Diagnosis and nursing interventions on elderly …

1 Original ArticleDiagn sticos e interven es de enfermagem em idosos hospitalizadosDiagnosis and nursing interventions on elderly inpatients*Diagn sticos e intervenciones de enfermer a de ancianos hospitalizadosLuciana Mitsue Sakano1, Aparecida Yoshie Yoshitome2 ABSTRACTO bjective: The present study aims to know the main nursing diagnostics (DE) and to propose the nursing interventions for the main (DE)found in this population. Methods: It is a retroactive study, performed on the geriatric wing of a university hospital in the city of S o population was defined by the instruments of nursing data collection within the period of June to December/2000.

2 Results: The mainDE were: Risk of infection (100%), Impaired physical mobility (50,7%), Altered nutrition: less than the corporeal needs (44,7%), self-caredeficit (43,4%), impaired skin integrity (41,8%). Conclusion: The DE and the interventions , when linked, allow a better solution for thehighlighted problem, making nursing easier and maintaining individual : nursing Diagnosis ; Gerontologic nursing ; Aged; Retrospective studiesRESUMOO bjetivo: Conhecer os principais diagn sticos de enfermagem (DE) em idosos e propor as interven es de enfermagem para os principais DEencontrados nesta popula o.

3 M todos: Estudo retrospectivo, realizado na enfermaria de geriatria de um hospital universit rio da cidade deS o Paulo. A popula o foi constitu da pelos instrumentos de coleta de dados de enfermagem no per odo de junho a dezembro de : Os principais DE foram: Risco para infec o (100%), Mobilidade f sica prejudicada (50,7%), Nutri o alterada: menos que asnecessidades corp reas (44,7%), d ficit no autocuidado (43,3%), integridade da pele prejudicada (41,8%). Conclus o: O diagn stico deenfermagem e as interven es quando interligadas, permitem melhor solu o para o problema levantado, facilitando a conduta de enfermageme mantendo a assist ncia : Diagn stico de enfermagem; Enfermagem geri trica; Idoso; Estudos retrospectivosRESUMENO bjetivo: Conocer los principales diagn sticos de enfermer a (DE) y proponer las intervenciones para los principales DE encontrados en estapoblaci n.

4 M todos: Se trata de un estudio retrospectivo, realizado en el servicio de geriatr a de un hospital universitario de la ciudad de SaoPaulo. La poblaci n estuvo constituida por los instrumentos de recolecci n de datos de enfermer a en el per odo de junio a diciembre del2000. Resultados: Los principales DE fueron: Riesgo p/ infecci n (100%), Movilidad f sica perjudicada (50,7%), Nutrici n alterada:menos que las necesidades corp reas (44,7%), d ficit en el autocuidado (43,3%), integridad de la piel perjudicada (41,8%).

5 Conclusi n: ElDE y las intervenciones cuando est n interligadas, permiten mejor soluci n para el problema levantado, facilitando la conducta de enfermer ay manteniendo la asistencia : Diagn stico de enfermer a; Enfermer a geri trica; Anciano; Estudios Author: Luciana Mitsue SakanoR. estado do Israel, 435 - Apto 53A - Vila Clementino - S o Paulo - SPCEP. 04022-001 E-mail: article 27/07/2005 and accepted 03/12/2005 Acta Paul Enferm 2007;20(4):495-8.* This study was performed in the Geriatric Infirmary of Hospital S o Paulo - S o Paulo (SP), Geriatric Nurse Specialist by UNIFESP, Member of the Geriatrics Program at Hospital Israelita Albert Einstein HIAE S o Paulo (SP), Master.

6 Nurse of the nursing Department at the Federal University of S o Paulo UNIFESP S o Paulo (SP), LM, Yoshitome Paul Enferm 2007;20(4) Female Male Total Age Bracket (years) N % N % N % 70-74 9 14,7 7 11,5 16 26,2 75-81 13 21,3 11 18.

7 1 24 39,4 82-90 8 13,1 8 13,1 16 26,2 91-95 3 4,9 2 3,3 5 8,2 Total 33 54,0 28 46,0 61 100,0 INTRODUCTIONB razil is getting older.

8 Projections by the World HealthOrganization(1) indicate that, by 2025, Brazil will be ratedas the sixth country in the world regarding the numberof elderly inhabitants. The inversion of the populationpyramid will bring about profound transformations inthe social-economic-political-cultural structure of society,which will directly influence the health sector. The increasein chronic and degenerative problems will cause a highdegree of disability, which will require aid and supportfrom qualified a specialty, Geriatric nursing has developed recentlyand is based on knowledge of the aging process for thebio-psycho-social-cultural and spiritual valuation of elderlypeople s needs.

9 Service organization and theoreticalconcepts guide practice, data collection, nursing Diagnosis ,planning and maintenance of care, intervention,assessments, multi-professional collaboration, research,ethics and professional development as its standards ofquality. Therefore, the usage of nursing CareSystematization (NCS) is a worldwide need for the qualityof its interest in discovering the main nursing diagnosesfor elderly inpatients originated from clinical practiceduring the first year of the residence specialization coursein Geriatric nursing , and from the need to standardizethe NCS in order to facilitate, promote and elaborateproper health care for elderly * Identifying the main nursing diagnoses for elderlyinpatients admitted to the Geriatric wing of a Universityhospital.

10 * Proposing nursing interventions for the retrospective study was performed at the geriatricwing of a university hospital in S o Paulo City. The studypopulation comprised elderly inpatients, who had theirNCS registry sheet filled out between June andDecember/2000. Secondary data were used, obtainedfrom data collection instruments and from nursingdiagnoses, after being approved by the Research EthicsCommittee at S o Paulo Federal University. The modelused for the data collection instrument was created by agroup of nursing professionals who were specialists inGerontology(2).