scholarly journals The family caregiver’s discourse on the hospitalization of the elderly with Alzheimer’s disease O discurso do cuidador familiar sobre a hospitalização do idoso com doença de Alzheimer

Author(s):  
Gabriela Pizelli Mocco Grillo ◽  
Aline Miranda Da Fonseca Marins ◽  
Rosâne Mello

ResumoObjetivo: Conhecer a percepção do cuidador sobre a hospitalização do idoso com Doença de Alzheimer. Método: Trata-se de um estudo descritivo, exploratório, de natureza qualitativa, realizado com onze cuidadores familiares de idosos com doença de Alzheimer. Os dados foram coletados no período de Abril a Junho de 2013 por meio de entrevista semiestruturada. A análise dos dados foi pautada no Discurso do Sujeito Coletivo. Resultados: Emergiram duas ideias centrais síntese: piora da função cognitiva do idoso com doença de Alzheimer durante o processo de hospitalização e o despreparo da equipe de saúde para cuidar de um idoso com demência.Conclusão: De acordo com os resultados obtidos, urge a necessidade de capacitação e/ou especialização dos profissionais de saúde para atender o idoso com demência e sua família. A família é parte integrante do cuidado a esse idoso, sendo fundamental compreendê-la e assisti-la como uma unidade social complexa.Descritores: Cuidadores, Doença de Alzheimer, Idoso, Hospitalização. AbstractObjective: To investigate the perception of the caregiver about the hospitalization of the elderly with Alzheimer disease. Method: This is a descriptive study, exploratory and qualitative in nature, performed with 11 family caregivers of elderly with Alzheimer disease. The data were collected during the period from April to June 2013 through semi-structured interview. The data analysis was based on the Collective Discourse of the Subjects. Results: Two summary central ideas emerged: worsening of cognitive function in the elderly with Alzheimer disease during the process of hospitalization and the lack of health staff to take care of an elderly with dementia. Conclusion: According to the results obtained, there is urgent need for training and/or specialization of health professionals to meet the elderly with dementia and their families. The family is an integral part of the care that elderly, being critical to understand it and watched it as a social unit complex.Descriptors: Caregivers, Alzheimer Disease, Elderly, Hospitalization. ResumenObjetivo: Investigar la percepción del cuidador acerca de la hospitalización de las personas mayores con la enfermedad de Alzheimer. Método: Este es un estudio descriptivo, exploratorio y de naturaleza cualitativa, realizado con 11 cuidadores familiares de ancianos con enfermedad de Alzheimer. Los datos fueron recolectados durante el periodo de abril a junio de 2013 a través de la entrevista semi-estructurada. El análisis de los datos se basa en el discurso de los sujetos colectivos. Resultados: Surgieron dos ideas centrales resumen: empeoramiento de la función cognoscitiva en los ancianos con enfermedad de Alzheimer durante el proceso de hospitalización y la Falta de personal sanitario a cuidar de un anciano con demencia. Conclusión: De acuerdo a los resultados obtenidos, existe la urgente necesidad de formación y/o especialización de los profesionales de la salud para atender a los ancianos con demencia y sus familias. La familia es una parte integral de la atención que los ancianos, siendo fundamental para entenderla y verla como una unidad social compleja.Descriptores: Cuidadores, Enfermedad de Alzheimer, Ancianos, Hospitalización.

2016 ◽  
Vol 38 (2) ◽  
pp. 153 ◽  
Author(s):  
Sâmia Jamylle Santos de Azevedo ◽  
Flávia Andrea Pereira Soares dos Santos ◽  
Caroline Evelin Nascimento Kluczynik Vieira ◽  
Larissa Soares Mariz ◽  
Aylla Nauanna da Silva ◽  
...  

