Luciana Kusumota

Idosos com insuficiência renal crônica: alterações do estado de saúde

This study aimed to describe health condition changes as experienced by elderly with Chronic Kidney Failure (CKF), under Continuous Ambulatory Peritoneal Dialysis (CAPD) treatment at the Dialysis and Kidney Transplantation Unit of a public hospital in Ribeirão Preto -- SP, Brazil. Participants were six elderly under CAPD treatment, aged 61 to 74 years. The theoretical and methodological framework was thematic oral history as proposed by Meihy. Data analysis led to the category of changes in elderlys health condition and disclosed the diagnosis of the disease, signs and symptoms of CKF, causes and irreversibility.Descrever as alteracoes do estado de saude vivenciadas por idosos portadores de Insuficiencia Renal Cronica (IRC), em tratamento de Dialise Peritonial Continua Ambulatorial (DPCA), atendidos na Unidade de Dialise e Transplante Renal de um Hospital Publico de Ribeirao Preto-SP foi o objetivo deste estudo. Participaram seis idosos, com idade entre 61 e 74 anos, em tratamento com DPCA. O referencial teorico metodologico utilizado foi a historia oral tematica, proposta por Meihy. Na analise, foi construida a categoria: alteracoes no estado de saude dos idosos e evidenciado o diagnostico da doenca, sinais e sintomas da IRC, causas e irreversibilidade.

Política nacional de atenção ao idoso e a contribuição da enfermagem

Este estudo objetivou descrever e avaliar a Politica Nacional de Atencao ao Idoso no Brasil e sua relacao com a enfermagem. Foi realizada uma revisao bibliografica do tema, o que permitiu a sua caracterizacao sob a forma de leis, decretos, textos e artigos em periodicos e livros. Os atores sociais envolvidos na Politica Nacional de Atencao ao Idoso foram os idosos, as familias, a comunidade e a equipe de saude, com destaque para a enfermagem. Apos analise da literatura consultada, concluiu-se que esta politica tem proporcionado, aos atores sociais envolvidos, conscientizacao para justica social e garantia plena dos direitos aos idosos. Concluiu-se, tambem, que a insercao da enfermagem na Politica Nacional de Atencao ao Idoso envolve o processo de cuidar no ciclo de vida e nos varios niveis de atencao a saude, onde se inclui a saude do idoso, assim como a participacao na elaboracao e implementacao dessa politica.

O idoso após acidente vascular cerebral: alterações no relacionamento familiar

The aims of this study were: to identify aged persons who were victims of Cerebrovascular Accident and received care at the Emergency Unit of a Public Hospital in Ribeirão Preto-SP, Brazil, and their respective families, as well as to identify the changes in family relations that occurred after the event. In order to identify these changes, the adapted Critical Incident Technique was used, while the analysis was based on the idea of Current of Thought. The sample consisted of 11 families, totaling 34 participants. The analysis of the consequences displayed the changes in family relations, which made up 13 subcategories, 5 of which were positive and 8 negative, totaling 58 alterations, 30 of which were positive and 28 negative. The study revealed the need to work with the family in order to identify changes and develop an action plan to favor the familys relations and adaptation to the demands, with a view to improving the living conditions of its members, including the aged person.The aims of this study were: to identify the aged persons who were victims of Cerebrovascular Accident and received care at the Emergency Unit of a Public Hospital in Ribeirao Preto-SP, Brazil, and their respective families, as well as to identify the changes in family relations that occurred after the event. In order to identify these changes, the adapted Critical Incident Technique was used, while the analysis was based on the idea of Current of Thought. The sample consisted of 11 families, totaling 34 participants. The analysis of the consequences displayed the changes in family relations, which made up 13 subcategories, 5 of which were positive and 8 negative, totaling 58 alterations, 30 of which were positive and 28 negative. The study revealed the need to work with the family in order to identify changes and develop an action plan to favor the family’s relations and adaptation to the demands, with a view to improving the living conditions of its members, including the aged person.

