Manuel José Lopes

A dinâmica da família que coabita e cuida de um idoso dependente

Associado a progressao do envelhecimento, constata-se uma diminuicao de algumas capacidades funcionais e um aumento da vulnerabilidade. A dependencia acaba por surgir, sendo a familia a principal instituicao de apoio. Parece-nos assim pertinente questionar: qual a relacao entre a dinâmica familiar e o coabitar e cuidar de um familiar idoso dependente? O objectivo foi, analisar o funcionamento da familia cuidadora, relacionando o nivel de dependencia do familiar idoso e a idade dos cuidadores com a dinâmica familiar. Desenvolveu-se um estudo correlacional e transversal, com amostra intencional constituida por 80 familias e 143 cuidadores. Usamos uma escala de avaliacao do nivel de dependencia aos idosos e outra de avaliacao da coesao e adaptabilidade familiar (FACES III). Conclui-se que o nivel de dependencia do idoso nao altera a coesao e adaptabilidade familiar, contudo, o grupo etario do cuidador altera a dinâmica familiar, induzindo um potencial patologico.Constant depletion of some functional capacities and an increasing vulnerability are associated with the ageing process. Eventually, the individual becomes dependent on someone and the family is the main supportive institution. In view of this situation, one question guided our study: What is the relation between the family dynamics and to live with and take care of an elderly dependent relative? Our purpose is to analyse how the care provided by the family works, relating the family dynamics with the level of dependency of that relative and the age of the caregivers. We developed a related and transversal study, with an intentionally sample composed by 80 families and 143 caregivers. An evaluation scale was used to measure the dependency level of the elderly anda family adaptability and cohesion evaluation scale (FACES III). We concluded that the elderly level of dependency does not change the cohesion and adaptability of the family. Nonetheless, we also observed that the age of the caregiver alters the family dynamics, what can lead to the development of a pathological picture.

Evaluation of elderly persons' functionality and care needs

OBJETIVO: avaliar a funcionalidade dos idosos com base na Classificacao Internacional da Funcionalidade. METODOS: estudo transversal, descritivo; amostra aleatoria, estratificada, com 903 idosos; nivel de confianca 95%; margem de erro 2,5%. Questionario desenvolvido com base na Classificacao Internacional da Funcionalidade; dados coletados a partir de entrevista estruturada por profissionais de saude nos centros de saude do Alentejo. RESULTADOS: 30,7% dos idosos declaram-se analfabetos, 22,9% vivem sozinhos. As necessidades de alimentacao (18,7%), habitacao (19,2%) e saude (26,0%) nao estao satisfeitas. Funcoes de orientacao preservadas em 83,4%; 58% dos idosos referem uma intensidade de dor que requer cuidados; 73,3% dos idosos nao apresentam denticao funcional. Niveis de desempenho superior a 80% nas atividades de participacao: lavar-se (82,6%), atividades relacionadas ao processo de excrecao (92,2%), vestir, comer, beber (89%). CONCLUSAO: decrescimo progressivo da funcionalidade a medida que a idade avanca; todavia, esta preservada em grande parte as dimensoes ate cerca dos 75 anos.

A satisfação dos utentes com os cuidados de saúde primários

Context – User satisfaction with health institutions is a priority because their needs and expectations are constantly changing. Therefore, institutions must...

Avaliação da funcionalidade e necessidades de cuidados dos idosos

OBJETIVO: avaliar a funcionalidade dos idosos com base na Classificacao Internacional da Funcionalidade. METODOS: estudo transversal, descritivo; amostra aleatoria, estratificada, com 903 idosos; nivel de confianca 95%; margem de erro 2,5%. Questionario desenvolvido com base na Classificacao Internacional da Funcionalidade; dados coletados a partir de entrevista estruturada por profissionais de saude nos centros de saude do Alentejo. RESULTADOS: 30,7% dos idosos declaram-se analfabetos, 22,9% vivem sozinhos. As necessidades de alimentacao (18,7%), habitacao (19,2%) e saude (26,0%) nao estao satisfeitas. Funcoes de orientacao preservadas em 83,4%; 58% dos idosos referem uma intensidade de dor que requer cuidados; 73,3% dos idosos nao apresentam denticao funcional. Niveis de desempenho superior a 80% nas atividades de participacao: lavar-se (82,6%), atividades relacionadas ao processo de excrecao (92,2%), vestir, comer, beber (89%). CONCLUSAO: decrescimo progressivo da funcionalidade a medida que a idade avanca; todavia, esta preservada em grande parte as dimensoes ate cerca dos 75 anos.