The male participation in the process of breastfeeding needs to be encouraged as it can contribute significantly to the prevention of early weaning. In this sense, this research aimed to identify a parent's knowledge about breastfeeding. This is an exploratory and descriptive study with a qualitative approach, performed in the Family Health Strategy in Bom Jesus, Rio Grande do Norte State, Brazil. Data were collected through semi-structured interview with the guiding question: what is your understanding of breastfeeding? The population was 15 men with aged over 18 years old and preserved mental faculties, who lived with his wife and the child under one year of age and performed development and growth consultations in the Family Health Strategy. The interviews were conducted in place previously defined parent. The information was organized as content analysis Bardin, giving rise to two categories and analyzed according to the symbolic interacionism. It was observed that parents of participating antenatal clinics have more knowledge about it and recognize the benefits of breastfeeding in this way can encourage their wives in order to exclusive breastfeeding.


2020 ◽  
Vol 22 (4) ◽  
pp. 281-285
Author(s):  
Ana Paula de Sousa Suassuna ◽  
Luanna Gomes da Silva ◽  
Izabel Cristina Santiago Lemos de Beltrão ◽  
Maria Eugênia Alves Almeida Coelho ◽  
Célida Juliana de Oliveira ◽  
...  

Abstract Ultimately, there has been an increase in the number of cases of newborns affected by microcephaly, knowledge of the caregiver's perceptions regarding the child with microcephaly may promote the construction of therapeutic plans by health professionals that meet the expressed current needs of the child and caregivers. Thus, the aim of the present study is to describe the perception of family caregivers about microcephaly, using Callista Roy's adaptation theory. The research is descriptive, exploratory and with qualitative approach and was conducted at a School Clinic, located in the municipality of Juazeiro do Norte. The research participants were family caregivers of children diagnosed with microcephaly. Minayo's thematic analysis was used, supported by Roy's adaptation theory. Through data analysis two categories emerged: Knowledge and perception of family caregivers about microcephaly and family as support to cope with difficulties. It was observed that mothers, faced with the condition of their son with microcephaly, tend to develop a certain level of adaptation to make the situation less traumatic, making use of available social, medical care and family devices. Therefore, it is emphasized that health professionals need to act effectively in care, facilitating and strengthening effective adaptive responses. Keywords: Microcephaly, child, family caregiver, Nursing Theories. Resumo Nos últimos anos, o número de casos de recém-nascidos acometidos por microcefalia aumentou vertiginosamente, o conhecimento das percepções do cuidador em relação à criança com microcefalia pode fomentar a construção de planos terapêuticos por parte dos profissionais de saúde que atendam às necessidades vigentes expressas da criança e dos cuidadores. Assim, objetivo do presente estudo é descrever a percepção dos cuidadores familiares acerca da microcefalia, à luz da teoria da adaptação de Callista Roy. A pesquisa é descritiva, exploratória e com abordagem qualitativa. A pesquisa foi conduzida em uma Clínica Escola, localizada no município de Juazeiro do Norte. Os participantes da pesquisa foram cuidadores familiares de crianças com diagnóstico de microcefalia. Utilizou-se a análise temática de Minayo, sendo sustentada pela teoria da adaptação de Roy. Através da análise dos dados surgiram duas categorias: Conhecimento e percepção dos cuidadores familiares sobre a microcefalia e a família como apoio no enfrentamento das dificuldades. Observou-se que as mães, frente à condição do filho com microcefalia, tendem a desenvolver certo nível de adaptação para tornar a situação menos traumática, valendo-se dos dispositivos sociais, assistenciais e familiares disponíveis. Destaca-se, portanto, que os profissionais da saúde precisam atuar de forma eficaz na assistência, facilitando e fortalecendo as respostas adaptativas eficazes. Palavras-Chave: Microcefalia, criança, cuidador familiar, Teorias de Enfermagem


2021 ◽  
Vol 19 (10) ◽  
pp. 26-34
Author(s):  
Mehri Doosti-Irani ◽  
Farangis Heidari Goojani ◽  
Leila Rafiee Vardanjani ◽  
Kobra Noorian

