The meaning of the care provided by the nursing staff in the vision of hospitalized elderly in a public hospital

2011 ◽  
Vol 5 (5) ◽  
pp. 1223 ◽  
Author(s):  
Virna De Vasconcelos Batista ◽  
Elaine Guedes Fontoura ◽  
Darci De Oliveira Santa Rosa

ABSTRACTObjective: to get to know the meaning of the care provided by nursing staff in the vision of hospitalized elderly patients at the clinic of a public hospital. Methodology: qualitative research, conducted from January to March of 2009 with ten elders of both sexes hospitalized in the medical clinic at a public hospital in the city of Feira de Santana, Bahia. The data collection instrument was a semi-structured recorded interview. Data analysis was made by the method of thematic content analysis. The study was approved by the Ethical Committee of the Faculdade de Tecnologia e Ciências, resolution no. 0589-2008. Results: two themes emerged from the testimonies: the meaning of care in the vision of elderly and the positive and negative aspects of care received by nursing staff. The elderly have a positive view of care received by nursing staff relating to dedication, love and humanization. Regarding the negative aspects of care received, they relate: lack of communication and information about their health state. Conclusion: because it is a fragile stage of life, elderly people require special attention, sensitive care by the nursing staff. Descriptors: care; elderly; hospital; medical clinic; nursing.RESUMOObjetivo: conhecer o significado do cuidado prestado pela equipe de enfermagem na visão dos idosos internados na clínica médica de um hospital público. Metodologia: pesquisa qualitativa, realizada de janeiro a março de 2009 com dez idosos de ambos os sexos internados na clínica médica de um hospital público da cidade de Feira de Santana, Bahia. O instrumento de coleta de dados foi uma entrevista semi-estruturada, gravada. A análise dos dados foi realizada pelo método de análise de conteúdo temática. O estudo foi aprovado pelo Comitê de Ética da Faculdade de Tecnologia e Ciências pelo parecer nº 0589-2008. Resultados: dos depoimentos emergiram duas categorias temáticas: o significado do cuidado na visão dos idosos e os aspectos positivos e negativos do cuidado recebido pela equipe de enfermagem. Os idosos têm visão positiva do cuidado recebido pela equipe de enfermagem relacionando a dedicação, humanização e amor. Quanto aos aspectos negativos do cuidado recebido referem: falta de comunicação e informações sobre o seu estado de saúde. Conclusão: por se tratar de uma fase de fragilidade da vida a pessoa idosa requer uma atenção especial, um cuidado sensível pela equipe de enfermagem. Descriptores: cuidado; idosos; hospital; clínica médica; enfermagem.RESUMENObjetivo: conocer el significado del cuidado ofrecido por el equipo de enfermería en la visión de mayores internados en clínica médica de un hospital público. Metodología: investigación cualitativa, realizada de enero a marzo de 2009 con diez mayores de ambos sexos internados en clínica médica de un hospital público de la ciudad de Feira de Santana, Bahia. La  recolecta de datos fue através de entrevista semiestructurada y grabada. El análisis de datos fue realizado por el método de análisis de contenido temático. El estudio fue aprobado Comité Ética Facultad de Tecnología y Ciencias con el parecer nº 0589-2008. Resultados: de los testimonios emergieron dos categorias temáticas: significado del cuidado en la visión de los mayores y los aspectos positivos y negativos del cuidado recibido por el equipo de enfermería. Los mayores tienen una visión positiva del cuidado recibido por el equipo de enfermería relacionando dedicación, humanización y amor. Cuanto a los aspectos negativos del mismo refieren: falta de comunicación e informaciones sobre su estado de salud. Conclusión: tratándose de una fase de fragilidad de la vida, la persona mayor requiere una atención especial y  cuidado sensible por el equipo de enfermería. Descriptores: cuidado; mayores; hospital; clínica médica; enfermería.

