Poisoned men as subjects of care and nursing care

Silva, Júlio César Santos da; Coelho, Maria José; Cavalcanti, Ana Carla Dantas; Pinto, Cecília Maria Izidoro; Santos, Maria Soledade Simeão dos; Lima, Elza Maria Santos

doi:10.5935/1414-8145.20140102

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RESEARCH • Esc Anna Nery 18 (4) • Oct-Dec 2014 • https://doi.org/10.5935/1414-8145.20140102 copy

Poisoned men as subjects of care and nursing care

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

Characterize and analyze carbamate ("Chumbinho") poisoning in men.

Methods:

Multiple case study using non-participant observation, conducted in five men treated at an emergency service. Data analyzed by means of thematic analysis, using the software Atlas.ti version 6.2.

Results:

The age range varied between 28 and 52 years. Self-ingestion was predominant. All men were unemployed. Three were single. All men arrived dirty, defecated, urinated, spitted, vomited and with food waste on their body. They needed oral and bodily hygiene care, exchange of dirty clothes for clean and dry ones and body warming.

Conclusion:

This study supports the principles of PNAISH by identifying that the male population only accesses the health system through specialized care. All cases of poisoning were through the oral route. Limitations included the impossibility to cover all poisoning cases and the fact that the victims visited the emergency upon spontaneous demand.

Nursing; Man's health; Poisoning; Emergencies

Case	Age (years)	First aid	Marital status	Route	Glucose (mg/dl)	Occupation	Companion	Factor preceding the poisoning
1	45	CBMERJ	Fixed partner	Oral	282	Unemployed	Girlfriend	Misunderstanding in relationship
2	52	SAMU	Single	Oral	202	Unemployed	Neighbor	Previous suicide attempt
3	41	CBMERJ	Married	Oral	118	Unemployed	Friend	Depressive and wanted to kill himself
4	28	CBMERJ	Single	Oral	102	Unemployed	No companion	Intake of snack given by an unknown person on the street
5	39	Neighbors	Single	Oral	190	Unemployed	Neighbors	Illegal drugs user, lives in conflict with the family.

Case	Administered substance	Presentation of victim	Hygiene aspects
1	0.9% saline solution and atropine	Dorsal decubitus position, contained to the bed, not monitored, disoriented, agitated, reduced awareness, not responding to simple commands, spontaneous eye opening, contracted pupils, reacts to pain, mobilizes four segments.	Secretive and urinated
2	0.9% saline solution and atropine	Found dropped, secretive, moaning and with 01 empty bottle of "chumbinho". Wore jeans shorts, green T-short and no shoes.	Secretive and wearing dirty clothes
3	0.9% saline solution and atropine	Wore very dirty white shirt, jeans trousers and very dirty and wet sneakers, urinated and with secretion on the face and body.	Dirty and wet clothes, urinated and with secretion on the face and body
4	0.9% saline solution and atropine	Wore black shirt and coat, red trousers on top of beige shorts and two socks, all dirty and wet, bed general hygiene conditions, urinated and large quantity of secretion on the face and body.	Dirty clothes, bad general hygiene conditions, urinated and with secretion on the face and body
5	0.9% saline solution and atropine	Dropped on a public road unconscious, with vomit all over the body, wore blue T-shirt, black shorts and white sneakers, all dirty and with food residues, defecated and urinated.	Dirty, defecated, urinated, vomit all over the body, dirty clothes and with food residues

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[1] Corresponding author: Júlio César Santos da Silva. E-mail: jcesarsantos@gmail.com