Objective:To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers -all of which are related to the safety of institutionalized older adults. Method: This was a documentary retrospective study developed in a longterm residential care institution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. Results: The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from 12% to 20%. Conclusion: Analysis of the health indicators revealed a high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators can help improve the quality of nursing care.
Introduction: Nursing care for institutionalized elderly should be done through systematized actions and by using the nursing process, directing the care actions to the affected needs with theoretical support and use of classification systems. In this context, the objective was to develop nursing diagnoses of the International Classification for Nursing Practice for institutionalized elderly. Method: This is a descriptive study, developed in a Long-stay Institution for Elderly People in Northeast Brazil. The survey was conducted from April to May 2016, with 28 institutionalized elderly. Data collection was guided by a form based in Henderson's theory and carried out through physical examination, clinical interview and records consultation. The nursing diagnoses were developed by using the International Classification for Nursing Practice version 2015. Data were analyzed using SPSS version 20.0. Results: Authors found 81 types of diagnoses, among which there was highlight to: impaired heart condition, productive cough, obesity, urinary incontinence, constipation, diarrhea, risk for falls, impaired sleep, impaired ability to perform hygiene, edema in the lower limbs and impaired vision, lack of recreational activity, positive socialization and positive religious belief. Most nursing diagnoses belonged to the needs of moving and maintaining desirable posture and communicating. Conclusion: There was an increased frequency of diagnoses related to biological needs.
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