Nursing Diagnoses in Institutionalized Elderly Individuals according to Betty Neuman

Authors

DOI:

https://doi.org/10.5294/aqui.2019.19.1.6

Keywords:

Nursing diagnosis, caregivers, old man, institution of long stay for the elderly, professional exhaustion, institutionalized elderly

Abstract

Diagnósticos de enfermería en cuidadores de ancianos institucionalizados según Betty Neuman

Diagnósticos de enfermagem em cuidadores de idosos institucionalizados segundo Betty Neuman

Objective: To identify nursing diagnoses in caregivers of institutionalized elderly and to associate them with stressors, according to the Betty Neuman Model. Materials and Methods: A cross-sectional, descriptive and quantitative study with 41 formal caregivers of institutionalized elderly. The data were collected using a structured form according to the Betty Neuman Systems Model. Subsequently, the diagnoses were formulated based on the NANDA-I Taxonomy and these were associated with the stressors perceived by the caregiver. Results: There was a prevalence of women with eight to 12 years of schooling who did not attend a caregiver course for the elderly. The stressors perceived by caregivers were family, financial, work and health. Fifteen nursing diagnoses were identified, highlighting: Sedentary lifestyle, anxiety, stress overload and impaired comfort. Conclusions: The use of the Neuman Model facilitated the identification of nursing diagnoses. The family stressor was the most prevalent in the caregivers’ report. The main diagnoses identified show the need to meet the health demands of caregivers, since they can impact on the quality of care provided to the elderly.

To reference this article / Para citar este artículo / Para citar este artigo 

Cunha JP, Cuhna GH, Rodrigues AB, Gubert FdA, de Freitas MC, Vieira NFC. Nursing Diagnoses in Institutionalized Elderly Individuals according to Betty Neuman. Aquichan 2019; 19(1): e1916. DOI: 10.5294/aqui.2019.19.1.6

Received: 17/05/2018

Approved: 24/09/2018

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Author Biographies

Jamille Pinheiro Cunha, Universidade Federal do Ceará - UFC

Departamento de Enfermagem

Gilmara Holanda da Cunha, Universidade Federal do Ceará - UFC

Departamento de Enfermagem

Andrea Bezerra Rodrigues, Universidade Federal do Ceará - UFC

Departamento de Enfermagem

Fabiane do Amaral Gubert, Universidade Federal do Ceará - UFC

Departamento de Enfermagem

Maria Célia de Freitas, Universidade Estadual do Ceará - UECE

Departamento de Enfermagem

Neiva Francenely Cunha Vieira, Universidade Federal do Ceará - UFC

Departamento de Enfermagem

References

Evans CJ, Ho Y, Daveson BA, Hall S, Higginson IJ, Gao W. Place and Cause of Death in Centenarians: A Population-Based Observational Study in England, 2001 to 2010. PloS med. [Internet]. 2014 [cited 05 June 2016]; 11(6):1-13. Available in: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4043499/pdf/pmed.1001653.pdf

Miranda GMD, Mendes ACG. Population aging in Brazil: current and future social challenges and consequences. Rev. bras. geriatr. gerontol. [Internet]. 2016 [cited 20 Aug. 2017]; 19(3):507-19. Available in: http://www.scielo.br/pdf/rbgg/v19n3/1809-9823-rbgg-19-03-00507.pdf

Santiago LM, Mattos IE. Depressive symptoms in institutionalized older adults. Rev. saúde pública [Internet]. 2014 [cited 05 June 2016]; 48(2):216-24. Available in: http://www.scielo.br/pdf/rsp/v48n2/0034-8910-rsp-48-2-0216.pdf

Yektatalab S, Sharif F, Kaveh MH, Khoshknab MF, Petramfar P. Living with and Caring for Patients with Alzheimer’s Disease in Nursing Homes. J Caring Sci. [Internet]. 2013 [cited 05 June 2016]; 2(3):187-95. Available in: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134156/pdf/jcs-2-187.pdf

Egilegor JXH, Puyadena MIE, Etxabe JMU, Herrero MVE, Iraola CA. Retrospective study of the implementation of the nursing process in a health area. Rev. Latinoam. enferm. [Internet]. 2013 [cited 05 June 2016];21(5):1049-53. Available in: http://www.scielo.br/pdf/rlae/v21n5/0104-1169-rlae-21-05-1049.pdf

Herdman TH, Kamitsuru S (Eds.). Diagnósticos de enfermagem da NANDA-I: Definições e classificações, 2015-2017. Porto Alegre: Artmed; 2015.

