Loading...
Publication
Avaliação e intervenção com famílias de casais idosos, que Integram um membro com dependência ligeira: Projeto de desenvolvimento de competências clínicas especializadas na área de Enfermagem de Saúde Familiar
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 4.73 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O processo de envelhecimento implica mudanças inevitáveis, influenciadas por diversos fatores
biopsicossociais, afetando muitas vezes os idosos de forma imprevisível. Isso contribui para um
processo de fragilização, vulnerabilidade e declínio na saúde. De acordo com a Organização
Mundial da Saúde (OMS), as quedas representam a segunda causa de morte por lesão acidental
ou não intencional em todo o mundo, imediatamente a seguir aos acidentes rodoviários. É
importante destacar que a grande maioria das quedas, nos idosos, ocorre dentro de casa ou nas
suas proximidades, durante a realização de atividades diárias como caminhar, fazer
transferências ou deslocar-se à casa de banho, especialmente durante a noite. Neste contexto,
os Enfermeiros Especialistas em Enfermagem Comunitária na área de Enfermagem de Saúde
Familiar, constituem-se como agentes fundamentais na promoção do funcionamento da família
considerando a família como unidade de cuidados e os seus membros individualmente.
Este relatório descreve as atividades desenvolvidas para aquisição de competências na área de
enfermagem de saúde familiar com base em dois objetivos gerais para o desenvolvimento da
componente clínica: “Cuidar da família, enquanto unidade de cuidados, e de cada um dos seus
membros, ao longo do ciclo vital e aos diferentes níveis de prevenção” e “Liderar e colaborar
nos processos de intervenção no âmbito da Enfermagem de Saúde Familiar”.
No módulo I do estágio caracterizou-se as famílias/os utentes da lista do enfermeiro tutor
identificando para intervenção, no módulo II, quatro famílias do tipo casal de pessoas idosas,
independentes ou com dependência leve para o autocuidado e de classe social média-baixa,
após a aplicação dos critérios de inclusão e exclusão.
Utilizou-se o Modelo Dinâmico de Avaliação e Intervenção Familiar (MDAIF) na avaliação e
intervenção familiar, e recorreu-se à entrevista familiar sistémica como ferramenta de avaliação
e intervenção familiar. A prática especializada, centrada na família, revelou-se uma mais-valia,
resultando em ganhos em saúde. A proximidade e o conhecimento da família foram elementos
cruciais para o sucesso da intervenção.
Foi desenvolvida uma proposta de avaliação familiar para prevenir o risco de quedas durante
consultas de enfermagem domiciliárias, como parte de um programa contínuo de melhoria da
qualidade. O objetivo é implementar consultas estruturadas para promover a saúde dos idosos
e prevenir quedas, incluindo uma avaliação abrangente a nível individual, familiar e das
condições estruturais do ambiente.
The aging process is characterized by inevitable changes influenced by a multitude of biopsychosocial factors, often affecting older adults in unpredictable ways. This contributes to a process of frailty, vulnerability, and decline in health. According to the World Health Organization (WHO), falls represent the second leading cause of death from accidental or unintentional injury worldwide, following road traffic accidents. It is important to note that the vast majority of falls among older adults occur within or around the home, during the performance of daily activities such as walking, transferring, or using the bathroom, especially at night. In this context, Nurse Specialists in Community Nursing in the area of Family Health Nursing play a pivotal role in promoting family functioning, considering the family as a unit of care and its members individually. This report describes the activities undertaken to acquire competencies in the area of family health nursing based on two general objectives for the development of the clinical component: "To care for the family, as a unit of care, and each of its members, throughout the life cycle and at different levels of prevention" and "To lead and collaborate in intervention processes within the scope of Family Health Nursing." In Module I of the internship, the families/users on the tutor nurse's list were characterized, identifying for intervention, in Module II, four families of the type elderly couple, independent or with mild dependence for self-care and of low-middle social class, after applying the inclusion and exclusion criteria. The Dynamic Model of Family Assessment and Intervention (MDAIF) was used in family assessment and intervention, and the systemic family interview was used as a tool for family assessment and intervention. The specialized, family-centered practice proved to be an added value, resulting in health gains. The proximity and knowledge of the family were crucial elements for the success of the intervention. A family assessment proposal was developed to prevent the risk of falls during home nursing visits, as part of an ongoing quality improvement program. The objective is to implement structured consultations to promote the health of older adults and prevent falls, including a comprehensive assessment at the individual, family, and structural levels of the environment.
The aging process is characterized by inevitable changes influenced by a multitude of biopsychosocial factors, often affecting older adults in unpredictable ways. This contributes to a process of frailty, vulnerability, and decline in health. According to the World Health Organization (WHO), falls represent the second leading cause of death from accidental or unintentional injury worldwide, following road traffic accidents. It is important to note that the vast majority of falls among older adults occur within or around the home, during the performance of daily activities such as walking, transferring, or using the bathroom, especially at night. In this context, Nurse Specialists in Community Nursing in the area of Family Health Nursing play a pivotal role in promoting family functioning, considering the family as a unit of care and its members individually. This report describes the activities undertaken to acquire competencies in the area of family health nursing based on two general objectives for the development of the clinical component: "To care for the family, as a unit of care, and each of its members, throughout the life cycle and at different levels of prevention" and "To lead and collaborate in intervention processes within the scope of Family Health Nursing." In Module I of the internship, the families/users on the tutor nurse's list were characterized, identifying for intervention, in Module II, four families of the type elderly couple, independent or with mild dependence for self-care and of low-middle social class, after applying the inclusion and exclusion criteria. The Dynamic Model of Family Assessment and Intervention (MDAIF) was used in family assessment and intervention, and the systemic family interview was used as a tool for family assessment and intervention. The specialized, family-centered practice proved to be an added value, resulting in health gains. The proximity and knowledge of the family were crucial elements for the success of the intervention. A family assessment proposal was developed to prevent the risk of falls during home nursing visits, as part of an ongoing quality improvement program. The objective is to implement structured consultations to promote the health of older adults and prevent falls, including a comprehensive assessment at the individual, family, and structural levels of the environment.
Description
Keywords
Enfermagem de Saúde Familiar Envelhecimento Queda Relatório de estágio