161 Biomedical and Biopharmaceutical Research J o r n a l d e I n v e s t i g a ç ã o B i o m é d i c a e B i o f a r m a c ê u t i c a About the postponement of clinical discharges from an Integrated Continuous Care Unit (UCCI) for non-clinical reasons: nurses perception study AbstractThis study investigates the perception of health professionals in Continuous Care Units (UCCI) regarding the occurrence (or none) of extension of clients' hospitalization for non-clinical reasons. The group was selected considering their proximity and continuous intervention in supporting the clinical discharges when declared by the physician. This is an exploratory study with a quantitative approach. In methodological terms, a self-completed questionnaire constructed with multiple-choice questions was used. This randomized, convenience sample population included 20 responding nurses. Results show the perceived predominance of family-order factors: 60 % of the nurses referred to poor or totally absent family support of users or its total absence (45 %). Following, perceived factors are economic reasons (29 %), including insufficient income (85 %), institutional reasons (29 %) for lack/absence of social responses (50 %), and very close figures for the limited ability of institutions to receive users coming from the UCCI network (45 %). Major structural reasons (65 %) are poor housing conditions and physical barriers to mobility (55 %). To contribute with appropriate solutions to the emerging scenario, this study should be further developed and applied to all nationwide UCCI to reflect and anticipate intervention strategies in continuous care. Keywords: nursing, continuous care, internment extension, clinical discharge postponement, non-clinical ResumoO presente estudo tem por objetivo conhecer a percepção dos profissionais de saúde quanto à existência, de factores não-clínicos que se revelem como obstáculos à concretização das altas, nas Unidades de Cuidados Continuados Integrados (UCCI), e que contribuam para o aumento do número de internamentos prorrogados, após alta clínica. Seleccionou-se o grupo dos enfermeiros considerando a sua intervenção contínua e de proximidade para apoio na alta, quando declarada pelo médico. Trata-se de um estudo exploratório, qualitativo, utilizando um questionário auto-preenchido, com perguntas de resposta múltipla, aplicado a uma amostra de conveniência, aleatória, composta por 20 enfermeiros. Nos resultados predominam factores de ordem familiar: 60 % refere o insuficiente ou mesmo a total ausência de qualquer suporte familiar (45 %). Seguem-se motivos económicos (29 %), nomeadamente a insuficiência de rendimentos (85 %), motivos institucionais (29 %) por inexistência/ ausência de respostas sociais (50 %) e, muito próxima, a limitada capacidade das instituições para receberem utentes da REDE (45 %). Os motivos estruturais são para a maioria a ausência de condições habitacionais (65 %) e as barreiras físicas à mobilidade (55 %). Visando contribuir para soluções adequadas ao cenário emergente, aconsel...
The Portuguese population is undergoing an irreversible aging process and must deal with this demographic issue. Many influencing factors have been identified, including biological, psychological and social changes which have led to this new social stratification. The increasing prevalence of chronic and debilitating illnesses as a direct result of human aging has increased the demand for answers on both a health and social level. Life expectancy at birth in Portugal is almost 81 years, one year above the OECD mean. Life expectancy for women is 84 years, compared to 78 years for men. The National Network for Continuous Care (REDE) was formed in response to this new issue. The implementation of Continuous Care Units (UCCI) provide an alternative to hospitalization for dependent people needing special care but who do not require the specific care of an acute unit. The UCCI present a model of multidisciplinary intervention that covers all aspects of a health, social and economic nature and, consists of multidisciplinary teams. Due to the characteristics of the elderly and / or their situation of dependency, the intervention from specialized professionals of UCCI must be carefully prepared. Focused training and team expertise are key factors of the REDE's success.
Chronic pain (CP) is a complex phenomenon that affects the lives of individuals at the level of well-being, family relationships and social and professional life, causing biological and psychosocial changes, and in most cases, suffering. CP is associated with physical, professional and social limitations, and compromises quality of life (QOL) provoking insecurity which results in considerable social and material losses. In this context a multidimensional pain assessment is fundamental in order to find a swift and appropriate response to the needs of each individual. The evaluation should take into account psychological and social factors in addition to physical factors. pain (CP) is a complex phenomenon that affects the lives of individuals at the level of well-being, family relationships and social and professional life, causing biological and psychosocial changes, and in most cases, suffering. CP is associated with physical, professional and social limitations, and compromises quality of life (QOL) provoking insecurity which results in considerable social and material losses. In this context a multidimensional pain assessment is fundamental in order to find a swift and appropriate response to the needs of each individual. The evaluation should take into account psychological and social factors in addition to physical factors. The authors of this paper reinforce the idea that any evaluation and / or intervention that is made in people with CP must always take into account the internal and external factors of the environment in which the individual belongs, and which influence how they perceive and assess their pain Keywords: Chronic pain; biopsychosocial model; well-being; quality of life, suffering. ___________________________________________________________________________________________________ ResumoA dor crónica (DC) é um fenómeno complexo que interfere na vida dos indivíduos ao nível do bem-estar, nas relações familiares e sociais, e na vida profissional, provocando alterações biológicas, psicossociais e, na maioria das vezes, sofrimento. Associada às limitações físicas, profissionais e sociais, a DC compromete a qualidade de vida (QDV) e promove a insegurança, resultando em perdas materiais e sociais consideráveis. Neste contexto é fundamental uma abordagem multidimensional na avaliação da dor, de modo a encontrar uma resposta célere e adequada às necessidades de cada indivíduo. A avaliação deve ter em conta, além dos factores físicos, os factores psicológicos e os sociais. Os autores, neste artigo, reforçam a ideia que, qualquer avaliação e/ou intervenção que seja feita em pessoas com DC, deve ter sempre em conta os factores internos e externos do meio em que o indivíduo está inserido e que influenciam o modo como este percepciona e avalia a sua dor. r n a l d e I n v e s t i g a ç ã o B i o m é d i c a e B i o f a r m a c ê u t i c a Biomed Biopharm Res. Palavras
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