Adequacy of nursing language to the practice with elderly residents in a long term psychiatric institution: cross mapping

Abstract

Objective: to map the free terms of nursing records and compare with the Nursing Diagnosis classification. Method: quantitative, documentary and retrospective approach, cross mapping type. There were 30 medical records analyzed of elderly women with psychiatric disorders living in two long-term institutions. The data collection took place in from August 2013 to March 2013 in two stages. Results: diagnostics more occurring were: ineffective health self-control; Impaired swallowing; Self-care deficit for intimate and bath hygiene; Impaired physical mobility; Decreased cardiac output; Ineffective peripheral tissue perfusion; Chronic confusion; Dysfunctional family processes; Teething impaired and falls risk. They are related to the physiological and biopsychosocial aspects. Conclusion: this findings point to the complexity and comprehensiveness of care provided in the context of mental health, using classification systems in this context to contribute to the advancement of knowledge and to compare them

Diagnósticos de enfermagem identificados em instituições psiquiátricas

“…It is also worth noting that the level of evidence used to classify the selected studies was from the Joana Briggs Institute. 12 The analysis and synthesis of the articles were carried out in a descriptive way to expose, in detail, the literature on Nursing Diagnoses according to NANDA-I and provide, in the future, subsidies for the clinical practice of nurses in Psychosocial Rehabilitation. It is revealed that, of the four articles included in this integrative review, one was published in English and three articles in Portuguese; the articles were presented between 2003 and 2015, and, in relation to the level of evidence, articles were classified as observational, descriptive and cross-sectional.…”

Diagnósticos de enfermagem da taxonomia NANDA-I para idosos em instituição de longa permanência

“…12 Estudo realizado no Rio de Janeiro confirma essa prevalência. 34 Diante do exposto, enfatiza-se a importância de incentivar e fortalecer os vínculos e a reinserção do idoso no ambiente familiar, responsabilizando a família pelos seus cuidados. Compreende-se também, que a equipe multiprofissional da instituição de longa permanência possui a função de auxiliar os idosos no processo de institucionalização e ofertar assistência social, emocional, física e mental.…”

Nursing diagnoses of impaired memory and chronic confusion for older adults: diagnostic content validation

“…Usually, an ineffective health response for a short period of time, considered reversible, reflecting in the memory and/ or in other cognitive abilities, is acute confusion (15) . However, if there are permanent difficulties (after treatment of reversible causes), the diagnosis is IM (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) . Finally, if the problems reach other cognitive areas, added to demonstration of dependency, the diagnosis is CC (30,(33)(34) .…”

“…The ND of IM was prevalent in 61,61% of hospitalized elders on a specialized unit of a general Brazilian hospital (9) . In addition, a prospective study of 123 older adults living in a long-term care institution found IM in 31% of participants (10) , while the ND CC was identified in 90% of older adults living in a long-term care institution (11) .…”