Rejane Marie Barbosa Davim

Estudo com idosos de instituições asilares no município de Natal/RN: características socioeconômicas e de saúde

The accelerated aging of the Brazilian population will certainly increase the number of institutionalized elderly. Based on this focus, this descriptive and exploratory study was carried out at three asylum institutions in Natal (RN), Brazil, with a view to characterizing the elderly living there, as well as identifying the socioeconomic and health problems and causes that took them to the asylum. The sample consisted of 30% of the total number of elderly in each asylum. These are philanthropic institutions and give shelter to poor elderly persons. Results showed that the three institutions socioeconomic and health characteristics were similar to what is found in literature, with few financial conditions, family contact marked by conflict, lack or absence of leisure activities, precarious health, restricted medical and nursing care and absence of private health plans. Our reflections on the socioeconomic and health conditions of these persons led to the conclusion that public bodies need to take actions to safeguard their civil rights.O envelhecimento populacional acelerado no Brasil certamente aumentara o numero de idosos institucionalizados. Baseados nesse enfoque, este estudo exploratorio descritivo foi desenvolvido em tres instituicoes asilares na cidade de Natal (RN) e objetivou caracterizar o idoso asilado; identificar os problemas socioeconomicos, de saude e as causas que os levaram ao asilo. A amostra constituiu-se de 30% da totalidade de idosos de cada instituicao, as quais tem carater filantropico e abrigam idosos carentes. Os resultados mostraram que as tres instituicoes possuem caracteristicas socioeconomicas e de saude semelhantes as encontradas na literatura, pontuando-se baixas condicoes financeiras, contato familiar conflituoso, atividades de lazer limitadas ou ausentes, saude precaria, restrito atendimento medico e de enfermagem, alem da ausencia de planos privados de saude. Conclui-se, refletindo-se quanto as condicoes socioeconomicas e de saude desses idosos, que ha a necessidade da atuacao de orgaos competentes com vistas a seus direitos de cidadania.

Assistência à parturiente por enfermeiras obstétricas no Projeto Midwifery: um relato de experiência

This study focuses on the nursing care models that value the woman in childbirth process. Authors described the humanized care provided to the parturient by obstetric nurses in the Midwifery Project developed at a University Maternity Hospital. They emphasized that the practice of these models enable the nurses active participation in the childbirth process, resulting in the satisfaction of the parturient and of the professional.Este estudo destaca os modelos assistenciais de enfermagem que valorizam a mulher no processo do trabalho de parto, parto e nascimento. Descreve a assistencia humanizada prestada a parturiente por enfermeiras obstetricas no Projeto Midwifery de uma maternidade escola. Ressalta que a pratica desses modelos possibilita a participacao ativa do enfermeiro no processo de trabalho de parto, parto e nascimento, proporcionando, fundamentalmente, satisfacao a parturiente e ao profissional.

Efetividade de estratégias não farmacológicas no alívio da dor de parturientes no trabalho de parto

Objetivou-se no estudo avaliar a efetividade de estrategias nao-farmacologicas para o alivio da dor de parturientes no trabalho de parto. Ensaio clinico do tipo intervencao terapeutica antes e apos, realizado em uma maternidade publica de Natal/RN - Brasil, com 100 parturientes na aplicacao de exercicios respiratorios, relaxamento muscular, massagem lombossacral e banho de chuveiro. Utilizou-se a escala analogica visual para coleta de dados. A maioria das parturientes tinha entre 20 a 30 anos de idade (60%), ensino fundamental incompleto (85%), renda familiar de ate 2 salarios minimos (74%) e 78% estavam com acompanhantes. A ocitocina foi administrada em 81% dos casos, mas 15% nao receberam qualquer medicacao. Verificou-se diferenca significativa no alivio da dor apos a aplicacao das ENF, demonstrando reducao dessa dor a medida que aumentava a dilatacao do colo. Conclui-se que as estrategias foram efetivas no alivio da intensidade da dor das parturientes estudadas durante o trabalho de parto.The study objective was to evaluate the effectiveness of non-pharmacological strategies to relieve pain in parturients in labor. This is a before and after therapeutic intervention clinical trial, performed at a public maternity in the city of Natal, in the state of Rio Grande do Norte, Brazil, with 100 parturients applying breathing exercises, muscle relaxation, lumbosacral massage, and showers. A visual analogue scale was used for data collection. Most parturients were between 20- and 30-years-old (60%), had incomplete primary-level education (85%), family income of up to 2 minimum salaries (74%), and 78% had a companion with them at the hospital. Oxytocine was administered in 81% of cases, but 15% did not receive any medication. A significant difference was observed in pain relief after using non-pharmacological strategies, showing reduced pain as cervix dilation increased. It was concluded that the strategies were effective in reducing the intensity of pain in the studied parturients in labor.