Aim: This study aimed to explore family caregivers' experiences with tube feeding at home in Iran. Methods: This qualitative study was conducted with purposefully selected family caregivers who participated in an in-depth, semi-structured, face-to-face interview. Data analysis was performed through content analysis and rigor was investigated. Results: In total, 20 caregivers were interviewed. Two main categories were found in the interview data: ‘abandoned training’ and ‘lack of knowledge of nutrition’. Participants felt abandoned and unsupported by health professionals. Participants also reported feeling that health professionals passed the training responsibility to other health professionals who did not give training. This resulted in participants feeling obligated to learn from their peers. Participants lacked knowledge about nutrition, as well as how to prepare home-made formula for feeding, the correct position for feeding and feeding times. Conclusion: Despite having a heavy and vital responsibility, participants felt that they had not been adequately trained and thus faced making errors, resulting in negative consequences for the patient and the family. Therefore, appropriate plans must be made to promote preparation for home care.


2018 ◽  
Vol 21 (2) ◽  
pp. 155-163
Author(s):  
Ana Paula Ribeiro de Castro ◽  
Eglídia Carla Figueirêdo Vidal ◽  
Ana Raquel Bezerra Saraiva ◽  
Sofia de Moraes Arnaldo ◽  
Ana Maria Machado Borges ◽  
...  

Abstract Objective: To identify health promotion actions carried out by professionals in the Family Health Strategy in relation to elderly people. Method: An exploratory study with a qualitative approach was performed in Juazeiro do Norte, Ceará, Brazil, with 19 professionals. A recorded, fully transcribed semi-structured interview was used after authorization by the ethics committee under number 501 675. The discussions were analyzed using Content Analysis, organized into thematic categories. Results: Actions of a collective nature were identified, such as activities in groups, meetings, conversation circles, lectures and guidance in the waiting room. Other directed actions were used, such as guidelines during individual consultations and referral to specialized services. Conclusion: The need for the discussion of health promotion and actions in relation to old age was highlighted, with debate and reflection on this theme required locally, along with the need to build a network of support for the health of the elderly in a shared manner among professionals, managers and the community.


2008 ◽  
Vol 2 (2) ◽  
pp. 146
Author(s):  
Jeanne Chagas de Sousa ◽  
Lucilane Maria Sales da Silva ◽  
Terezinha Andrade Guimarães

