Larissa Chaves Pedreira

Cuidadores de idosos dependentes no domicílio: mudanças nas relações familiares

The study aimed to identify, in the view of the caretaker, the changes that happened in the family relationships after a dependence generator event on aged person, and the factors that provoked it. It is a field study with a qualitative approach. It was carried out recorded interviews with eight family caregivers, during home visits, with guiding questions and observations being recorded in a field diary. The content analysis of Bardin was applied, being constructed categories and subcategories. The familiar union preexisting to the dependence situation predisposes positive changes, favored with formal and informal support. The family caregiver burden due to lack of support, age and activities of caregiving, leads to negative situations in the family. The effectiveness of public policies to provide formal support for the elderly and their caregivers, and the creation of support groups,The study aimed to identify, in the view of the caretaker, the changes that happened in the family relationships after a dependence generator event on aged person, and the factors that provoked it. It is a field study with a qualitative approach. It was carried out recorded interviews with eight family caregivers, during home visits, with guiding questions and observations being recorded in a field diary. The content analysis of Bardin was applied, being constructed categories and subcategories. The familiar union preexisting to the dependence situation predisposes positive changes, favored with formal and informal support. The family caregiver burden due to lack of support, age and activities of caregiving, leads to negative situations in the family. The effectiveness of public policies to provide formal support for the elderly and their caregivers, and the creation of support groups, may contribute to the family wellbeing.

Cuidados domiciliares ao idoso que sofreu Acidente Vascular Cerebral

El objetivo fue Identificar la produccion del conocimiento sobre accidente vascular cerebral en el anciano cuidado en el domicilio. Estudio bibliografico, cuantitativo, cuya colecta de datos fue realizada en julio de 2007, a traves de los resumenes fechados desde 1997 a 2007, contenidos en los bancos de datos LILACS y SciELO, de paises de America Latina y Caribe. Para la colecta fueron utilizados los descriptores: Atencion Domiciliaria de Salud, anciano y accidente cerebrovascular. Fueron encontradas 52 referencias en el LILACS, nueve en el SciELO Brasil y tres en el SciELO Cuba. La mayoria de los trabajos fue realizada en 2000, con predominancia en el metodo cualitativo, y el tema central es relacionado al cuidador, a los aspectos clinicos y epidemiologicos de la enfermedad. Se observo que en Brasil, ese conocimiento au esta siendo solidificado y los temas relacionados a la persona sujeta a la atencion y a la violencia domiciliaria al anciano todavia son poco explorados.The purpose was to Identify the knowledge production about the stroke in elderly under home care. Bibliographic research whose data were collected though the abstracts from 1997 to 2007, contained in LILACS and SciELO databases. The following key words were used: home assistance, aged people and cerebrovascular accident. Fifty-two references were found in the LILACS database, nine in the SciELO Brazil, and three in the SciELO Cuba. Most of the researches were carried out in 2000. Regarding the method, qualitative method predominance were observed, and central theme is related to the care giver, as well as to the clinical and epidemiologic aspects of the disease. It was observed that this knowledge is still established in Brazil, and the themes related to the person submitted to home care and violence to the aged are still little explored.The purpose was to Identify the knowledge production about the stroke in elderly under home care. Bibliographic research whose data were collected though the abstracts from 1997 to 2007, contained in LILACS and SciELO atabases. The following key words were used: home assistance, aged people and cerebrovascular accident. Fifty-two references were found in the LILACS database, nine in the SciELO Brazil, and three in the SciELO Cuba. Most of the researches were carried out in 2000. Regarding the method, qualitative method predominace were observed, and central theme is related to the care giver, as well as to the clinical and epidemiologic aspects of the disease. It was observed that this knowledge is still established in Brazil, and the themes related to the person submitted to home care and violence to the aged are still little explored.

Evento adverso no idoso em Unidade de Terapia Intensiva

This study aims to identify the scientific production in Latin America about the safety of aged people in the ICU and adverse events dealt in the literature. It is a systematic revision, with indexed key words. The inclusion and exclusion criteria were respected. Twenty papers were selected for analysis. Most of them were carried out after the year 2000, in Brazil, by professional nurses and physicians, dealing mostly with adverse events connected to mistakes with medicines, accidental remove of probes and catheters, nosocomial infections, errors in the procedure techniques and occurrence of pressure sores. In the selected papers there were no mentions to adverse events related to behavior changes. The scientific production about the theme is still recent in Latin America, tending to increase. Its necessary to increase the focus to the aged population in these units, taking into account the possible risk to which they are exposed.El estudio objetiva identificar la produccion cientifica en Latinoamerica sobre la seguridad de las personas mayores en la UTI y los tipos de eventos adversos relatados en la literatura. Trata-se de una revision sistematica cuantitativa. La coleccion de datos fue hecha en el banco de datos del LILACS y en la Biblioteca SCIELO, considerandose los paises de Latinoamerica a partir de descriptores indexados y respecto criterios de inclusion y exclusion. Fueron seleccionados 20 trabajos para analisis. La mayoria de estos fue realizada despues del ano 2000, en Brasil, en el Estado de Sao Paulo, por profesionales enfermeros y medicos, en tratamiento principalmente de eventos adversos conectados a errores con medicacion, remocion accidental de sondas y cateteres, infecciones nosocomiales, error en la tecnica de procedimiento y de ocurrencia de ulceras de presion. La produccion cientifica sobre la tematica es aun reciente en Latinoamerica, tendiendo a aumento. Es necesario ampliar el la mirada para la populacion de personas mayores en esas unidades, considerando los posibles riesgos a los que estan expuestos.