ASSISTÊNCIA AO PARTO NORMAL NO DOMICÍLIO

This study presents the experience of an obstetric nurse and of a couple who had their third child. It focuses on care standards that value women and couples in the childbirth and delivery process. It describes the care given to a couple during the pregnancy stage and during home delivery. The experience enabled the active participation of the couple and their children in the childbirth process, which essentially provided satisfaction to the family and to the professional.This study presents the experience of an obstetric nurse and of a couple who had their third child. It focuses on care standards that value women and couples in the childbirth and delivery process. It describes the care given to a couple during the pregnancy stage and during home delivery. The experience enabled the active participation of the couple and their children in the childbirth process, which essencialy provided satisfaction to the family and to the professional.Este estudio trata de la experiencia vivida por una enfermera obstetrica con una pareja esperando su tercero hijo. Destaca los modelos asistenciales que valorizan la mujer y la pareja en el proceso del nacimiento y parto. Describe la atencion prestada a una pareja durante el proceso de la gestacion y parto realizado en la casa. Resalta que la experiencia hizo posible la participacion activa de la pareja y de los hijos en el proceso del nacimiento y parto, propiciando fundamentalmente, satisfaccion a familia y al profesional.

Effectiveness of non-pharmacological strategies in relieving labor pain

Objetivou-se no estudo avaliar a efetividade de estrategias nao-farmacologicas para o alivio da dor de parturientes no trabalho de parto. Ensaio clinico do tipo intervencao terapeutica antes e apos, realizado em uma maternidade publica de Natal/RN - Brasil, com 100 parturientes na aplicacao de exercicios respiratorios, relaxamento muscular, massagem lombossacral e banho de chuveiro. Utilizou-se a escala analogica visual para coleta de dados. A maioria das parturientes tinha entre 20 a 30 anos de idade (60%), ensino fundamental incompleto (85%), renda familiar de ate 2 salarios minimos (74%) e 78% estavam com acompanhantes. A ocitocina foi administrada em 81% dos casos, mas 15% nao receberam qualquer medicacao. Verificou-se diferenca significativa no alivio da dor apos a aplicacao das ENF, demonstrando reducao dessa dor a medida que aumentava a dilatacao do colo. Conclui-se que as estrategias foram efetivas no alivio da intensidade da dor das parturientes estudadas durante o trabalho de parto.The study objective was to evaluate the effectiveness of non-pharmacological strategies to relieve pain in parturients in labor. This is a before and after therapeutic intervention clinical trial, performed at a public maternity in the city of Natal, in the state of Rio Grande do Norte, Brazil, with 100 parturients applying breathing exercises, muscle relaxation, lumbosacral massage, and showers. A visual analogue scale was used for data collection. Most parturients were between 20- and 30-years-old (60%), had incomplete primary-level education (85%), family income of up to 2 minimum salaries (74%), and 78% had a companion with them at the hospital. Oxytocine was administered in 81% of cases, but 15% did not receive any medication. A significant difference was observed in pain relief after using non-pharmacological strategies, showing reduced pain as cervix dilation increased. It was concluded that the strategies were effective in reducing the intensity of pain in the studied parturients in labor.

Study with elderly from asylums in Natal/RN: socioeconomic and health characteristics

