Multi-factor Quality Assessment of the Nursing Care for the Elderly Patients

2020 ◽  
Vol 24 (5) ◽  
pp. 4718-4732
Author(s):  
Andrey V. Viryasov
Keyword(s):  
Elderly Patients ◽  
Quality Assessment ◽  
Nursing Care ◽  
The Elderly ◽  
Care For The Elderly

MULTI-FACTOR QUALITY ASSESSMENT OF THE NURSING CARE FOR THE ELDERLY PATIENTS

2019 ◽  
Vol 65 (4) ◽  
pp. 3-3
Author(s):  
A.M. Gritzanchuk ◽  
◽  
O.V. Gridnev ◽  
D.Sh. Tarkinskaya ◽  
E.A. Miromanova ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Quality Assessment ◽  
Nursing Care ◽  
The Elderly ◽  
Care For The Elderly

Social Representations of Nurses on Medical Safety Culture in Clinical Care for Elderly People

2021 ◽  
pp. 319-328
Author(s):  
Maria do Céu Mendes Pinto Marques ◽  
Francisca Tereza Galiza ◽  
Maria Célia Freitas ◽  
Maria Vilani Cavalcante Guedes
Keyword(s):  
Elderly Patients ◽  
Elderly People ◽  
Nursing Care ◽  
Drug Safety ◽  
Social Representations ◽  
Clinical Care ◽  
The Elderly ◽  
Exploratory Research ◽  
Care For The Elderly ◽  
Clinical Nursing

Evaluating the culture of drug safety, of certain services, and specific subjects, especially for the elderly population, makes it possible to identify gaps in clinical nursing care. The study aimed to analyze the social representations of nurses regarding the culture of drug safety in clinical care for the elderly people. This is a descriptive and exploratory research of qualitative nature, having the theoretical support of social representations. The chapter samples 38 nurses via interview and a non-participant observation. Analysis is done using Alceste software. This resulted in seven stable classes, and Class 3 had the largest representation, 23% of the corpus. Class 3 maintained hierarchical and semantic proximity to Class 2, which deals with technologies to ensure the safety of elderly patients in the use of medicines. For nurses, technologies help in the safety of elderly patients, but do not guarantee the extinction of adverse events. The chapter considered the need for patient safety to become an organizational culture favoring the quality of clinical nursing care in the handling of medicines.

scholarly journals Intervention in nursing care for the elderly patients with alzheimer: integrative review / Intervenções de enfermagem nos cuidados aos pacientes idosos com alzheimer: revisão integrativa / Intervención en la atención de enfermería para los pacientes...

2016 ◽  
Vol 5 (1) ◽  
pp. 84
Author(s):  
Luciana Póvoas Correa ◽  
Tayná Ramos Braga ◽  
Lucélia Cordeiro Malaquias ◽  
Maria Eliana Peixoto Bessa ◽  
Marilia Braga Marques
Keyword(s):  
Elderly Patients ◽  
Nursing Care ◽  
The Elderly ◽  
Integrative Review ◽  
Care For The Elderly

Objetivo: identificar as evidências na literatura sobre as intervenções de enfermagem em idosos com Alzheimer. Metodologia: trata-se de revisão integrativa da literatura. A coleta dos dados ocorreu nos meses de fevereiro a março de 2014 nas bases de dados MEDLINE e LILACS, sendo analisados 9 estudos. Resultados: as intervenções de enfermagem evidenciadas na literatura foram: atividades essenciais da vida diária; alimentação; aumento da socialização; melhora do sono; administração de medicamentos; musicoterapia; estimulação cognitiva; controle da dor; arteterapia. Conclusão: verificou-se a importância das intervenções ao longo dos dias de um idoso com Alzheimer e que essas melhoraram o estado geral dos idosos, diminuindo ou retardando o avanço da doença.

