioperative period. Rev SOBECC. 2016;21(2);75-81. doi: https://doi.org/10.5327/Z1414-4425201600020003
Singer AJ, Lee CC. Thermal burns. In: Walls RM, Hockberger RS, Gausche-Hill M, Bakes K, Baren JM, Erickson TB, et al. Rosen’s emergency medicine concepts and clinical practice. 9 ed. Philadelphia: Elsevier; 2018. p. 715-23.
Winckworth S, Allort NL, Clarke DL, Aldous C. Perioperative fasting in burn patients: Are we doing it right? S Afr J Surg. 2015;53(2):65-6. doi: 10.7196/SAJSNEW.7743
Yin RK. Estudo de caso: planejamento e método. 5a ed. Porto Alegre: Bookman; 2015.
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