Introduction: Portugal has been asserting itself as a destination country for migrants of different origins (Instituto Nacional de Estatística, 2012), having therefore developed several policies focused on their integration. The migrant population is considered a vulnerable group in the health area for socioeconomic, educational and legal reasons. This vulnerability translates into limitations to health promotion and disease prevention services and goods and increasing difficulties with regard to their access, demand and use (Ramos, 2009). Goal: To know the scientific evidence regarding the accessibility, demand and use of health services by the children of migrants. Methodology: The research for this integrative review was carried out in the B-On, RCAAP and CIÊNCIA -IUL databases. Through the descriptors "Accessibility", "Health" and "Migrants", and the inclusion criteria: research articles and articles in scientific journals published between 2009 and 2019, and after exclusion by title and abstract, 7 articles. Results: When compared to the non-migrant population, the migrant population has less accessibility to health services, despite being offered the means to enjoy primary health care (Estrela, 2009;Padilla, et al, 2013;Matos, et al., 2015). In addition, they are a group that makes little use of health services, making use mainly of the Emergency Department (Estrela, 2009;Ramos, 2009;Topa et al., 2013;Jordão et al., 2018). Conclusion: Differences in accessibility, demand and use of health services in the migrant population are explained by the fear of being extradited, by the scarcity of health and legal information. It is up to the health professional to train these groups of people, as well as acquire skills that allow them to provide adequate care to the child born to migrants. It is important to mention that these conclusions may not represent the current reality, since
The increase in average life expectancy, accompanied by medical and technological advances, translates into an increase in chronic diseases and a constant updating of therapeutic strategies whose success depends on patient compliance. This scoping review followed the JBI methodology, according to the PCC method, and the aim was to identify measures associated with nursing care that improve the therapeutic adherence of the elderly with a chronic disease. These nursing interventions include continuous monitoring and surveillance, in person or digitally, using videos, remote monitoring software, or teleconsultations; personalized therapeutic plans; skills training based on a model of information, motivation, and behavior; the explanation of the value and therapeutic intent of the care plan; cognitive behavioral therapy; and the continuous validation through the teach-back method. Evidence shows the relevance of nursing intervention in the process of health education to the elderly person.
Considering the age-related physiological and pathological changes, it´s relevant to analyze the scientific production regarding the contributions of equine-assisted therapy (EAT) to the health of elderly people (EP). This scoping review followed the JBI methodology, according to the PCC method. EAT has had benefits in healthy EP: increasing trunk neuromuscular activation, balance, flexibility, agility, and coordination. In Alzheimer's and Parkinson's, it's associated with an improvement in predictive fall risk factors. It´s also associated with reduced spasticity and improved mental well-being in EP with spinal cord injury. In arthritis, a decrease the intensity and frequency of pain and increase of range of motion. Regarding mental health, EAT increases psychological stability, social stimulation, relaxation, and the evocation of positive memories. In post-traumatic stress disorder, it can increase a sense of self-security. Concomitantly, it may be associated with an improvement of EP memory. The integration of EAT into therapeutic plans for EP should be considered by health professionals.
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