2016 ◽  
Vol 23 (8) ◽  
pp. 998-1004 ◽  
Author(s):  
Nevine A. Kassim ◽  
Tamer M. Farid ◽  
Shaimaa Abdelmalik Pessar ◽  
Salma A. Shawkat

A rapid and accurate diagnosis of venous thromboembolism (VTE) in the elderly individuals represents a dilemma due to nonspecific clinical presentation, confusing laboratory results, and the hazards of radiological examination in this age-group. d-Dimer test is used mainly in combination with non-high clinical pretest probability (PTP) to exclude VTE. d-Dimer testing retains its sensitivity, however, its specificity decreases in the elderly individuals. Raising the cutoff level improves the specificity of the d-dimer test without compromising its sensitivity. The current study aimed to explore the reliability of higher d-dimer cutoff values for the diagnosis of asymptomatic VTE in a population of bedridden hospitalized elderly patients with non-high clinical PTP. This retrospective study included 252 bedridden hospitalized elderly patients (>65 years) who were admitted to the Ain shams University Specialized Hospital with non-high clinical probability and developed later reduced mobility; all underwent quantitation of d-dimer and Doppler examination. Considering the whole population (>65 years), the age-adjusted cutoff achieved the best performance in comparison with the conventional and receiver operating characteristic (ROC)–derived cutoffs. When stratified according to age, the age-adjusted cutoff showed the best performance in the age-group 65-70 and comparable performance with the ROC-derived cutoff in the age-group 71-80, however, its sensitivity compromised in those older than 80 years. In conclusion, it is recommended to use age-adjusted cutoff value of d-dimer together with the clinical probability score in elderly individuals (65-80 years).


2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Paloma Horbach da Rosa ◽  
Margrid Beuter ◽  
Eliane Raquel Rieth Benetti ◽  
Jamile Lais Bruinsma ◽  
Larissa Venturini ◽  
...  

Abstract Objective: To describe the stressful factors experienced by hospitalized elderly from the perspective of the Neuman Systems Model (NSM). Method: A descriptive qualitative study performed with 12 elderly hospitalized in a medical clinic of a teaching hospital in Rio Grande do Sul. Data production occurred from March to June 2016, through narrative interviews, subsequently transcribed, organized and submitted to the thematic analysis of Minayo, based on the NSM. Results: The stressors factors were classified in: intrapersonal - related to the clinical and psychosociocultural conditions resulting from the disease; interpersonal - resulting from the relationships between elderly and health professionals; and extrapersonal - resulting from the institutional infrastructure, standards and routines. Conclusion and implications for practice: It is important that nursing professionals assist the elderly in the hospitalization process, aiming at minimizing the stressors experienced at this time of frailty and often of dependence, in order to preserve their physical-emotional stability and well-being.


Author(s):  
Lina K. Massoud ◽  
Hala Z. AlAgha ◽  
Mahmoud H. Taleb

Inappropriate prescribing (IP) is a major healthcare problem in elderly patients. The risk of this problem increases during hospitalization. This is due to increase morbidity and thus increases the use of medications by the inpatients. This study will clarify the problem of IP for elderly people during hospitalization and will identify the different types of it. It also will highlight some tools that are used to assess the different types of IP and the prevalence of it in elderly patients during hospitalization. Finally, the study will address the consequences of IP in the elderly inpatients and the risks associated with the use of some potentially inappropriate medications (PIMs) in the elderly. 


2020 ◽  
Vol 20 (81) ◽  
Author(s):  
Eduardo Neves Da Cruz de Souza ◽  
Michele dos Santos Dos Santos Hortelan ◽  
Maria De Lourdes De Almeida ◽  
Thalita Correa De Souza ◽  
Eveline Treméa Justino ◽  
...  

RESUMOObjetivo: Realizar o mapeamento das competências de técnicos de enfermagem que atuam em uma unidade de internamento clínico de um hospital público do município de Foz do Iguaçu – Paraná. Método: Pesquisa de caráter qualitativo, realizado em etapas: análise documental das competências requeridas, entrevista semiestruturada e mapeamento de competências. A coleta de dados ocorreu em abril e maio de 2019. Resultados: Foram entrevistados 27 técnicos de enfermagem. A partir de questões norteadoras, emergiram ideias centrais, como: desenvolvimento das técnicas básicas de enfermagem; realização de atividades administrativas e necessidade de busca por aperfeiçoamento profissional. Conclusão: A identificação das competências descritas no perfil profissiográfico divergem com àquelas expressas pelos técnicos de enfermagem; assim como das competências técnicas expressas não foram encontradas como requeridas pela instituição na análise do perfil profissiográficos. Espera-se que o mapeamento de competências possa vir auxiliar as instituições hospitalares a elaborar novas estratégias de desempenho dos profissionais e reestruturar a atuação de cada.Palavras-chave: Competência Clínica; Unidade de Internação; Unidade Hospitalar de Clínica Médica. ABSTRACTObjective: To perform the mapping of the skills of nursing technicians who work in a clinical inpatient unit of a public hospital in the city of Foz do Iguaçu - Paraná. Method: Qualitative research, carried out in stages: documentary analysis of the required skills, semi-structured interview and skills mapping. Data collection took place in April and May 2019. Results: 27 nursing technicians were interviewed. From guiding questions, central ideas emerged, such as: development of basic nursing techniques; carrying out administrative activities and the need to seek professional improvement. Conclusion: The identification of the competencies described in the professional profile differs from those expressed by nursing technicians; as well as the technical skills expressed were not found as required by the institution in the analysis of the professional profile. It is hoped that the mapping of competencies can help hospital institutions to develop new performance strategies for professionals and restructure the performance of each.Keywords: Clinical Competence; Inpatient Unit; Medical Clinic Hospital Unit.


