Nara Marilene Oliveira Girardon-Perlini

A sobrecarga do familiar cuidador no âmbito domiciliar: uma revisão integrativa da literatura

This is an integrative literature review that aims to identfy evidences on the factors causing overload and their consequences for family caregivers of adults or the elderly. The review covered 27 studies at databases, using the keywords caregivers, family, and overload in the period from 1999 to 2009. Four categories came up: the imposition of being a caregiver, taking care alone, the dependence of the person that receives care, and the bio-psychosocial weariness of the caregiver. The results showed that the imposition of the role of caregiver, lack of support from other family members, level of dependency of the patient related to the pathology, and physical and psychological weariness are the main factors causing overload in family caregivers. The need for more support and availability by health professionals to family caregivers in their home activities is evident.

Influência das avós na alimentação de lactentes: o que dizem suas filhas e noras

Objective: To identify practices of primiparas about infant feeding of infants learned from the mother and/or grandmother. Methods: This was a qualitative, descriptive research study. The subjects were 11 primiparas, who used the Unified Health System of Palmeira das Missoes/ RS. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Three themes emerged: practices of infant feeding transmitted by grandmothers; influence of grandmothers on infant feeding; feelings of primiparas in regard to the actions of grandmothers on infant feeding. Conclusions: The grandmothers are important with regard to the transmission of knowledge, wisdom and experiences related to infant feeding. For nursing care focused on the subjects’ autonomy and responsibility that involves cultural congruence, the nurse should consider that the interactions of the family group, in its dialectical movement, modulate and are modulated byABSTRACT Objective: To identify practices of primiparas about infant feeding of infants learned from the mother and/or grandmother. Methods: Thiswas a qualitative, descriptive research study. The subjects were 11 primiparas, who used the Unified Health System of Palmeira das Missoes/RS. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Three themes emerged: practicesof infant feeding transmitted by grandmothers; influence of grandmothers on infant feeding; feelings of primiparas in regard to the actionsof grandmothers on infant feeding. Conclusions: The grandmothers are important with regard to the transmission of knowledge, wisdomand experiences related to infant feeding. For nursing care focused on the subjects’ autonomy and responsibility that involves culturalcongruence, the nurse should consider that the interactions of the family group, in its dialectical movement, modulate and are modulated bytheir culture. Keywords: Breast feeding; Culture; Family; Nursing; Infant nutrition

Self-care of patients in conservative treatment of chronic renal insufficiency

7 Masters student of the Nursing Graduate Program, UFRGS. Porto Alegre, Rio Grande do Sul, Brazil. E-mail: francielefrc@ gmail.com ABSTRACT: This qualitative research was developed in the renal outpatient clinic of a public hospital in the south of Brazil. The objective of the study was to describe how patients in conservative treatment of chronic renal insufficiency care for themselves. Fifteen patients in conservative treatment of chronic renal insufficiency participated in the research. A narrative interview was used for the collection of data. The following themes were identified: lifestyle, continuity, changes and adaptations; the use of drugs in self-care; outpatient monitoring in conservative treatment; and physical activity and leisure in self-care. It was concluded that the self-care of patients in conservative treatment is expressed through attitudes that range from denial to acceptance of the chronic condition. It is necessary to think about health promotion more amply, seeking quality of life for patients in conservative treatment of chronic renal insufficiency for self-care. DESCRIPTORS: Chronic renal insufficiency. Nursing. Activities of daily living. Chronic disease. Life change events.ThisqualitativeresearchwasdevelopedintherenaloutpatientclinicofapublichospitalinthesouthofBrazil.�The� objectiveofthestudywastodescribehowpatientsinconservativetreatmentofchronicrenalinsufficiencycareforthemselves.�Fifteen� patientsinconservativetreatmentofchronicrenalinsufficiencyparticipatedintheresearch.�Anarrativeinterviewwasusedforthe� collectionofdata.�Thefollowingthemeswereidentified:� lifestyle,�continuity,�changesandadaptations;�theuseofdrugsinself-care;� outpatientmonitoringinconservativetreatment;�andphysicalactivityandleisureinself-care.�Itwasconcludedthattheself-careof� patientsinconservativetreatmentisexpressedthroughattitudesthatrangefromdenialtoacceptanceofthechroniccondition.�Itis� necessarytothinkabouthealthpromotionmoreamply,�seekingqualityoflifeforpatientsinconservativetreatmentofchronicrenal� insufficiencyforself-care. DESCRIPTORS:�Chronicrenalinsufficiency.�Nursing.�Activitiesofdailyliving.�Chronicdisease.�Lifechangeevents.