ABSTRACTThe hospital discharge preparation for the newborn is of fundamental importance to reduce the expectations of relatives on the care when he/she  returns to  home. The orientations seeking to the discharge should begin from the admission. The objective was to analyze the family preparation for hospital discharge of newborn in a Neonatal Intensive Treatment Unit and to verify the family knowledge as for the disease and to the cares with newborn in the home. It is a descriptive study, of a qualitative nature, accomplished in a neonatal intensive treatment unit at Fortaleza, from December/2003 to june/2004. It was used as technique for collecting data, a semi-structured interview and the direct observation. The data were organized through content analysis. We verified that the families were partially prepared to assume cares with Rn without supervision, manifesting difficulties to accomplish some activities. We identified that the family expectation is to have the new integral home free from risks, as parents looking for to live the maternity and paternity fully until then postponed. Parents have revealed some knowledge on the disease and the child's treatment. We verified need to improve the communication process between group and family in the preparation for hospital discharge. Descriptors: neonatology; neonatal nursing, nursing care; newborn.RESUMOO preparo para alta hospitalar do recém-nascido é de fundamental importância para reduzir as expectativas dos familiares sobre o cuidado quando este retornar ao domicílio. As orientações visando à alta devem começar desde a admissão. Objetivou-se analisar o preparo da família para alta hospitalar do recém-nascido em uma Unidade de Tratamento Intensivo Neonatal e verificar o conhecimento familiar quanto à doença e aos cuidados com o recém-nascido Rn no domicílio. Trata-se de um estudo descritivo, de natureza qualitativa, realizado em uma Unidade de Tratamento Intensivo Neonatal, em Fortaleza, no período de dezembro de 2003 a junho de 2004. Utilizou-se como técnica de coleta de dados a entrevista semi-estruturada e a observação direta. Os dados foram organizados por meio de análise de conteúdo. Constatou-se que as famílias estavam parcialmente preparadas para assumir cuidados com o recém-nascido sem supervisão, manifestando, dificuldades para realizar algumas atividades. Identificou-se que a expectativa familiar é ter o novo integrante em casa livre de riscos, enquanto os pais buscam vivenciar plenamente a maternidade e paternidade até então adiados. Os pais revelaram possuir algum conhecimento sobre a doença e o tratamento da criança. Verificou-se a necessidade de aperfeiçoar o processo de comunicação entre equipe e família no preparo para alta. Descritores: neonatologia; enfermagem neonatal; cuidado de enfermagem; recém-nascido.RESUMENLa preparación para el alta hospitalaria del recién-nacido es de fundamental importancia para reducir las expectativas de los familiares sobre la atención cuando este retorne al domicilio. Las orientaciones pensando en el alta deben comenzar desde la admisión. El objetivo fue analizar la preparación de la familia para alta hospitalaria del recién-nacido en una Unidad de Tratamiento Intensivo Neonatal y verificar el conocimiento familiar sobre la enfermedad y los cuidados con el recién-nacido en  domicilio. Se trata de un estudio descriptivo, de carácter cualitativo, realizada en una unidad de tratamiento intensivo neonatal en Fortaleza, en el periodo de diciembre de 2003 a junio de 2004. Se utilizó como técnica de colecta de datos la entrevista semi-estructurada y la observación directa. Los datos fueron organizados por medio del análisis de contenido. Constatamos que las familias estaban parcialmente preparadas para asumir cuidados con el recién-nacido sin supervisión, manifestando, dificultades para realizar algunas actividades. Se identificó que la expectativa familiar es tener al nuevo integrante en casa libre de riesgos, ya que los padres buscan a vivir  plenamente la maternidad y la paternidad hasta entonces pospuestas. algunos padres han puesto de manifiesto algunos conocimientos sobre la enfermedad y el tratamiento del niño. Verificamos la necesidad de mejorar el proceso de comunicación entre equipo y familia en la preparación para el alta. Descriptores: neonatología; enfermería neonatal; cuidado de enfermería;  recién-nacido. 


2019 ◽  
Vol 7 (1) ◽  
pp. 21
Author(s):  
Moh Khofifi ◽  
Sobirin Sobirin

Elderly people are every Indonesian citizen, male and female, who have reached the age of 60 years and over, whether they have the potentially or not (The decree of the Minister of Social affair of RI No.15/HUK/2007). The objectives of this study are to determine the use of da’wah method for elderly and find out the supporting and inhibiting factors in conducting da’wah to the elderly people at Al-Furqon Mosque. This study applies a qualitative method (field research) for data collection, this study employs structured interview, observation and documentation techniques. The findings of the study show that there is no specific recitation for elderly people at Al-Furqon Mosque almost middle age. Routine recitation is held once a week on Sunday night and Wednesday night. It implements lecturing, holding question and answer and applicative methods. And the second finding, supporting factors of conducting da’wah to elderly people it shows adequate facilities and infrastructure, the right time table this activity, is after Maghrib mass prayer, the use of local languages as means of communication to the send the da’wah message from the preacher, The tolerance of other groups or organizations that are contrary to the culture of the Al-Furqon Mosque, lastly the family support of the elderly people who always motivaty them to be “Istiqomah” in joining the recitation at family and the inhibiting factor in delivering the message of da’wah to elderly worshipers in terms of psychological and physical perspectives. Are from the psychological lonely, mourning the loss of a loved one and feel depression due to pressure from family. Are from a physical perspective, they experience decreased hearing ability, decreased vision, and immune system that is getting weaker so they are susceptible to disease. So rarely can take part in recitation.


