Organização do Cuidado ao Idoso Dependente = Organization of Care to the Dependent Elderly

Este artigo busca apresentar a organização dos cuidadores, familiares ou não, frente a alta hospitalar do idoso dependente. Os resultados apontam que os cuidadores, apesar das dificuldades, encontram estratégias para dar conta das demandas de cuidados ao idoso. Percebe-se um descompasso entre as responsabilidades atribuídas às famílias e o suporte de serviços que deveria ser ofertado pelas políticas públicas existentes. Esta temática precisa ser discutida a fim de dar maior visibilidade, pois a revalorização da família nas políticas públicas pode significar um recuo das responsabilidades do Estado no atendimento às necessidades da populaçã

Ganhando na loteria e temendo pelo prêmio: experiência de famílias rurais sobreviventes à neoplasia mamária

Objective: understanding the experience of rural families who have the surviving mother/wife of breast cancer. Method: a qualitative research based on the theoretical basis of Symbolic and methodological interactionism of grounded data theory. Forty-one members of six rural families participated. The data were produced through an open interview with circular questions and the construction of the family genogram, being analyzed by the Constant Comparative Method. Results: the Theoretical Model was defined by two central categories: recognizing itself as a victorious family and (not) believing in the cure of breast cancer, symbolizing the trajectory of the experience of rural families. Conclusion: the experience can be described as a constant, interactive and integrated movement in which the family recognizes itself as victorious, which “wins the lottery” when the mother/wife is considered cured, but “fears losing the prize” due to relapse.Objetivo: compreender a experiência de famílias rurais que têm a mãe/esposa sobrevivente de câncer de mama. Método: pesquisa qualitativa fundamentada no referencial teórico do Interacionismo Simbólico e metodológico da Teoria Fundamentada dos Dados. Participaram 41 membros de seis famílias rurais. Os dados foram produzidos mediante entrevista aberta com questões circulares e construção do genograma familiar, sendo analisados pelo Método Comparativo Constante. Resultados: o Modelo Teórico definiu-se por duas categorias centrais: reconhecendo-se como uma família vitoriosa e (não) acreditando na cura do câncer de mama, representando simbolicamente a trajetória da experiência das famílias rurais. Conclusão: a experiência pode ser descrita como um movimento constante, interativo e integrado que a família se reconhece como vitoriosa, que “ganha na loteria” ao ter a mãe/esposa considerada curada, mas “teme perder o prêmio” pela recidiva

Perspective of care for users with arterial hypertension in a family health Unit

Objective: To know the practices developed for users with arterial hypertension. Method: A descriptive-exploratory research, with qualitative approach realized in people with arterial hypertension living in the coverage area of a Family Health Unit of a city in southern Brazil. The data collection occurred during the months of February and March 2011 through semi-structured interviews. To analyze the data was used the thematic analysis. Results: From data analysis emerged the following categories: care with food; medication care, care with physical activities; care in maintaining emotional balance; popular care. Conclusion: The study highlights the importance to know the care developed for hypertensive users in order to better lead the health actions in this public, valuing their practices and paying attention to the difficulties experienced for them in the realization of such care

The experience of nurses as an accompanying family member

Objective: To describe the experience of nurses in the condition of the hospitalized patient's family companion. Methods: Qualitative study conducted with nine nurses working in a public and teaching hospital, in the South of Brazil. The data was produced by Dynamics of Creativity and Sensitivity and analyzed by the presuppositions of discourse analysis in its French chain. Results: From the analysis of the data produced the following themes emerged: the professional knowledge as intervening factor: from frustration to confrontation; being a nurse, being in the accompanying condition and decision making and; the challenges of nursing in the accompanying condition. Conclusion: The experience as an accompanying family member had repercussions on the "professional self" and the "family self", provoking considerations both in the professional life and in the nurses' personal life, which triggered reflections and modifications in their praxis

