Urinary Incontinence in Elderly People: Care Practices and Care Proposal in Primary Health Care

Abstract

Objective: identify the knowledge and care practices concerning urinary incontinence in elderly women and develop a care proposal for these women for the purpose of health promotion in Primary Health Care. Method: a qualitative, convergent care research was undertaken. The data were collected between August and October 2014 through semistructured interviews and thematic workshops with 14 physiotherapists and ten nurses. The analysis involved apprehension, synthesis, theorization and transference processes, revealing two thematic axes: the professionals' perception of urinary incontinence in elderly women; and the conception of a care proposal for elderly women with urinary incontinence. Results: the professionals' limited knowledge of urinary incontinence was verified, as well as the lack of information on the possible orientations for self-care concerning the urinary symptoms. Conclusion: training actions should be implemented for these professionals with a view to health promotion for self-care.

Prevalence of urinary incontinence among the elderly and relationship with physical and mental health indicators

“…In addition, embarrassment may prevent these individuals seeking professional help and diagnosis of the problem, making coexistence with this dysfunction permanent 2 . Although its symptoms are still underestimated or omitted due to the feeling of shame or because it is seen as part of the natural process of aging 1,8,23 , UI is considered a major complaint in health care.…”

As lacunas do cuidado de enfermagem às pessoas com incontinência urinária

“…Após o levantamento dos dados, realizou-se o processo de seleção dos estudos que se adequaram aos critérios de inclusão, conforme mostra a Fig. 1 suas queixas e a buscarem pelo tratamento 9 .…”

“…Na concepção dos enfermeiros, esses fatores de risco poderiam prevenir e/ou minimizar os sintomas. Acredita-se que há necessidade de investir mais na capacitação dos pro ssionais para que a saúde do idoso seja abordada de forma integral, promovendo melhora no bem-estar e qualidade de vida 9 .…”

Convergent care research and the health of the elderly: a systematic review / Pesquisa convergente assistencial e a saúde do idoso: uma revisão sistemática

“…The professionals had naive knowledge about urinary incontinence, and the educational activities allowed the construction of an educational technology that instrumentalizes the care and promotes the health of the elderly. 21 Group meetings 28 people with Parkinson's disease…”