Transição do idoso do hospital para o domicílio na perspectiva do cuidador/idoso: revisão de escopo

Resumo Objetivo Identificar como as ações dos profissionais de saúde para prevenção de quedas em pessoas idosas no contexto hospitalar e domiciliar, influenciaram na adaptação e continuidade do cuidado em domicíli Método Revisão integrativa com busca no portal da Biblioteca Virtual em Saúde (BVS); Biblioteca Scientific Electronic Library Online (SciELO); United States National Library of Medicine (PubMed); EBSCO, SCOPUS; e Web of Science, a partir dos descritores Medical Subject Heading: “Aged”, “Accidental Falls", “Patient Discharge”, “Discharge, Patient”, “Discharges, Patient”, “Patient Discharges”, “Discharge Planning”, “Discharge Plannings”, “Planning, Discharge”, “Plannings, Discharge. Foram selecionados artigos originais dos últimos cinco anos, sem restrição de idioma, disponíveis eletronicamente e que respondessem à questão de investigação. A busca e seleção dos artigos foram realizadas de forma independente e cega por dois revisores entre novembro e dezembro de 2022. Resultados Obteve-se como amostra final oito estudos. Seis foram realizados na Austrália, sete estavam no idioma inglês e o ano de 2019 obteve maior número de publicação. As ações para prevenção de quedas foram implementadas majoritariamente por fisioterapeutas e terapeutas ocupacionais mediante educação em saúde e vídeos digitais para orientações relacionadas à modificação do domicílio. Essas reverberaram positivamente na motivação, engajamento e consciencialização da população idosa e seus cuidadores. Conclusão As ações dos profissionais de saúde possibilitaram maior engajamento para a continuidade do cuidado e controle do risco de quedas.

Section: Discussionunclassified

Influência das ações dos profissionais de saúde na adaptação de pessoas idosas em domicílio após internamento por quedas: revisão integrativa

Santos,

Pedreira,

Góes

et al. 2023

“…In the analyzed studies, actions for fall prevention in older people during hospitalization and after discharge occurred through health education, with specific guidance for returning home 5,[16][17][18][19][20] . This strategy is essential to prevent older individuals and their caregivers from being overwhelmed with specific information on the day of discharge, which often does not align with their life contexts and daily routines, leaving them confused and insecure 26 .…”

Section: Discussionmentioning

confidence: 99%

Influence of healthcare professionals' actions on the adaptation of elderly individuals at home following hospitalization due to falls: integrative review

Santos,

Pedreira,

Góes

et al. 2023

Objective To identify how healthcare professionals' actions for fall prevention in elderly individuals in both the hospital and home settings influence adaptation and continuity of home-based care. Method An integrative review conducted with a search in the Virtual Health Library (VHL), the Scientific Electronic Library Online (SciELO), the United States National Library of Medicine (PubMed), EBSCO, SCOPUS, and Web of Science. The search used the following Medical Subject Headings (MeSH) terms: "Aged," "Accidental Falls," "Patient Discharge," "Discharge, Patient," "Discharges, Patient," "Patient Discharges," "Discharge Planning," "Discharge Plannings," "Planning, Discharge," and "Plannings, Discharge." Original articles from the past five years were selected, with no language restrictions, and that addressed the research question. Article search and selection were conducted independently and blind by two reviewers between November and December 2022. Results The final sample included eight studies. Six were conducted in Australia, seven were in the English language, and the year 2019 had the highest number of publications. Fall prevention actions were primarily implemented by physiotherapists and occupational therapists through health education and digital videos for guidance related to home modifications. These actions had a positive impact on the motivation, engagement, and awareness of the elderly population and their caregivers. Conclusion The actions of healthcare professionals facilitated greater engagement for the continuity of care and the control of fall risks.

“…The care transitions (CT) can be defined as the interval of time that begins with the individual's preparation for discharge and ends when they are received in the next service. It is associated with a set of actions aimed at ensuring the continuity of health care during patient transfers between points of the Health Care Network (HCN) or from a health service to home care and self-care 1,2 .…”

Section: Introductionmentioning

confidence: 99%

“…The CT includes logistical arrangements, communication, health education, and encompasses activities related to discharge planning, medication management, social and community network, symptom management post-discharge, and followup in outpatient services 1,2 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perceptions of hospitalized older adults regarding the transition of care from hospital to home

Valente,

Zacharias,

Fabriz

et al. 2024

Objective To analyze the perceptions of older adults hospitalized regarding the transition of care from hospital to home. Method A qualitative, descriptive-exploratory research was conducted in a clinical inpatient unit of a medium-sized public hospital in the interior of São Paulo state, Brazil. Twenty-two older adults participated in the study through semistructured interviews, guided by questions based on the pillars of the Care Transitions Intervention (CTI). Subsequently, participant observation was conducted at the study site, with recording in a field diary and transcription of speeches. Thematic analysis and data systematization followed through specific software for qualitative data analysis Results The mean age of the participants was 68 years (SD±5.4); 16 (77%) had one or more chronic diseases; 14 (64%) were using one or more continuous medications. The primary International Classification of Diseases code for hospitalization was Covid-19. The average length of hospital stay was 9 days (SD±5.7), with a maximum of 31 days and a minimum of two days, with four (18%) experiencing severe disease. From the perception of older adults, four themes of analysis emerged: medication-related problems; preparation for hospital discharge; continuity of care; and family network. Conclusion From the perspective of older adults, it is necessary to organize the care plan during hospitalization through medication reconciliation, preparation for home care, family presence during hospitalization, and recognition of Primary Health Care in continuity of care during the transition from hospital to home care.