COGNIÇÃO E CAPACIDADE FUNCIONAL DE IDOSOS QUE RESIDEM SÓS E COM FAMILIARES

Objetivo: avaliar a associação entre cognição e capacidade funcional de idosos que residem sós e com familiares. Método: estudo transversal, analítico, realizado com uma amostra de 368 idosos residentes em zona urbana de um município do interior do Rio Grande do Sul, Brasil, entre março de 2011 a julho de 2012. Para obtenção dos dados utilizou-se instrumento de caracterização sociodemográfico específico, o Miniexame do Estado Mental e a Escala de Lawton-Brody. Resultados: dos idosos participantes, 79,4% residiam com familiar(es) e 20,6%  moravam sós. Em relação ao nível cognitivo, 43,8% dos idosos não apresentaram déficit e 55,4% possuíam déficit cognitivo. Quanto à capacidade funcional, 88,9% idosos eram independentes e 11,1% tinham dependência parcial para a realização das atividades instrumentais de vida diária. Conclusão: não houve associação significativa entre cognição e capacidade funcional nos idosos que residiam sós e com familiares.Descritores: Idoso; Cognição; Atividades cotidianas; Família

The daily life of adults and elderly after myocardial revascularization

Objective: To describe the evidences on care needs and factors those influence the daily life of patients after myocardial revascularization surgery. Method: An integrative review of literature, with data collection at the database Latin American and Caribbean Literature in Health Sciences and Medical Literature Analysis and Retrieval System Online using the keywords "myocardial revascularization" and "patient discharge" or "everyday activities" or "rehabilitation" or "social adjustment" in January 2013. There were analyzed 12 articles those constituted the corpus of the study. Results: The results indicate that the day-to-day after surgery includes the need for changes in lifestyle. The negative repercussions of myocardial revascularization include anxiety, depression and medical monitoring and the positive factors the decrease of anginal symptoms. Conclusion: It was concluded that there is a lack of assistance from nursing professionals who contribute to the quality of life of revascularized patients by encouraging autonomy in the reconstruction of identity

Self-care of renal patients under conservative treatment: an integrative review

Objective: The objective of the following research was to identify scientific studies related to self-care of renal patients under conservative treatment. Method: This is an integrative literature review carried out by using literature through searched on the databases LILACS, BDENF, and MEDLINE, in May 2010, using as descriptors: chronic renal failure and self-care, and the keyword nursing. Sixteen productions have selected, comprising the study sample. Results: The results point to two main perspectives: health promotion as a factor making slow the dialysis in chronic kidney disease and health education as self-care practice in the conservative treatment. Conclusion: It has concluded that the majority of the studies address the clinical aspects and drug therapy, without giving emphasis to preventive programs, prevention of complications and slowing of renal disease

Accession of individuals to hemodialysis therapy

Objective: to analyze the indicators of accession related with sociodemographic profile of individuals subjected to hemodialysis. Method: quantitative search with 56 individuals in hemodialysis in a renal clinic within Rio Grande do Sul. The data was collected through a questionnaire and research in medical records between August and September 2008. Results: married individuals aged 60 years, illiterate or incomplete primary education, treatment time between one and five years presented more indicators of accession; individuals with income above five minimum salary accepted less indicators. Conclusion: There are many involved factors in accession to hemodialysis and they are interrelated. Each individual follows the treatment in a unique and singular way with influence of many factors during their life. These particularities affect the answer to treatment and should be comprehended by professionals of health. Descriptors: Nursing, Renal Insufficiency, Renal Dialysis, Patient Compliance

PERCEPTION OF OLD AGE IN THE VOICE OF OLDER PEOPLE PLACED IN GROUPS OF THE ELDERLY

Objetivo: Analisar a percepção de idosos que frequentam grupos de convivência acerca da velhice. Metodologia: Estudo qualitativo, descritivo, do qual participaram 20 idosos, sendo que 11 frequentam um grupo de convivência da área rural e 09 integram o do meio urbano. Os dados foram coletados por meio da entrevista semiestruturada, gravada e transcrita na íntegra. A análise dos dados seguiu os preceitos da análise temática, em que houve a elaboração de um eixo temático. Resultados: A partir dos dados foi possível apreender a percepção de velhice na voz de idosos participantes de grupos de convivência. Conclusão: Identifica-se que os idosos percebem o envelhecimento como um processo natural, caracterizado pela fragilização corporal, impondo limites para o desenvolvimento de atividades cotidianas. Em relação à participação nos grupos, os idosos compreendem que estes se constituem em um espaço de construção e fortalecimento de amizades e de diversão para este estrato populacional