scholarly journals Institutionalized elderly people with dementia: an integrative review on nursing care

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Josiane Steil Siewert ◽  
Angela Maria Alvarez ◽  
Silvia Maria Azevedo dos Santos ◽  
Fabiana Almeida Brito ◽  
Karina Silveira de Almeida Hammerschmidt

ABSTRACT Objective: To ascertain the characteristics of the nursing care provided to institutionalized elderly people with dementia. Methods: Integrative review of studies published between 2013 and 2017, in English, Spanish, and Portuguese, from the databases BDENF, LILACS, CINAHL, PubMed, SciELO, TRIP, and National Guideline Clearing House. Thematic data analysis was used. Results: From the data collected in the 41 included studies, three themes emerged: Care with a focus on the needs of elderly people in LTCIEs; Care based on the work process of the nursing team; and Shared care. Final considerations: Elderly care can take place from different perspectives: that of the elderly; the nursing team; and it can be shared among the different parties involved. The importance of communication must be stressed, as do the development of skills and attitudes of the team, as well as proper training and support, good environment in the care process, and an approach centered on the institutionalized elderly.

2021 ◽  
Vol 1 (06) ◽  
Author(s):  
Arethusa De Oliveira Santos ◽  
Rose Mary Silva Souza

The nursing team should promote adequate assistance to the elderly, prioritizing respect for their autonomy. The objective of this study is to evaluate in the existing literature the actions developed by the nursing performed to demonstrate the autonomy of the elderly. This is a descriptive, bibliographical study of the type integrative review. As a sample of articles in Portuguese, indexed in the portals SciELO, Virtual Health Library (VHL), Latin American and Caribbean Literature in Health Sciences (LILACS) and Google Academic, published between the years of 2012 and 2017. data, the articles will be categorized and inserted into tables or tables. It is hoped to help synthesize the evidence available in the literature on nursing care for the elderly regarding respect for their autonomy, and may help academics, professionals and researchers regarding the knowledge about the proposed theme, aiming for a quality nursing care, respecting autonomy of the elderly.


2019 ◽  
Vol 86 (24) ◽  
Author(s):  
Raquel Queiroz ◽  
Alessandra Conceição Leite Funchal Camacho ◽  
Cintia Raquel da Costa de Assis

Objetiva-se analisar a produção científica sobre a qualidade de vida de cuidadores de idosos com demência nos últimos cinco anos. Trata-se de uma revisão integrativa PubMed, com a questão norteadora: quais as evidências produzidas sobre a qualidade de vida de cuidadores de idosos com demência? Utilizou-se como recorte temporal artigos publicados entre descritores: demência; cuidadores; enfermagem; qualidade de vida. selecionados 27 artigos, os quais foram agrupados em duas categorias: “Intervenções não farmacológi e/ou fatores relacionados à qualidade de vida”. cuidadores, é possível promover benefícios na qualidade de vida de ambos, proporcionar atenção integral e consciente. Palavras-chave:idosos; qualidade de vida; demência; cuidadores; enfermagem. Abstract The goal is to analyze the scientific production on quality of life of caregivers of elderly people with dementia in the last five years. This is an integrative review carried the guiding question: What are the studies about the quality of life of caregivers of elderly people with dementia? The articles analyzed were published between 2011 and 2016, using quality of life. After applying the eligibility criteria, 27 scientific articles were selected and grouped into two categorie non-pharmacological interventions and symptoms and / or factors relate strategies involving the elderly and caregivers can promote gains in both quality of life by providing a comprehensive and conscious attention. Keywords: elderly; quality of life; dementia; nursing


2021 ◽  
Vol 10 (2) ◽  
pp. 129
Author(s):  
Sumalee Sungsri

Thailand is becoming an elderly society like many countries in the world. The number of elderly people is increasing continuously every year. In order to enable the elderly to live with good quality of life in the rapidly changing society, knowledge and information related to their health and living factors are considered to be necessary for them. Therefore, this study was carried out in order to develop a model of knowledge provision for promoting quality of life of the elderly in rural areas of the country. The samples were drawn from every region of the country which included 480 elderly people, 480 elderly caretakers, and 160 people representing the community leaders, community committee members and staff of local government agencies. Both quantitative and qualitative methods were employed for data collection. The study found that there were five areas of knowledge for promoting quality of life of the elderly: physical health, mental health, social relationship, economic, and learning. The model of knowledge provision to the elderly synthesized from the study could enable the elderly to gain necessary knowledge deemed useful for promoting their quality of life. The elderly, the elderly care caretakers and related people were found to be satisfied with the model.