2012 ◽  
Vol 27 (8) ◽  
pp. 609-613 ◽  
Author(s):  
P. Mendiratta ◽  
J. M. Tilford ◽  
P. Prodhan ◽  
K. Curseen ◽  
G. Azhar ◽  
...  

Objectives: To investigate national trends in percutaneous endoscopic gastrostomy (PEG) tube placement for hospitalized elderly patients from 1993to 2003. Methods: Retrospective analysis of patients ≥65 years of age with PEG tube placement from 1993 to 2003 from the Nationwide Inpatient Sample (NIS) database was utilized to calculate PEG placement rates per 1000 people. Results: Placement of PEG tube increased by 38% in elderly patients during the study period, from 2.71 procedures during hospitalization per 1000 people to 3.75 procedures during hospitalization per 1,000 people. Placement of PEG tube in patients with Alzheimer’s dementia doubled (5%-10%) over the study period. Conclusion: Over a 10-year period, PEG tube use in hospitalized elderly patients increased significantly. More importantly, approximately 1 in 10 PEG tube placements occurred in patients with dementia.


1995 ◽  
Vol 29 (4) ◽  
pp. 354-358 ◽  
Author(s):  
Barry J Gales ◽  
Susan M Menard

Objective: To examine the relationship between administration of selected medications and falls experienced by hospitalized elderly patients. Benzodiazepines and other medications previously associated with falls in elderly patients residing in the community and nursing homes were the primary focus. Design: Retrospective case control. Setting: Private, not-for-profit, 575-bed acute care hospital. Participants: A total of 100 patients who had fallen and 100 control patients, aged at least 70 years, admitted during the same 17-month time period. Main Outcome Measures: We examined the relationship between falls and patient demographics, underlying disease states, number of concurrent disease states, and length of hospitalization. Possible associations between the administration of narcotics, benzodiazepines, antidepressants, antipsychotics, other sedating agents, antihypertensives, diuretics, nitrates, and digoxin 48 hours prior to the fall or reference day were explored. The relationships between benzodiazepine half-life, dosage, administration frequency, cumulative dose, and falls were also examined. Results: Demographically the groups were similar except that patients who had fallen were hospitalized significantly longer (mean 18.8 vs 12.2 d; p < 0.00001) than control patients. Benzodiazepines were received by more (40% vs 20%, odds ratio = 2.67) patients who had fallen than control patients. The use of long (>24 h) half-life benzodiazepines was similar in patients who had fallen (48%) and control patients (45%). Long half-life benzodiazepines were commonly administered (65%) to patients who had fallen in doses greater than that recommended for the elderly. Benzodiazepine use, expressed as milligrams of diazepam equivalents received during the 48-hour study, was higher in patients who had fallen than in control patients (15.00 ± 17.80 vs 9.73 ± 6.58 mg), but this was not statistically significant (p = 0.1030). Congestive heart failure (37% vs 24%), digoxin therapy (35% vs 22%), or administration of 3 or more psychoactive agents (17% vs 4%) were all more common in patients who had fallen than in control patients. Conclusions: Falls experienced by the elderly patients in our acute care institution were associated with the presence of congestive heart failure along with digoxin therapy, benzodiazepine use, or the use of at least 3 psychoactive agents.


