This is a descriptive cross-sectional study, which aimed to identify the perception of nursing home elderly residents related to the chronological organization of their daily routines and to their sleep quality. The study was conducted with 37 elderly (14 women and 23 men, mean age of 75 years) who lived in a long term care facility located in the municipality of Campinas-SP, Brazil. The results showed that 81% of the elderlies had complaints compatible with poor sleep, but 70% of them reported that they had good sleep quality when directly questioned about it. All elderlies adequately realized the chronological organization of their routines, but this perception did not appear to contribute to the good sleep quality, as most of them had complaints compatible with poor sleep. It becomes evident that nurses should perform detailed assessment of sleep quality in order to minimize or prevent these problems and their possible consequences.

INTRODUCTIONThe aging of the population is a worldwide phenomenon, highlighting the significant increase in the population aged 70 years and older. In 2009, the results of the National Household Sample Survey indicated a total of 11.3 million in this age group. The decrease of the children and youth and the consequent increase in adult population and elderly is related to the continued decline in the fertility and mortality rate combined with an increased life expectancy (1) .Simultaneously, the most prevalent diseases among elderly are also changing, with a sharp decline in the morbidity and mortality from infectious and contagious diseases and an increase in chronic non-communicable diseases (CNCDs) (2) . With aging, the probability of acquiring CNCD increases while functional capacity and body reserves decrease, leading to a greater susceptibility to these diseases and other health problems (3) . Thus, there may be a direct association between the demographic and epidemiological transition.According to the Brazilian Institute of Geography and Statistics, in 2008, the most prevalent diseases in seniors were: high blood pressure (53.3%), back pain (35.1%), rheumatoid arthritis or rheumatism (24.2%), heart diseases (17.3%), diabetes mellitus (16.1%) and other diseases (20.9%) (1) . The CNCDs may result in losses in the overall health and functionality of the elderly, negatively affecting their quality of life, including the standard and quality of sleep (4) .Aging by itself can bring changes in the usual pattern of sleep, such as quantitative reduction of deep sleep stages and increase in the light sleep stages, nocturnal sleep disruption, increased sleep onset latency, reduced duration of nocturnal sleep, and more frequent transitions between the sleep stages during the night. The prevalence of sleep-disordered breathing and disorders related to increased nocturnal myoclonic activity are also more common over 60 years of age, so that the complaints of insomnia symptoms are most frequent among the elderly (4)(5) .There are four essential symptoms for the diagnosis of sleep disorders and insomnia: difficulty falling asleep, difficulty staying asleep, early awakening and non-restorative sleep. Various international classification manuals for sleep disorders shared these criteria, including the Research Diagnostic Criteria of the American Academy of Sleep Medicine (RDC), the International Classification of Sleep Disorders (ICSD-2) and the International Classification of Diseases Organization of the World Health Organization (ICD 10) (6) .Changes in sleep patterns and insomnia symptoms in seniors may occur as a consequence of CNCDs. Other prevalent diseases in this age group may influence sleep quality, among them, we highlight depression, bladder weakness and neurological problems, such as Parkinson's disease and stroke (7)(8) . In addition, lifestyles changes that are often linked to aging, such as retirement and widowhood, may contribute to these sleep modifications (9) .Among the examples of CNCDs, rheumatoid ar...

OBJECTIVES: To map the number and geospatial distribution of Brazilian long-term care facilities (LTCFs) for older adults. Additionally, we sought to highlight the relationship between these findings and the number of older people in the country’s 27 Federation Units, demonstrating the growth of these facilities in the last decade. METHODS: This is a descriptive observational study, using secondary data, which was performed in 3 stages: 1) searching and consolidating national and subnational data from different sources and mapping LTCFs; 2) preparing a geospatial map using Brazilian postal codes; and 3) triangulating the number of facilities and of older people in each state and all 5 Brazilian regions. RESULTS: We found 7029 LTCFs in the country, mostly in the Southeast and South regions: São Paulo, Minas Gerais and Rio Grande do Sul had the highest numbers of facilities while states in the North region represented only 1.12% of Brazilian LTCFs. Geospatial mapping highlighted that 64% of the 5 570 Brazilian municipalities did not have any LTCFs for older adults. CONCLUSIONS: We observed a large difference between Brazilian regions regarding the provision of long-term care.

