Fabiana Medeiros de Brito

Eutanásia, distanásia e ortotanásia: revisão integrativa da literatura

There is currently widespread concern among researchers in debating questions that generate ethical conflicts within the scope of health care geared to the human being in the terminal phase, especially euthanasia, dysthanasia and orthothanasia. This study sought to characterize the scientific production at the national level on euthanasia, dysthanasia and orthothanasia. It involves an integrative review of the literature. The study universe consisted of 41 publications related to the theme in question by means of a survey conducted online in the Virtual Health Library in the Capes Portal and in the Bioethical Magazine. Of these, 25 articles comprised the sample taking into consideration the established inclusion and exclusion criteria. Data collection occurred in March 2013, by means of an instrument containing information pertinent to the proposed objective. The key words used were euthanasia, dysthanasia and orthothanasia. With respect to the focus of the publications, three themes emerged: Theme I - Euthanasia; Theme II - Dysthanasia and Theme III - Orthothanasia. The studies analyzed reflected the current concern in terms of ethical dilemmas concerning care of the human being in the end of life phase. Thus, it is hoped that this research can contribute to bolster the critical reading with respect to the theme.

Comunicação na iminência da morte: percepções e estratégia adotada para humanizar o cuidar em enfermagem

Objective: To investigate the perception of nurses in relation to concepts of communication to the terminal patient and the strategies adopted by them to communicate with the patient in the terminally ill. Methods: Qualitative research, conducted with seven nurses in the intensive care unit of a public health hospital in the city of Joao Pessoa, Paraiba. The data were collected in recorded interviews, from December 2011 to January 2012, and subjected to content analysis technique. Results: The identified categories were: Perception of nurses about communication with the terminal patient and strategies adopted by nurses for a good communication with the terminal patient. Such categories indicated that the professionals start to value the communication in clinical practice, using it as a strategy to assist the care to the terminally ill patient. Conclusion: this study is expected to subsidize new investigations, because they are still incipient to the research that addresses the communication on patient terminal care.

Contributions of the chaplaincy service to the care of terminal patients

Este estudio tuvo como objetivo identificar la comprension de los capellanes con relacion a la espiritualidad y analizar la contribucion de la capellania al cuidado de enfermos terminales. Esta es una investigacion exploratoria y cualitativa realizada con siete capellanes hospitalarios en 2 hospitales publicos en Joao Pessoa, Paraiba, Brasil. Los datos fueron recogidos por medio de entrevistas semiestructuradas y sometidos a analisis de contenido. Las categorias emergidas fueron: Espiritualidad bajo la vision de capellanes y Contribuciones de la capellania al emplear espiritualidad en el cuidado al enfermo terminal. Estas categorias mostraron que los capellanes valoran la dimension espiritual en su practica y ayudan al paciente a hacer frente al proceso de terminalidad. Se espera que esta investigacion proporcione recursos para nuevos abordajes, teniendo en cuenta que los estudios acerca de la capellania y la espiritualidad en la asistencia al enfermo terminal aun son incipientes.

Communication in death imminence: perceptions and strategy adopted for humanizing care in nursing

Objective: To investigate the perception of nurses in relation to concepts of communication to the terminal patient and the strategies adopted by them to communicate with the patient in the terminally ill. Methods: Qualitative research, conducted with seven nurses in the intensive care unit of a public health hospital in the city of Joao Pessoa, Paraiba. The data were collected in recorded interviews, from December 2011 to January 2012, and subjected to content analysis technique. Results: The identified categories were: Perception of nurses about communication with the terminal patient and strategies adopted by nurses for a good communication with the terminal patient. Such categories indicated that the professionals start to value the communication in clinical practice, using it as a strategy to assist the care to the terminally ill patient. Conclusion: this study is expected to subsidize new investigations, because they are still incipient to the research that addresses the communication on patient terminal care.

SEXUALIDADE DE IDOSAS COM INCONTINÊNCIA URINÁRIA: REVISÃO INTEGRATIVA

The sexuality of elderly women with urinary incontinence has become a research problem because it is affected by the appearance of psycho-emotional problems which limit daily life activities and social interaction, reducing the quality of life of these people. The objective of this research was to investigate the online national scientific production regarding the sexuality of elderly women with urinary incontinence. For that purpose, an integrative review of the literature was made on the Virtual Health Library website, using the descriptors: “sexuality”, “urinary incontinence” and “elderly”. Articles corresponding to the period from 2007 to 2013 were selected and data were collected between September and October 2014. The works matching the eligibility criteria were integrally read and the data were analyzed qualitatively through the categorical thematic analysis. The sample consisted of thirteen articles. Based on the data, it was noticed that two thematic categories were listed: the repercussions of urinary incontinence on the sexuality of the elderly and the limitations on the quality of life of incontinent elderly women. Thus, in conclusion, the empirical results obtained through this study represent important subsidies for the planning and implementation of interventions in order to improve life conditions and sexuality wellbeing of incontinent elderly women.

