Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...

Aprendizagem na experiência da pessoa com dor oncológica estudo fenomenológico Aprendizaje en la experiencia de la persona con dolor oncológica estudio fenomenológico Learning in the experience of the person with oncologic pain A phenomenologic study

Objetivo: Testar a Escala de Avaliação do Risco de Violência em Idosos não Institucionalizados, num grupo de pessoas idosas autónomas do Alentejo. Métodos: Pesquisa exploratória, com abordagem quantitativa. Participaram 500 pessoas idosas com idades compreendidas entre os 65 e os 96 anos, do projeto Envelhecer em Segurança no Alentejo-Compreender para Agir, da Universidade de Évora. Resultados: A Escala de Avaliação do Risco de Violência em Idosos não Institucionalizados é constituída por 27 itens. O Coeficiente de Alpha de Cronbach com um valor de 0,727 revela uma consistência interna aceitável. O ponto de corte que produz a sensibilidade e especificidade máximas para prever o risco de violência sobre as pessoas idosas foi de 4,5 (sensibilidade= 64,9%, especificidade= 80,7%) e a área da curva ROC= 0,812 (0,766-0,702, de intervalos de confiança de 95 %). Conclusões: 26,7% das pessoas idosas apresentaram risco de violência. É imperioso desenvolver e aperfeiçoar instrumentos que detetem o risco de violências sobre as pessoas idosas para que todos os profissionais de saúde e outros possam agir precoce e preventivamente no combate à violência sobre as pessoas idosas. Destacam-se como fatores de risco de violência o fato de ser mulher, o isolamento social e o baixo rendimento. Descritores: Maus-tratos ao idoso; envelhecimento; gestão de risco; promoção da saúde.

Introduction Due to the constant scientific and technological development, health professionals are regularly confronted with situations in which there are always therapeutic options, regardless of the severity of the patient’s condition. However, regarding these therapeutic options as feasible in all situations can be harmful, since it is universally accepted that, despite all advances in health, there are inevitable limits and the promotion of some interventions may be useless or futile. Objective To characterize the use of the concept of futility in the health literature. Method Review of the literature following the Scoping Review protocol of the Joanna Briggs Institute. The research was performed in CINAHL, Cochrane, Pubmed, Scopus e Web of Science to identify studies published prior to 2020. Nineteen studies were selected. Results There is no universally accepted definition for the concept of futility. In the literature there are different conceptions for the concept of futility that point to qualitative and quantitative roots and that are associated with ethical dilemmas that make it difficult to conceptualize this concept and make it operational in clinical practice. Conclusion The central elements of the concept of futility include: the diagnosis of futility is closely related to clinical judgment; futility has both quantitative and qualitative roots; futility is always appreciated posteriori; futility is related to the lack of benefit. It is essential to promote a discussion that enables the definition of the concept and that makes it possible to promote ethical principles in care, especially when the inevitable limits of treatments are reached.

Background: Rehabilitation Nursing assumes a fundamental role in contemporary society in the response to the installation of new paradigms of chronic illness and dependen..