Maria do Livramento Fortes Figueiredo

As diferenças de gênero na velhice

Qualitative study that aimed at investigating present and decisive gender subjects of health and elder peoples life quality. The subjects were 20 (twenty) seniors of the Programa Terceira Idade em Acao-PTIA. The semi-structured interview was used as data collection technique. From the speeches, information that answered the investigation inquietudes emerged and they made possible the formulation of three analysis categories. In the first, it stood out the low self-esteem lived by the men when they age, otherwise in the second one it was evidenced the autonomy and the freedom conquered by the senior women, and in the third category the learning happened among the old ladies who participated of PTIA. Concluding that there is influence of the gender subjects in health and life quality in aging.Qualitative study that aimed at investigatiing present and decisive gender subjects of health and elder people’s life quality. The subjects were 20 (twenty) seniors of the Programa Terceira Idade em Acao – PTIA. The semi-structured interview was used as data collection technique. From the speeches, information that answered the investigation inquietudes emerged and they made possible the formulation of three analysis categories. In the first, it stood out the low self-esteem lived by the men when they age, otherwise in the second one it was evidenced the autonomy and the freedom conquered by the senior women, and in the third category the learning happened among the old ladies who participated of PTIA. Concluding that there is influence of the gender subjects in health and life quality in aging. Descriptors: Male; Female; Gender; Aging.

Prevenção de câncer de mama em mulheres idosas: uma revisão

Se trata de una revision bibliografica nacional que tuvo por objeto reflexionar sobre la prevencion de cancer de mama en las mujeres ancianas. Esta curiosidad surgio de la observacion de la transicion demografica brasilena y del evidente feminizacion de la vejez, que impone demandas especificas e integrales para la ayuda a este grupo de poblacion. Se insiste en la necesidad de ampliar el conocimiento sobre el problema, asi como la superacion de la negligencia en la prevencion de esta enfermedad, especialmente en la vejez. Se centro dos temas de reflexion: El envejecimiento de Mujeres, Salud y Genero y la Brecha de la exhaustividad de la asistencia a la mujer mayor: poner en libertad a la conciencia. Se espera con esta reflexion subvencionar la mejora de la asistencia, promover la inclusion de esta cuestion en la educacion y estimular nuevas investigaciones.This is a national literature review that aimed to reflect on the prevention of breast cancer in the elderly woman. This curiosity arose from the observation of demographic transition and of course Brazilian feminisation of old age, which imposes specific demands assists and integrals for this population segment. It is emphasized the need to extend the knowledge about the problem, as well as overcoming the negligence in the prevention of this disease, especially in old age. Focused are two topics reflective: Aging Women, Health and Gender Gap and the completeness of assistance to the elderly woman: awareness to release. It is expected with this reflection subsidize quality improvement of the assistance, promote the inclusion of this issue in education and stimulate new research.

Diagnósticos de enfermagem do idoso acamado no domicílio

Estudo descritivo, com abordagem quantitativa, que teve como objetivos: fazer a caracterizacao dos idosos acamados no domicilio, assistidos pelas equipes da ESF do Bairro Satelite em Teresina - PI e levantar Diagnosticos de Enfermagem e respectivas intervencoes. Foi constituido de 50 idosos entrevistados no domicilio, cujos resultados mostraram a maioria mulheres, na faixa etaria de 60 e 79 anos, que se encontravam acamados entre um e cinco anos. Foram oito os Diagnosticos de Enfermagem (DE) prevalentes, dos quais em 98% dos idosos identificou-se o DE: Controle inadequado do regime terapeutico e em 72% a Deambulacao prejudicada com limitacao da mobilidade e, para todos os diagnosticos foram propostas intervencoes de Enfermagem com vistas a conquista da autonomia e independencia destes idosos.The descriptive study, with quantitative approach, that has had as objective to do the characterization of ill elderly at home attended by the ESF teams of the Satellites District in Teresina - PI and to collect Nursing Diagnoses and it respective interventions. This descriptive study was constituted by 50 seniors interviewed at home, the results showed that most of the women in age between of 60 and 79 years were ill at home for one or five years at least. There were eight Nursing Diagnoses (ND) prevalent, in which 98% of the seniors were identified with the ND - Inadequate Control of Therapeutic Regime, and in 72% the deambulation was prejudiced with mobilitys limitation and, for all diagnoses were proposed nursing interventions objectifying the conquest of autonomy and independence of these seniors.

