Diagnósticos de enfermagem do Padrão Mover em idosos de uma comunidade atendida pelo Programa Saúde da Família

Abstract

With aging there is an increase of the occurrence of incapacity and risk of loss of mobility in the elderly. Our objective was to study the occurrence of 22 Nursing Diagnoses of the Moving Pattern in elderly people in relation to frequency, sex and age. It is an exploratory study that involved 75 elders assisted by a team of the Family Health Program in Goiânia, State of Goiás. We found that 97.3% of the sample presented one or more diagnoses. The most frequent diagnoses were Impaired Physical Mobility (90.7%), Pattern of the Disturbed Sleep (89.4%) and Inefficient Health Upkeep (75.9%). We did not find statistically significant difference in the frequency of diagnoses among men and women. We identified statistically significant difference between the frequency of diagnoses and age. We noticed that there are specific characteristics of the sample that suggest the need for each team of Health Family Program to evaluate its clientele in order to direct early appropriate interventions.

Calf circumference: clinical validation for evaluation of muscle mass in the elderly

“…Studies in different global settings show that sarcopenia has a high prevalence (4)(5) and increases the occurrence of disability (6) . In the context of nursing practice in the care of the elderly, the evaluation of muscle mass and sarcopenia is poorly described (7)(8) , although several nursing diagnoses are related to the event of muscle weakness and muscular alterations, either in the taxonomy of NANDA-International (9) , or in the terminology of CIPE® (10) . In the NANDA-I taxonomy (9) , the term decreased muscle mass is only mentioned in the Impaired Physical Mobility Diagnosis.…”

Nursing diagnoses for the elderly using the International Classification for Nursing Practice and the activities of living model

“…Dressing and undressing are actions that require a lot of coordination, dexterity, balance, extensive movement and muscle strength and, as these functions are generally affected by the aging of the musculoskeletal system, it is common for the elderly to have difficulty in performing them (17) . For this activity of living, the following nursing diagnosis statements were developed: Impaired ability to perform care; Impaired ability to have a shower; Impaired ability to use the toilet; Effective ability to dress/undress and grooming; Impaired ability to dress/ undress and grooming; Satisfactory ability to carry out personal hygiene; Effective ability to carry out oral hygiene; Inability to carry out personal hygiene; and Damaged oral mucosa.…”

“…Therefore, any damages to mobilization affect all, biological, psychological, sociocultural and political-economic levels of a person, which in turn affect the autonomy/independence to perform other activities of living (5) . Among several changes resulting from the aging process, the ones relating to the motor activity, such as muscular and skeletal weakening, decreased motor coordination and balance, loss of muscle mass and decreased muscle tone can be highlighted (17) . The reduction of the muscle strength in the elderly's lower limbs may result in increased instability and the consequent risk of falls and dependence.…”

Mapeamento dos diagnósticos de enfermagem em uma unidade de pneumologia

“…Os principais fatores de risco que validaram este diagnóstico foram: força diminuída nas extremidades inferiores (60%) e idade acima de 65 anos (55%). Estudo realizado avaliando a correlação entre risco de queda e idade mostrou que pessoas acima de 60 anos tornamse mais propensas a quedas pelas fortes mudanças na instabilidade postural, mudanças no passo, redução de movimentos, mudanças na musculatura, articulações enrijecidas e redução de ossos saudáveis (27) .Estes dados corroboram com os encontrados em nosso estudo, no qual a maioria dos pacientes tinha idade superior a 60 anos.…”