scholarly journals Integrative Review about Learning of the Elderly Person in Health Care Promotion

2019 ◽  
Vol 10 (02) ◽  
pp. 308-318
Author(s):  
Maria Helena Gehlen ◽  
Claus Dieter Stobäus
Keyword(s):  
Health Care ◽  
Elderly Person ◽  
The Elderly ◽  
Integrative Review

Prevention and Control of Trichotomy Infection in the Elderly Surgical Patient: An Umbrella Review

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Teresa Ferreira ◽  
Filipe Orfao ◽  
Cesar Fonseca ◽  
Lara Guedes de Pinho
Keyword(s):  
Health Care ◽  
Narrative Analysis ◽  
Data Extraction ◽  
Elderly Person ◽  
The Elderly ◽  
World Health ◽  
Surgical Patient ◽  
Risk Of Infection ◽  
Umbrella Review ◽  
And Control

Introduction: The World Health Organization creates norms and guidelines for the adoption of good practices in health care that are provided to the surgical patient. In order to prevent and control infections associated with health care, the nurse must follow the guidelines for preparing the surgical patient for success. These infections can be particularly harmful to the elderly person given their vulnerability. The preoperative preparation, includes the trichotomy as one of the interventions to be performed, however, is one of the most controversial interventions that has caused in clinical practice, by the potential risk of infection in the surgical patient. Aim: To investigate the need for trichotomy, or removal of hair, in the preparation of the skin of the surgical patient, clarifying which is the most appropriate technique in the prevention of infection. Methodology: we conducted an umbrella review. The documentary research followed the consultation of bibliographic sources in the Cumulative Index to Nursing & Allied Health (CINAHL) and Public/Publisher Medline (PubMed) databases. The researched articles were grouped in a time horizon between 2011 and 2020. Afer data extraction, a narrative analysis was performed. Results: We found 40 articles from which 8 were selected. Conclusion: Trichotomy should be avoided by increasing the risk of infection of the surgical site. Innovative haircut and vacuum technologies can help in hair removal, mitigating the risk of contaminating the surgical incision. The timing of the trichotomy is not consensual among researchers.

scholarly journals Home-based oral healthcare strategies of elderly people with Alzheimer's disease

2016 ◽  
Vol 19 (5) ◽  
pp. 851-860 ◽  
Author(s):  
Alessandra Martins Ferreira Warmling ◽  
Silvia Maria Azevedo dos Santos ◽  
Ana Lúcia Schaefer Ferreira de Mello
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Health Care ◽  
Oral Health ◽  
Elderly Person ◽  
The Elderly ◽  
Oral Health Care ◽  
University Graduates ◽  
Elderly Persons ◽  
Home Based

Abstract Objective: To identify strategies used in the oral health care of elderly persons with Alzheimer's disease in the home. Method: an exploratory, descriptive study with a qualitative approach to collecting and analyzing data was performed. Data was collected through interviews with 30 caregivers and analyzed by the content analysis technique. Results: The majority of subjects were female, daughters of the elderly person, university graduates and aged 32-77 years. The strategies identified were grouped into categories according to the participation of the caregiver: does not participate in care actions or oral health assessments; reminds the elderly person about oral hygiene, demonstrates movements and assists with some procedures; directly carries out actions of care. Conclusion: The strategies employed are related to the degree of dependence of the elderly person, as the caregiver acts based on the need for oral health care and the difficulties in carrying out such care.

scholarly journals Approach to the most prevalent oral disorders among the elderly: an integrative review focusing on primary health care

2017 ◽  
Vol 20 (3) ◽  
pp. 430-440
Author(s):  
Helena Pereira Rodrigues da Silva ◽  
Bárbara Koppe ◽  
Myrian Câmara Brew ◽  
Giordano Santana Sória ◽  
Caren Serra Bavaresco
Keyword(s):  
Health Care ◽  
Clinical Trials ◽  
Primary Health Care ◽  
Randomized Clinical Trials ◽  
Oral Candidiasis ◽  
The Elderly ◽  
Integrative Review ◽  
Root Caries ◽  
Geriatric Dentistry ◽  
Primary Health