The accelerated aging of the Brazilian population will certainly increase the number of institutionalized elderly. Based on this focus, this descriptive and exploratory study was carried out at three asylum institutions in Natal (RN), Brazil, with a view to characterizing the elderly living there, as well as identifying the socioeconomic and health problems and causes that took them to the asylum. The sample consisted of 30% of the total number of elderly in each asylum. These are philanthropic institutions and give shelter to poor elderly persons. Results showed that the three institutions socioeconomic and health characteristics were similar to what is found in literature, with few financial conditions, family contact marked by conflict, lack or absence of leisure activities, precarious health, restricted medical and nursing care and absence of private health plans. Our reflections on the socioeconomic and health conditions of these persons led to the conclusion that public bodies need to take actions to safeguard their civil rights.O envelhecimento populacional acelerado no Brasil certamente aumentara o numero de idosos institucionalizados. Baseados nesse enfoque, este estudo exploratorio descritivo foi desenvolvido em tres instituicoes asilares na cidade de Natal (RN) e objetivou caracterizar o idoso asilado; identificar os problemas socioeconomicos, de saude e as causas que os levaram ao asilo. A amostra constituiu-se de 30% da totalidade de idosos de cada instituicao, as quais tem carater filantropico e abrigam idosos carentes. Os resultados mostraram que as tres instituicoes possuem caracteristicas socioeconomicas e de saude semelhantes as encontradas na literatura, pontuando-se baixas condicoes financeiras, contato familiar conflituoso, atividades de lazer limitadas ou ausentes, saude precaria, restrito atendimento medico e de enfermagem, alem da ausencia de planos privados de saude. Conclui-se, refletindo-se quanto as condicoes socioeconomicas e de saude desses idosos, que ha a necessidade da atuacao de orgaos competentes com vistas a seus direitos de cidadania.

Actions in the prevention of breast cancer examination in the nurses´consultation

ABSTRACT Objective : to describe the actions in the prevention of the breast cancer examination (BCE) in the nurse consultation in its practice in the Papanicolaou exam. Method : descriptive-exploratory study, with quantitative approach, developed in the municipalities of Coronel Ezequiel/RN and Espirito Santo/RN. The population was all the nurses of the Family Health Strategy. Data were collected through a structured interview. Results : the study showed a satisfactory knowledge of the nurses in the indication of the BCE in the asymptomatic ones and which behaviors were taken in those considered at risk. Conclusion : the research revealed gaps in the knowledge regarding the period for BCE, the recommended age for mammography and the best test indicated in the early diagnosis of BCE. Descriptors : Breast Cancer; Primary Prevention; Women’s Health. RESUMO Objetivo: descrever as acoes na prevencao do exame de câncer de mama (ECM) na consulta do enfermeiro em sua pratica no exame de Papanicolaou. Metodo: estudo descritivo-exploratorio, com abordagem quantitativa , desenvolvido nos municipios de Coronel Ezequiel/RN e Espirito Santo/RN . A populacao constou de todos os enfermeiros da Estrategia Saude da Familia. Os dados foram coletados por meio de entrevista estruturada. Resultados: o estudo mostrou conhecimento satisfatorio dos enfermeiros na indicacao do ECM nas assintomaticas e quais condutas a serem tomadas nas consideradas de risco. Conclusao: a pesquisa revelou lacunas no conhecimento quanto ao periodo para o ECM, idade recomendada para a mamografia e melhor exame indicado no diagnostico precoce do ECM. Descritores : Câncer de Mama; Prevencao Primaria; Saude da Mulher. RESUMEN Objetivo: describir las acciones en la prevencion del examen de cancer de mama (ECM) en la consulta del enfermero en son practica en el examen de Papanicolaou. Metodo: estudio descriptivo-exploratorio, con enfoque cuantitativo , desarrollado en los municipios de Coronel Ezequiel/RN y Espirito Santo/RN . La poblacion consto de todos los enfermeros de la Estrategia Salud de la Familia. Los datos fueron recogidos por medio de entrevista estructurada. Resultados: el estudio mostro conocimiento satisfactorio de los enfermeros en la indicacion del ECM en las asintomaticas y cuales conductas son tomadas en las consideradas de riesgo. Conclusion: la investigacion revelo lagunas em el conocimiento em el periodo para el ECM, edad recomendada para la mamografia y mejor examen indicado en el diagnostico precoz del ECM. Descriptores : Cancer de Mama; Prevencion Primaria; Salud de la Mujer. Normal 0 21 false false false PT-BR X-NONE X-NONE /* Style Definitions */n table.MsoNormalTablen {mso-style-name:Tabela normal;n mso-tstyle-rowband-size:0;n mso-tstyle-colband-size:0;n mso-style-noshow:yes;n mso-style-priority:99;n mso-style-qformat:yes;n mso-style-parent:;n mso-padding-alt:0cm 5.4pt 0cm 5.4pt;n mso-para-margin:0cm;n mso-para-margin-bottom:.0001pt;n mso-pagination:widow-orphan;n font-size:11.0pt;n font-family:Calibri,sans-serif;n mso-ascii-font-family:Calibri;n mso-ascii-theme-font:minor-latin;n mso-fareast-font-family:Times New Roman;n mso-fareast-theme-font:minor-fareast;n mso-hansi-font-family:Calibri;n mso-hansi-theme-font:minor-latin;n mso-bidi-font-family:Times New Roman;n mso-bidi-theme-font:minor-bidi;}