Author(s):  
Marina Mendes Luiz ◽  
José Jeová Mourão Netto ◽  
Ana Karina Barbosa Vasconcelos ◽  
Maria Da Conceição Coelho Brito

OBJETIVO: Identificar as principais intervenções e ações da enfermagem ao paciente idoso sob cuidados paliativos em UTI. MÉTODOS: Trata-se de um estudo descritivo com abordagem qualitativa do tipo revisão integrativa, do qual foram analisados 16 artigos publicados entre os anos de 2005 a 2014, nas bases de dados Scielo, Lilacs e Bdenf. Para a seleção e análise dos artigos foi utilizado um instrumento validado. RESULTADOS: A maioria dos artigos foram publicados no ano de 2013, em periódicos de enfermagem geral, emergindo três categorias temáticas: a Enfermagem no alívio da dor e sofrimento em cuidados paliativos, a comunicação como tratamento terapêutico e abordagem multiprofissional em UTI como estratégia de cuidado. CONCLUSÃO: Propõe-se que pesquisas posteriores sejam realizadas, na tentativa de aprofundar e publicar estratégias para um bom atendimento ao idoso sob cuidados paliativos em terapia intensiva e melhorar o método de assistência nos ambientes de trabalho. DESCRITORES: Cuidado Paliativo; Idoso; Unidades de Terapia Intensiva.


2019 ◽  
Vol 39 (1/2) ◽  
pp. 138-155 ◽  
Author(s):  
Antti O. Tanskanen ◽  
Johanna Kallio ◽  
Mirkka Danielsbacka

Purpose The purpose of this paper is to investigate public opinions towards elderly care. The authors analysed respondents’ opinions towards financial support, practical help and care for elderly people. Design/methodology/approach The authors used nationally representative data collected in Finland in 2012. Respondents represent an older generation (born between 1945 and 1950, n=1,959) and their adult children (born between 1962 and 1993, n=1,652). Findings First, the authors compared the opinions of older and younger Finns but did not find that older adults were more likely than younger adults support the state responsibility, or vice versa. It was also when only actual parent-child dyads (n=779) from same families were included. Next, the authors found that several socioeconomic and family-related variables were associated with public opinions of elderly care in both generations. For instance, in both generations lower-income individuals supported the state’s responsibility more compared to their better-off counterparts. Originality/value The study provides important knowledge on attitudes towards elderly care using unique two-generational data of younger and older adults.


2018 ◽  
Vol 29 (2) ◽  
pp. 178-205 ◽  
Author(s):  
Martina Čaić ◽  
Gaby Odekerken-Schröder ◽  
Dominik Mahr

Purpose The purpose of this paper is to investigate the potential roles for service robots (i.e. socially assistive robots) in value networks of elderly care. Taking an elderly person’s perspective, it defines robot roles according to their value co-creating/destroying potential for the elderly user (i.e. focal actor), while acknowledging consequences for a network of users around the elderly (i.e. network actors). Design/methodology/approach This qualitative, interpretative study employs in-depth phenomenographic interviews, supported by generative cards activities (i.e. Contextual Value Network Mapping), to elicit an elderly person’s tacit knowledge and anticipate the effects of introducing an automated actor on institutionalized value co-creation practices. Findings The proposed typology identifies six roles of socially assistive robots in an elderly person’s value network (enabler, intruder, ally, replacement, extended self, and deactivator) and links them to three health-supporting functions by robots: safeguarding, social contact, and cognitive support. Research limitations/implications Elderly people have notable expectations about the inclusion of a socially assistive robot as a new actor in their value networks. The identified robot roles inform service scholars and managers about both the value co-destruction potential that needs to be avoided through careful designs and the value co-creation potential that should be leveraged. Originality/value Using network-conscious phenomenographic interviews before the introduction of a novel value proposition sheds new light on the shifting value co-creation interplay among value network actors (i.e. elderly people, formal and informal caregivers). The value co-creation/destruction potential of socially assistive robots and their corresponding roles in care-based value networks offer insights for the design of meaningful robotic technology and its introduction into the existing service networks.


2018 ◽  
Vol 21 (1) ◽  
pp. 35-43
Author(s):  
Barbara Martins Corrêa da Silva ◽  
Célia Pereira Caldas ◽  
Helena Maria Shchelowski Leal David ◽  
Michel Jean Marie Thiollent

Abstract Objective: to analyze the proposal of an action plan created by nurses to deal with difficulties in caring for the elderly. The aim of the present study was therefore to analyze the difficulties that family caregivers find in relation to access to services, material resources and the support network when meeting the care needs of the elderly in accordance with Brazilian public policy. Method: the methodology of participatory research and content analysis proposed by Bardin was used. The context was the Geriatric service of a university hospital. The group of co-researchers included eight nurses and 12 caregivers of elderly people with dementia. Results: the following categories emerged from the analysis: contradictions and work proposals. The contradictions category revealed reflections about the difference between the proposed care for the elderly and the reality of a lack of care and the precarious conditions of health services. This situation leads to overburdening of caregivers. The work proposals refer to the strategies used by nurses to establish a relationship of support to family caregivers to cope with the difficulties involved in care for the elderly. Conclusion: nurses recognize that they are professionals capable of receiving, listening to and managing the needs of family caregivers of the elderly, thus promoting the health of the elderly and the caregivers themselves, preparing the family of the patient for home care and coping with difficulties experienced in elderly care.


