Cíntia Lira Borges

Qualidade de vida do idoso fragilizado e institucionalizado

Objective To assess the quality of life of institutionalized frail elderly. Methods Cross-sectional study including 33 frail and pre-frail elderly, classified based on the Edmonton Frailty Scale. An instrument was applied to characterize the sociodemographic aspects and the World Health Organization Quality of Life for Older Persons to assess the quality of life. Results The female sex was predominant (54.5%) and the mean age was 76.8 years (±9.3). A significant association was observed between the quality of life and all of its facets, and a strong relation was found between quality of life and “past, present and future activities” (r=0.715; p<0.001). Conclusion The presence of frailty did not interfere directly in the elderly’s quality of life and showed a significant association with the motive for the institutionalization.

Indicators of health and safety among institutionalized older adults

OBJECTIVE To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers - all of which are related to the safety ofinstitutionalized older adults. METHOD This was a documentary retrospective study developed in a long-term residential careinstitution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. RESULTS The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from12% to 20%. CONCLUSION Analysis of the health indicators revealeda high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators canhelp improve the quality of nursing care. OBJETIVO Identificar a incidência de mortalidade, doenças diarreicas, escabiose e quedas, e a prevalência de lesões por pressão para a segurança do idoso institucionalizado. MÉTODO Estudo documental, retrospectivo desenvolvido em uma Instituição de Longa Permanência para Idosos, localizada no nordeste do Brasil. Os dados foram coletados por meio dos registros dos indicadores de avaliação de saúde, arquivados de janeiro de 2008 a dezembro de 2015. A análise incluiu a frequência absoluta dos casos; o somatório das taxas de prevalência e incidência mensais; a média de casos e das taxas de incidência e prevalência anuais. RESULTADOS Observa-se que a incidência de óbitos nos nove anos considerados variou de 9 a 13%; de doenças diarreicas agudas, de 13 a 45%; e de escabiose, de 21 a 63%. A prevalência de lesão por pressão oscilou de 8 a 23%. Entre os anos de 2012 a 2015, a taxa de incidência de quedas sem lesão variou em torno de 38 a 83%, e com lesão, de 12 a 20%. CONCLUSÃO A análise da amplitude dos indicadores de saúde permitiu identificar a alta incidência de escabiose e de quedas e a elevada prevalência de lesões por pressão. A identificação do comprometimento dos indicadores contribui para otimização da qualidade da assistência de enfermagem.OBJECTIVE To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers - all of which are related to the safety ofinstitutionalized older adults. METHOD This was a documentary retrospective study developed in a long-term residential careinstitution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. RESULTS The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from12% to 20%. CONCLUSION Analysis of the health indicators revealeda high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators canhelp improve the quality of nursing care.ABSTRACT Objective: To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers – all of which are related to the safety of institutionalized older adults. Method: This was a documentary retrospective study developed in a long-term residential care institution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. Results: The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from 12% to 20%. Conclusion: Analysis of the health indicators revealed a high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators can help improve the quality of nursing care.