Characterization of obstetrical service attended by occurrences of Mobile Service of Urgency/Samu

Objectives: to characterize obstetric events attended by SAMU/Natal/RN; to know the reason to call to SAMU/Natal/RN; to identify the main complaints of users and behavior taken by health professionals. Methodology: documentary research, retrospective, transversal quantitative, using secondary data of Vehicle Bulletins and Modular Management System of Medical Regulation of SAMU/Natal/RN from November 2010 to April 2011. Results: there were 257 obstetrical attendance and the main complaints were: pain in lower abdomen (25%), vaginal bleeding (21%), uterine contractions (20%) and loss of amniotic fluid (13%). 34% of women were in labor, from them 45% presented broken amniotic sac. Most of the phone calls (60%) were from residence, 34% came from other healthcare institutions and the rest of public space. Conclusion: it becomes indispensable greater precaution in the organization of obstetric attention area, awareness of the population when the purpose of the SAMU avoiding congestion of lines and service fleets in situations considered noncritical. Descriptors: Obstetric Nursing; Nursing in Emergency; Pre-Hospital Assistance. RESUMO Objetivos: caracterizar ocorrências obstétricas atendidas pelo SAMU/Natal/RN; conhecer o motivo de acionamento SAMU/Natal/RN; identificar as principais queixas das usuárias e condutas tomadas pelos profissionais da saúde. Metodologia: pesquisa documental, retrospectiva, transversal quantitativa, usando dados secundários dos Boletins de Viatura e do Sistema de Gerenciamento Modular de Regulação Médica do SAMU/Natal/RN entre novembro de 2010 a abril de 2011. Resultados: ocorreram 257 atendimentos obstétricos e as principais queixas foram: dor em baixo ventre (25%), sangramento vaginal (21%), contrações uterinas (20%) e perda de líquido amniótico (13%); 34% das mulheres estavam em trabalho de parto, dessas 45% apresentaram bolsa rota. A maioria dos chamados (60%) surgiu das residências, 34% de outras instituições de saúde e os demais de vias públicas. Conclusão: torna-se indispensável maior precaução na organização da rede de atenção obstétrica, conscientização da população quando à finalidade do SAMU evitando congestionamento das linhas e frotas do serviço em situações consideradas como não críticas. Descritores: Enfermagem Obstétrica; Enfermagem em Emergência; Assistência Pré-Hospitalar. RESUMEN Objetivos: caracterizar ocurrencias obstétricas atendidas por SAMU/Natal/RN; conocer el motivo de acción a SAMU/Natal/RN; identificar las principales quejas de las usuarias y conductas tomadas por los profesionales de la salud. Metodología: investigación documental, retrospectiva, transversal cuantitativa, usando datos secundarios de los Boletines de Vehículos y del Sistema de Gerencia Modular de Regulación Médica del SAMU/Natal/RN entre noviembre de 2010 a abril de 2011. Resultados: ocurrieron 257 atendimientos obstétricos y las principales quejas fueron: dolor abajo del vientre (25%), sangrado vaginal (21%), contracciones uterinas (20%) y perdida de líquido amniótico (13%); 34% de las mujeres estaban en trabajo de parto, de esas 45% presentaron la bolsa rota. La mayoría de los llamados (60%) surgió de las residencias, 34% de otras instituciones de salud y los demás de vías públicas. Conclusión: se torna indispensable mayor precaución en la organización de la red de atención obstétrica, concientización de la población cuando a la finalidad del SAMU evitando congestionamiento de las líneas y flotas del servicio en situaciones consideradas como no críticas. Descriptores: Enfermería Obstétrica; Enfermería en Emergencia; Asistencia PreHospitalaria. Obstetric Nurse of the Maternity School Januário Cicco/UFRN and Maternity of Divino Amor in the municipality of Parnamirim/RN. Natal (RN), Brazil. Email: akdenfa@gmail.com; Nurse Master of the Liga Norteriograndense against cancer; Mobile service of urgency of Natal/SAMU/Natal. Natal (RN), Brazil. Email glaycelouyse@yahoo.com.br; Obstetric Nurse, Doctorate Professor, Federal University of Rio Grande do Norte/UFRN. Natal (RN), Brazil. Email: rejanemb@uol.com.br; Nurse, Master degree, Post-graduate Program Masters/Doctorate in Nursing, Nursing Department/UFRN. Natal (RN), Brazil. Email: hilderjanecarla@hotmail.com; Obstetric Nurse, Doctorate Professor, Nursing School of Natal/UFRN. Natal (RN), Brazil. Email: jovanka@ufrnet.br ORIGINAL ARTICLE Dantas AKC, Carvalho JBL de, Castro GLT et al. Characterization of obstetrical service attended... English/Portuguese J Nurs UFPE on line., Recife, 7(spe):6156-61, Oct., 2013 6157 DOI: 10.5205/reuol.4397-36888-6-ED.0710esp201313 ISSN: 1981-8963 In 2000, the United Nations (UN) established eight Millennium goals-ODM, which in Brazil are called Eight ways to change the world. Among them, the 5th step refers to the improvement of the health of pregnant women, because in Brazil the index of maternal mortality corresponds to 2.6 per 1,000 cases. Among the main causes of