resumo introdução:No contexto das doenças crônicas transmissíveis, a pandemia da aids vem gerando discussões em âmbito internacional sobre as formas de controlar seu avanço, inclusive na população idosa, a qual apresenta incidência considerável de casos. objetivo: Investigar o conhecimento e verificar a percepção de risco de idosos quanto à contaminação por Infecções Sexualmente Transmissíveis (IST) e HIV. métodos: Tratase de estudo descritivo de natureza quantitativa realizado com 55 idosos participantes de grupos em duas unidades de saúde da família interligadas à rede-escola. resultados: A maioria dos idosos era entre 60-70 anos, sexo masculino, casados, católicos, com o nível fundamental incompleto. Além disso, 40% dos idosos citaram o uso do preservativo como principal método de prevenção às infecções sexuais, 21,9% responderam que o HIV é transmitido de uma pessoa para outra por meio do contato sexual e 38,2% citaram que a doença não tem cura. Sobre a percepção de risco, 76,4% referiram que não tinham nenhuma possibilidade de adquirir Infecções Sexualmente Transmissíveis ou HIV. Tal fator pode contribuir para que essa população se considere pouco vulnerável à contaminação ou não se perceba em risco, o que os torna susceptíveis ao perigo da infecção, favorecendo o aumento do índice de idosos infectados no cenário nacional. Conclusão: Cabe aos organismos governamentais e não governamentais investir em práticas educativas, onde idosos possam ser inseridos em um ambiente que aborde a sexualidade, proporcionando maior segurança e qualidade de vida aos nossos cidadãos.Palavras-chave: idoso; doenças sexualmente transmissíveis; HIV.

In the attempt to prevent cervical cancer, various preventive measures have been instituted, notable among which is the pap smear test, which fulfills the function of early detection of cancer cells or their precursors. Therefore, the objective was to investigate the discourse on the knowledge, feelings and expectations of women regarding the pap smear test. This is an exploratory qualitative approach, conducted with ten users of a Integrated Family Health Unit in the city of João Pessoa in the State of Paraíba. Data collection was conducted through recorded interviews in April 2011. Eight core ideas were identified: prevention of disease; self-motivated search, search recommended by another person; sense of shame and embarrassment, sensation of pain, feeling of satisfaction; conversations during the examination and exchange of knowledge about women's health. Based on the reports, there are many difficulties to be overcome to ensure greater adherence of women to the pap smear test.

PURPOSE To explore and identify diagnostic components to amplify NANDA nursing diagnoses by modifying the root violence. Whereas violence is nondebatable as a diagnostic concept in nursing, other alternatives have not been identified in the two existing diagnoses. METHODS Using the case study method, this qualitative study sought to identify commonalties in a population of women who were “donnas da casa” (homemakers) in a small rural community of approximately 100 families, typical of the Brazilian northeast. The sample of 7 women was identified through a larger study that had been based on health needs of the community. Data were obtained through observation during a home visit and a semistructured interview based on NANDA Taxonomy II. Observations were focused on hygiene, manner of dress, home environment, and physical and emotional state. Data were analyzed by content and clustered into major categories. From these a profile of the women and another of the partners emerged. FINDINGS Subjects ranged in age from 33 to 43 years, and number of children between 3 and 7. One of the 7 women was literate; 5 were underweight; all were slovenly attired. They appeared sad and older than their age. The majority seemed relieved to unburden themselves to the interviewers as they went through a gamut of emotions such as sadness, anguish, and irritability expressed through crying, restlessness, changes in body language, and tone of voice. The shortage of beds was supplemented by hammocks and mats or cardboard. The women spoke of being confined to their home and of male partners who drank on weekends, thus leaving them with little money for necessities of life. There were accounts of beatings when the partner returned home after drinking, overt nonacceptance of children from previous marriages, and general destruction of the family environment. New children were regarded as just another mouth to feed. DISCUSSION The profiles pointed to the necessity of identifying a new nursing diagnosis that would be linked, only tangentially, by the root violence to the two diagnoses in NANDA Taxonomies I and II. This insight led us to consider that a new method of listing NANDA diagnoses, by root only, is imperative in the evolution of Taxonomy II. Proposed descriptors, Victims of (Axis 3) and Domestic (Axis 6) would be identified by Axes, thereby facilitating the process of classifying in the Domains and Classes. The two existing NANDA diagnoses, risk for other‐directed violence and risk for self‐directed violence, are proposed for classification in Class 3, Violence, in Domain 11 of Taxonomy II. Safety/Protection could, by virtue of their modification power, find anchor in another domain such as Domain 6, Self‐Perception. CONCLUSIONS Although Safety/Protection seems the most logical domain for classification by root, the axes, dimensions of human responses, could pull the diagnosis in another direction, thereby dictating other nursing interventions and nursing outcomes

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