O cuidado de si de pessoas em tratamento conservador da insuficiência renal crônica

7 Masters student of the Nursing Graduate Program, UFRGS. Porto Alegre, Rio Grande do Sul, Brazil. E-mail: francielefrc@ gmail.com ABSTRACT: This qualitative research was developed in the renal outpatient clinic of a public hospital in the south of Brazil. The objective of the study was to describe how patients in conservative treatment of chronic renal insufficiency care for themselves. Fifteen patients in conservative treatment of chronic renal insufficiency participated in the research. A narrative interview was used for the collection of data. The following themes were identified: lifestyle, continuity, changes and adaptations; the use of drugs in self-care; outpatient monitoring in conservative treatment; and physical activity and leisure in self-care. It was concluded that the self-care of patients in conservative treatment is expressed through attitudes that range from denial to acceptance of the chronic condition. It is necessary to think about health promotion more amply, seeking quality of life for patients in conservative treatment of chronic renal insufficiency for self-care. DESCRIPTORS: Chronic renal insufficiency. Nursing. Activities of daily living. Chronic disease. Life change events.ThisqualitativeresearchwasdevelopedintherenaloutpatientclinicofapublichospitalinthesouthofBrazil.�The� objectiveofthestudywastodescribehowpatientsinconservativetreatmentofchronicrenalinsufficiencycareforthemselves.�Fifteen� patientsinconservativetreatmentofchronicrenalinsufficiencyparticipatedintheresearch.�Anarrativeinterviewwasusedforthe� collectionofdata.�Thefollowingthemeswereidentified:� lifestyle,�continuity,�changesandadaptations;�theuseofdrugsinself-care;� outpatientmonitoringinconservativetreatment;�andphysicalactivityandleisureinself-care.�Itwasconcludedthattheself-careof� patientsinconservativetreatmentisexpressedthroughattitudesthatrangefromdenialtoacceptanceofthechroniccondition.�Itis� necessarytothinkabouthealthpromotionmoreamply,�seekingqualityoflifeforpatientsinconservativetreatmentofchronicrenal� insufficiencyforself-care. DESCRIPTORS:�Chronicrenalinsufficiency.�Nursing.�Activitiesofdailyliving.�Chronicdisease.�Lifechangeevents.

THE MEANING OF BEING-A-CAREGIVER OF A DEPENDENT RELATIVE SUFFERING FROM CANCER: PALLIATIVE CONTRIBUTIONS

The goal with to understanding the meaning of being-a-caregiver for a family member with cancer who is highly dependent for daily activities. Phenomenologic...

The perceptions of workers in a long-term care institution for older adults regarding the family

This study aimed to investigate the perception of the workers in a Long-Term Care Institution for the Elderly regarding the families of the older adults in the institution. It is qualitative research, undertaken with 16 workers of the multidisciplinary team. Data collection occurred in February-June 2012, through semi-structured interviews. The technique used for treatment of the data was thematic analysis. The results indicate that the family members visit the Long-Term Care Institution for the Elderly rarely, with commemorative dates being the main occasions in which they appear. The workers evidenced some situations of abandonment, in which the family does not visit the older adult even when called. They understand that nobody can substitute the role of the family, as it is the reference for the older adults. Therefore, spending time with the family can positively influence the well-being of the older adults in institutions. DESCRIPTORS: Homes for the aged. Workers. Family. Aged.This study aimed to investigate the perception of the workers in a Long-Term Care Institution for the Elderly regarding the families of the older adults in the institution. It is qualitative research, undertaken with 16 workers of the multidisciplinary team. Data collection occurred in February-June 2012, through semi-structured interviews. The technique used for treatment of the data was thematic analysis. The results indicate that the family members visit the Long-Term Care Institution for the Elderly rarely, with commemorative dates being the main occasions in which they appear. The workers evidenced some situations of abandonment, in which the family does not visit the older adult even when called. They understand that nobody can substitute the role of the family, as it is the reference for the older adults. Therefore, spending time with the family can positively influence the well-being of the older adults in institutions.

