RESUMO Objetivo: elaborar diagnósticos de Enfermagem para idosos frágeis institucionalizados. Método: trata-se de um estudo quantitativo, descritivo, transversal, com 53 idosos em uma Instituição de Longa Permanência para Idosos. Utilizaram-se a escala de fragilidade de Edmonton e um instrumento de coleta de dados baseado em Henderson. Fundamentaram-se os diagnósticos na CIPE®, versão 2015. Analisaram-se os dados nos softwares SPSS e Stata apresentando-os em tabela. Resultados: elaboraram-se 178 diagnósticos de Enfermagem dos quais prevaleceram 15 em mais de 20% da amostra. Destacaram-se “Risco de Queda” (84,9%), “Visão prejudicada” (49,1%), “Marcha prejudicada” (37,7%), “Insônia” (28,3 %), “Sono prejudicado” (26,4%), “Humor deprimido” (24,5%) e “Pele seca” (24,5%). Obteve-se significância estatística entre “Risco de queda” (p = 0,008) e “Pele seca” (p= 0,021) e o nível de fragilidade. Houve, ainda, significância entre o número de diagnósticos e o nível de fragilidade (p<0,001) de modo que, quanto maior o nível de fragilidade, mais diagnósticos. Conclusão: elaborou-se 178 diagnósticos de Enfermagem, dos quais prevaleceram 15, sendo o “Risco de queda” o mais prevalente. Contribuir-se á com esse estudo para divulgar a linguagem diagnóstica CIPE® e sensibilizar os enfermeiros acerca da importância de seu uso. Descritores: Enfermagem; Terminologia; Diagnóstico de Enfermagem; Idoso; Instituição de longa permanência para idosos; Fragilidade.ABSTRACT Objective: to elaborate nursing diagnoses for institutionalized frail elderly. Method: this is a quantitative, descriptive, cross-sectional study with 53 elderly people in a Long-Term Care Institution for the Elderly. The Edmonton Frailty Scale and a Henderson-based data collection instrument were used. The diagnoses were based on CIPE®, version 2015. Data was analyzed in the SPSS and Stata software and presented in a table. Results: 178 Nursing diagnoses were elaborated, of which 15 were prevalent in more than 20% of the sample. "Impaired vision" (49.9%), "impaired vision" (37.7%), "insomnia" (28.3%), "impaired sleep" "(26.4%)," depressed mood "(24.5%) and" dry skin "(24.5%). Statistical significance was obtained between "Risk for falls" (p = 0.008) and "Dry skin" (p = 0.021) and the level of frailty. There was also a significant difference between the number of diagnoses and the level of frailty (p <0.001), so that the higher the level of frailty, the more diagnoses. Conclusion: 178 Nursing diagnoses were elaborated, of which 15 prevailed, being the "Risk for fallsing" the most prevalent. It will contribute to this study to disseminate the diagnostic language ICNP® and to make nurses aware of the importance of its use. Descriptors: Nursing; Terminology; Nursing diagnosis; Old man; Long-term institution for the elderly; Frailty.RESUMEN Objetivo: elaborar diagnósticos de enfermería para ancianos frágiles institucionalizados. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado con 53 ancianos en una Institución de Larga Permanencia para ancianos. Se utilizaron la escala de fragilidad de Edmonton y un instrumento de recolección de datos basado en Henderson. Se fundamentaron los diagnósticos en la CIPE®, versión 2015. Se analizaron los datos en el software SPSS y Stata presentándolos en tabla. Resultados: se elaboraron 178 diagnósticos de Enfermería de los cuales prevalecieron 15 en más del 20% de la muestra. Se destacaron “Riesgo de Caída” (84,9%), “Visión perjudicada” (49,1%), “Marcha perjudicada” (37,7%), “Insomnio” (28,3%), “Sueño perjudicado” (26,4%), "Humor deprimido" (24,5%) y "Piel seca" (24,5%). Se obtuvo significancia estadística entre "Riesgo de caída" (p = 0,008) y "Piel seca" (p = 0,021) y el nivel de fragilidad. Se observó una correlación entre el número de diagnósticos y el nivel de fragilidad (p <0,001), de modo que, cuanto mayor sea el nivel de fragilidad, más diagnósticos. Conclusión: se elaboraron 178 diagnósticos de Enfermería, de los cuales prevalecieron 15, siendo el "Riesgo de caída" el más prevalente. Se contribuirá con este estudio para divulgar el lenguaje diagnóstico CIPE® y sensibilizar a los enfermeros acerca de la importancia de su uso. Descriptores: Enfermería; Terminología; Diagnóstico de Enfermería; Anciano; Hogares para Ancianos; Fragilidad.
Introduction: Chronic-degenerative diseases need specialized health care, especially in palliative care, since from the beginning of the disease the elderly is in this classification. In this context, the study aimed to know the meaning of palliative care to the elderly person from the nurse Methods: This is a descriptive, cross-sectional, qualitative study carried out in a private tertiary hospital in the Northeast of Brazil. The survey was conducted from March to June 2016, with 19 nurses. In the data collection, a semi-structured interview, with four questions were used: what does palliative care mean to you? What does care for the elderly in hospice care mean to you? What strategies do you adopt to promote palliative care for the elderly? Tell me about your experience in providing palliative care to the elderly. The technique of data analysis and organization was the Discourse of the Collective Subject.Results: Four categories of palliative care were produced: meaning palliative care; Experience in providing palliative care to the elderly; Meaning of caring for the elderly in palliative care; Strategies to promote palliative care for the elderly. Conclusion:The meaning of palliative care was synonymous with comfort and quality of life. It is important to emphasize the patientcentered care and to carry out further studies on the subject to make nursing professionals aware of the importance of promoting adequate behavior in palliative care.
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