People have specific and unique individual and contextual characteristics, so healthcare should increasingly opt for person-centered care models. Thus, this review aimed to identify and synthesize the indicators for the care process of the person with depression and/or anxiety disorders, based on patient-centered care, going through the stages of diagnostic assessment and care planning, including intervention. An integrative literature review with research in seven scientific databases and a narrative analysis were carried out. Twenty articles were included, with indicators for diagnostic evaluation and care/intervention planning being extracted. Care planning focused on people with depression and/or anxiety disorder must be individualized, dynamic, flexible, andparticipatory. It must respond to the specific needs of the person, contemplating the identification of problems, the establishment of individual objectives, shared decision making, information and education, systematic feedback, and case management, and it should meet the patient’s preferences and satisfaction with care and involve the family and therapeutic management in care. The existence of comorbidities reinforces the importance of flexible and individualized care planning in order to respond to the specific health conditions of each person.

Depression and anxiety are mental diseases found worldwide, with the tendency to worsen in the current pandemic period. These illnesses contribute the most to the world’s rate of years lived with disability. We aim to identify and synthesize indicators for the care process of the person with depression and/or anxiety disorders, based on patient-centered care, going through the stages of diagnostic assessment, care planning, and intervention. Methods and analysis: An integrative literature review will be conducted, and the research carried out on the following databases: MEDLINE, PsycINFO, Scopus, and Psychology and Behavioral Sciences Collection, CINAHL, Web of Science, TrialRegistry, and MedicLatina. The research strategy contains the following terms MesH or similar: “patient-centered care,” “depression,” and “anxiety.” Two independent revisers will perform the inclusion and exclusion criteria analysis, the quality analysis of the data, and its extraction for synthesis. Disagreements will be resolved by a third revisor. All studies related to diagnostic assessment, care planning, or intervention strategies will be included as long as they focus on care focused on people with depression and anxiety, regardless of the context. Given the plurality of the eligible studies, we used the narrative synthesis method for the analysis of the diagnostic assessment, the care and intervention planning, and the facilitators and barriers. PROSPERO registration number: CRD42021235405.

The loss of functionality in aging process is a concern nowadays. We proposed to perform the diagnosis of the functionality of institutionalized elderly people in Portalegre city. We developed a quantitative, descriptive and transversal study with the application of three evaluation instruments (Elderly Nursing Core Set, Mini-Mental State Examination and Blessed Dementia Scale (BDS)). The sample consisted of 89 elderly people, with an average age of 86.6 years-old, most of them are female (71.9%), widowed (77,5%) and illiterate (51.7%). The average of years of institutionalization was 3.5. 45.3% showed cognitive deterioration, and 50% showed moderate to severe deficits on the BDS. It was also found that 7% of the older people had low weight and 79.4% were overweight. It was also found that 7% of them had low weight and 79.4% were overweight. 37% reported they have pain and more than 52% presented moderate to complete disability in daily life activities such as walking, washing, caring for body parts, excretion processes and dressing. However, less than 26% presented some deficiency in eating. Regarding environmental factors 88% of the elderly people reported having some kind of support from family and friends. We concluded that the sample presents functional deficits, including considered cognitive deficiencies, requiring intervention. Considering that the evaluation presented here was made before the pandemic period caused by Covid-19, it is important to re-evaluate this sample after the restrictions of social conviviality to assess the effect of the pandemic on functionality and rethink the model of care for the institutionalized elderly people.

Population aging will be one of the major social transformations in the coming decades, with a very significant impact in all countries. The consequences of this will cause an overload of social and health services. It will be necessary to prepare for an aging population. The promotion of healthy lifestyles is necessary to increase quality of life and well-being as people age. The aim of this study was to identify and synthesize interventions in middle-aged adults that promote healthy lifestyles and translate this knowledge into health gains. We performed a systematic review of the literature with research on the EBSCO Host—Research Databases platform. The methodology followed the PRISMA guidelines, and the protocol was registered with PROSPERO. A total of 10 articles out of 44 retrieved were included in this review, which identified interventions to promote healthy lifestyles with an impact on well-being, quality of life, and adherence to healthy behaviors. The synthesized evidence supports the efficacy of interventions that contributed to positive changes at the biopsychosocial level. Health promotion interventions were educational or motivational and related to physical exercise, healthy eating, and changes in habits and lifestyles related to harmful behaviors (tobacco use, excess carbohydrates in the diet, physical inactivity, and stress). The health gains found were increased mental health knowledge (self-actualization), adherence to physical exercise, improvement in physical condition, adherence to the consumption of fruits and vegetables, increased quality of life, and well-being. Health promotion interventions in middle-aged adults can significantly improve healthy lifestyles, protecting them from the negative effect of aging. For aging to be a successful experience, continuity of healthy lifestyles practiced in middle age is necessary.

