Assumptions of good practices in home care for the elderly: a systematic review

Abstract

Objective: To synthesize the knowledge produced on best nursing practices in long-term care for elderly at home, in order to promote healthy aging. Method: A systematic review, based on the Joanna Briggs Institute’s proposal: without restriction of dates; in the English, Portuguese and Spanish languages; conducted in PubMed, CINAHL, LILACS, Embase and Scopus databases. Results: Among 453 articles identified, 16 were included in the review: seven qualitative and nine quantitative, published between 1996 and 2015. The synthesis of the data identified as best practices identifies a premise of care centered on the elderly and the inclusion of the elderly, family and nurses as agents of this care. Conclusion: According to evidence, good practices in gerontological and nursing home care fundamentally depend on constant planning and reorganization, so that they are indeed comprehensive and contextualized. Thus, providing care will be reasoned by and driven to the elderly, based on their specific and global needs, favoring a process of healthy and active aging.

Life satisfaction and health self-assessment of older adults assisted through home care

“…Best practices in gerontological nursing in HC require constant planning and reorganization (36) . Therefore, there is the need to expand the actions aimed at the well-being of the individual at home, in order to reduce depressive symptoms, considering the evidence that involvement in social and cultural activities is related to greater well-being and resilience (37) .…”

Validation of nursing diagnosis for nursing consultation on home visit to adults

“…Nervous system injuries can be classified, among other types, as neurodegenerative or acquired. Neurodegenerative diseases are common to the elderly, such as Alzheimer's and Parkinson's disease, since the acquired injuries are related to infectious, traumatic, and vascular foci, as in the case of brain stroke, head trauma, and spinal cord trauma (22)(23)(24)(25) .…”

“…Wounds and other soft tissue affections are the most frequent health conditions seen in the context of Home Care. Studies show that, in home consultations, some risk factors should be monitored for skin lesions, such as poor tissue perfusion, anemia, malnutrition, hypoxia, diabetes, changes in mobility and changes in the client's level of consciousness, as well as existing surgical/postoperative wounds (8,23,(35)(36)(37) .…”

Doenças infectocontagiosas e a pessoa idosa: perspectivas para o ensino da enfermagem pós-pandemia COVID-19

“…Nesse nível de atenção, a família tem importante papel e caracteriza-se como cuidadora informal, cujas ações influenciam diretamente na qualidade do cuidado prestado ao idoso. Este é um contexto de cuidado desafiador e que precisa ser sistematizado pelo enfermeiro e orientado pela equipe de enfermagem (36)(37) .…”