Assistência em Saúde ao Idoso com quadro Drepressivo / Health Care for the Elderly with Drepressive Signs

Resumo: Com o aumento da população idosa, e por ser uma fase da vida frágil e conforme os aparecimentos de doenças, com o encerramento trajetória profissional, perda familiar, mudança de hábitos, tudo isso vem o sentimento de frustações, é comum que nessa fase os idosos fiquem deprimidos. Tornando assim bastante importante o acompanhamento qualificado e humanizado por parte dos profissionais de saúde. Por tanto cabe a estes profissionais proceder em buas de uma assistência adequada. Objetivo desse estudo é analisar e descrever a importância da assistência em saúde ao paciente com depressão na terceira idade. Metodologia: trata-se de uma revisão integrativa da literatura, que foi realizada através da pesquisa bibliográfica com os seguintes descritores: Terceira idade, depressão, assistência da enfermagem e saúde do idoso.com os estudos dos artigos selecionados os resultados foram distribuídos em três categorias temáticas: Fatores contribuintes para depressão na terceira idade; Ações da enfermagem para prevenir e amenizar a depressão na terceira idade; A importância da assistência qualificada do profissional da enfermagem ao idoso com depressão. Notou-se o quanto é importante uma assistência adequada e humanizada da enfermagem ao idoso com depressão, elaborando assim ações que vá ajudar o idoso na prevenção à amenização dos sintomas da depressão. Espero que esse estudo ajude com futuras pesquisa relacionado a esse tema, fortalecendo o interesse dos enfermeiros a saúde do idoso. Palavras-chaves: Depressão. Terceira idade. Assistência. Saúde do idoso.Abstract: With the increase of the elderly population, and because it is a fragile stage of life and according to the onset of diseases, with the closure of the professional trajectory, family loss, change of habits, all this comes with the feeling of frustration, it is common for the elderly at this stage get depressed. Thus, qualified and humanized monitoring by health professionals is very important. Therefore, it is up to these professionals to provide adequate assistance. The aim of this study is to analyze and describe the importance of health care for patients with depression in the elderly. Methodology: this is an integrative literature review, which was carried out through bibliographical research with the following descriptors: Third age, depression, nursing care and elderly health. With the studies of the selected articles, the results were divided into three categories thematic: Contributing factors for depression in old age; Nursing actions to prevent and alleviate depression in old age; The importance of qualified nursing professional assistance for the elderly with depression. It was noted how important an adequate and humanized nursing care for the elderly with depression is, thus developing actions that will help the elderly in preventing the alleviation of symptoms of depression. I hope this study will help with future research related to this topic, strengthening nurses' interest in the health of the elderly. Keywords: Depression. Third Age. Assistance. Elderly health.

“Bumps in the Road”: A Pilot Study of a Therapeutic Technique for the Integration of Unresolved Family Loss and Trauma

The ability to sustain a coherent narrative about experiences of trauma and loss is a prominent feature of secure-autonomous attachment states of mind as assessed in narrative tasks such as the Adult Attachment Interview. The current study examines the clinical application of the concepts of narrative coherence and discourse segregation within a therapeutic intervention for whole families. Bumps in the Road is a family drawing task, which aims to facilitate the co-construction of family narratives about adversities such as trauma, loss and hardship. The technique aims to increase the family’s narrative coherence about such challenging events. The paper first presents a description of the task itself together with the discourse theories of defensive processing of adverse events. The study also presents pilot quantitative findings from 19 parents on the psychometric properties of a coding system of the families’ discourses in undertaking the task and the therapist’s techniques in administering the task. The predictive association of coding of the narratives were examined as predictors of change in internalising and externalising symptoms in the referred child, using the Child Behaviour Checklist. Findings showed that therapist competence in administration of the task did significantly predict the magnitude of treatment efficacy. The current study is the first presentation of this novel therapeutic task and sets a platform for further research on the use of narrative tasks and the formal coding of discourse in therapeutic work with children and families.

The Association Between Recent Family Death and Self-Perceptions of Aging Among Middle-Aged and Older Adults

The loss of a family member may have a significant influence on one’s aging experience in life. Self-perceptions of aging, which are an individual’s beliefs or evaluation of their experiences of aging, have been described as an important factor for one’s health and daily life. However, there is little research on the association between family death and self-perceptions of aging. This study examines the relationships between recent family death, self-perceptions of aging, and gender of the bereaved among middle-aged and older adults. Using nationally representative data from the Health and Retirement Study (HRS), we conducted cross-sectional analysis on adults age 50 years and older (n=1,839). Self-perceptions of aging were accessed by 8 items derived from the Attitudes Toward Own Aging subscale of the Philadelphia Geriatric Center Morale Scale and the Berlin Aging Study, and we considered recent family death (i.e., parental death, spousal death, sibling death and child death), as well as gender of the bereaved. Multiple linear regression analyses revealed that respondents who experienced recent family death report less positive self-perceptions of aging compared to those who did not experience recent family death (t = 12.40, p < .01). Recent parental death was more negatively related with self-perceptions of aging for bereaved women than for bereaved men (χ2 = 4.28, p < .05). Findings suggest that middle-aged and older adults experiencing recent family loss have less positive self-perceptions of aging, and gender of the bereaved plays an important role in the relationship between parental death and self-perceptions of aging.