Abstract Objective: an integrative review of the treatment of oral candidiasis, root caries and xerostomia among the elderly population, focusing on Primary Health Care, was carried out. Method: scientific articles were collected from the MEDLINE/PUBMED database using the keywords "Geriatric dentistry" and "Oral health", crossed with corresponding descriptors, together with specific terms for the pathologies studied, and with “the clinical trial” filter activated. The abstracts of the articles were read by three researchers. Result: oral candidiasis: six randomized clinical trials and one quasi-experimental design study, on the treatment of prosthetic stomatitis by medication and/or the disinfection of dentures by different techniques, were identified; root caries: three randomized clinical trials were included, which tested the use of mouthwash with chlorhexidine solution and oral hygiene instruction associated or otherwise with other drugs; and xerostomia: two articles were analyzed using various medications, and the functional massage of the salivary glands and associated muscles. Conclusion: The results demonstrate a variety of treatment options for the studied clinical situations, although these should be adapted to the characteristics of the services and the population, as standard treatment in Primary Health Care has not been established. Strategies based on soft technologies, such as health education, seem to provide good results. The present study provides additional knowledge for health professionals in search of more resolutive and qualified dental care for the elderly in primary health care.

scholarly journals An integrative review of drug utilization by the elderly in primary health care

2016 ◽  
Vol 50 (1) ◽  
pp. 163-174 ◽  
Author(s):  
Luciane Paula Batista Araújo de Oliveira ◽  
Sílvia Maria Azevedo dos Santos
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Drug Utilization ◽  
Current Trend ◽  
The Elderly ◽  
The United States ◽  
Integrative Review ◽  
Primary Health ◽  
Health Care Context ◽  
Health Complications

ABSTRACT OBJECTIVE To identify knowledge produced about drug utilization by the elderly in the primary health care context from 2006 to 2014. METHOD An integrative review of the PubMed, LILACS, BDENF, and SCOPUS databases, including qualitative research papers in Portuguese, English, and Spanish. It excluded papers with insufficient information regarding the methodological description. RESULTS Search found 633 papers that, after being subjected to the inclusion and exclusion criteria, made up a corpusof 76 publications, mostly in English and produced in the United States, England, and Brazil. Results were pooled in eight thematic categories showing the current trend of drug use in the elderly, notably the use of psychotropics, polypharmacy, the prevention of adverse events, and adoption of technologies to facilitate drug management by the elderly. Studies point out the risks posed to the elderly as a consequence of changes in metabolism and simultaneous use of several drugs. CONCLUSION There is strong concern about improving communications between professionals and the elderly in order to promote an exchange of information about therapy, and in this way prevent major health complications in this population.

scholarly journals Atenção primária à saúde: percepção da pessoa idosa a respeito do atendimento do enfermeiro / Primary health care: perception of the elderly person regarding nursing care

2020 ◽  
Vol 3 (5) ◽  
pp. 13545-13556
Author(s):  
Thayane Araújo Lacerda ◽  
Eurides Souza de Lima ◽  
Graciana de Sousa Lopes ◽  
Maria Da Conceição Barreiros de Moura ◽  
Sabrina de Souza da Silva
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nursing Care ◽  
Elderly Person ◽  
The Elderly ◽  
Primary Health ◽  
Care Perception

scholarly journals Beyond the Standards of Health Care for the Elderly

2016 ◽  
Vol 15 (4) ◽  
pp. 60-65
Author(s):  
Małgorzata Pabiś ◽  
Dorota Kuncewicz
Keyword(s):  
Health Care ◽  
Elderly Person ◽  
Institutional Care ◽  
The Elderly ◽  
Geriatric Care ◽  
World Health ◽  
Standards Of Care ◽  
Specific Expression ◽  
Care For The Elderly ◽  
Relational Aspect

Abstract Aim. The objective of the study was discussion of the important aspects of care for the elderly, to whom the standards of geriatric care do not apply.Material and methods. In accordance with the designed goal, the analysis included selected literature concerning: the quality of health care standards for the elderly, complex model of geriatric care from the qualitative aspect, institutional care and psychological aspect of the seniors’ stage of life.Results. Standards of care for the elderly differ from each other by the area they refer to and way and level of specificity of reports. The recommendations by the World Health Organization are very general, while the standards by the Polish team of geriatricians and gerontologists present very detailed recommendations. In turn, in the Charter for the Elderly, the authors draw attention to the fact that not only medical services influence the process of treatment of an elderly person, but also: economic, social, and family conditions in which he/she lives. Taking care for an elderly person by the family is an ideal solution. However, when this is not possible, this function is taken over by care institutions. The institutional care, as perceived by the elderly, should be a substitute of family life - this is a specific expression of the desire that the care for an elderly person should not be brought down to service, but should also consider the relational aspect of caring. Unfortunately, this aspect is relatively consequently omitted in standards. In relation to this absence, the relational aspect of care is handled more comprehensively in the presented article.