RESUMO ABSTRACTThis study aimed to characterize the elderly who naps according to sociodemographic characteristics and frailty. A descriptive, cross-sectional study part of the multicenter project Frailty in the Elderly Brazilians. We evaluated 1,866 elderly people using a sociodemographic questionnaire. The frailty was assessed using the phenotype proposed by Fried. The data were analyzed with descriptive statistics. The results showed that the profile of the elderly who naps consists predominantly of women, married, retired, pre-frail, with an average age of 73 years, four years of study, with monthly family income of 3.9 minimum salary, with 4,4 children who were living with them only. The elderly reported napping on average 5.9 days per week, lasting 53.5 minutes per nap. Knowing the profile of the elderly who naps contributes to health professionals in the development of actions in relation to sleep problems of the frail/pre-frail elderly, preventing, minimizing or solving these problems. DESCRIPTORS Aged Sleep Geriatric nursing RESUMEnEl objetivo de este estudio fue caracterizar a adultos mayores que dormitan según las características socio-demográficas y de fragilidad. Estudio descriptivo, transversal, un recorte del proyecto multicéntrico Fragilidad en los adultos mayores brasileños. Fueron evaluados 1866 adultos mayores mediante el cuestionario socio-demográfico. La fragilidad se evaluó mediante el fenotipo propuesto por Fried. Los datos fueron procesados mediante estadística descriptiva. Los resultados mostraron que el perfil del anciano que dormita fue constituido principalmente por mujeres, casadas, jubiladas, pre-frágiles, siendo el promedio de edad de 73 años, cuatro años de educación, con ingreso familiar mensual de 3,9 sueldos mínimos, con 4,4 hijos, y que vivían sólo con sus hijos. Los adultos mayores reportaron dormitar en promedio 5,9 días por semana, con duración de 53,5 minutos por siesta. Conocer el perfil de los adultos mayores que dormitan contribuye para que los profesionales de la salud desarrollen acciones relacionadas con los problemas de sueño de los adultos mayores frágiles/ pre-frágiles, previniendo, minimizando o resolviendo estos problemas.

Os serviços de urgência e emergência recebem pacientes de alta complexidade e com diversas situações de risco de vida, onde muitos fatores podem influenciar na qualidade da assistência prestada aos usuários. Este estudo teve por objetivo revisar a literatura acerca da aplicação do conceito de Acolhimento e suas contribuições frente à demanda específica do indivíduo alcoolista nos serviços de urgência e emergência. Foi realizada uma revisão integrativa da literatura no período de 2004 a 2014, nas seguintes bases de dados Medline, Lilacs, Bdenf e Scielo, com base nos descritores: acolhimento, emergência e álcool. O total de artigos encontrados nas bases de dados foi de 137 estudos, dentre os quais 28 atenderam aos critérios de inclusão. Após a leitura, apenas 09 compuseram a amostra final dos artigos de acordo com a pergunta norteadora do estudo. Foram constatadas 02 categorias que apontaram a contribuição do Acolhimento ao indivíduo alcoolista nos serviços de urgência e emergência: conhecimento do perfil do usuário dos serviços de urgência e emergência e o Acolhimento e o papel dos profissionais. Conclui-se que a utilização das premissas do Acolhimento em Saúde no atendimento aos indivíduos alcoolistas, deve basear-se no reconhecimento das especificidades e necessidades próprias aos diferentes perfis de usuários e no delineamento e a clareza do Acolhimento, para que os profissionais entendam-se como agentes transformadores da realidade.