Fragilidade de idosos internados na clínica médica da unidade de emergência de um hospital geral terciário

Este estudo objetivou caracterizar os idosos internados na clinica medica de um hospital terciario, segundo variaveis sociodemograficas, e identificar a fragilidade nos mesmos. Estudo descritivo e transversal. A coleta de dados foi realizada no periodo de outubro de 2010 a marco de 2011, utilizando-se um instrumento contendo questionario sociodemografico e a EdmontonFrailScale. Participaram 84 idosos, media de idade 73, 8 anos; 60, 7% eram homens, 44, 0%, casados e 32, 1%, viuvos; 75, 0%, aposentados; 54, 8% estudaram entre um e quatro anos. Quanto a identificacao da fragilidade, 42, 9% apresentaram fragilidade severa, 33, 3%, leve e 19, 0%, moderada. Dentre os idosos que apresentaram fragilidade severa, houve predominio de mulheres (63, 6%), de idosos com 80 anos ou mais (63, 0%), dos que viviam sem companheiro(a) (53, 1%) e dos que descreveram sua saude como ruim (75, 8%). Acredita-se que identificar a fragilidade em idosos hospitalizados auxilia os profissionais da saude no planejamento e na implementacao da assistencia ao idoso.This descriptive and cross-sectional study was aimed at classifying elderly patients admitted to the medical clinic of a tertiary hospital, according to socio-demographic variables, and identifying their frailty. Data collection was carried out in the period between October 2010 and March 2011, through a questionnaire with socio-demographic data and the Edmonton Frail Scale. Eighty- four elderly patients with an average age of 73.8 participated in the study; 60.7% were male, 44.0% married and 32.1% widowers/ widows; 75.0% were retired; 54.8% possessed between one and four years of formal education. Regarding the identification of frailty, 42.9% presented severe, 33.3% mild and 19.0% moderate frailty. Among the elderly who presented severe frailty, 63.6% were women, 63.0% were over 80 years of age, 53.1% lived without a partner and 75.8% considered their health poor. It is believed that identifying the frailty of elderly patients helps healthcare professionals in planning and implementing care actions for the elderly. DESCRIPTORS: Aging. Hospitalization. Frail elderly.

Cerebrovascular accident in the aged: changes in family relations

The aims of this study were: to identify aged persons who were victims of Cerebrovascular Accident and received care at the Emergency Unit of a Public Hospital in Ribeirão Preto-SP, Brazil, and their respective families, as well as to identify the changes in family relations that occurred after the event. In order to identify these changes, the adapted Critical Incident Technique was used, while the analysis was based on the idea of Current of Thought. The sample consisted of 11 families, totaling 34 participants. The analysis of the consequences displayed the changes in family relations, which made up 13 subcategories, 5 of which were positive and 8 negative, totaling 58 alterations, 30 of which were positive and 28 negative. The study revealed the need to work with the family in order to identify changes and develop an action plan to favor the familys relations and adaptation to the demands, with a view to improving the living conditions of its members, including the aged person.The aims of this study were: to identify the aged persons who were victims of Cerebrovascular Accident and received care at the Emergency Unit of a Public Hospital in Ribeirao Preto-SP, Brazil, and their respective families, as well as to identify the changes in family relations that occurred after the event. In order to identify these changes, the adapted Critical Incident Technique was used, while the analysis was based on the idea of Current of Thought. The sample consisted of 11 families, totaling 34 participants. The analysis of the consequences displayed the changes in family relations, which made up 13 subcategories, 5 of which were positive and 8 negative, totaling 58 alterations, 30 of which were positive and 28 negative. The study revealed the need to work with the family in order to identify changes and develop an action plan to favor the family’s relations and adaptation to the demands, with a view to improving the living conditions of its members, including the aged person.

Functional independence in patients with chronic kidney disease being treated with haemodialysis

PURPOSE This study has described and analysed the functional independence of the patients served in the haemodialysis services of a countryside town in the State of São Paulo, Brazil, using the Functional Independence Measure (FIM). METHOD The population considered was that of 214 patients being treated with haemodialysis, assessed in 2011, by means of a social, demographic and clinical report, a Mini-Mental State Examination (MMSE) and also the FIM. RESULTS The mean age of the population under study was 58.01 years, while the mean FIM point score was 118.38 points, showing a level of complete or modified independence within this population. Even though the level of dependence found has been low, this can be highlighted, within the locomotion domain, in the activity of going up and down stairs (10.28%). Age, complications arising from haemodialysis, and comorbidities show a negative correlation with FIM. CONCLUSION Awareness of the level of functional independence of the patients being subjected to treatment with haemodialysis is essential in order to back up intervention for the improvement of nursing assistance provided to this population.OBJETIVO: este estudo teve como objetivo descrever e analisar a independencia funcional dos pacientes atendidos nos servicos de hemodialise, de uma cidade do interior paulista, segundo a Medida de Independencia Funcional (MIF). METODO: a populacao foi de 214 pacientes em tratamento hemodialitico, avaliados em 2011, por meio de um questionario sociodemografico e clinico, Miniexame do Estado Mental e MIF. RESULTADOS: a idade media da populacao do estudo foi de 58,01 anos e a media da MIF foi de 118,38 pontos, evidenciando nivel de independencia completa ou modificada dessa populacao. Mesmo tendo sido baixo o nivel de dependencia encontrado, essa dependencia destacou-se no dominio locomocao, na atividade subir e descer escadas (10,28%). A idade, complicacoes relacionadas a hemodialise e comorbidades apresentaram correlacao negativa com a MIF. CONCLUSAO: conhecer o nivel de independencia funcional dos pacientes em tratamento hemodialitico e primordial para subsidiar intervencoes para a melhoria da assistencia de enfermagem prestada a essa populacao.