Contribuições de grupos de educação em saúde para o saber de pessoas com hipertensão

Este estudio tuvo como objetivo conocer como el conocimiento en salud se construye por personas con hipertension acompanadas por un equipo de salud de la familia. Se trata de una investigacion cualitativa, descriptiva realizada con nueve personas cuyos datos fueron recolectados a traves de entrevistas semiestructuradas y observacion. Los datos fueron trabajados con analisis tematico. La construccion del saber en salud es influenciada por diversos elementos del cotidiano de los sujetos. El dialogo y la convivencia con otras personas son elementos de mayor impacto en la construccion de este saber. Asi, el grupo de educacion en salud fue apuntado como espacio relevante, tanto por las explicaciones dadas por los profesionales, cuanto por el cambio de conocimientos y experiencias con los demas participantes. Se concluye que a pesar de vivenciar las mismas actividades pedagogicas, las repercusiones de las acciones de educacion en salud sean efectivas y percibidas diferentemente por los sujetos.This study investigated how the health knowledge is constructed by individuals with hypertension, accompanied by a team of family health. This is a qualitative descriptive study, conducted with nine individuals whose data were collected through semi-structured interviews and observation. The data was analyzed through thematic analysis. The construction of knowledge in health is influenced by many elements in the everyday life of the subjects. The dialogue and interaction with others are elements of greatest impact to build such knowledge. Thus, the health education group was pointed out as a relevant activity, both due to the explanations presented by the professionals, as well as the Exchange of knowledge and experiences with the other participants. It is concluded that although living the same pedagogical activities, the repercussions of the health education actions will take effect and will be noticed differently by the subjects.

Overload of family caregiver at home: an integrative literature review

This is an integrative literature review that aims to identfy evidences on the factors causing overload and their consequences for family caregivers of adults or the elderly. The review covered 27 studies at databases, using the keywords caregivers, family, and overload in the period from 1999 to 2009. Four categories came up: the imposition of being a caregiver, taking care alone, the dependence of the person that receives care, and the bio-psychosocial weariness of the caregiver. The results showed that the imposition of the role of caregiver, lack of support from other family members, level of dependency of the patient related to the pathology, and physical and psychological weariness are the main factors causing overload in family caregivers. The need for more support and availability by health professionals to family caregivers in their home activities is evident.

Influence of grandmothers on infant feeding: what they say to their daughters and granddaughters

Objective: To identify practices of primiparas about infant feeding of infants learned from the mother and/or grandmother. Methods: This was a qualitative, descriptive research study. The subjects were 11 primiparas, who used the Unified Health System of Palmeira das Missoes/ RS. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Three themes emerged: practices of infant feeding transmitted by grandmothers; influence of grandmothers on infant feeding; feelings of primiparas in regard to the actions of grandmothers on infant feeding. Conclusions: The grandmothers are important with regard to the transmission of knowledge, wisdom and experiences related to infant feeding. For nursing care focused on the subjects’ autonomy and responsibility that involves cultural congruence, the nurse should consider that the interactions of the family group, in its dialectical movement, modulate and are modulated byABSTRACT Objective: To identify practices of primiparas about infant feeding of infants learned from the mother and/or grandmother. Methods: Thiswas a qualitative, descriptive research study. The subjects were 11 primiparas, who used the Unified Health System of Palmeira das Missoes/RS. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Three themes emerged: practicesof infant feeding transmitted by grandmothers; influence of grandmothers on infant feeding; feelings of primiparas in regard to the actionsof grandmothers on infant feeding. Conclusions: The grandmothers are important with regard to the transmission of knowledge, wisdomand experiences related to infant feeding. For nursing care focused on the subjects’ autonomy and responsibility that involves culturalcongruence, the nurse should consider that the interactions of the family group, in its dialectical movement, modulate and are modulated bytheir culture. Keywords: Breast feeding; Culture; Family; Nursing; Infant nutrition

Direitos legais da pessoa com câncer: conhecimentos de usuários de um serviço de oncologia público

Doi: 10.5902/2179769213002 Aim: to verify the knowledge of patients with cancer in treatment at the oncology service of a public university hospital about their legal rights. Method: this study is descriptive and exploratory and has a quantitative approach. It was performed in the chemotherapy and radiotherapy services. The sample consisted of 73 patients undergoing cancer treatment. The data collection occurred from October to November 2013, through a questionnaire containing socio-demographic and clinical questions as well as questions related to the legal rights of cancer patients. Data were analyzed through simple descriptive statistics using the software Epi Info. Results: among the rights, the best known was the sick pay. The means of communication was the most frequently mentioned source of information regarding the right to preferential treatment in establishments. Conclusions: it is concluded that cancer patients have little knowledge of their legal rights, being recommended that the services of oncology invest in information.