Social Representations of Nurses on Medical Safety Culture in Clinical Care for Elderly People

2020 ◽  
pp. 56-67
Author(s):  
Maria do Céu Mendes Pinto Marques ◽  
Francisca Tereza Galiza ◽  
Maria Célia Freitas ◽  
Maria Vilani Cavalcante Guedes
Keyword(s):  
Elderly Patients ◽  
Elderly People ◽  
Nursing Care ◽  
Drug Safety ◽  
Social Representations ◽  
Clinical Care ◽  
The Elderly ◽  
Exploratory Research ◽  
Care For The Elderly ◽  
Clinical Nursing

Evaluating the culture of drug safety, of certain services, and specific subjects, especially for the elderly population, makes it possible to identify gaps in clinical nursing care. The study aimed to analyze the social representations of nurses regarding the culture of drug safety in clinical care for the elderly people. This is a descriptive and exploratory research of qualitative nature, having the theoretical support of social representations. The chapter samples 38 nurses via interview and a non-participant observation. Analysis is done using Alceste software. This resulted in seven stable classes, and Class 3 had the largest representation, 23% of the corpus. Class 3 maintained hierarchical and semantic proximity to Class 2, which deals with technologies to ensure the safety of elderly patients in the use of medicines. For nurses, technologies help in the safety of elderly patients, but do not guarantee the extinction of adverse events. The chapter considered the need for patient safety to become an organizational culture favoring the quality of clinical nursing care in the handling of medicines.

How to Improve Survival in Geriatric Peritoneal Dialysis Patients

2007 ◽  
Vol 27 (2_suppl) ◽  
pp. 185-189 ◽  
Author(s):  
Hiramatsu Makoto ◽  
Keyword(s):  
Peritoneal Dialysis ◽  
Elderly Patients ◽  
Nursing Care ◽  
Causes Of Death ◽  
Japanese Society ◽  
Patient Survival ◽  
The Elderly ◽  
Patient Choice ◽  
Technique Survival ◽  
Included Patient

♦ Background Recently, more elderly patients who are independent or able to live at home with the support of family are opting for continuous ambulatory peritoneal dialysis (CAPD). At the end of 2005, the annual statistical survey conducted by the Japanese Society for Dialysis Therapy indicated that the mean age of patients at initiation of dialysis treatment is 66.2 years. Only 3.6% of the overall end-stage renal disease population were treated with CAPD, and this small number of elderly patients was treated with CAPD despite the many merits of peritoneal dialysis (PD) for the elderly. In the present study, we reviewed our experience with patients 65 years of age and older at the start of PD and the results from two multicenter studies on PD treatment in elderly patients in Japan. ♦ Patients and Methods Study 1: Of 313 PD patients at Okayama Saiseikai General Hospital between January 1991 and June 2006, 166 patients 65 years of age and older were studied. The characteristics of these elderly PD patients were reviewed to determine which elderly patients can continue PD for more than 5 years, and what the causes of death and the effects of icodextrin were in elderly PD patients. Study 2: A multicenter study of 421 patients introduced to PD from April 2000 to December 2004 in Japan was carried out by the Japanese Society for Elderly Patients on Peritoneal Dialysis to retrospectively analyze patient survival and technique survival and to find factors that have the potential to influence prognosis in these patients. Study 3: A review of the PD management and nursing-care insurance system (long-term care insurance) targeted patients 65 years of age and older who were initiated onto PD from January 2000 to June 2002 at 82 centers in Japan. The review found 765 patients under the age of 65 years (62.6%), and 458 patients 65 years of age and over (37.4%). Data on 409 elderly PD patients from 73 centers were analyzed. ♦ Results Study 1: In 166 elderly patients, 27 (16.3%; 18 women, 9 men) continued PD for more than 5 years at our hospital. The original disease was chronic glomerulonephritis in 21 patients, diabetic nephropathy in 2 patients, nephrosclerosis in 2 patients, and polycystic kidney disease in 2 patients. The causes of death in the elderly PD patients at our hospital were heart failure (20.3%), cerebrovascular disease (17.7%), myocardial infarction (15.2%), debilitation (12.7%), peritonitis (7.6%), and pneumonia (3.8%). We observed significant differences in ultrafiltration, body weight, sodium, chloride, red blood cells, and hematocrit after using icodextrin in 14 elderly PD patients. Also, use of icodextrin in the daytime helps the family supporting an elderly member on PD by reducing the number of exchanges. Study 2: The average age of 421 patients in 37 hospitals throughout Japan was 76.4 years. Women accounted for 41% of all patients. The average modified (exclusive of factors of aging) Charlson comorbidity index (CCI) was 3.7. The modified CCI was an important factor not only in patient survival but also in technique survival. Patient survival was significantly different for the three modified CCI groups (CCI < 3, 3 ≤ CCI < 5, 5 ≤ CCI). Factors that influenced patient survival included patient choice of modality, modified CCI, exchanges performed by family members, and age at the start of PD. Factors that influenced technique survival included patient choice of modality, modified CCI, and exchanges performed by family members. Age at the start of PD was not a significant factor influencing technique survival. Study 3: Most elderly PD patients were living with family; 7% were living alone. At the start of PD, 24% of elderly PD patients were covered by nursing-care insurance, including 11% of young elderly patients (65 – 74 years of age), 35% of old elderly patients (75 – 84 years of age), and 29% of very old elderly patients (85 years of age or older). Patients 75 years of age or older were covered by nursing-care insurance more frequently than were patients under 75 years of age. Nevertheless, at the start of dialysis, fewer than 10% of elderly patients were using nursing-care insurance for PD. ♦ Conclusions In elderly patients, PD has good outcomes, especially in nondiabetic patients, in patients with few comorbidities, and in patients managing PD by themselves. In introducing dialysis in elderly patients, PD should be the treatment of choice. A more secure support system should be established to allow the elderly to choose PD treatment.