Association between social support and quality of life of relative caregivers of elderly dependents

OBJECTIVE to ascertain the association between the social support and the quality of life of relative caregivers of elderly dependents at home. METHOD a cross-sectional study conducted with 58 relative caregivers of elderly dependents, registered in the Family Health Strategy. Data were collected from the Katz instrument, sociodemographic, Zarit Burden Interview, WHOQOL-bref, and analyzed using descriptive statistics and multiple linear regression. RESULTS the majority of caregivers were women, who took care full-time and presented moderate to severe burden. Most caregivers are satisfied with their social relationships and the social support received. It is found that the burden and the time of care correlated with the social relationships domain, which is associated with social support, and consequently, reduced quality of life. CONCLUSION social support for caregivers is important to prevent health implications, burden, biopsychosocial stress, and provide favorable conditions for quality of life, by allowing greater freedom to develop their daily activities.

Concepções da equipe multiprofissional sobre a implementação dos cuidados paliativos na unidade de terapia intensiva

Este estudo objetivou analisar as concepcoes da equipe multiprofissional sobre a implementacao de cuidados paliativos em uma unidade de terapia intensiva adulto. Trata-se de uma pesquisa exploratorio-descritiva, com abordagem qualitativa, realizada com 14 profissionais de saude de um hospital publico de ensino. Os dados foram coletados entre fevereiro e abril de 2012, atraves de entrevista semiestruturada e observacao nao participante e interpretados pela analise de conteudo. Foram identificadas tres categorias tematicas: Assistir o paciente terminal em UTI promovendo o conforto fisico; Despreparo da equipe em lidar com o paciente terminal; e Desafios na pratica dos cuidados paliativos no ambiente da terapia intensiva. Os entrevistados referiram conhecer parcialmente a proposta dos cuidados paliativos e na pratica assistencial observam-se divergencias nas condutas terapeuticas da equipe, demonstrando falta de interacao e de comunicacao entre os profissionais. Faz-se necessario a elaboracao de uma politica nacional que respalde o cuidado ao paciente critico terminal, a educacao permanente/continuada dos profissionais e a criacao de protocolos assistenciais para promocao do conforto do paciente durante a fase final da vida e de sua familia.

Being elderly with functional dependence and their family caregivers

OBJETIVO: Identificar el punto de discusion de los autores sobre el anciano con incapacidad funcional, correlacionando con el tiempo ontologico heideggeriano. METODOS: Estudio de tipo bibliografico, sistematico y cualitativo. Los datos fueron recolectados en el banco de datos del Scientific Electronic Library Online. De un total de 123 publicaciones identificadas, fueron seleccionados 15 estudios, de acuerdo a los criterios de inclusion adoptados. RESULTADOS: Con base en el analisis tematico de Bardin, fueron constituidas las siguientes categorias de analisis: ser-cuidador del anciano con incapacidad, ser-anciano con incapacidad, dinamica familiar. CONCLUSION: Se comprendio que los factores relacionados a a relacion familiar, apoyo de los servicios formales e informales, situacion economica, social, entre otras, forman parte de la historicidad de estas influenciando su modo de ser. Es importante buscar la comprension de estos factores para promover la salud de estas personas, pensando en los cuidados biologicos y existenciales.

Adverse event in elderly patients in Intensive Care Unit

This study aims to identify the scientific production in Latin America about the safety of aged people in the ICU and adverse events dealt in the literature. It is a systematic revision, with indexed key words. The inclusion and exclusion criteria were respected. Twenty papers were selected for analysis. Most of them were carried out after the year 2000, in Brazil, by professional nurses and physicians, dealing mostly with adverse events connected to mistakes with medicines, accidental remove of probes and catheters, nosocomial infections, errors in the procedure techniques and occurrence of pressure sores. In the selected papers there were no mentions to adverse events related to behavior changes. The scientific production about the theme is still recent in Latin America, tending to increase. Its necessary to increase the focus to the aged population in these units, taking into account the possible risk to which they are exposed.El estudio objetiva identificar la produccion cientifica en Latinoamerica sobre la seguridad de las personas mayores en la UTI y los tipos de eventos adversos relatados en la literatura. Trata-se de una revision sistematica cuantitativa. La coleccion de datos fue hecha en el banco de datos del LILACS y en la Biblioteca SCIELO, considerandose los paises de Latinoamerica a partir de descriptores indexados y respecto criterios de inclusion y exclusion. Fueron seleccionados 20 trabajos para analisis. La mayoria de estos fue realizada despues del ano 2000, en Brasil, en el Estado de Sao Paulo, por profesionales enfermeros y medicos, en tratamiento principalmente de eventos adversos conectados a errores con medicacion, remocion accidental de sondas y cateteres, infecciones nosocomiales, error en la tecnica de procedimiento y de ocurrencia de ulceras de presion. La produccion cientifica sobre la tematica es aun reciente en Latinoamerica, tendiendo a aumento. Es necesario ampliar el la mirada para la populacion de personas mayores en esas unidades, considerando los posibles riesgos a los que estan expuestos.