2012 ◽  
Vol 20 (4) ◽  
pp. 778-786 ◽  
Author(s):  
Silvia Cristina da Silva Lima ◽  
Guilherme Oliveira de Arruda ◽  
Rogério Dias Renovato ◽  
Márcia Regina Martins Alvarenga

The aim of this study was to know and understand the representations and use of medicinal plants by elderly men assisted in the Family Health Strategies of Dourados, MS. Participated in this study, 18 elderly men aged over 60 years, using four or more medications. The research was conducted with qualitative approach. The results showed that there is still the consumption of medicinal plants among the elderly, especially in the treatment of minor harm. The representations about the plants seem anchored in the concept of safety; they are natural and few side effects. Its use is made concurrently with the manufactured medicines without regard to risk of interactions. Older men use medicinal plants, without however reporting to health professionals. Therefore, it is necessary continuing education focused on phytotherapy health team and nursing, contributing to safe and effective use of medicinal plants.


2010 ◽  
Vol 5 (1) ◽  
pp. 145
Author(s):  
Alexandra do Nascimento Cassiano ◽  
Cristyanne Samara Miranda de Holanda ◽  
Roberta Kaliny De Souza Costa

ABSTRACTObjective: to evaluate the extensive action "From University to Community: Forming multipliers for both mother and child in the postpartum period" identifying the conception of pregnant women and caregivers about the importance of extension and health education for the postpartum period. Methodology: explorative and descriptive study, with quantitative approach, that will be developed at the Family Health Unit of the Castelo Branco district, municipality of Caicó. The study population will consist of eight (8) women and 8 (eight) escorts who performed the extensive action. It will use as a data-collection instrument a structured interview. Data will be analyzed according to descriptive statistics and discussed according to the adopted methodology. Expected results: it is expected that the study shows, to the family health staff of the Castelo Branco district, a portrait of the need for health education for women who will experience the postpartum period. The (re)think of this practice can enable women to experience this stage of pregnancy and puerperium in an autonomous way, aware of the changes and specific vulnerabilities of this phase of life. Descriptors: health education; postnatal care; family health.RESUMOObjetivo: avaliar a ação extensionista “Da Universidade a Comunidade: Formando multiplicadores para o binômio mãe e filho no período pós-parto” identificando a concepção das gestantes e acompanhantes acerca da importância da extensão e da educação em saúde para o período puerperal. Metodologia: estudo exploratório e descritivo, com abordagem quantitativa, que será desenvolvido na Unidade de Saúde da Família do bairro Castelo Branco. A população do estudo será constituída por oito gestantes e oito acompanhantes que participaram da ação extensionista. Utilizar-se-á como instrumento para a coleta dos dados a entrevista estruturada. Os dados obtidos serão analisados conforme estatística descritiva e discutido de acordo com o referencial teórico adotado. Resultados esperados: espera-se que o estudo propicie a equipe de saúde da família do bairro Castelo Branco, município de Caicó-RN, um retrato da necessidade de educação em saúde para as mulheres que irão vivenciar o período pós-parto. O (re) pensar desta prática pode possibilitar a mulher a vivencia desta fase do ciclo gravídico puerperal de forma autônoma, ciente das alterações e vulnerabilidades específicas dessa fase de vida.  Descritores: educação em saúde; cuidado pós-natal; saúde da família.RESUMENObjetivo: evaluar la acción extensionista "De la Universidad a la comunidad: La formación de multiplicadores para la madre y el niño en el período posparto" identificando la percepción de las mujeres embarazadas y sus acompañantes sobre la importancia de la extensión y la educación en salud para el período posparto. Metodología: estudio exploratorio y descriptivo, con enfoque cuantitativo, que se desarrollará en la Unidad de Salud de la Familia del distrito de Castelo Branco, en el municipio de Caicó. La población del estudio constará de ocho (8) mujeres y 8 (ocho) acompañantes que participaron en la acción extensionista. Se utilizará como un instrumento de recolección de datos la entrevista estructurada. Los datos serán evaluados de acuerdo a la estadística descriptiva y discutidos de acuerdo con el marco teórico referencial adoptado. Resultados esperados: se espera que el estudio ayude al equipo de salud de la familia del distrito de Castelo Branco a obtener un retrato de la necesidad de educación en salud para las mujeres que atraviesan el período de postparto. La (re) pensar en esta práctica puede permitir a las mujeres a experimentar esta etapa del puerperio de forma autónoma, consciente de los cambios y las vulnerabilidades específicas de esta fase de la vida. Descriptores: educación en salud; atención posnatal; salud de la familia.  