Pesquisa-ação: concepções e aplicabilidade nos estudos em enfermagem

Esta e uma reflexao teorica sobre a pesquisa-acao e suas contribuicoes como abordagem metodologica para a ampliacao da producao de conhecimentos em Enfermagem. Alem das concepcoes teoricas de varios autores sobre esta metodologia, levantou-se, na producao cientifica de Enfermagem, a aplicabilidade da pesquisa-acao nas investigacoes na area. Observouse que este metodo permite uma interacao entre o pesquisador e o pesquisado, relacao esta que ja e estabelecida na pratica cotidiana das atividades desenvolvidas pelo enfermeiro, visto que o mesmo permite que os sujeitos (clientes) tenham voz e vez, ou seja, permite um dialogo aberto, participativo e reflexivo, assistindo-o de forma holistica, incluindo-o sempre em um conjunto com sua familia e comunidade, alem de buscar constantemente a transformacao positiva dessa realidade.Esta es una reflexion teorica sobre la investigacion-accion y sus contribuciones como enfoque metodologico para la ampliacion de la produccion del conocimiento en Enfermeria. Ademas de las concepciones teoricas de varios autores acerca de esta metodologia, se plantea en la produccion cientifica de enfermeria la aplicabilidad de la investigacion-accion en las investigaciones en esta area. Fue observado que este metodo permite una interaccion entre el investigador y el investigado, relacion esta que ya esta establecida en la practica diaria de las actividades desarrolladas por los enfermeros, porque permite que los sujetos (los clientes) tengan voz y vez, es decir, permite un dialogo abierto, participativo y reflexivo, asistiendolo de modo integral, incluyendolo siempre en conjunto con su familia y la comunidad, ademas de la constante busqueda de una transformacion positiva de esa realidad.

Fatores preditores para incapacidade funcional de idosos atendidos na atenção básica

Objetivos: valorar los factores predictores para la incapacidad funcional de adultos mayores atendidos en la atencion basica. Metodo: estudio transversal, del cual han participado 388 adultos mayores, llevado a cabo en tres unidades de atencion basica de salud, empleando el indice de Katz y la escala de Lawton. El proyecto de investigacion ha sido aprobado por el Comite de Etica en Investigacion brasileno. Resultados: En relacion al grado de dependencia para sus actividades basicas, un 90,2% de los adultos mayores eran menos independientes para vestirse; y para las actividades instrumentales, un 77,1% eran menos independientes para los trabajos manuales. La incapacidad funcional para las actividades basicas esta asociada con la edad y etnia; y la de las actividades instrumentales con la edad, nivel de instruccion, renta y autovaloracion de la salud del adulto mayor. Conclusion: la valoracion del adulto mayor debe ser llevada en consideracion, con el fin de adecuar los cuidados dirigidos a la mantencion de su autonomia y promocion del envejecimiento activo.Objectives: to assess the predictors for the functional incapacity of the elderly in primary health care. Method: cross-sectional study, of which 388 older people participated, conducted in three Primary health care Units, using the Katz index and Lawtons scale. The research project was approved by the Research Ethics Committee. Results: regarding the degree of dependency for Basic Activities, 90.2% were less independent for dressing themselves; and for Instrumental Activities, 77.1% of the elderly were less independent for doing handwork. The functional incapacity for basic activities was associated with age and color; for instrumental activities, with age, education, income of the elderly and self-assessment of health. Conclusion: attention should be paid to the overall assessment of the elderly person, in order to tailor care plans geared towards the preservation of their autonomy and the promotion of active ageing.

Intervenções educativas para promoção da saúde do idoso: revisão integrativa

Universidade Federal do Piauí, Teresina, PI, Brazil. Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco, Pesqueira, PI, Brazil. Confl icts of interest: nothing to declare. Abstract Objective: To identify in the literature the scientifi c production on educational interventions used by nurses for the health promotion of the elderly. Methods: Integrative literature review performed in the LILACS, MEDLINE, CINAHL and Web of Science databases between 2007 and 2017, in Portuguese, English and Spanish by using the following descriptors: ‘aged’; ‘aging’; ‘aged, 80 and over’; ‘health services for the aged’; ‘nursing’; ‘clinical trial’; ‘technology/ED’; ‘educational technology’; (health education AND technology); ‘health promotion’, which were combined with ‘AND’ and ‘OR’ Boolean operators. Results: Twenty-two studies were included. The educational interventions used by nurses for the health promotion of the elderly were pedagogical guidelines during nursing consultations (50%), home monitoring (27.8%), counseling with motivational dynamics (11.1%) and educational sessions with ludic strategies (11.1%). Conclusion: Nurses play a fundamental role in health promotion by coordinating the care plan because of the bond established with users, family members and caregivers from educational actions that can change attitudes and provide health. The educational actions promoted health by favoring the greater adoption of healthy habits, therapeutic monitoring and wellbeing.