2017 ◽  
Vol 11 (3) ◽  
pp. 4-9
Author(s):  
Grażyna Puto ◽  
Iwona Repka ◽  
Kornelia Biłko ◽  
Mirosława Dzikowska

Background: Health-related behaviours affect the preservation and maintenance of health. They form a important part of the everyday life of all individuals including the elderly. Some of the most significant factors affecting health are eating habits, physical activity, and the ability to handle stress and limiting the use of substances. Aim of the study: The aim of this paper was to assess the effect of health-related behaviours on nutrition in hospitalized elderly patients. Material and Methods: The study population consisted of 151 subjects over 60 years old. The study tools included a diagnostic survey, the Health Behaviour Inventory and the Mini Nutritional Assessment. Statistical significance for differences and strength of correlation between the variables was set at p<0.05. Results: The general indicator of health behaviour was higher among women (88.78±13.82 vs. 83.55±12.93; p=0.01). The analysis of health behaviour showed significant differences between men and women in relation to good eating habits (p=0.01) and prophylactic behaviour (p=0.01). Conclusions: Elderly people who followed a proper diet, which included fruit and vegetables, and avoided food with preservatives, were better nourished. A positive attitude was connected with the state of nutrition. Wellnourished status can be observed among the elderly who have positive attitude, avoid anger, anxiety and depression, and have friends and a stable family life.


Anemia ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Mauricio López-Sierra ◽  
Susana Calderón ◽  
Jorge Gómez ◽  
Lilian Pilleux

Iron constitutes the most prevalent nutritional deficiency worldwide. In Chile, anaemia epidemiological data is scarce, evaluating mainly children and women. Our objective was to determine prevalence of anaemia in an inpatient elderly population (≥60 years) and assess the usefulness of sTfR levels analyzed by other authors as a good predictor in the differential diagnosis of iron deficiency anaemia and anaemia of chronic disease.Method.We studied medical patients admitted at Hospital of Valdivia (HV), Chile, in a 2month period. World Health Organization criteria were used for anaemia.Results.391 patients were hospitalized, average age 62.5 years, 247 elderly and 99 of which had anaemia. Anaemia was normocytic in 88.8%, and we observed: low serum iron in 46.3%, low ferritin 10.1%, high TIBC 2%, low % transferrin saturation (Tsat) 40%, and high sTfR 25%.Conclusions.As a first figure known in Chile, the prevalence of anaemia in the elderly inpatient was 40.1%. Our findings encourage us to promote the implementation of sTfR determination in the clinical setting to analyze the state of erythropoiesis in patients with chronic diseases wich commonly occurs in elderly.


2018 ◽  
Vol 12 (7) ◽  
pp. 1835
Author(s):  
Bárbara Jeane Pinto Chaves ◽  
Jacira Dos Santos Oliveira ◽  
Mayara Muniz Peixoto Diniz ◽  
Renata Maia de Medeiros Falcão ◽  
Suzanna Valeria Oliveira de Souza ◽  
...  