2019 ◽  
Vol 33 (2) ◽  
pp. 138-150
Author(s):  
Decha Tamdee ◽  
Patrapan Tamdee ◽  
Chieko Greiner ◽  
Waraporn Boonchiang ◽  
Nahoko Okamoto ◽  
...  

Purpose The family caregivers play an important role in the good quality of life for the elderly, but most of them can easily have an emotional and psychological effect on caregiving. The purpose of this paper is to explore the correlation between conditions of caring for the elderly in the family and caregiver stress in a community setting, Chiang Mai Province, Thailand. Design/methodology/approach A cross-sectional exploratory descriptive research was conducted in Ban Klang Subdistrict, San Pa Tong District, Chiang Mai Province. Simple random sampling was used to collect data by using a structured interview via a questionnaire with 103 elderly caregivers. The χ2 test was used to explain the conditions related to stress as being a caregiver. Findings Most of the caregivers were female and still in good health, but at the same time, underwent little stress. However, they did not receive any training beforehand for taking care of the elderly but mainly done by experience, relationship and gratitude. The conditions correlated with stress as being a caregiver were health status of caregivers, confidence of care, the relationship between caregiver and elderly person, and economic burden of care. Originality/value A necessary resource such as body of knowledge in elderly caregiving, long-term care system at the community level and social support from family and intimate persons will encourage confidence in taking care of the elderly in the family and also relieve caregivers’ stress.


10.3823/2277 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Verônica Lourdes Lima Batista Maia ◽  
Eliana Campelo Lago ◽  
Carmen Viana Ramos ◽  
Márcia Astrês Fernandes ◽  
Eucário Leite Monteiro Alves

Background: Mental disorders of the elderly constitute a public health problem due to their high prevalence, shortage of specialized services offered in Brazil, difficulties of access by the population and deficiency in the training of professionals of the Family Health Strategy for the identification, receptiveness and psychosocial assistance to the elderly. Objectives: To analyze the training of professionals of the Family Health Strategy on psychosocial care for the elderly in the context of the Psychosocial Care Network – RAPS (Rede de Atenção Psicossocial), and to discuss how professional training influences the care provided to the elderly. Methodology: Descriptive, qualitative study carried out with 31 professionals, 13 physicians and 18 nurses, who work at the Family Health Strategy of the city of Picos, Piauí, Brazil. The data were collected in January 2016, through a semi-structured interview guide, processed by the IRAMUTEQ software and analyzed by means of the Descending Hierarchical Classification. Results: The results were presented in three segments, namely: 1. The practice of professionals from the Family Health Strategy in psychosocial care in the family context; 2. Training of specialized professionals, in the attention to the elderly, in the Family Health Strategy; 3. The Psychosocial Attention Network in the care of elderly users of alcohol and other drugs; Conclusion: Health professionals have difficulties in dealing with the elderly with mental disorders in basic care. In order to facilitate access to specialized health services and to develop actions for social reintegration, prevention and harm reduction, it is necessary to implement a policy of ongoing training and education for health professionals to improve care for the elderly. Keywords: Aging; Mental Health; Mental disorders; Family Health Strategy.


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