What taken the elderly people to institutionalization

RESUMO Objetivo: descrever os principais motivos que levaram os idosos a institucionalizacao. Metodo: estudo quantitativo, transversal, realizado em uma instituicao de longa permanencia para idosos, por consulta a 219 prontuarios, utilizando-se um questionario. Para a associacao das variaveis continuas e categoricas, foram utilizados os testes Kruskal-wallis e o Teste Qui-Quadrado de Pearson considerando p<0,05, apresentados em tabela. Resultados: no total, 55,6% eram idosos do sexo feminino, com idade media de 77 (±0,55). Os principais motivos foram vontade propria, questoes familiares, abandono e violencia. As variaveis mais relacionadas aos motivos de institucionalizacao foram sexo (p=0,013), estado civil (p=0,041), com quem residia (p=<0,001), recebe visitas (p=0,011) e grau de dependencia (p=<0,001). As causas determinantes encontradas que levaram os idosos a insercao em uma instituicao de longa permanencia chamam a atencao para a busca de acoes e estrategias sociais e politicas previas, antes da institucionalizacao, a fim de evitar a sua ocorrencia, a superlotacao e os custos onerosos nesses estabelecimentos. Conclusao: observou-se que todos os idosos, independentemente do motivo, estiveram expostos a desfechos clinicos e sociais negativos. Descritores: Instituicao de Longa Permanencia Para Idosos; Saude do Idoso Institucionalizado; Envelhecimento; Saude Publica, Idoso; Habitacao para Idosos. ABSTRACT Objective : to describe the main reasons that led the elderly people to institutionalization. Method : this is a quantitative, cross-sectional study carried out in a long-term institution for the elderly by 219 medical records, using a questionnaire. For the association of continuous and categorical variables, the Kruskal-Wallis tests and Pearsons Chi-Square test were used considering p <0.05, presented in a table. Results : in total, 55.6% were female elderly, with a mean age of 77 years old (± 0.55). The main reasons were self-will, family issues, abandonment, and violence. The variables most related to the reasons for institutionalization were gender (p=0.013), marital status (p=0.041), company at home (p=0.001), receiving visits (p=0.011) and degree of dependency (p=<0.001). The determining causes that have led the elderly person to join a long-term institution were highlighted to the search for prior social actions and strategies, prior to institutionalization, in order to avoid their occurrence, overcrowding and the high costs in these establishments. Conclusion : it was observed that all the elderly person, regardless of the reason, were exposed to negative clinical and social outcomes. Descriptors: Homes For The Age; Health of Institutionalized Elderly; Aging; Public Health; Aged; Housing For The Elderly. RESUMEN Objetivo: describir los principales motivos que llevaron a los ancianos a la institucionalizacion. Metodo: estudio cuantitativo, transversal, realizado en una institucion de larga permanencia para ancianos, por consulta a 219 prontuarios, utilizandose un cuestionario. Para la asociacion de las variables continuas y categoricas, fueron utilizados los testes Kruskal-wallis y el Test Chi-Cuadrado de Pearson considerando p<0,05, presentados en una tabla. Resultados: en total, 55,6% eran ancianos del sexo femenino, con edad media de 77 (±0,55). Los principales motivos fueron ganas propia, cuestiones familiares, abandono y violencia. Las variables mas relacionadas a los motivos de institucionalizacion fueron sexo (p=0,013), estado civil (p=0,041), con quien residia (p=<0,001), recibe visitas (p=0,011) y grado de dependencia (p=<0,001). Las causas determinantes encontradas que llevaron a los ancianos a la insercion en una institucion de larga permanencia llaman la atencion para la busqueda de acciones y estrategias sociales y politicas previas, antes de la institucionalizacion, para evitar su ocurrencia, la superlotacion y los costos altos en esos establecimientos. Conclusion: se observo que todos los ancianos, independientemente del motivo, estuvieron expuestos a resultados clinicos y sociales negativos. Descriptores: Hogares para Ancianos; Salud del Anciano Institucionalizado; Envejecimiento; Salud Publica, Anciano; Viviendas para Ancianos.

Nursing Practices In Intravenous Therapy In Newborns: An Integrative Review

Objective: to identify the evidence on nursing practices in intravenous therapy in newborns. Method: integrative review in the PubMed, Scopus and SciELO databases. A total of 150 articles were selected, and after thorough reading, eight studies remained. Results: Most of the studies were descriptive and cross-sectional (50%), using peripheral venous catheter (62.5%). The years varied between 2006 and 2014. Brazilian studies corresponded to 37.5%. Conclusion: The main nursing practices were: use of saline solution for catheter clearing; use of larger caliber catheters; use of splints to support the limbs; adequate positioning of the upper limb during radiography for correct confirmation of the positioning of the tip of the peripherally inserted central catheter; management of pain with pharmacological and non-pharmacological actions. Descriptors: Nursing care; Newborn; Peripheral catheterization; Vascular access devices; Evidence-Based Clinical Practice.

Palliative Cares To Older Person Under The Nurse's Optics

INTRODUCTION: Chronic-degenerative diseases need specialized health care, especially in palliative care, since from the beginning of the disease the elderly is in this classification. In this context, the study aimed to know the meaning of palliative care to the elderly person from the nurse METHODS: This is a descriptive, cross-sectional, qualitative study carried out in a private tertiary hospital in the Northeast of Brazil. The survey was conducted from March to June 2016, with 19 nurses. In the data collection, a semi-structured interview, with four questions were used: what does palliative care mean to you? What does care for the elderly in hospice care mean to you? What strategies do you adopt to promote palliative care for the elderly? Tell me about your experience in providing palliative care to the elderly. The technique of data analysis and organization was the Discourse of the Collective Subject. RESULTS: Four categories of palliative care were produced: meaning palliative care; Experience in providing palliative care to the elderly; Meaning of caring for the elderly in palliative care; Strategies to promote palliative care for the elderly. CONCLUSION: The meaning of palliative care was synonymous with comfort and quality of life. It is important to emphasize the patient-centered care and to carry out further studies on the subject to make nursing professionals aware of the importance of promoting adequate behavior in palliative care.