2010 ◽  
Vol 23 (3) ◽  
pp. 425-434 ◽  
Author(s):  
Luca Cravello ◽  
Katie Palmer ◽  
Giovanni de Girolamo ◽  
Carlo Caltagirone ◽  
Gianfranco Spalletta

ABSTRACTBackground: Neuropsychiatric disorders are mainly studied in people with dementia but estimates are still not available for institutionalized elderly people without dementia. The aim of this work was to investigate neuropsychiatric syndromes in non-demented elderly people living in residential facilities (RFs).Methods: Data from the PROGRES-Older people project, including 95 RFs in Italy, were analyzed. From a total of 1215 people, 252 without dementia were recruited. Behavioral syndromes were identified using both factor and cluster analysis of results from the 12-item Neuropsychiatric Inventory. Logistic regression was used to assess factors associated with behavioral syndromes. Global cognitive functioning was assessed with the Mini-mental State Examination (MMSE). Current pharmacological treatments were taken from the residents’ records.Results: Five neuropsychiatric syndromes were identified: (1) Affective (depression, anxiety, night-time behaviors); (2) Hyperactive (agitation, irritability, appetite abnormalities); (3) Psychotic (delusions and hallucinations); (4) Manic (euphoria and disinhibition); (5) Apathetic (apathy and aberrant motor behavior). The risk of having a neuropsychiatric syndrome was higher in people with younger age (OR: 5.1, 1.3–20.0), higher education (OR: 7.3, 2.4–22.1), and low MMSE score (OR: 6.5, 1.9–22.2). Almost half of people with behavioral syndromes were not undergoing psychotropic treatment. Hypnotic and anxiolytic agents were the most frequently used drugs for most of the syndromes.Conclusions: Older people without dementia living in RFs exhibit a syndrome pattern of neuropsychiatric behaviors different from those observed in patients with dementia, which are associated with cognitive and sociodemographic characteristics. A large proportion of non-demented older people with neuropsychiatric syndromes are not having adequate treatment for their psychiatric disturbances.


2018 ◽  
Vol 19 (4) ◽  
pp. 262
Author(s):  
Luciana Braga Saraiva ◽  
Suziane Naíris de Souza Arruda dos Santos ◽  
Francisco Ariclene Oliveira ◽  
Arisa Nara Saldanha de Almeida ◽  
Denizielle de Jesus De Jesus Moreira Moura ◽  
...  

O envelhecimento humano é considerado um fenômeno populacional reconhecidamente heterogêneo e multidimensional. Objetivou-se, nesse estudo, investigar a utilização da Avaliação Geriátrica Ampla (AGA) como subsídio para o processo de cuidar em enfermagem a pessoas idosas, em uma Caixa de Autogestão em Saúde, na cidade de Fortaleza-CE. Trata-se de um estudo documental, transversal, de abordagem quantitativa. A amostra foi composta de 70 prontuários de acompanhamento de idosos acima de 80 anos. A coleta dos dados ocorreu, por meio de um formulário semiestruturado, realizada no período de maio a junho de 2015. Constatou-se que 50% dos participantes apresentaram mais de oito anos de estudo. Verificou-se, ainda, que 57,1% são independentes para as atividades de vida diária (AVDs) e que 78,6% dos domicílios estão adequados para redução de risco de quedas. Dentre as comorbidades clínicas existentes, a hipertensão arterial está presente em 22%, seguida de Diabetes Mellitus, com 14,3%. Considera-se, nesse estudo, que a perda funcional ainda se constitui como uma condição de atenção ao cuidado de enfermagem para a população idosa, porquanto pode causar fraturas, síndrome da imobilidade, aumento do grau de dependência, depressão, isolamento social, dentre outras questões referentes ao processo de senilidade, implicando, desse modo, a necessidade de atuação de forma contínua e dinâmica em estratégias de educação em saúde a essa parcela crescente da população. Palavras-chave: Avaliação Geriátrica. Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Cuidados de Enfermagem.  AbstractHuman aging is considered a population phenomenon that is admittedly heterogeneous and multidimensional. The purpose of this study was to investigate the use of the Ample Geriatric Assessment (AGA) as a subsidy for the nursing care process for elderly people in a Health Self-Management Box in the city of Fortaleza-CE. This is a documentary study, cross-sectional with a quantitative approach. The sample consisted of 70 follow-up charts for the elderly over 80 years. The data were collected through a semi-structured form, carried out from May to June 2015. It was verified that 50% of the participants presented more than 8 years of study. It was also verified that 57.1% are independent for activities of daily living (ADLs) and that 78.6% of the households are adequate to reduce the risk of falls. Among the existing clinical comorbidities, arterial hypertension is present in 22%, followed by Diabetes Mellitus, with 14.3%. It is considered in this study that functional loss is still a condition of attention to nursing care for the elderly population, as it can cause fractures, immobility syndrome, increased dependency, depression, social isolation, among other issues relating to the senility process, implying, therefore, the need to act in a continuous and dynamic form in health education strategies to this growing part of the population. Keywords: Geriatric Assessment. International Classification of Functioning, Disability and Health. Nursing Care.


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