Diagnósticos de Enfermagem identificados na admissão hospitalar de idosos, para tratamento de doenças crônicas não transmissíveis.
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Data
2007-12-20
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Universidade Federal de Goiás
Resumo
In accordance with the necessity of rethinking the nurse performance towards to the
health program of elderly people, it appears the necessity of knowing these people
human answers at the moment of the hospital admission. The nursing diagnostic
knowledge will allow the assistance planning to these aged ones, and also, to
prepare the nursing team to attend these answers. Objectives: to analyze these
population characteristics such as: age, sex, occupation, education, civil state,
religion, monthly income, number of children, origin, number of chronic illnesses,
ways of admissions to the hospital and previous internments, according to their
gender; to identify in accordance to the Taxonomy of NANDA (2006) Nursing
Diagnostic among the interned ones for clinical treatment; to describe the related
factors of risk and defining characteristics of the identified diagnostic of nursing in this
population. Methodology: it is related to a descriptive study, quantitative boarding, in
28 aged ones admitted during the first 24 hours in the medical clinic, situated in a
center-west region Hospital School. The data collection occurred between August to
October, 2007, by means of an instrument usage, half-structuralized for the elderly
people evaluation. For the identification of the nursing diagnostic, the process of
clinical reasoning in accordance with Risner (1995) was used. Results: People
admitted into the medical clinic had presented as characteristic to be predominantly
men, aged group in between 60 to 69, Catholics, low education, monthly income of
one to three minimum wages, carrying two or more illnesses, 85.7% with previous
internments and 57.1% admitted by the Ready Aid. Among these numbers, 58
different nursing diagnosis had been identified, variation of 8 to 18 diagnostic,
average of 12.36, shunting line standard of 2.94 and medium of 12. The domain
Activity/Rest, Elimination and Exchange and Perception/Cognition, had presented
greater prevalence of nursing diagnosis. The domain Life Principles and
Growth/Development had not presented nursing diagnosis. The domain
Security/Protection and Confrontation/Toleration to the Stress had presented a low
prevalence if compared to the other domains. The diagnostics which have had bigger
frequency of 50% were: harmed dentition (100%), risk for infection (100%), deficit
knowledge (82.1%), disposal for improved self-concept (82.1%), disposal for
improved familiar processes (72.5%), disposal for increased individual confrontation
(60.6%) and risk for falls (57.1%). The diagnostics which have had less frequency of
3.5% were: fluid volume excess, altered nutrition: less than body requirements,
constipation, risk for constipation, feeding self care deficit, rambling, disposal
increased for knowledge concerning the illness, impaired memory, impaired verbal
communication, risk of impotence feeling, situational low self esteem, body image
disturbance, hyperthermia and social isolation. The most prevalent related factors to
these nursing diagnostic prospects were weakness/fatigue, metabolic alterations,
chronic illness, harmed cognition, disequilibrium between offer and demand of
oxygen, the risk factors were the medicine usage, energy decrease/fatigue, presence
of circulatory/respiratory problems. Conclusion: The present study had provided the
knowledge of which are the elderly care necessities and also to supply subsidies so
that the related hospital nursing team can base the assistance, planning an holistic
and resolutive care, as well as making possible the adequacy of the human
resources and material to attend the demand
Descrição
Citação
GUEDES, Helisamara Mota. Nursing diagnostic identified in the hospital
admission of elderly people for non transmissible chronic illnesses treatment. 2007. 247 f. Dissertação (Mestrado em Cuidado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2007.