Understanding the dynamics of professionals' performance towards sexuality allows us to glimpse the need for comprehensiveness in care related to social, ideological and imaginary formations which demand an imperative strengthening of academic and professional training.
Objective: To describe the stressful factors experienced by hospitalized elderly from the perspective of the Neuman Systems Model (NSM). Method: A descriptive qualitative study performed with 12 elderly hospitalized in a medical clinic of a teaching hospital in Rio Grande do Sul. Data production occurred from March to June 2016, through narrative interviews, subsequently transcribed, organized and submitted to the thematic analysis of Minayo, based on the NSM. Results: The stressors factors were classified in: intrapersonal - related to the clinical and psychosociocultural conditions resulting from the disease; interpersonal - resulting from the relationships between elderly and health professionals; and extrapersonal - resulting from the institutional infrastructure, standards and routines. Conclusion and implications for practice: It is important that nursing professionals assist the elderly in the hospitalization process, aiming at minimizing the stressors experienced at this time of frailty and often of dependence, in order to preserve their physical-emotional stability and well-being.
Resumo Objetivo Analisar as evidências da literatura sobre a prática da contenção em idosos. Métodos Revisão integrativa de literatura, com busca dos estudos primários publicados de 2013 a 2017, realizada nas bases de dados eletrônicas LILACS e MEDLINE, nos meses de maio e junho de 2018. As buscas foram obtidas pelo cruzamento, nas bases de dados, dos seguintes descritores e palavras: contenção; restrição; restrição física; e idoso. Resultados Foram incluídos 17 artigos e, a análise indicou que as evidências disponíveis na literatura reportam à prática de contenções no cotidiano de idosos, às consequências frente ao uso de contenções em idosos, e a técnicas alternativas ao uso das contenções. Conclusões O uso de contenções, principalmente físicas e químicas, é permeado por maior probabilidade de declínio cognitivo do idoso, além de consequências à saúde física e psicológica, podendo, até mesmo, resultar em óbito. Programas de intervenção e políticas designadas à diminuição do uso de contenções em idosos mostram-se como estratégias alternativas, contribuindo assim, para a qualificação da assistência.
Objective: To describe the influence of institutional routines on interpersonal conflicts among institutionalized elderly women. Method: A qualitative study, with an ethnographic framework, performed with 17 elderly women in a Long-Term Care Facility. The field immersion occurred from August 2017 to May 2018. The data were produced by participant observation and fieldnotes and analyzed through the sociocultural perspective with theoretical tools related to the total institutions described by Erving Goffman. Results: External bonds outside the institution and the routines were trigger factors of conflicts in the Long-Term Care Facility. The dissatisfaction with the lack of external bonds was noticed in the impossibility of leaving with family members, receiving visits, objects, money, foods, or attention. The standardization and collectivization of internal routines of basic activities generated dissatisfaction and challenged the elderly women’s tolerance towards the norms. Such situations facilitated interpersonal conflicts in the institutional environment. Conclusion: The conflicts occurred among elderly women and professionals, and among them, from the insubordination of the elderly, based on the idea of reaffirming their individualities.
Objective: to describe the therapeutic itinerary of elderly people with diabetes mellitus registered at Family Health Strategy units. Methods: qualitative and descriptive study carried out with 15 elderly people with diabetes mellitus between February and April 2019 by applying semi-structured interviews with the participants. Data were submitted to analysis of Minayo’s operational proposal. Results: in the folk care subsystem, the use of medicinal herbs, healers, and faith was emphasized by the participants. In the professional care subsystem, Family Health Strategy units were the services with the strongest bond to elderly people, but these patients still had to resort to the private healthcare network. Family proved to be the main source of support in the popular care subsystem. Final considerations: nursing must acknowledge the different types of knowledge, coping strategies, beliefs, and the culture of elderly people with diabetes mellitus to guarantee the delivery of comprehensive care.
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