Urinarsy incontinence involves difficulty in retaining urine, making it a problem with multiple consequences. The purpose of this chapter is to encourage reflection on this situation and identify potential action with a view to promoting self-care in the elderly with urinary incontinence. The authors undertook an ethnographic survey in convalescence units in which they observed and interviewed elderly patients with urinary incontinence and healthcare professionals. Implementing an “observation, reporting, and reflection” approach, they carried out a content analysis. Three cultural dimensions emerged affecting self-care. Functional dependence and vulnerability led to an impaired attitude to the body, which constituted the primary challenge in the process. The promotion of self-care was marked by difficulties, strategies, and modes of action where the nurses played a significant role in liaison with the multidisciplinary team. The preparation for discharge was marked by points of contention and negotiations that decided whether the patient would return home or be the subject of referral.

Urinarsy incontinence involves difficulty in retaining urine, making it a problem with multiple consequences. The purpose of this chapter is to encourage reflection on this situation and identify potential action with a view to promoting self-care in the elderly with urinary incontinence. The authors undertook an ethnographic survey in convalescence units in which they observed and interviewed elderly patients with urinary incontinence and healthcare professionals. Implementing an “observation, reporting, and reflection” approach, they carried out a content analysis. Three cultural dimensions emerged affecting self-care. Functional dependence and vulnerability led to an impaired attitude to the body, which constituted the primary challenge in the process. The promotion of self-care was marked by difficulties, strategies, and modes of action where the nurses played a significant role in liaison with the multidisciplinary team. The preparation for discharge was marked by points of contention and negotiations that decided whether the patient would return home or be the subject of referral.

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Aprendendo o cuidado ao idoso... online 2015. abril. 1(1): 54 -68 54 resumo O envelhecimento populacional é uma realidade crescente, bem como a necessidade de cuidados. Também a formação em enfermagem não poderá ser alheia a este facto, pelo que procurando responder às solicitações da sociedade os estudantes, cada vez mais, têm no seu currículo unidades curriculares onde aprendem a cuidar o idoso. Objetivo: Sendo a formação efetuada numa estreita articulação entre a escola e as organizações de saúde, torna-se necessário analisar a estrutura da rede social estabelecida e as dinâmicas de cooperação que sustentaram as relações entre os atores no âmbito da formação dos estudantes de enfermagem em contexto de cuidados continuados ao idoso. Métodos: Ancorados no paradigma de análise de redes sociais, questionámos 21 atores envolvidos no processo de cooperação para a formação em enfermagem. Foram salvaguardados os aspetos éticos. Resultados: Verificámos que a rede de cooperação apresentava uma densidade de 45,7% em contexto de ensino clínico com particularidades estruturais e de posicionamento dos atores desocultadas através das respostas que os mesmos facultaram, onde explicavam a importância que atribuíam à cooperação. Conclusão: A cooperação apresentou mais conexões durante o período de ensino clínico do que durante o período teórico indo ao encontro das respostas dos participantes que evidenciaram a necessidade de se continuar a apostar nesta rede, uma vez que era considerada promotora da difusão de saberes e que a formação em enfermagem no âmbito dos cuidados ao idoso constituía uma mais-valia face às atuais necessidades da sociedade. Descritores: Idoso; redes de cooperação; formação em enfermagem. AbstractAging is a reality and care that cope the constant daily challenges and needs of older people.Nurse training cannot be unrelated to this fact. To answer the following demands of society and quality objectives, more and more students have in their curriculum, units where they learn to care the elderly. Objective: Nursing training is done in close collaboration between the nurse school and the health organizations,so is necessary analyze the structure of the established social network and the dynamics of cooperation that sustained relationships between the actors in the training of nursing students in the context of long-term care for the elderly. Methods:Anchored in the analysis of social networks, we questioned twenty-one actors involved in the process of cooperation for training in nursing. The ethical aspects are preserved. Results:We found that the cooperation network had a 45.7% density in clinical teaching context with a particular structure and positioning of the actors through. The answers that they have provided, explained the importance they attached to cooperation. Conclusion: Cooperation had Aprendendo o cuidado ao idoso... online 2015. abril. 1(1): 54 -68 55