Violência autoinfligida por intoxicação exógena em um serviço de urgência e emergência

Objective To analyze the self-inflicted violence by exogenous poisoning reported in a health service. Methods Epidemiological, retrospective and analytical study in an emergency care in the city of Teresina, Piauí. The study took place in January and February of 2015, upon review of all cases of self-inflicted violence by exogenous poisoning reported to the Information System on Diseases of Compulsory Declaration, from 2009 to 2014. The Pearson chi-square test was used for analysis. Results 277 victims of self-inflicted violence by exogenous poisoning were reported, with 10.5% having died by suicide. There was an association between death and the age, education, area of occurrence and type of exposure, as well as between the type of exposure and the amount of agents used. Conclusion The results help to define prevention strategies considering vulnerable groups and the complexity of the factors associated with self-inflicted violence.

Predictors for the functional incapacity of the elderly in primary health care

Objetivos: valorar los factores predictores para la incapacidad funcional de adultos mayores atendidos en la atencion basica. Metodo: estudio transversal, del cual han participado 388 adultos mayores, llevado a cabo en tres unidades de atencion basica de salud, empleando el indice de Katz y la escala de Lawton. El proyecto de investigacion ha sido aprobado por el Comite de Etica en Investigacion brasileno. Resultados: En relacion al grado de dependencia para sus actividades basicas, un 90,2% de los adultos mayores eran menos independientes para vestirse; y para las actividades instrumentales, un 77,1% eran menos independientes para los trabajos manuales. La incapacidad funcional para las actividades basicas esta asociada con la edad y etnia; y la de las actividades instrumentales con la edad, nivel de instruccion, renta y autovaloracion de la salud del adulto mayor. Conclusion: la valoracion del adulto mayor debe ser llevada en consideracion, con el fin de adecuar los cuidados dirigidos a la mantencion de su autonomia y promocion del envejecimiento activo.Objectives: to assess the predictors for the functional incapacity of the elderly in primary health care. Method: cross-sectional study, of which 388 older people participated, conducted in three Primary health care Units, using the Katz index and Lawtons scale. The research project was approved by the Research Ethics Committee. Results: regarding the degree of dependency for Basic Activities, 90.2% were less independent for dressing themselves; and for Instrumental Activities, 77.1% of the elderly were less independent for doing handwork. The functional incapacity for basic activities was associated with age and color; for instrumental activities, with age, education, income of the elderly and self-assessment of health. Conclusion: attention should be paid to the overall assessment of the elderly person, in order to tailor care plans geared towards the preservation of their autonomy and the promotion of active ageing.

Factores predictores para la incapacidad funcional de adultos mayores atendidos en la atención básica

Objetivos: valorar los factores predictores para la incapacidad funcional de adultos mayores atendidos en la atencion basica. Metodo: estudio transversal, del cual han participado 388 adultos mayores, llevado a cabo en tres unidades de atencion basica de salud, empleando el indice de Katz y la escala de Lawton. El proyecto de investigacion ha sido aprobado por el Comite de Etica en Investigacion brasileno. Resultados: En relacion al grado de dependencia para sus actividades basicas, un 90,2% de los adultos mayores eran menos independientes para vestirse; y para las actividades instrumentales, un 77,1% eran menos independientes para los trabajos manuales. La incapacidad funcional para las actividades basicas esta asociada con la edad y etnia; y la de las actividades instrumentales con la edad, nivel de instruccion, renta y autovaloracion de la salud del adulto mayor. Conclusion: la valoracion del adulto mayor debe ser llevada en consideracion, con el fin de adecuar los cuidados dirigidos a la mantencion de su autonomia y promocion del envejecimiento activo.Objectives: to assess the predictors for the functional incapacity of the elderly in primary health care. Method: cross-sectional study, of which 388 older people participated, conducted in three Primary health care Units, using the Katz index and Lawtons scale. The research project was approved by the Research Ethics Committee. Results: regarding the degree of dependency for Basic Activities, 90.2% were less independent for dressing themselves; and for Instrumental Activities, 77.1% of the elderly were less independent for doing handwork. The functional incapacity for basic activities was associated with age and color; for instrumental activities, with age, education, income of the elderly and self-assessment of health. Conclusion: attention should be paid to the overall assessment of the elderly person, in order to tailor care plans geared towards the preservation of their autonomy and the promotion of active ageing.

Caracterización de la atención de hombres ancianos por servicio de atención móvil de urgencia

The elderly population has shown a significant increase in life expectancy in recent decades, however, they remain a population susceptible to many health hazards due to the declination of their functional physiological reserves. Coupled with this fact is the absence of public policies that prioritize the effectiveness of primary care as a gateway to the Unified Health System. This audience easily aggravates its health situation, often requiring attendance by the emergency and urgent care services. The objective of the present study was to characterize the care of elderly men by mobile emergency care service - SAMU. This is a cross-sectional, descriptive, exploratory study was developed in SAMU Teresina-PI, collection the attendance records held by SAMU between September and December 2011. The results point to a demand by the SAMU by elderly people, in the evaluated months, mainly by clinical complaints. The findings reinforce the need for more primary care coverage of health strategies that promote a better quality of life, prevention and recovery of their health.