scholarly journals The Needs of the Elderly in Health Care – Contexts

2016 ◽  
Vol 15 (4) ◽  
pp. 53-59
Author(s):  
Małgorzata Pabiś ◽  
Dorota Kuncewicz
Keyword(s):  
Health Care ◽  
Relevant Literature ◽  
Elderly Person ◽  
Institutional Care ◽  
The Elderly ◽  
Health Needs ◽  
Related Factors ◽  
The Family ◽  
Demographic Processes ◽  
Demand For Health

Abstract Aim. The objective of the study was presentation of the needs of the elderly in the context of changes of these needs conditioned by the demographic processes. Analyses also covered the projected demographic changes and a wider context, e.g. social and cultural.Material and methods. Statistical, demographic and medical data were analyzed by the methods of descriptive statistics with particular consideration of the population aged over 65. Analyses also covered the relevant literature concerning problems of the elderly. On account of the wide thematic range, the content was selected concerning seniors’ health needs and the development of their changes; subsequently, the effects of these changes were analyzed with particular emphasis on the population aged over 65.Results. The development of changes concerning the Polish population aged over 65 within five analysed years (2011-2015) showed an upward tendency (by 14.12%). It is estimated that this tendency will continue within the next 35 years (2015-2050). In 2015, the percentage of the population aged over 65 was 15.81%, while in 2020 and 2050 it is projected to be 18.87% and 32.69% respectively. The ultimate demand for health care is affected not only by the demography and morbidity - related factors, but also by social and cultural ones. The lack of acceptance for the process of ageing, old age and death does not build space for culture, in which care of the elderly is a natural part of life. Increasingly more often, for various reasons, the family does not undertake care of an elderly person. The lack of consideration of these reasons, their complexity and therefore, the lack of attempts to change them, may result in an increased demand for an institutional care.

scholarly journals Qualidade da atenção à saúde do idoso atenção primária: uma revisão integrativa

2022 ◽  
Vol 21 (1) ◽  
pp. 545-589
Author(s):  
Ricardo Saraiva Aguiar ◽  
Henrique Salmazo da Silva
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Literature Review ◽  
Quality Of Health Care ◽  
Elderly Person ◽  
The Elderly ◽  
Support Network ◽  
Care For The Elderly ◽  
Recursos Humanos

Objective: To investigate, through an integrative literature review, the quality of health care for the elderly in primary care. Material and Methods: Integrative literature review conducted in MEDLINE/PubMed, SciELO, LILACS and BDENF databases between April and May 2020, which generated 780 references. After removal of the duplicates and use of inclusion and exclusion criteria, the final sample consisted of 15 articles. Results: The quality of health care for the elderly in primary care was associated with potential and weaknesses that involved the availability and training of human resources, adoption of evaluation protocols, monitoring and follow-up, supply of inputs and structural variables linked to infrastructure and intersectoral support network. The effectiveness of actions to the elderly in primary care was related to the implementation of the Family Health Strategy, combined with the active action of the community health agent in the territory and the participation of the elderly in the decisions. Conclusion: Strengthening the health care of the elderly in primary care involves short, medium and long-term efforts related to education, human and material resources management, networking, and the formation of ties with the territory and the elderly person. Objetivo: Investigar, a través de una revisión integradora de la literatura, la calidad de la atención en salud del adulto mayor en atención primaria.Materiales y Métodos: Revisión bibliográfica integradora realizada en las bases de datos MEDLINE / PubMed, SciELO, LILACS y BDENF entre abril y mayo de 2020, que generó 780 referencias. Después de eliminar los duplicados y utilizar los criterios de inclusión y exclusión, la muestra final fue de 15 artículos.Resultados: La calidad de la atención en salud del adulto mayor en atención primaria se asoció con fortalezas y debilidades que involucraron la disponibilidad y formación de recursos humanos, adopción de protocolos de evaluación, seguimiento y seguimiento, suministro de insumos y variables estructurales vinculadas a la infraestructura y red de apoyo intersectorial. La efectividad de las acciones para el adulto mayor en atención primaria estuvo relacionada con la implementación de la Estrategia Salud de la Familia, combinada con el desempeño activo del agente comunitario de salud en el territorio y la participación del adulto mayor en las decisiones.Conclusión: El fortalecimiento de la atención a la salud del anciano en la atención primaria implica esfuerzos a corto, mediano y largo plazo relacionados con la educación, la gestión de los recursos humanos y materiales, el trabajo en red y la formación de vínculos con el territorio y el anciano. Objetivo: Investigar, por meio de uma revisão integrativa da literatura, a qualidade da atenção à saúde do idoso na atenção primária. Materiais e Métodos: Revisão integrativa da literatura realizada nas bases de dados MEDLINE/PubMed, SciELO, LILACS e BDENF entre os meses de abril e maio de 2020, as quais geraram 780 referências. Após remoção das duplicatas e emprego dos critérios de inclusão e exclusão a amostra final foi composta por 15 artigos. Resultados: A qualidade da atenção à saúde do idoso na atenção primária esteve associada a potencialidades e fragilidades que envolveram a disponibilidade e treinamento dos recursos humanos, adoção de protocolos de avaliação, acompanhamento e monitoramento, oferta de insumos e variáveis estruturais ligadas à infraestrutura e à rede de apoio intersetorial. A efetividade das ações à pessoa idosa na atenção primária esteve relacionada à implantação da Estratégia Saúde da Família, conjugada com a atuação ativa do agente comunitário de saúde no território e a participação do idoso nas decisões. Conclusão: Fortalecer a atenção à saúde do idoso na atenção primária envolve esforços a curto, médio e longo prazo relacionados à educação, gestão de recursos humanos e materiais, atuação em rede e a formação de vínculo com o território e a pessoa idosa.