scholarly journals Emergency care units and dimensions of accessibility to health care for the elderly

2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 811-817 ◽  
Author(s):  
Giovana Aparecida de Souza Scolari ◽  
Leidyani Karina Rissardo ◽  
Vanessa Denardi Antoniassi Baldissera ◽  
Lígia Carreira
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Of Care ◽  
Elderly Patients ◽  
Emergency Care ◽  
Elderly Population ◽  
The Elderly ◽  
Care For The Elderly ◽  
Emergency Care Units

ABSTRACT Objective: to understand the conception of the elderly and their caregivers about the accessibility to health mediated by the service in Emergency Care Units. Methodo: a qualitative study conducted with 25 elderly patients and caregivers at Emergency Care Units in a city of Paraná, using Grounded Theory as a methodological reference. Results: According to the participants, the resources available in these services guarantee medical consultation and provide access to exams and medicines. Such resources have attracted patients and caused excess demand, which implies a set of compromising factors for the quality of care in these services. Final considerations: Investments in the restructuring of the care network, especially in primary care, with an increase in the number of consultations and the creation of a bond, can contribute to the emergency care units achieving the goal of access to qualified assistance to the elderly population.

scholarly journals Avaliação Geriátrica Ampla e sua Utilização no Cuidado de Enfermagem a Pessoas Idosas

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 ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Geriatric Assessment ◽  
Nursing Care ◽  
The Elderly ◽  
International Classification Of Functioning ◽  
Care Process ◽  
Cross Sectional ◽  
Care For The Elderly ◽  
Risk Of Falls ◽  
Health Nursing

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.

scholarly journals Alzheimer's and the challenges of nursing care for the elderly and their family caregiver

2020 ◽  
pp. 1274-1282
Author(s):  
Fabiana Cristina Alves Gonçalves ◽  
Israel Coutinho Sampaio Lima
Keyword(s):  
Nursing Care ◽  
Family Caregiver ◽  
The Elderly ◽  
Care For The Elderly

Objetivo: Analisar os principais desafios e cuidados despendidos pela equipe de enfermagem durante o processo do cuidar de idosos que vivem com Alzheimer e ao seu cuidador familiar. Métodos: Trata-se de uma Revisão Integrativa desenvolvida a partir da busca de artigos nas bases Scientific Eletronic Library Online e Literatura Latino-Americana em Ciências da Saúde. Obteve-se 783 estudos, destes apenas 13 atendiam aos critérios de inclusão. Resultados: Foram propostas estratégias de cuidados referente a formas de agir relacionadas ao Alzheimer, entre elas o esquecimento, negação do banho, aceitação da doença pela família. A falta de capacitação e conhecimento por parte de alguns profissionais da enfermagem foram evidenciados como elemento dificultador na relação com o idoso e seu familiar cuidador. Conclusão: É importante que as políticas públicas possam garantir a assistência ao idoso com Alzheimer, se aproximando das reais necessidades vivenciadas pelos idosos, cuidadores familiares e profissionais da saúde.

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