Personal and behavioral determinants of active aging

Introduction: the aging process is related to the multidimensional changes that converge on the involvement of disability and caring dependency, thus corroborating with the loss of independence in older people. Active aging emerges as a strategy to achieve the quality of life, being permeated and influenced by determinant factors such as personal and behavioral.Objective: measure the determinants factors personal and behavioral of active aging among the elderly. Methods: a descriptive and exploratory study with a quantitative approach, developed with assisted elderly in the Integral Care Center for Elderly Health in the city of Joao Pessoa, PB, Brazil. The sample consisted by 235 elderly. Data collection was conducted from October to December 2014, through interviews subsidized by a structured instrument covering related information to the proposed objective. Data were analyzed from the quantitative approach using descriptive statistics of unvaried nature for both variables, including frequency measures, from position and dispersion. To do this, was used the Statistical Package for the Social Sciences Computer System - SPSS version 20.0.Results: it was verified that the majority of the sample were female (68.1%) with a predominance of the age group from 60 to 69 (59.1%). As for the personal determinants was found the hypertension (28.4%), osteoporosis (20.4%) and arthritis (19.2%) as the most prevalent morbidities, in addition to the falls occurrence (41.5%) in the last twelve months. A high living satisfaction (44.7%), and leisure activities execution, such as watching television (38.5%), listening to the radio (26.3%) and reading newspapers or magazines (20.5%) was also observed. As regards to the behavioral determinants, it was found that most elderly had never smoked (54%), or consumed alcohol (90.2%), and made use of diet (28.8%) and healthy food (26.7%). However, most did not practice physical exercise (60%) and used one to two drugs per day (38.6%). Conclusion: it was verified the prevalence of personal and behavioral determinants more frequently among women and young adults, allowing thereby the expanding about active aging, as well as reflection, discussion and planning of actions and cares directed to this population.

CONTRIBUIÇÕES DO SERVIÇO DE CAPELANIA AO CUIDADO DE PACIENTES TERMINAIS

Este estudio tuvo como objetivo identificar la comprension de los capellanes con relacion a la espiritualidad y analizar la contribucion de la capellania al cuidado de enfermos terminales. Esta es una investigacion exploratoria y cualitativa realizada con siete capellanes hospitalarios en 2 hospitales publicos en Joao Pessoa, Paraiba, Brasil. Los datos fueron recogidos por medio de entrevistas semiestructuradas y sometidos a analisis de contenido. Las categorias emergidas fueron: Espiritualidad bajo la vision de capellanes y Contribuciones de la capellania al emplear espiritualidad en el cuidado al enfermo terminal. Estas categorias mostraron que los capellanes valoran la dimension espiritual en su practica y ayudan al paciente a hacer frente al proceso de terminalidad. Se espera que esta investigacion proporcione recursos para nuevos abordajes, teniendo en cuenta que los estudios acerca de la capellania y la espiritualidad en la asistencia al enfermo terminal aun son incipientes.

Contribuciones del servicio de capellanía a la atención a los enfermos terminales

Este estudio tuvo como objetivo identificar la comprension de los capellanes con relacion a la espiritualidad y analizar la contribucion de la capellania al cuidado de enfermos terminales. Esta es una investigacion exploratoria y cualitativa realizada con siete capellanes hospitalarios en 2 hospitales publicos en Joao Pessoa, Paraiba, Brasil. Los datos fueron recogidos por medio de entrevistas semiestructuradas y sometidos a analisis de contenido. Las categorias emergidas fueron: Espiritualidad bajo la vision de capellanes y Contribuciones de la capellania al emplear espiritualidad en el cuidado al enfermo terminal. Estas categorias mostraron que los capellanes valoran la dimension espiritual en su practica y ayudan al paciente a hacer frente al proceso de terminalidad. Se espera que esta investigacion proporcione recursos para nuevos abordajes, teniendo en cuenta que los estudios acerca de la capellania y la espiritualidad en la asistencia al enfermo terminal aun son incipientes.

La comunicación en la inminencia de la muerte: percepciones y estrategias adoptadas para humanizar el cuidado en enfermería

Objective: To investigate the perception of nurses in relation to concepts of communication to the terminal patient and the strategies adopted by them to communicate with the patient in the terminally ill. Methods: Qualitative research, conducted with seven nurses in the intensive care unit of a public health hospital in the city of Joao Pessoa, Paraiba. The data were collected in recorded interviews, from December 2011 to January 2012, and subjected to content analysis technique. Results: The identified categories were: Perception of nurses about communication with the terminal patient and strategies adopted by nurses for a good communication with the terminal patient. Such categories indicated that the professionals start to value the communication in clinical practice, using it as a strategy to assist the care to the terminally ill patient. Conclusion: this study is expected to subsidize new investigations, because they are still incipient to the research that addresses the communication on patient terminal care.