Indicadores sanitarios y la seguridad del anciano institucionalizado

OBJECTIVE To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers - all of which are related to the safety ofinstitutionalized older adults. METHOD This was a documentary retrospective study developed in a long-term residential careinstitution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. RESULTS The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from12% to 20%. CONCLUSION Analysis of the health indicators revealeda high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators canhelp improve the quality of nursing care. OBJETIVO Identificar a incidência de mortalidade, doenças diarreicas, escabiose e quedas, e a prevalência de lesões por pressão para a segurança do idoso institucionalizado. MÉTODO Estudo documental, retrospectivo desenvolvido em uma Instituição de Longa Permanência para Idosos, localizada no nordeste do Brasil. Os dados foram coletados por meio dos registros dos indicadores de avaliação de saúde, arquivados de janeiro de 2008 a dezembro de 2015. A análise incluiu a frequência absoluta dos casos; o somatório das taxas de prevalência e incidência mensais; a média de casos e das taxas de incidência e prevalência anuais. RESULTADOS Observa-se que a incidência de óbitos nos nove anos considerados variou de 9 a 13%; de doenças diarreicas agudas, de 13 a 45%; e de escabiose, de 21 a 63%. A prevalência de lesão por pressão oscilou de 8 a 23%. Entre os anos de 2012 a 2015, a taxa de incidência de quedas sem lesão variou em torno de 38 a 83%, e com lesão, de 12 a 20%. CONCLUSÃO A análise da amplitude dos indicadores de saúde permitiu identificar a alta incidência de escabiose e de quedas e a elevada prevalência de lesões por pressão. A identificação do comprometimento dos indicadores contribui para otimização da qualidade da assistência de enfermagem.OBJECTIVE To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers - all of which are related to the safety ofinstitutionalized older adults. METHOD This was a documentary retrospective study developed in a long-term residential careinstitution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. RESULTS The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from12% to 20%. CONCLUSION Analysis of the health indicators revealeda high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators canhelp improve the quality of nursing care.ABSTRACT Objective: To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers – all of which are related to the safety of institutionalized older adults. Method: This was a documentary retrospective study developed in a long-term residential care institution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. Results: The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from 12% to 20%. Conclusion: Analysis of the health indicators revealed a high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators can help improve the quality of nursing care.

Indicadores de saúde e a segurança do idoso institucionalizado

OBJECTIVE To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers - all of which are related to the safety ofinstitutionalized older adults. METHOD This was a documentary retrospective study developed in a long-term residential careinstitution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. RESULTS The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from12% to 20%. CONCLUSION Analysis of the health indicators revealeda high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators canhelp improve the quality of nursing care. OBJETIVO Identificar a incidência de mortalidade, doenças diarreicas, escabiose e quedas, e a prevalência de lesões por pressão para a segurança do idoso institucionalizado. MÉTODO Estudo documental, retrospectivo desenvolvido em uma Instituição de Longa Permanência para Idosos, localizada no nordeste do Brasil. Os dados foram coletados por meio dos registros dos indicadores de avaliação de saúde, arquivados de janeiro de 2008 a dezembro de 2015. A análise incluiu a frequência absoluta dos casos; o somatório das taxas de prevalência e incidência mensais; a média de casos e das taxas de incidência e prevalência anuais. RESULTADOS Observa-se que a incidência de óbitos nos nove anos considerados variou de 9 a 13%; de doenças diarreicas agudas, de 13 a 45%; e de escabiose, de 21 a 63%. A prevalência de lesão por pressão oscilou de 8 a 23%. Entre os anos de 2012 a 2015, a taxa de incidência de quedas sem lesão variou em torno de 38 a 83%, e com lesão, de 12 a 20%. CONCLUSÃO A análise da amplitude dos indicadores de saúde permitiu identificar a alta incidência de escabiose e de quedas e a elevada prevalência de lesões por pressão. A identificação do comprometimento dos indicadores contribui para otimização da qualidade da assistência de enfermagem.OBJECTIVE To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers - all of which are related to the safety ofinstitutionalized older adults. METHOD This was a documentary retrospective study developed in a long-term residential careinstitution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. RESULTS The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from12% to 20%. CONCLUSION Analysis of the health indicators revealeda high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators canhelp improve the quality of nursing care.ABSTRACT Objective: To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers – all of which are related to the safety of institutionalized older adults. Method: This was a documentary retrospective study developed in a long-term residential care institution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. Results: The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from 12% to 20%. Conclusion: Analysis of the health indicators revealed a high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators can help improve the quality of nursing care.