Síndrome de fragilidade relacionada à incapacidade funcional no idoso

Objectives: To characterize the sociodemographic profile of the elderly, verify the level of fragility according to gender, functional independence and instrumental activities of daily living, and to correlate the dimensions of the Functional Independence Measure and Instrumental Activities of Daily Living with age, education, frailty and morbidities. Methods: A cross-sectional and observational study using a sample of 240 elderly living in Ribeirao Preto, Sao Paulo (Brazil). The collection period was November/2010 and February/2011. The questionnaires used were: sociodemographic, Edmonton Frail Scale, Functional Independence Measure and the Instrumental Activities of Daily Living Scale of Lawton and Brody. For analysis, we used descriptive statistics and the Student’s t-test and Pearson’s correlation. Results: Mean age was 73.5 years (± 8.4), 57.5% were married, 39.1% had some level of fraility. Among the frail elderly, 29.8% had minimal dependence/supervision, and 81.9% had partial dependence for instrumental activities of daily living. Conclusion: There was a greater dependence in activities for the frail elderly, and females had a higher prevalence of frailty.

Nível de independência funcional e déficit cognitivo em idosos com doença de Alzheimer

Este estudo investigou a influencia do nivel de independencia funcional dos idosos com doenca de Alzheimer segundo escores da avaliacao cognitiva. A populacao foi composta por 67 idosos atendidos no Ambulatorio de Neurologia Comportamental do Hospital das Clinicas/Ribeirao Preto, avaliados em 2008, por meio de um questionario para dados sociodemograficos, Medida de Independencia Funcional (MIF) e Mini-Exame do Estado Mental (MEEM). Observou-se que o deficit cognitivo influenciou o desempenho na realizacao das AVDs. A media da MIF para idosos sem deficit cognitivo foi 107,7 e para os com deficit, 63,2 (p<0,001). Na MIF motora, as medias foram 81,7 e 49,4 (p<0,001), e na MIF cognitiva 25,7 e 13,8 (p<0,001), respectivamente. Conhecer a reducao da independencia e da capacidade cognitiva e indispensavel para manter o provimento das necessidades basicas da vida diaria. O estudo pode subsidiar a pratica do enfermeiro, melhorando a condicao de vida do idoso e de sua familia.

Processo de enfermagem: resultados e conseqüências da utilização para a prática de enfermagem

This paper discusses the main difficulties for the utilization of the nursing process in practice, especially those activities regarding the development and use of clinical reasoning. It also discusses nursing conquests and challenges in the use of this method in providing quality nursing care and its relationship with new trends in health care.This paper discusses the main difficulties for the utilization of the nursing process in practice, especially those activities regarding the development and use of clinical reasoning. It also discusses nursing conquests and challenges in the use of this method in providing quality nursing care and its relationship with new trends in health care.

Qualidade de vida em idosos que sofreram quedas: revisão integrativa da literatura

An Integrative Literature Review was conducted in order to evaluate the scientific knowledge produced regarding quality of life of the elderly who have suffered falls. Published articles between 1999 and 2009 were selected from the LILACS, CINAHL and MEDLINE databases, and the following search words in Portuguese, English and Spanish were used: quality of life, the elderly and accidents involving falls. Nine articles met the inclusion criteria. It was revealed that falls are frequent among the elderly, and especially the elderly with more intrinsic risk factors and who have suffered falls are those who are more afraid and more prone to fall again. They also reported physical, mental and emotional impairments, body pains and environmental problems. It was revealed that programs to prevent falling can improve the quality of life of the elderly over time. It was clear that there are knowledge gaps, especially a low level of national scientific output, especially by nurses and the predominance of descriptive studies, with low levels of data. We suggest that health professionals conduct research into interventions to prevent falls that can be used in clinical practice in improving the quality of life of the elderly.