O envelhecimento é um processo normal do desenvolvimento do ser humano, caracterizado por mudanças fisiológicas (senescência) ou patológicas (senilidade). Com o avançar da idade, as comorbidades podem estar presentes no idoso. O desempenho das atividades de vida diária fica prejudicado e, devido a alterações sensório-motoras, cognitivas e psicossociais, aumenta a vulnerabilidade para a ocorrência de quedas e acidentes domésticos, comprometendo a capacidade funcional e podendo levar à morte. O objetivo deste trabalho é apresentar o relato de experiência do oferecimento de oficinas intituladas: “Acidentes domésticos com pessoa idosa: prevenção e ação” a um grupo de idosos participantes de um programa específico para essa faixa etária. As oficinas foram ofertadas como parte do Programa de Extensão Universitária–UniversIDADE de uma Universidade pública do interior de São Paulo. Os encontros da oficina foram realizados entre maio e agosto de 2015, com duração de uma hora cada encontro, totalizando sete encontros. Uma enfermeira e uma fisioterapeuta foram mediadoras voluntárias. Os temas abordados foram: quedas, alterações sensoriais, estratégias de prevenção e ação em acidentes domésticos, queimaduras e hemorragias. Quanto aos resultados das oficinas destacaram-se a participação ativa dos idosos nas discussões dos temas abordados e a relevância dos mesmos para a prevenção dos acidentes domésticos e da ocorrência de queda. Considerou-se importante a atuação dos idosos como agentes multiplicadores das informações adquiridas nas atividades, com extensão aos seus familiares, a outros idosos de seu convívio e para sua própria qualidade de vida. Palavras-chave: Extensão Universitária, Relações Comunidade-Instituição, Acidentes domésticos, Prevenção, Saúde do Idoso.   Workshops on falls and general domestic accidents in elderly people in the UniversIDADE Program Abstract: Aging is a natural process of human development characterized by normal physiological (senescence) or pathological (senility) changes. As old age advances comorbidities may impact the individual. The performance of daily activities might be compromised by sensory-motor, cognitive and psychosocial impairments, and as a result, the likelihood of falls and domestic accidents is increased, compromising the functional capability and ultimately being fatal. This paper aims at providing an account of the experiences of the workshop entitled: "Domestic accidents involving the elderly: prevention and action" for a group of elderly in a university program targeting this specific age group. The workshops were offered as part of the "UniversIDADE", an Extension Program of a public university in São Paulo State, Brazil. The meetings were coordinated by two volunteers, a nurse and a physiotherapist. The topics addressed in the workshops were falls, sensory changes, prevention strategies, action to be taken in case of domestic accidents, burns and hemorrhages. The meetings highlighted the active participation of the elderly in the discussions of the topics approached in the workshop and their relevance for preventing domestic accidents. Furthermore, the role of older people as multipliers of information acquired in activities with extension to their families was emphasized to other seniors close to them and as an important aspect to improve their own life quality. Key-words: University Extension, Community-Institutional Relations, Domestic Accidents, Prevention, Elderly Health.   Talleres sobre caídas y accidentes domésticos generales en ancianos del Programa UniversIDADE Resumen: El envejecimiento es un proceso natural del desarrollo humano, caracterizado por cambios fisiológicos normales (senescencia) o patológicos (senilidad). Con la edad avanzada las comorbilidades pueden estar presentes en la vida de los ancianos. El rendimiento de las actividades diarias es perjudicado y, a causa de cambios en la capacidad sensorial-motora, cognitivos y psicosociales, los ancianos están más vulnerables a caídas y accidentes domésticos, lo que puede comprometer su salud y llevar a la muerte. El objetivo de este trabajo es presentar un informe de la experiencia de los talleres titulados: "Los accidentes domésticos con ancianos: la prevención y la acción". Los talleres fueron ofrecidos por el Programa de Extensión Universitaria “UniversIDADE” de una universidad pública de São Paulo, Brasil. Con un total de siete encuentros, los talleres se llevaron a cabo entre mayo y agosto de 2015, con duración de una hora cada, dictados por dos mediadoras voluntarias; una enfermera y una fisioterapeuta. Los temas tratados en los talleres fueron: caídas, cambios sensoriales, las estrategias de prevención y acción en los accidentes domésticos, quemaduras y hemorragias. Como resultados de las reuniones, se destaca la participación activa de los ancianos en las discusiones de los temas tratados en cada actividad y la importancia de ellos como multiplicadores de la información adquirida en los talleres, con extensión a sus familias, a otras personas ancianas de su convivencia y a su propia calidad de vida. Palabras-clave: Extensión Universitaria, Relaciones Comunidad-Institución, Accidentes Domésticos, Prevención, Salud del Anciano

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