Nursing process based on Virginia Henderson applied for a working elderly

Objective: to describe the application of the nursing process to a working elderly based on the theory of Virginia Henderson. Method: a descriptive study of the clinical case type, held in October 2015 with an elderly worker. Diagnoses, outcomes, and nursing interventions were made according to ICNP® Version in 2015 and based on the theory of Fundamental Human Needs of Virginia Henderson. Results: the elaborate nursing diagnoses were: food intake pattern impaired, fall risk, ineffective peripheral tissue perfusion and satisfaction at work. The implementation of interventions involved individual counseling activities of educational nature. Conclusion: it was possible to realize that diagnostics focused on the biological aspect prevailed, and intervention strategies were focused on the elderly orientation for her to meet the basic human needs. Descriptors: Nursing; Nursing Diagnosis of; Health of the Elderly; Worker ́s health. RESUMO Objetivo: descrever a aplicação do processo de enfermagem a uma trabalhadora idosa, fundamentado na teoria de Virginia Henderson. Método: estudo descritivo, do tipo caso clínico, realizado no mês de outubro de 2015 com uma trabalhadora idosa. Os diagnósticos, resultados e as intervenções de enfermagem foram elaborados segundo a CIPE versão 2015 e fundamentados na teoria das Necessidades Humanas Fundamentais de Virginia Henderson. Resultados: os diagnósticos de enfermagem elaborados foram: padrão de ingestão de alimentos prejudicado, risco de queda, perfusão tissular periférica ineficaz e satisfação no trabalho. A implementação das intervenções envolveu atividades de orientação individual de cunho educativo. Conclusão: pôde-se perceber que prevaleceram diagnósticos voltados para o aspecto biológico e as estratégias de intervenções foram centradas na orientação da idosa para que ela conseguisse satisfazer as necessidades humanas fundamentais. Descritores: Enfermagem; Diagnóstico de Enfermagem; Saúde do Idoso; Saúde do Trabalhador. RESUMEN Objetivo: describir la aplicación del proceso de enfermería a una trabajadora anciana fundamentado en la teoría de Virginia Henderson. Método: estudio descriptivo, del tipo caso clínico, realizado en el mes de octubre de 2015 con una trabajadora anciana. Los diagnósticos, resultados y las intervenciones de enfermería fueron elaborados según la CIPE versión 2015 y fundamentados en la teoría de las Necesidades Humanas Fundamentales de Virginia Henderson. Resultados: los diagnósticos de enfermería elaborados fueron: Estándar de ingestión de alimentos perjudicado, Riesgo de caída, Perfusión tisular periférica ineficaz y Satisfacción en el trabajo. La implementación de las intervenciones envolvió actividades de orientación individual de naturaleza educativo. Conclusión: se puede percibir que prevalecieron diagnósticos dirigidos para el aspecto biológico y las estrategias de intervenciones fueron centradas en la orientación de la anciana para que ella consiguiese satisfacer las necesidades humanas fundamentales. Descriptores: Enfermería; Diagnóstico de Enfermería; La Salud de las Personas Mayores; Salud de los Trabajadores. Nurse, Master degree student (Scholarship CAPES), Graduate in Nursing and Health Clinical Care, State University of Ceará/PPCCLIES/UECE. Fortaleza (CE), Brazil. E-mail: brunnakaren@hotmail.com; Nurse, Ph.D. Professor, Graduate/Postgraduate in Nursing and Health Clinical Care, State University of Ceará/PPCCLIS/UECE. Fortaleza (CE), Brazil. E-mail: vilani.guedes@globo.com; Nurse, Post-Ph.D. Professor, Graduate/Postgraduate in Nursing and Health Clinical Care, State University of Ceará/PPCCLIS/UECE. Fortaleza (CE), Brazil. E-mail: lucia.fatima@uece.br; Nurse, Ph.D. student, Graduate in Public Health, State University of Ceará/UECE. Fortaleza (CE), Brazil. E-mail: cintialiraborges@yahoo.com.br; Nurse, Ph.D. Professor (Post-Ph.D.), Graduate/Postgraduate in Nursing and Health Clinical Care, State University of Ceará/PPCCLIS/UECE. Fortaleza (CE), Brazil. E-mail: celfrei@hotmail.com CLINICAL CASE REPORT ARTICLE Fernandes BKC, Guedes MVC, Silva LF da et al. Nursing process based on Virginia Henderson... English/Portuguese J Nurs UFPE on line., Recife, 10(9):3418-25, Sept., 2016 3419 ISSN: 1981-8963 DOI: 10.5205/reuol.9571-83638-1-SM1009201630 Aging is no longer just an expectation, and it has become a reality for most companies. In Brazil, the aging process abruptly emerged, and it is in constant progression, reflecting the age pyramids of the population. Also, in the Brazilian Census 2010, the elderly people already have a representation of 7.4% of the total population. Faced with this growth and change in social life and the world of work, it must be considered that the aging and retirement processes occur in different ways, with multiple interfaces. Although there are these changes, life experience and the need to keep up and working contributes to the elderly population continuing in the working world, overcoming barriers imposed by society and by the time, adapting to their new condition. In this context, Nursing is an important