Ana Valéria Furquim Gonçalves

Aging, diversity, and health: the Brazilian and the Canadian context

Aging is a universal and yet diverse phenomenon. This paper presents a review on the topic of diversity in the context of the aging populations in Brazil and Canada. The diversity of the aging population in both countries is discussed in terms of gender, ethnicity, age groups and living conditions while considering the impact on the health care systems. Understanding and reflecting on the Brazilian and Canadian realities reinforces the need for respecting these diversities when developing and implementing local health policies and interventions. There are some similarities regarding gender, but marked differences in immigration patterns, education and living arrangements. The heterogeneity in the aging process within each country and between them carries different expectations and generates social consequences that manifest themselves in differences in health situations, resulting in new challenges to health services and the formulation of public policies for this age group in both countries.

CARACTERIZAÇÃO SOCIODEMOGRÁFICA, DE SAÚDE E APOIO SOCIAL DE IDOSOS USUÁRIOS DE UM SERVIÇO DE EMERGÊNCIA

The aim of this study was to characterize the sociodemographic aspects, health issues and social support offered to the senior users of the Emergency Department of the Hospital de Clinicas in Porto Alegre. A cross-sectional survey was conducted with a random sample of 220 seniors. A structured data form was used to collect data related to the sociodemographic and health characteristics and social support. The majority of subjects were women, married retired,from Porto Alegre, and aged from 60 to 69 years. Almost half reported having poor or very poor health and the prevalent self-reported morbidities were cardiovascular diseases. Differently from other studies with seniors from the community, the majority reported receiving support from family and few provided support. Social support from the formal network was small. Health care must occur in a comprehensive network to provide support to the seniors and their families and to prevent the frequent use of emergency services and to qualify assistance.

[Sociodemographics, health, and social support to senior users of emergency services].

The aim of this study was to characterize the sociodemographic aspects, health issues and social support offered to the senior users of the Emergency Department of the Hospital de Clinicas in Porto Alegre. A cross-sectional survey was conducted with a random sample of 220 seniors. A structured data form was used to collect data related to the sociodemographic and health characteristics and social support. The majority of subjects were women, married retired,from Porto Alegre, and aged from 60 to 69 years. Almost half reported having poor or very poor health and the prevalent self-reported morbidities were cardiovascular diseases. Differently from other studies with seniors from the community, the majority reported receiving support from family and few provided support. Social support from the formal network was small. Health care must occur in a comprehensive network to provide support to the seniors and their families and to prevent the frequent use of emergency services and to qualify assistance.

Ações em saúde mental às famílias nos diferentes contextos de trabalho: revisão integrativa

This is an integrative review aimed to identify and analyze studies in nursing journals that focus on mental health actions directed to families in different work contexts. To collect data, we used the descriptors mental health, family and nursing in the databases of the Latin American and Caribbean in Health Sciences (LILACS) and Scientific Electronic Library Online (SciELO). Inclusion criteria were: original articles published in Portuguese, Spanish and English in journals in the field of nursing between the years 2003 to 2008. This work showed a predominance of studies focusing on issues of health staff and/or professional, indicating a need to produce research for users and families. It is believed that these findings may be of great value to the teams in the scenarios of psychosocial care and point the way toward further research.

Embracement with risk classification in the emergency department from the perspective of older adults

OBJECTIVE To assess practices of embracement at the patient intake area of the emergency department of Porto Alegre Clinicas Hospital from the perspective of the older adults. METHODS Qualitative investigation using the case study approach with 30 older adults trough semi-structured interview between July by November 2010. Data were assessed by thematic analysis with the Nvivo software suite. RESULTS Responses focused on wait times and on the role of nurses in patient classification. User embracement practices enhanced the work process and highlighted the direct contact between nurses and users. CONCLUSIONS The care needs of the older adults, the respect for the assessment protocol intervals and work on internal and external network can be improved in order to qualify attention to these patients.

Acogida con clasificación de riesgo del servicio de emergencia desde la perspectiva de las personas ancianas

OBJECTIVE To assess practices of embracement at the patient intake area of the emergency department of Porto Alegre Clinicas Hospital from the perspective of the older adults. METHODS Qualitative investigation using the case study approach with 30 older adults trough semi-structured interview between July by November 2010. Data were assessed by thematic analysis with the Nvivo software suite. RESULTS Responses focused on wait times and on the role of nurses in patient classification. User embracement practices enhanced the work process and highlighted the direct contact between nurses and users. CONCLUSIONS The care needs of the older adults, the respect for the assessment protocol intervals and work on internal and external network can be improved in order to qualify attention to these patients.