Pessoas com dor e necessidades de intervenção: revisão sistemática da literatura

The study aimed to determine the economic and social impact and that needs of intervention by the health services for persons with pain. It was conducted a search in EBSCO (CINAHL, MEDLINE, British Nursing Index), using the method of PI[C]O and selecting 19 articles of the total of 325 found. The neuropathic pain and the one with musculoskeletal location were identified as the most responsible for health expenditures. The factors positively associated with cost-effective met in the research were: combination of therapeutic regimen with non-pharmacological strategies, involvement of multidisciplinary teams specialized in pain management, continuity of care program in community and a telephone line for permanent support. It was concluded that the pain causes significant deterioration in quality of life, with incalculable impact on the performance of the activities of daily living.Objectivou-se determinar qual o impacto economico e social e as necessidades de intervencao por parte dos servicos de saude, relativamente as pessoas com dor. Foi efectuada uma pesquisa na EBSCO (CINAHL, MEDLINE, British Nursing Index), utilizando-se o metodo de PI[C]O e seleccionados 19 artigos do total de 325 encontrados. A dor de tipo neuropatica e a com localizacao musculo-esqueletica foram identificadas como as maiores responsaveis pelos gastos em saude. Como factores positivamente associados a relacao custo-eficacia, encontrou-se: associacao do regime terapeutico com estrategias nao farmacologicas, intervencao de equipas multidisciplinares especializadas no controlo da dor, continuidade de cuidados na comunidade e uma linha telefonica de apoio permanente. Conclui-se que a dor causa significativa deterioracao na qualidade de vida, com incalculavel impacto no desempenho das actividades de vida diaria.

International classification of functioning, disability and health: use in nursing care for the elderly

The objective was to reflect on the International Classification of Functioning, Disability and Health and its use in nursing care for the elderly. It was conducted a brief history of the Classification; it was addressed the functional assessment of the elderly and importance to the proper planning to care actions; and it was showed the applicability of the International Classification of Functioning, Disability and Health by nurses. The classification is able to direct the functional assessment of the elderly, by the nurses, making the integral, realizing this human being as having a body, with needs to perform activities and participation, and belonging to a context /environment.El objetivo fue hacer una reflexion sobre la Clasificacion Internacional de Funcionamiento, Incapacidad y Salud y su uso en el cuidado de enfermeria a los ancianos. Llevo-se a cabo una breve historia de la clasificacion; se presento la evaluacion funcional de los ancianos y su importância para la planificacion adecuada de acciones de cuidado; se presento la aplicabilidad de la Clasificacion Internacional de Funcionamiento, Incapacidad y Salud por enfermeras. La clasificacion es capaz de dirigir la evaluacion funcional de los ancianos, por la enfermera, tornando-a integral, teniendo en cuenta que este ser humano tiene un cuerpo, necesidad de realizar actividades y participar, y tambien pertenece a un contexto/entorno.The objective was to reflect on the International Classification of Functioning, Disability and Health and its use in nursing care for the elderly. It was conducted a brief history of the Classification; it was addressed the functional assessment of the elderly and importance to the proper planning to care actions; and it was showed the applicability of the International Classification of Functioning, Disability and Health by nurses. The classification is able to direct the functional assessment of the elderly, by the nurses, making the integral, realizing this human being as having a body, with needs to perform activities and participation, and

Classificação internacional de funcionalidade, incapacidade e saúde: utilização no cuidado de enfermagem a pessoas idosas

The objective was to reflect on the International Classification of Functioning, Disability and Health and its use in nursing care for the elderly. It was conducted a brief history of the Classification; it was addressed the functional assessment of the elderly and importance to the proper planning to care actions; and it was showed the applicability of the International Classification of Functioning, Disability and Health by nurses. The classification is able to direct the functional assessment of the elderly, by the nurses, making the integral, realizing this human being as having a body, with needs to perform activities and participation, and belonging to a context /environment.El objetivo fue hacer una reflexion sobre la Clasificacion Internacional de Funcionamiento, Incapacidad y Salud y su uso en el cuidado de enfermeria a los ancianos. Llevo-se a cabo una breve historia de la clasificacion; se presento la evaluacion funcional de los ancianos y su importância para la planificacion adecuada de acciones de cuidado; se presento la aplicabilidad de la Clasificacion Internacional de Funcionamiento, Incapacidad y Salud por enfermeras. La clasificacion es capaz de dirigir la evaluacion funcional de los ancianos, por la enfermera, tornando-a integral, teniendo en cuenta que este ser humano tiene un cuerpo, necesidad de realizar actividades y participar, y tambien pertenece a un contexto/entorno.The objective was to reflect on the International Classification of Functioning, Disability and Health and its use in nursing care for the elderly. It was conducted a brief history of the Classification; it was addressed the functional assessment of the elderly and importance to the proper planning to care actions; and it was showed the applicability of the International Classification of Functioning, Disability and Health by nurses. The classification is able to direct the functional assessment of the elderly, by the nurses, making the integral, realizing this human being as having a body, with needs to perform activities and participation, and