factor in elderly care in the work environment and it can perform care actions planning that enables the improvement of the health status of this population to make a link between the aging process and the peculiarities of each workplace, optimizing and enhancing the ability of each elderly, respecting their individuality. For this assistance be effective, it is necessary to use the Nursing Process (NP) using a standardized and universal language, based on nursing theories and concepts relevant to the individualized care. Thus, to properly perform the nursing process, the nurses have a variety of nursing theories, who should know to select the best for the needs of the elderly context, an integral perspective. Among the various Nursing theories, there is the theory of the fundamental needs of Virginia Henderson. Through concepts and models, she aims to establish bases of knowledge to guide professional practice. This theoretical model indicates an analysis in which the person is unique and complex, with fourteen basic needs, subdivided into categories that encompass the biological, psychological, social, spiritual and moral individual components. The fourteen health needs described by the theory do not show health problems, but the areas where these problems may occur, constituting elements that will guide nursing care, which are: breathing normally, eating and drinking properly, eliminating organic waste, moving and maintaining a desirable posture, sleeping and resting, dressing and undressing, maintaining body temperature at normal level, keeping the body clean and protecting the skin, avoiding environmental risks, communicating, learning, practicing according with their faith, providing sense of accomplishment and participating in recreational activities. Therefore, the theoretical model proposed by Henderson is considered as a facilitator of clinical nursing care for the elderly people, since it favors ways of assessing the human being in its entirety. It also collaborates in the organization of critical thinking of nurses, providing a systematized care, based on scientific knowledge, and considering the stimuli related to the basic needs of the elderly in a comprehensive and humane perspective. In this context, the aim of this study was to describe the application of the nursing process to a reasoned elderly working in the theory of Virginia Henderson. A descriptive study of the case type, held in October 2015 in a clinic of the State University of Ceará (UECE) in the city of Fortaleza-CE with an elderly worker, 66 years old, working as a librarian at the University. Data collection was performed by physical examination and clinical interview guided by a form specifically designed for this study, which considered the assumptions of the steps of the nursing process: data collection, nursing diagnosis, planning (expected results and interventions), implementation and evaluation. The organization and structuring of the data collection instrument followed the fourteen basic needs listed by Virginia Henderson. The application of this instrument allowed to obtain information from subjective and objective order of biological, psychological, social, spiritual and moral components as well as the demands of the elderly person, according to the proposal of Henderson. Physical examination also resulted in additional data collection, through the information that helped in the development of critical thinking and diagnostic reasoning essential to establish the diagnosis, outcomes, and nursing interventions. INTRODUCTION

Nursing Diagnoses Using the International Classification for Nursing Practice (ICNP®) for Institucionalized Elderly

Introduction: Nursing care for institutionalized elderly should be done through systematized actions and by using the nursing process, directing the care actions to the affected needs with theoretical support and use of classification systems. In this context, the objective was to develop nursing diagnoses of the International Classification for Nursing Practice for institutionalized elderly.Method: This is a descriptive study, developed in a Long-stay Institution for Elderly People in Northeast Brazil. The survey was conducted from April to May 2016, with 28 institutionalized elderly. Data collection was guided by a form based in Henderson’s theory and carried out through physical examination, clinical interview and records consultation. The nursing diagnoses were developed by using the International Classification for Nursing Practice version 2015. Data were analyzed using SPSS version 20.0.Results: Authors found 81 types of diagnoses, among which there was highlight to: impaired heart condition, productive cough, obesity, urinary incontinence, constipation, diarrhea, risk for falls, impaired sleep, impaired ability to perform hygiene, edema in the lower limbs and impaired vision, lack of recreational activity, positive socialization and positive religious belief. Most nursing diagnoses belonged to the needs of moving and maintaining desirable posture and communicating.Conclusion: There was an increased frequency of diagnoses related to biological needs.