Prevention and monitoring of delirium in older adults: an educational intervention

OBJECTIVE to conduct an educational intervention with the nursing team members of an intensive care unit (ICU), aiming to increase knowledge and to introduce improvements in their practices regarding prevention and monitoring of delirium in older patients. METHOD this is an action research, in which workshops were conducted with eleven nurses and a nursing technician from an ICU unit in Salvador, Bahia, Brazil. RESULTS ten problems regarding nursing practices for prevention and monitoring of delirium were identified. Educational, practical, technical, and managerial actions were planned, involving cross-sector connections for planning ways to solve these problems. The groups reported significant changes in the practices, with the implementation of drug-free measures for preventing and managing the situation. CONCLUSION the educational intervention contributed to improve the nursing practices in the ICU unit studied, and it also favored the development of critical thinking about the problems mentioned, thus enabling permanent review of offered treatments.

Caregivers of dependent elderly at home: changes in family relationships

The study aimed to identify, in the view of the caretaker, the changes that happened in the family relationships after a dependence generator event on aged person, and the factors that provoked it. It is a field study with a qualitative approach. It was carried out recorded interviews with eight family caregivers, during home visits, with guiding questions and observations being recorded in a field diary. The content analysis of Bardin was applied, being constructed categories and subcategories. The familiar union preexisting to the dependence situation predisposes positive changes, favored with formal and informal support. The family caregiver burden due to lack of support, age and activities of caregiving, leads to negative situations in the family. The effectiveness of public policies to provide formal support for the elderly and their caregivers, and the creation of support groups,The study aimed to identify, in the view of the caretaker, the changes that happened in the family relationships after a dependence generator event on aged person, and the factors that provoked it. It is a field study with a qualitative approach. It was carried out recorded interviews with eight family caregivers, during home visits, with guiding questions and observations being recorded in a field diary. The content analysis of Bardin was applied, being constructed categories and subcategories. The familiar union preexisting to the dependence situation predisposes positive changes, favored with formal and informal support. The family caregiver burden due to lack of support, age and activities of caregiving, leads to negative situations in the family. The effectiveness of public policies to provide formal support for the elderly and their caregivers, and the creation of support groups, may contribute to the family wellbeing.

Home care to the elderly who had stroke

El objetivo fue Identificar la produccion del conocimiento sobre accidente vascular cerebral en el anciano cuidado en el domicilio. Estudio bibliografico, cuantitativo, cuya colecta de datos fue realizada en julio de 2007, a traves de los resumenes fechados desde 1997 a 2007, contenidos en los bancos de datos LILACS y SciELO, de paises de America Latina y Caribe. Para la colecta fueron utilizados los descriptores: Atencion Domiciliaria de Salud, anciano y accidente cerebrovascular. Fueron encontradas 52 referencias en el LILACS, nueve en el SciELO Brasil y tres en el SciELO Cuba. La mayoria de los trabajos fue realizada en 2000, con predominancia en el metodo cualitativo, y el tema central es relacionado al cuidador, a los aspectos clinicos y epidemiologicos de la enfermedad. Se observo que en Brasil, ese conocimiento au esta siendo solidificado y los temas relacionados a la persona sujeta a la atencion y a la violencia domiciliaria al anciano todavia son poco explorados.The purpose was to Identify the knowledge production about the stroke in elderly under home care. Bibliographic research whose data were collected though the abstracts from 1997 to 2007, contained in LILACS and SciELO databases. The following key words were used: home assistance, aged people and cerebrovascular accident. Fifty-two references were found in the LILACS database, nine in the SciELO Brazil, and three in the SciELO Cuba. Most of the researches were carried out in 2000. Regarding the method, qualitative method predominance were observed, and central theme is related to the care giver, as well as to the clinical and epidemiologic aspects of the disease. It was observed that this knowledge is still established in Brazil, and the themes related to the person submitted to home care and violence to the aged are still little explored.The purpose was to Identify the knowledge production about the stroke in elderly under home care. Bibliographic research whose data were collected though the abstracts from 1997 to 2007, contained in LILACS and SciELO atabases. The following key words were used: home assistance, aged people and cerebrovascular accident. Fifty-two references were found in the LILACS database, nine in the SciELO Brazil, and three in the SciELO Cuba. Most of the researches were carried out in 2000. Regarding the method, qualitative method predominace were observed, and central theme is related to the care giver, as well as to the clinical and epidemiologic aspects of the disease. It was observed that this knowledge is still established in Brazil, and the themes related to the person submitted to home care and violence to the aged are still little explored.