Familiar grammars of loss and belonging: curating trans kinship in post-dictatorship Argentina

On 24 March 1976, the Argentine military staged a coup d’état and established dictatorship. To eliminate radical left activists, the armed forces perpetrated mass civilian murder until democratic transition in 1983. The Mothers of Plaza de Mayo emerged, protesting their children’s disappearance by mobilizing portraiture to make visible familial rupture and indict the state. This article examines the archival exhibit, Esta se fue, a esta la mataron, esta murió (2017), which displayed trans women’s vernacular photographs and family albums from the 1970s–1980s, the same years as dictatorship. Analyzing the exhibit’s curatorial choices and the photographs’ material and haptic qualities, this article reads the exhibit alongside the Mothers’ iconic activist visual culture and national narratives of family loss. In doing so, the author suggests the exhibit renders trans sociality familial and familiar to a national viewing public, thereby reinterpreting Argentine history by installing trans subjects as proper subjects of national mourning.

Ciliary force-responsive striated fibers promote basal body connections and cortical interactions

Multi-ciliary arrays promote fluid flow and cellular motility using the polarized and coordinated beating of hundreds of motile cilia. Tetrahymena basal bodies (BBs) nucleate and position cilia, whereby BB-associated striated fibers (SFs) promote BB anchorage and orientation into ciliary rows. Mutants that shorten SFs cause disoriented BBs. In contrast to the cytotaxis model, we show that disoriented BBs with short SFs can regain normal orientation if SF length is restored. In addition, SFs adopt unique lengths by their shrinkage and growth to establish and maintain BB connections and cortical interactions in a ciliary force-dependent mechanism. Tetrahymena SFs comprise at least eight uniquely localizing proteins belonging to the SF-assemblin family. Loss of different proteins that localize to the SF base disrupts either SF steady-state length or ciliary force-induced SF elongation. Thus, the dynamic regulation of SFs promotes BB connections and cortical interactions to organize ciliary arrays.

FAMILY-MEMBER LOSS AS A CUMULATIVE BURDEN FOR HEALTH AMONG BLACK AND WHITE OLDER ADULTS

The health consequences of multiple family member deaths across the life course has received less attention in the bereavement literature. Moreover, recent research shows that black Americans are more likely than white Americans to lose multiple family members. I analyze longitudinal data from the Health and Retirement Study (1992-2014) to assess how multiple family member losses across the life course are associated with declines in health among older adults. Findings suggest that multiple family losses prior to midlife are associated with a number of indicators of poor health (e.g., functional limitations, cardiometabolic health) and steeper declines in health as individuals age. Losses after midlife additionally undermine health declines for older adults. Thus, family member loss functions as a cumulative burden of stress across the life course that erodes health in mid- and later-life. Family loss disproportionately burdens black Americans and serves as a unique source of disadvantage for black families.

BEREAVEMENT IN A FAMILY CONTEXT

Bereavement is an impactful, often difficult experience for individuals throughout the life course. Moreover, bereavement experiences inherently involve wider family networks: The death of a spouse is often also the death of a parent, grandparent, or sibling, as well. The present symposium investigates a variety of different family loss experiences that individuals are exposed to in adulthood and older age, and situates such bereavement in a larger family context. Stahl explores how daily routines and sleep patterns can be altered by spousal bereavement, and assesses an intervention designed to improve widowed older adults’ behaviors and, in turn, reduce their depressive symptomology. Kim and colleagues analyze the death of a parent in adulthood, examining the extent to which pre-loss relationship quality and relationship importance may predict post-loss symptoms of grief. Stokes and colleagues extend this intergenerational perspective, examining the death of a grandparent in adulthood, and whether adult grandchildren’s relationships with their middle-generation parents – bereaved adult children themselves – impact their experiences of grief after loss. Focus is also paid to the influence of gender across all three generations. Lastly, Donnelly explores the cumulative consequences of experiencing multiple family deaths throughout the life course for adults’ health trajectories. Together, these papers expand the scope of bereavement research to incorporate spousal, multigenerational, and cumulative loss experiences and their repercussions for midlife and older adults. As discussant, Carr will assess the contributions of these papers to theory and the literature, and highlight potential directions for future research concerning aging, families, and bereavement.

Experiences and Strategies of Young, Low-Income, African-American Men and Families Who Navigate Violent Neighborhoods and Low-Performing Schools

Violent neighborhoods and low-performing schools continue to devastate young, low-income, African-American men and their families, despite individual and family use of kin and peer network navigation strategies. To learn more, interviews were conducted with 40 young African-American men, ages 18 to 22, from Baltimore City enrolled in a general equivalency diploma (GED) and job training program, and analyzed with modified grounded theory. Young men identified unsafe neighborhoods, chaotic schools, and disengaged teaching. Young men used safety and success strategies such as avoiding trouble and selecting positive peers to navigate unsafe environments. African-American families utilized kin network strategies such as messaging and modeling success, and mobilization for safety. Limits of unrecognized and unsupported strategies were related to: mobilization, limited educational partnership, and disproportionate family loss. Results indicate the continued urgent need for: (1) targeted violence reduction in high-violence neighborhoods, (2) calm and effective learning environments, (3) higher ratios of teachers to students to reduce chaos and improve learning, and (4) genuine teacher partnerships with families to improve access to positive role models, academic supports, and positive peer network development.

Family, Loss, and Change

Same-sex relationship dissolution has reverberations for individuals beyond the nuclear family. This chapter discusses a lesbian-parent family, consisting of two moms and two kids—when it broke up nearly two decades ago, many other family members, including the donor and his husband, were deeply affected. This chapter reflects on this experience from the author’s perspective of a family scholar and an activist for LGBTQ family rights. In the absence of legal marriage and thus legal divorce, family lives turned out in ways that even the most careful, deliberate efforts could not anticipate nor protect. The experiences described highlight many losses and regrets, despite the intentional love and concern for all of the parents, children, and extended family members involved. These reflections on this experience are intended to honor the family as it once was and the families they have become.