Braga GC, Silva JV. Teorias de enfermagem. São Paulo: Iátria; 2011.

Neuman B, Fawcett J. The Neuman Systems Model. 5th ed. Upper Saddle River (NJ): Pearson; 2011.

Wandekoken KD, Siqueira MM. Aplicação do Processo de Enfermagem a usuário de crack fundamentado no modelo de Betty Neuman. Rev. bras. enferm. [Internet]. 2014 [cited 20 Aug. 2017]; 67(1):62-70. Available in: http://www.scielo.br/pdf/reben/v67n1/0034-7167-reben-67-01-0062.pdf

Ovalle MC, Lima KC, Pérez G, Borrell C, Peidro EC. Oral health care activities performed by caregivers for institutionalized elderly in Barcelona-Spain. Med. oral patol. oral cir. bucal. [Internet]. 2013 [cited 05 June 2016]; 18(4):641-9. Available in: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3731093/pdf/medoral-18-e641.pdf

Batista MPP, Almeida MHM. Cuidadores formais de idosos: contextualização histórica no cenário brasileiro. Rev. bras. geriatr. gerontol. [Internet]. 2014 [cited 20 Aug. 2017]; 17(4):879-85. Available in: http://www.scielo.br/pdf/rbgg/v17n4/1809-9823-rbgg-17-04-00879.pdf

Guadalupe Nieves Sevilla Gómez GNS, Rey MMLR. Propuesta de preparación para cuidadores asistenciales como promotores de salud. Medisur. [Internet]. 2015 [cited 06 Sept. 2018]; 13(5):663-76. Available in: http://www.medisur.sld.cu/index.php/medisur/article/view/3064/1925

Brasil. Projeto de Lei do Senado n.º 284, de 26 de maio de 2011. Dispõe sobre o exercício da profissão de cuidador de idoso. Secretaria Especial de Editoração e Publicações do Senado Federal. Brasília; 2011 [cited 20 Aug. 2017]. Available in: https://legis.senado.leg.br/sdleg-getter/documento?dm=4217447&disposition=inline

Hsu T, Loscalzo M, Ramani R, Forman S, Popplewell L, Clark K et al., Factors Associated with High Burden in Caregivers of Older Adults With Cancer. Cancer. [Internet]. 2014 [cited 08 June 2016]; 120(18):2927-35. Available in: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159406/pdf/nihms586562.pdf

Golubic R, Wijndaele K, Sharp SJ, Simmons RK, Griffin SJ, Wareham NJ et al. Physical activity, sedentary time and gain in overall and central body fat: 7-year follow-up of the ProActive trial cohort. Int. j. obes. (Lond). [Internet]. 2015 [cited 08 June 2016]; 39(1):142-8. Available in: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4113455/pdf/ijo201466a.pdf

Curry WB, Thompson JL. Objectively measured physical activity and sedentary time in south Asian women: a cross-sectional study. BMC public health. [Internet]. 2014 [cited 08 June 2016]; 14:1269. Available in: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301855/pdf/12889_2014_Article_7458.pdf

Gonçalves LTH, Leite MT, Hildebrandt LM, Bisogno SC, Biasuz S, Falcade BL. Living together and family care at the fourth age: quality of life for seniors and their caregivers. Rev. bras. geriatr. gerontol. [Internet]. 2013 [cited 08 June 2016]; 16(2):315-25. Available in: http://www.scielo.br/pdf/rbgg/v16n2/11.pdf

Känel RV, Mausbach BT, Dimsdale JE, Mills PJ, Patterson TL, Israel SA et al. Cardiometabolic Effects in Caregivers of Nursing Home Placement and Death of their Alzheimer Spouse. J. am. Geriatr. soc. [Internet] 2012 [cited 20 Aug. 2017]; 59(11):2037-44. Available in: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3384995/pdf/nihms384761.pdf

Ribeiro RP, Ribeiro PHV, Marziale MHP, Martins MB, Santos MR. Obesidade e estresse entre trabalhadores de diversos setores de produção: uma revisão integrativa. Acta Paul. Enferm. 2011; 24(4):577-81 Available in: http://www.scielo.br/pdf/ape/v24n4/a20v24n4.pdf

Alfredo CH, Silva JS-Jr. Prevalência de excesso de peso entre trabalhadores em esquema de trabalho em turnos fixos. Rev. bras. med. trab. 2016 [cited 20 Aug. 2017]; 14(3):202-05 Available in: http://docs.bvsalud.org/biblioref/2016/12/827288/rbmt-v14n3_202-205.pdf