RESUMO Objetivo: identificar os fatores extrínsecos favoráveis à ocorrência de quedas de pacientes idosos hospitalizados. Método: estudo quantitativo, documental, retrospectivo e descritivo realizado a partir da coleta de registros no livro de admissão e alta dos pacientes internados na unidade de clínica cirúrgica de um Hospital Universitário. A amostra reuniu 424 idosos internados no período de janeiro a dezembro de 2015. Os dados foram digitados no Excel e analisados no Programa SPSS, versão 2.0., e os resultados, apresentados em tabelas. Resultados: o perfil dos idosos mostrou maioria para o sexo feminino 227 (54%), uma média de idade 71,6 anos, com maiores números de internamento em fevereiro 55 (13%), média de tempo de 4,8 dias e motivo da saída 351 (83%) por alta hospitalar. Consideraram-se oito (62%) enfermarias como ambientes seguros, embora quatro (31%) enfermarias tinham excesso de móveis. Conclusão: conhecer o perfil dos idosos e os fatores extrínsecos possibilitará, aos profissionais de saúde, identificar os riscos e prover a assistência segura ao idoso. Descritores: Idoso; Hospitalização; Acidentes por quedas; Assistência de Enfermagem; Envelhecimento; Fatores de Risco.ABSTRACT Objective: to identify the extrinsic factors favorable to the occurrence of falls in hospitalized elderly patients. Method: quantitative, documental, retrospective and descriptive study carried out from the collection of records in the admission and discharge book of the patients hospitalized in the unit of surgical clinic of a University Hospital. The sample consisted of 424 elderly hospitalized from January to December 2015. The data were entered in Excel and analyzed in the SPSS Program, version 2.0., And the results, presented in tables. Results: the profile of the elderly showed a majority of females 227 (54%), mean age 71.6 years, with higher admission numbers in February 55 (13%), mean time of 4.8 days and motive of exit 351 (83%) due to hospital discharge. Eight (62%) wards were considered safe environments, although four (31%) wards had excess furniture. Conclusion: knowing the profile of the elderly and the extrinsic factors will enable health professionals to identify the risks and provide safe care for the elderly.  Descriptors: Aged; Hospitalizacion; Accidental Falls; Nursing Care; Aging; Risk Factors,RESUMEN Objetivo: identificar los factores extrínsecos favorables a la ocurrencia de caídas de pacientes ancianos hospitalizados. Método: estudio cuantitativo, documental, retrospectivo y descriptivo realizado a partir de la recolección de registros en el libro de admisión y alta de los pacientes internados en la unidad de clínica quirúrgica de un Hospital Universitario. La muestra se reunió 424 ancianos internados en el período de enero a diciembre de 2015. Los datos fueron digitados en Excel y analizados en el Programa SPSS, versión 2.0, y los resultados, presentados en tablas. Resultados: el perfil de los ancianos mostró la mayoría para el sexo femenino 227 (54%), una media de edad 71,6 años, con mayores números de internamiento en febrero 55 (13%), y media de tiempo de 4,8 días y motivo de la salida 351 (83%) por alta hospitalaria. Se consideraron ocho (62%) enfermeras como ambientes seguros, aunque cuatro (31%) de las enfermerías tenían exceso de muebles. Conclusión: conocer el perfil de los ancianos y los factores extrínsecos, posibilitar, a los profesionales de salud, identificar los riesgos y proveer la asistencia segura al anciano. Descriptores: Anciano; Hospitalizaciòn; Accidentes por Caídas; Atencion de Enfermarìa; Envejecimiento; Factores de Riesgo.


2018 ◽  
Vol 7 (1) ◽  
pp. 293-302
Author(s):  
Renata Martins da Silva ◽  
Karen Chaves Linhares ◽  
Samara Da Silva Guimarães ◽  
Maria Da Glória Malta ◽  
Ilda Cecília Moreira da Silva

O objetivo do estudo foi conhecer a opinião da equipe de enfermagem de um hospital público sobre a inserção de enfermeiras obstétricas na atenção ao parto normal. Estudo de campo, qualitativo, onde participaram dez profissionais de enfermagem, que atuam na maternidade de um hospital do município de Volta Redonda (RJ). A análise de dados foi construída a partir do material proveniente dos questionários e permitiu uma apreensão de significados positivos atribuídos pelas participantes à inserção de enfermeiras obstétricas na sala de parto. Como resultados surgiram as seguintes categorias: Acolhimento como forma de humanização do parto; Papel da Enfermeira na Ambientação para o Parto Humanizado e Enfermeira obstétrica como referência no parto. A equipe espera que com a inserção da enfermeira obstétrica atuando na assistência, proporcione experiências de educação em saúde para equipe de enfermagem e também para as parturientes para que estas estejam conscientes de seus direitos. Conclui-se que a equipe espera que a enfermeira seja uma referência para humanização do atendimento ao parto.Palavras-chave: Parto humanizado. Enfermeira obstetra. Saúde da mulher. ABSTRACT: The objective of the study was to know the opinion of the nursing team of a public hospital about the insertion of obstetrical nurses in the attention to normal delivery. Field study, qualitative, where ten nursing professionals participated, who work in the maternity of a hospital in the city of Volta Redonda (RJ). The data analysis was constructed from the questionnaires' material and allowed the apprehension of positive meanings attributed by the participants to the insertion of obstetric nurses in the delivery room. As results the following categories emerged: Welcoming as a form of humanization of childbirth; Role of the Nurse in the Setting for Humanized Delivery and Obstetric Nurse as reference in childbirth. The team hopes that with the insertion of the obstetric nurse acting in the assistance, provide experiences of health education for nursing staff and also for the parturients so that they are aware of their rights. It is concluded that the team expects the nurse to be a reference for the humanization of childbirth care.Keywords: Humanized birth. Midwife. Women's health.


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