Contributo para a classificação da funcionalidade na população com mais de 65 anos, segundo a Classificação Internacional de Funcionalidade

Purpose Identification of categories of the International Classification of Functioning (ICF), disability and health, for the classification of functioning in the population over 65 years of age.

Assessment of the elderly’s functional ability to manage their medication: a systematic literature review

Background The evaluation of the elderly’s ability to manage medication through the use of a validated tool can be a significant step in identifying inabilities and needs, with the objective of increasing their self-care skills, and promoting successful aging. Aim of the review To identify studies assessing the elderly’s functional ability to manage their own medication. Method For the search strategy, the PICO method was used: P—Population (elderly), I—Instruments (tools for assessing medication management ability), C—Context (community) and O—Outcomes (functional ability to manage medication). The final search query was run in MEDLINE/PubMed, CINAHL Plus, ISI Web of Science and Scopus. The whole process was developed according to the PRISMA statement. Results The search retrieved 8051 records. In each screening stage, the selection criteria were applied to eliminate records where at least one of the exclusion criteria was verified. At the end of this selection, we obtained a total of 18 papers (17 studies). The results allow the conclusion to be drawn that studies use several different instruments, most of them not validated. The authors agree that medication management abilities decrease as cognitive impairment increases, even if a lot of studies assess only the physical dimension. DRUGS was the instrument most often used. Conclusion Older adults’ ability to manage their medication should be assessed using tools specifically built and validate for the purpose. DRUGS (which uses the real regimen taken by the elderly) was the most widely used assessment instrument in the screened studies.

VULNERABILIDADES EM SAÚDE: O DIAGNÓSTICO DOS CALOIROS DE UMA UNIVERSIDADE PORTUGUESA

The start of university is presented as a crucial stage in the life of the student. If, on the one hand, it is a period of increased autonomy and freedom, on the other, it is a period that also increases the sense of responsibility and self discipline. In this study, based on a quantitative approach, we identified the main risk situations experienced by freshmen at the University of Evora, by applying a questionnaire developed for this purpose and the Beck inventory. Key findings are highlighted, such as the consumption of harmful substances (tobacco, alcohol and illicit drugs), whose values exceed the average population. The consumption of alcoholic beverages begins early and is continuous and excessive. Also, the presence of symptoms compatible with dysphoria and depression is noted in about 9% of students. Self-medication practices were found in 58.7% of the freshmen. Our findings reveal the need for preventive intervention by health professionals, due to these young peoples great exposure to health risks. DESCRIPTORS: Nursing care. Health promotion. Student health services. Personal health servicesThe start of university is presented as a crucial stage in the life of the student. If, on the one hand, it is a period of increased autonomy and freedom, on...La concurrencia de transicion se presenta como una etapa crucial en la vida del estudiante que entra en la universidad. Si, por un lado, se trata de un periodo de mayor autonomia y libertad, por el otro, es un periodo que tambien aumenta el sentido de responsabilidad y autodisciplina. En este estudio, basado en un enfoque cuantitativo, se identificaron las situaciones de riesgo principales experimentados por estudiantes de primer ano en la Universidad de Evora, mediante la aplicacion de un cuestionario elaborado para tal efecto y el inventario de Beck. De relieve los principales hallazgos como el consumo de sustancias nocivas (tabaco, alcohol y drogas ilicitas), cuyos valores superan la media de la poblacion. El consumo de bebidas alcoholicas comienza temprano y es un consumo continuo y excesivo. Tenga en cuenta tambien la presencia de sintomas compatibles con disforia y depresion en alrededor del 9% de los estudiantes. Tambien los valores obtenidos con la practica de la automedicacion muestra que si existe una situacion por encima de los valores encontrados en otros estudios. Nuestros resultados revelan la necesidad de intervencion preventiva de los profesionales de la salud.