Scherer R, Scherer F, Conde SR, Dal Bosco SM. Nutritional status and prevalence of chronic diseases among elderly in the countryside of Rio Grande do Sul state, Brazil. Rev. bras. geriatr. gerontol. [Internet]. 2013 [cited 08 June 2016]; 16(4):769-79. Available in: http://www.scielo.br/pdf/rbgg/v16n4/1809-9823-rbgg-16-04-00769.pdf

Barazzetti R, Siviero J, Bonatto S. Estado nutricional, consumo de calorias e macronutrientes de mulheres participantes de uma universidade da terceira idade no sul do país. Estud. interdiscip. envelhec., [Internet]. 2013 [cited 09 June 2016]; 18(2):331-47. Available in: http://seer.ufrgs.br/index.php/RevEnvelhecer/article/view/30483/27661

Cupidi C, Realmuto S, Lo Coco G, Cinturino A, Talamanca S, Arnao V et al. Sleep quality in caregivers of patients with Alzheimer’s disease and Parkinson’s disease and its relationship to quality of life. Int Psychogeriatr. 2012 [cited 20 Aug. 2017]; 24(11):1827-35. DOI: 10.1017/S1041610212001032

Valle-Alonso MJ, Hernández-López IE, Zúñiga-Vargas ML. Martínez-Aguilera P. Sobrecarga y Burnout en cuidadores informales del adulto mayor. Enferm. univ. [Internet]. 2015 [cited 06 Sept. 2018]; 12(1):19-27. Available in: http://www.scielo.org.mx/pdf/eu/v12n1/v12n1a4.pdf

Anjos KF, Boery RNSO, Pereira R, Santos VC, Boery EN, Casotti CA. Profile of family caregivers of elderly at home. Rev. pesqui. cuid. fundam. (Online) [Internet]. 2014 [cited 09 June 2016]; 6(2):450-61. Available in: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/3083/pdf_1224

Jafari N, Farajzadegan Z, Zamani A, Bahrami F, Emami H, Loghmani A. Spiritual well-being and quality of life in Iranian women with breast cancer undergoing radiation therapy. Support. care cancer. 2013 [cited 20 Aug. 2017]; 21(5):1219-25. DOI: 10.1007/s00520-012-1650-1

Daneault S, Lussier V, Mongeau S, Yelle L, Côté A, Sicotte C et al. Ultimate journey of the terminally ill: ways and pathways of hope. Can. Fam. physician. [Internet]. 2016 [cited 20 Aug. 2017]; 62(8):648-56. Available in: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982727/pdf/0620648.pdf

Leineweber C, Baltzer M, Hanson LLM, Westerlund H. Work-family conflict and health in Swedish working women and men: a 2-year prospective analysis (the SLOSH study). Eur. j. public health. [Internet]. 2013 [cited 10 June 2016]; 23(4):710-6. Available in: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3719472/pdf/cks064.pdf

Siegel C, Hochgatterer A, Dorner TE. Contributions of ambient assisted living for health and quality of life in the elderly and care services — a qualitative analysis from the experts’ perspective of care service professionals. BMC geriatr. [Internet]. 2014 [cited 10 June 2016]; 14(112):1-13. Available in: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4210571/pdf/12877_2014_Article_1047.pdf

Barrera-Ortiz L, Campos MS, Gallardo-Solarte K, Coral-Ibarra RC, Hernández-Bustos A. Soporte social percibido por las personas con enfermedad crónica y sus cuidadores familiares en cinco macro regiones geográficas de Colombia. Univ. salud. [Internet]. 2016 [cited 06 Sept. 2018]; 18(1):102-12. Available in: http://www.scielo.org.co/pdf/reus/v18n1/v18n1a11.pdf

Gratao ACM, Vendrúscolo TRP, Talmelli LFS, Figueiredo LC, Santos JLF, Rodrigues RAP. Burden and the emotional distress in caregivers of elderly individuals. Texto & contexto enferm. [Internet]. 2012 [cited 20 Aug. 2017]; 21(2):304-12. Available in: http://www.scielo.br/pdf/tce/v21n2/en_a07v21n2.pdf

Published

2019-02-27

How to Cite

Cunha, J. P., da Cunha, G. H., Rodrigues, A. B., Gubert, F. do A., de Freitas, M. C., & Vieira, N. F. C. (2019). Nursing Diagnoses in Institutionalized Elderly Individuals according to Betty Neuman. Aquichan, 19(1). https://doi.org/10.5294/aqui.2019.19.1.6

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