such a framework is the lack of preparation of the mothers for self-care during pregnancy, malnutrition and inadequate medical assistance, especially with regard to complications of pregnancy, which can lead to the need for urgent or emergency care. According to the Ministry of Health (MS), the States and municipalities shall have a health area organized towards qualified attention to pregnant women, whereas ensuring linkage between units providing prenatal care and maternity/hospitals, as well as transfer of pregnant until a unit that has vague ensured, through the Emergency Mobile Service (SAMU), salvage and rescue service associated, under medical control. This consists of pre-hospital assistance mobile, i.e. held in homes, workplaces and public space, having as its main focus the attendance in urgent/emergency situations. 3 The SAMU was implanted in Brazil from September 2003, expanding rapidly and providing coverage to 47% of the Brazilian population in an average of 84 million individuals in 784 cities until the year 2006. According to MS, the SAMU answers by the telefone192 in 24 hours a day, traumatic nature emergency, clinic, surgical, gestational and obstetric, Pediatric, neonatal and mental health, engaging specially trained teams. In the field of regulation of the municipality, doctors, having as a base, protocols, assess each case clarifying the user, when possible, the best action to be taken, send basic or advanced support units, fire firefighters and civil defense or emergency referral hospital. 5 The attendances within pre-hospital, in cases of urgency, aimed at reducing the number of deaths due to therapeutic delay; reduction in the number of users with sequels caused by late, partial attendance and/or inappropriate; increased availability of resources for the individual; guidelines for use of other means than those hospital emergencies; optimization of the use of ambulatory and hospital ambulances (Basic); availability of qualified staff and Intensive Care Unit (ICU) furniture for the correct serious users transport between hospitals. In pre-hospital attendance there are two types of assistance: Basic Life Support (BLS) in which are carried out by invasive procedures and Advanced Life Support (ALS) which takes place by invasive practices of maintaining circulatory and ventilatory support in cases of greater severity and complexity, functioning as mobile ICU. National Policy Attention to the Urgency (NPAU), in its Ordinance GM no 1,863 of September 29, 2003, focuses on, besides the pre-hospital emergency mobile component, the pre-hospital component fixed, which must be by Basic Health Attention (BHA). 3 One of the justifications and considerations for the institution of NPAU, the Ordinance GM no 1,863 of September 29, 2003 mentions that it is the responsibility of the MS stimulate integral attention to the urgency through the deployment and implementation of primary health care services and family health, nonhospital units to emergency care, hospital doors mobile emergency medical attention to the emergency room, home care services and integral rehabilitation in the country. SAMU organization happens for central system of regulation, given that the Central Regulating medical (CRM) is responsible for the calls and occurrences. This power Central has as basis knowledge of available resources on screening and sorting of priorities, decision-making for streamlining existing resources and in a differentiated manner and individualized to each call, according to the need, while respecting the principle of equality of the Unique Health System (SUS). It is known that the implementation process of the SAMU is the planning of the needs of the population, with the valued resources to facilitate these needs. The critical assessment of policies of job, sickness and practitioner skills on them entered, includes, among other activities, continuing education programs and the preparation of this beneficial service. In order to reduce the number of deaths or sequel arising to the therapeutic delay PreHospital Mobile Attendance (PHMA) emerged as an important advance in the area of health. When triggered via toll-free number 192, the CRM enables tiering and regionalization of services, reduce slowdowns in attendance and capacity of hospitals, being among its instances obstetric cases. It is known that the calls by external causes are currently public health problem with universal dimension to the confrontation and development of public policies. In Brazil, the MS has a data of Mortality Information System (MIS), Hospital INTRODUCTION Dantas AKC, Carvalho JBL de, Castro GLT et al. Characterization of obstetrical service attended... English/Portuguese J Nurs UFPE on line., Recife, 7(spe):6156-61, Oct., 2013 6158 DOI: 10.5205/reuol.4397-36888-6-ED.0710esp201313 ISSN: 1981-8963 Information System of SUS (SIH/SUS) for monitoring of the external causes and, from 2006, with data from the Surveillance System of Violence and Accidents (SSVA) made up of two components

