O envelhecimento é um processo multifatorial que promove alterações anatômicas e funcionais no o rg an ismo , n o entanto, depressão e demência têm incapacitado idosos em todo o mundo. Nessa perspectiva, é necessário ampliar o conhecimento sobre essa temática, considerando-se que a depressão pode impactar negativamente a q u a lid ade de vida dos idosos. O estudo teve como objetivo identificar o que a literatura científica aborda sobre depressão em idosos. Para pesquisa utilizou-se levantamento de artigos que versassem sobre a temá t ica, n a s b a ses d e d ad os Medline, Scielo, Lilacs, utilizando como Decs: depressão, sintomas e idosos. Os estudos selecionados indicaram que sintomas de depressão são frequentes em idosos, podendo variar de humor deprimido, irritabilidade, d ificuldade de expressar sentimentos e emoções, culpa, desamparo, até alterações estruturais e funcionais d o s ist ema n e rvo so central, como: comorbidades, doença incapacitante, abandono e/ou maus-tratos, uso crônico d e me d ica me n to s, aposentadoria irrisória, mudanças de papéis na sociedade e na família, sofrimentos prévios e atuais, perda de en t e querido, especialmente do cônjuge e de filhos, entre outros. Assim, considerando os sinais relativos a o s s in t oma s depressivos no cuidado à população idosa referentes a este estudo, percebeu-se deficiê ncia d e id e n tifica çã o d a sintomatologia da depressão a qual pode ser confundid a com o processo de envelhecimento, o que dificulta na percepção dos sintomas.

The authors report a case of a rare pulmonary neoplasm - epithelioid hemangioendothelioma, in a 39 year-old woman, asymptomatic until December 2003, when she developed pleuritic and right-sided chest pain. The patient presented a previous chest radiograph, performed 13 years before, which showed multiple small bilateral pulmonary nodules attributed to tuberculous sequelae. The definitive histological diagnosis was made by lung biopsy through thoracotomy. The patient developed a clinical and imagiological worsening and then therapy with interferon alpha-2a was started. Even with imagiological stability of pulmonary lesions the patient remained symptomatic and died nine months after the diagnosis had been established. The authors emphasise the rarity of this type of pulmonary neoplasm and discuss its clinical presentation, histological features, treatment and prognosis.

ResumoOs autores descrevem um caso de uma neoplasia pulmonar rara -hemangioendotelioma epitelióide -numa doente do sexo feminino, de 39 anos, assintomática até Dezembro de 2003, altura em que apresentou toracalgia direita de características pleuríticas. A doente era portadora de uma radiografia torácica antiga, efectuada há 13 anos, que revelava múltiplos pequenos nódulos pulmonares bilaterais, atribuídos a sequelas de tuberculose pulmonar. O diagnóstico histológico definitivo foi efectuado através de biópsia pulmonar por toracotomia. Dado AbstractThe authors report a case of a rare pulmonary neoplasm -epithelioid hemangioendothelioma, in a 39 year-old woman, asymptomatic until December 2003, when she developed pleuritic and right-sided chest pain. The patient presented a previous chest radiograph, performed 13 years before, which showed multiple small bilateral pulmonary nodules attributed to tuberculous sequelae. The definitive histological diagnosis was made by lung biopsy through thoracotomy. The patient developed a clinical and Hemangioendotelioma epitelióide -Um tumor pulmonar raro Epithelioid hemangioendothelioma -A rare pulmonary tumorRecebido para publicação/received for publication: 07.12.14 Aceite para publicação/accepted for publication: 08.01.30

Breast cancer is a heterogeneous and complex disease with different situations of threat to their patients, which can cause psychological discomfort, anxiety and a depressed state in women. The aim of this study was to analyze the performance of nursing to psychological repercussions on living with breast cancer. This is a descriptive and cross-sectional study with qualitative characteristics. It was conducted with professional nurses in Basic Health Units (UBS) in the municipality of Juazeiro do Norte-CE, Northeast of Brazil, located in the region of Cariri. The study began to be developed after the approval of the Research Ethics Committee, CAAE: 50809315.8. 0000.5624. Data collection occurred through a semi-structured interview. For the interpretation of the results, the technique of content analysis was used. The results showed that nurses realize that emotional support, care and assistance in coping, improve the construction of a good performance of the professional nurse. However, it is possible to realize the need for information and qualified assistance by multidisciplinary team to these patients and even their family members. It was identified as difficulty in assisting the denial of patient to start the treatment, but the facility is in the intimacy that the professional nurse can engage with the customer. It highlighted the care through dialogue and health education. And, finally, the nurse is aware of such importance of his/her role when supporting the patient. Thus, the improvement of professional assistance was evidenced as regards emotional support, reception, qualified listening, health education measures leading to self-knowledge, self-esteem and acceptance of the disease and the creation of bonds with the patients.