Saberes e práticas de acompanhantes sobre complicações respiratórias pós-cirúrgicas no idoso, compartilhados com a enfermeira

Abstract

Pesquisa convergente-assistencial cujo objetivo foi analisar saberes e práticas de acompanhantes voltados à prevenção de complicações respiratórias pós-cirúrgicas no idoso, com vistas a traçar um plano de cuidados a ser implementado para esses clientes. As bases teórico-conceituais pautaram-se na pedagogia problematizadora de Freire. Os sujeitos foram 14 acompanhantes de idosos em pré-operatório. Utilizou-se técnica de entrevista individual e observação participante, e análise de conteúdo temática. Os resultados revelaram que as acompanhantes acumulam saberes, acerca de cuidados básicos no pós-operatório, capazes de prevenir problemas respiratórios. Pela dialogicidade construiu-se um plano de cuidados compartilhado a ser realizado com o idoso, consequência da integração de saberes e práticas dos acompanhantes com os da enfermeira-pesquisadora na visita pré-operatória. Resultaram novas ou revisitadas práticas, culminando em um cuidado congruente às reais necessidades dos clientes e seus acompanhantes, tornando-os parceiros no processo de cuidar.

Oxigenoterapia inalatória em idosos internados em um hospital público

“…16 This condition can lead to dependence on external oxygen support, since the individual exposed to the MV and high concentrations of oxygen may experience conditions such as surfactant depletion and suffer cytotoxic effects and changes in respiratory physiology, with breathing depression, pulmonary vasodilation and systemic vasoconstriction. 17 Among the population studied, physiotherapy was a widely used form of treatment, and therefore the physiotherapist was essential for the monitoring and evolution of the elderly through this type of (27,3) 32 (72,7) therapy. 18,19 Physiotherapy treatment, in addition to its motor and respiratory evaluation and intervention functions also involves the continuous monitoring of vital signs and parameters of oxygen therapy, as well as bronchial hygiene and pulmonary re-expansion techniques, contributing to more comprehensive and effective care for the patient undergoing oxygen therapy.…”

“…The presence of a companion during hospitalization is a right of elderly persons, with such an individual assuming a co-caregiver role in this environment, in partnership with the health team. 27,28 It is therefore extremely important to identify the knowledge and practices of such persons, as they are partners in caring for the elderly, even in hospitals. 28,29 Despite the small sample size and the limitation of being performed in a single department of a public hospital, the results of this study identify relevant characteristics of the application of OIT among the elderly, as well as the knowledge of their companions, enabling the formulation of strategies related to OIT when used with this population group.…”

The occurrence of the delayed surgical recovery nursing diagnosis among adults and the elderly

“…(9) Namely, these are common characteristics of the elderly that interfere in mobility and, consequently, retard their surgery recovery. (1)(2)(3)6) Those with chronic diseases, such as dyslipidemia and systemic arterial hypertension, which are associated with underlying pathology, even further affect the functional capacity of the elder- …”

“…Injuries can be caused in conjunction with factors such as impaired mobility, imbalanced nutrition, impaired sensory perception and skin moisture. (2,4,7,10) For this reason, the analysis of the diagnosis broadens the analysis of the contributing factors and indicators of delayed surgical recovery in the elderly.…”

“…(1)(2)(3) On the other hand, the growth of the rates of surgical complications such as dehiscence of the sutures, atelectasis, deep vein thrombosis, or infection is noted. (2)(3)(4)(5)(6) This requires strategies directed towards patient safety, reduction of morbidity and mortality, readmissions and hospital costs.…”