La efectividad de estratégias no farmacológicas en el alivio del dolor de parturientas en el trabajo de parto

Objetivou-se no estudo avaliar a efetividade de estrategias nao-farmacologicas para o alivio da dor de parturientes no trabalho de parto. Ensaio clinico do tipo intervencao terapeutica antes e apos, realizado em uma maternidade publica de Natal/RN - Brasil, com 100 parturientes na aplicacao de exercicios respiratorios, relaxamento muscular, massagem lombossacral e banho de chuveiro. Utilizou-se a escala analogica visual para coleta de dados. A maioria das parturientes tinha entre 20 a 30 anos de idade (60%), ensino fundamental incompleto (85%), renda familiar de ate 2 salarios minimos (74%) e 78% estavam com acompanhantes. A ocitocina foi administrada em 81% dos casos, mas 15% nao receberam qualquer medicacao. Verificou-se diferenca significativa no alivio da dor apos a aplicacao das ENF, demonstrando reducao dessa dor a medida que aumentava a dilatacao do colo. Conclui-se que as estrategias foram efetivas no alivio da intensidade da dor das parturientes estudadas durante o trabalho de parto.The study objective was to evaluate the effectiveness of non-pharmacological strategies to relieve pain in parturients in labor. This is a before and after therapeutic intervention clinical trial, performed at a public maternity in the city of Natal, in the state of Rio Grande do Norte, Brazil, with 100 parturients applying breathing exercises, muscle relaxation, lumbosacral massage, and showers. A visual analogue scale was used for data collection. Most parturients were between 20- and 30-years-old (60%), had incomplete primary-level education (85%), family income of up to 2 minimum salaries (74%), and 78% had a companion with them at the hospital. Oxytocine was administered in 81% of cases, but 15% did not receive any medication. A significant difference was observed in pain relief after using non-pharmacological strategies, showing reduced pain as cervix dilation increased. It was concluded that the strategies were effective in reducing the intensity of pain in the studied parturients in labor.

Estudio con ancianos de instituciones asilares en el municipio de Natal/RN: características socio-económicas y de salud

The accelerated aging of the Brazilian population will certainly increase the number of institutionalized elderly. Based on this focus, this descriptive and exploratory study was carried out at three asylum institutions in Natal (RN), Brazil, with a view to characterizing the elderly living there, as well as identifying the socioeconomic and health problems and causes that took them to the asylum. The sample consisted of 30% of the total number of elderly in each asylum. These are philanthropic institutions and give shelter to poor elderly persons. Results showed that the three institutions socioeconomic and health characteristics were similar to what is found in literature, with few financial conditions, family contact marked by conflict, lack or absence of leisure activities, precarious health, restricted medical and nursing care and absence of private health plans. Our reflections on the socioeconomic and health conditions of these persons led to the conclusion that public bodies need to take actions to safeguard their civil rights.O envelhecimento populacional acelerado no Brasil certamente aumentara o numero de idosos institucionalizados. Baseados nesse enfoque, este estudo exploratorio descritivo foi desenvolvido em tres instituicoes asilares na cidade de Natal (RN) e objetivou caracterizar o idoso asilado; identificar os problemas socioeconomicos, de saude e as causas que os levaram ao asilo. A amostra constituiu-se de 30% da totalidade de idosos de cada instituicao, as quais tem carater filantropico e abrigam idosos carentes. Os resultados mostraram que as tres instituicoes possuem caracteristicas socioeconomicas e de saude semelhantes as encontradas na literatura, pontuando-se baixas condicoes financeiras, contato familiar conflituoso, atividades de lazer limitadas ou ausentes, saude precaria, restrito atendimento medico e de enfermagem, alem da ausencia de planos privados de saude. Conclui-se, refletindo-se quanto as condicoes socioeconomicas e de saude desses idosos, que ha a necessidade da atuacao de orgaos competentes com vistas a seus direitos de cidadania.