Acolhimento com classificação de risco em serviço de emergência na perspectiva do idoso

OBJECTIVE To assess practices of embracement at the patient intake area of the emergency department of Porto Alegre Clinicas Hospital from the perspective of the older adults. METHODS Qualitative investigation using the case study approach with 30 older adults trough semi-structured interview between July by November 2010. Data were assessed by thematic analysis with the Nvivo software suite. RESULTS Responses focused on wait times and on the role of nurses in patient classification. User embracement practices enhanced the work process and highlighted the direct contact between nurses and users. CONCLUSIONS The care needs of the older adults, the respect for the assessment protocol intervals and work on internal and external network can be improved in order to qualify attention to these patients.

Depoimentos de profissionais de saúde sobre sua vivência em situação de tragédia: sob o olhar da Política Nacional de Humanização (PNH)

O estudo apresenta praticas humanizadoras instituidas em um hospital publico no atendimento as vitimas da tragedia de Santa Maria, RS, Brasil. O relato de experiencia foi construido por intermedio de depoimentos dos trabalhadores envolvidos no acolhimento dos familiares de vitimas da tragedia. A articulacao e parcerias entre os diferentes servicos da instituicao; o acionamento de Protocolos de Catastrofes; a criacao de espaco de escuta, reordenacao de fluxos e processos assistenciais foram praticas adotadas para exercer trocas solidarias empenhadas na producao de saude. Apontamos, por meio das diretrizes da Politica Nacional de Humanizacao (PNH), os mecanismos utilizados e como se produziu, nesse hospital, o acolhimento as vitimas da catastrofe. A experiencia de contagio da PNH desenvolvida na instituicao, na logica do apoio institucional, possibilitou intervencoes e novos modos de trabalho adaptados ao contexto e alinhados a proposta da humanizacao na atencao/gestao em saude.

Statements by healthcare professionals about their experiences in situations of tragedy: the perspective of the Brazilian Humanization Policy (PNH)

O estudo apresenta praticas humanizadoras instituidas em um hospital publico no atendimento as vitimas da tragedia de Santa Maria, RS, Brasil. O relato de experiencia foi construido por intermedio de depoimentos dos trabalhadores envolvidos no acolhimento dos familiares de vitimas da tragedia. A articulacao e parcerias entre os diferentes servicos da instituicao; o acionamento de Protocolos de Catastrofes; a criacao de espaco de escuta, reordenacao de fluxos e processos assistenciais foram praticas adotadas para exercer trocas solidarias empenhadas na producao de saude. Apontamos, por meio das diretrizes da Politica Nacional de Humanizacao (PNH), os mecanismos utilizados e como se produziu, nesse hospital, o acolhimento as vitimas da catastrofe. A experiencia de contagio da PNH desenvolvida na instituicao, na logica do apoio institucional, possibilitou intervencoes e novos modos de trabalho adaptados ao contexto e alinhados a proposta da humanizacao na atencao/gestao em saude.

Declaraciones de profesionales de la salud sobre su experiencia en situación de tragedia: bajo la mirada de la Politica Brasileña de Humanización (PNH)

O estudo apresenta praticas humanizadoras instituidas em um hospital publico no atendimento as vitimas da tragedia de Santa Maria, RS, Brasil. O relato de experiencia foi construido por intermedio de depoimentos dos trabalhadores envolvidos no acolhimento dos familiares de vitimas da tragedia. A articulacao e parcerias entre os diferentes servicos da instituicao; o acionamento de Protocolos de Catastrofes; a criacao de espaco de escuta, reordenacao de fluxos e processos assistenciais foram praticas adotadas para exercer trocas solidarias empenhadas na producao de saude. Apontamos, por meio das diretrizes da Politica Nacional de Humanizacao (PNH), os mecanismos utilizados e como se produziu, nesse hospital, o acolhimento as vitimas da catastrofe. A experiencia de contagio da PNH desenvolvida na instituicao, na logica do apoio institucional, possibilitou intervencoes e novos modos de trabalho adaptados ao contexto e alinhados a proposta da humanizacao na atencao/gestao em saude.