scholarly journals DIFFICULTIES ENCOUNTERED BY NURSE STUDENTS WHEN WORKING WITH ELDERLY PEOPLE

2021 ◽  
Vol 2 ◽  
pp. 1-4
Author(s):  
Albena Andonova ◽  
Mima Nikolova ◽  
Silviya Kyuchukova ◽  
Koni Ivanova
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Elderly Person ◽  
The Elderly ◽  
Training Process ◽  
Mental Strain ◽  
Individual Health ◽  
Leading Role ◽  
Care For The Elderly ◽  
Nurse Students

During the training process, nurse students acquire knowledge, skills and competencies to work with different groups of patients. Working with elderly people has its difficulties and specificities. The acquisition of practical skills by students for planning and documenting individual health care for the elderly people is a process in which teachers and mentors have a leading role. Objectives: To identify the factors which make it difficult for nurse students to work with elderly people. Methods: The study involved 52 3rd year nurse students – from the Faculty of Medicine of Trakia University in Bulgaria. A questionnaire was used, including open-ended and closed-ended questions, allowing more than one answer. The data was processed mathematically and graphically. Results: The main difficulties for students in working with the elderly people are as follows: the process of communication (92.16%), difficult perception of new information (80.64%) and memory impairment in the elderly patient (61.44%); The main difficulties related to the organization of activity - insufficient experience in working with geriatric patients (92.16%); insufficient time for communication with patients (94.08%); lack of comfort in the patient's home (57.60%); a "Diary for tracking and self-monitoring of the condition" of an elderly person - it is very useful for 90.24% of students so that they can monitor the condition of the elderly person; It was found that 65.28% of students do not want to work with elderly people, as 46.09% of them indicate the motive for this as mental strain. Conclusion: The teacher and the mentor are leading figures in preparing students to work with elderly people. The practical preparation for planning and documenting individual health care for elderly people is very important in the training process of nurse students.

scholarly journals Elderly care in the emergency department: an integrative review

2018 ◽  
Vol 21 (2) ◽  
pp. 243-253 ◽  
Author(s):  
Luciana Aparecida Soares de Andrade ◽  
Sulamita de Paula Santos ◽  
Roselene Campos Corpolato ◽  
Mariluci Hautsch Willig ◽  
Maria de Fátima Mantovani ◽  
...  
Keyword(s):  
Emergency Department ◽  
Elderly Care ◽  
Death And Dying ◽  
Elderly Person ◽  
The Elderly ◽  
Integrative Review ◽  
Work Routine ◽  
Care Practices ◽  
Number Of Publications ◽  
Nursing Health

Abstract Objective: To identify the care practices of nurses for the elderly in emergency departments. Method: An integrative review was carried out in the CAPES database, selecting publications in English, Portuguese and Spanish published between January 2011 and October 2016. The descriptors used were: "Emergency nursing"; "Geriatric nursing"; "Health services for the elderly"; "Elderly person"; "Nursing care". Results: Sixteen articles were analyzed in English, the majority of which had a qualitative approach (56.2%). Australia had the largest number of publications (31.2%). After reading the studies in full, the common themes were organized and classified into three categories: Challenges/difficulties in the care of the elderly in the emergency department, Positive experiences of elderly care in the emergency department and The emergency department as a space of death and dying. Conclusion: The care practices of nurses are focused on identifying the main problems regarding elderly care, adaptation and the planning of their work routine. Another strategy is the implementation of instruments of evaluation specific to elderly patients and the involvement of the family in all stages of care.

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