Keywords
Enfermagem no Consultório
Geriatria
Idoso
Geriatric Nursing
Office Nursing
Geriatrics
Aged
Enfermería Geriátrica
Enfermería de Consulta
Geriatría
Anciano
How to Cite
Abstract
Introduction: The creation of guidelines that unify the prevalent clinical demands from gerontological nursing consultations and their corresponding interventions are necessary due to the heterogeneity of emerging pathologies in the aging process that will require nursing care.
Objective: To identify clinical demands in gerontological nursing consultations and the interventions implemented by nurses.
Method: An integrative review of original research published from 2018 and 2022, in English, Spanish, and Portuguese, in Scopus, MEDLINE/PubMed, BIREME/lilacs/BDENF/IBECS/VHL, SciELO, and Google Scholar databases, using the DeCS/MESH descriptors: "Elderly", "Nursing in the Office", "Geriatric Nursing", and "Geriatrics". The Rating System for the Hierarchy of Evidence for Intervention was used to determine the level of evidence of the final sample. Editorials, review studies, and duplicate articles were excluded. The data were analyzed by analytical and interpretative reading, guided by a checklist.
Results: Eight articles were selected that showed clinical demands such as deficits in self-care for bathing, self-negligence, fatigue, risk of damaged skin integrity, hopelessness, sadness, and depression. Interventions were related to encouraging self-care, medication optimization, encouragement of exercise, skin care, counseling, music therapy, and psychosocial rehabilitation.
Conclusion: There are many different clinical demands in gerontological nursing consultations, especially associated with the domain of activity/rest. These include interventions to treat and prevent diseases, and actions aimed at health promotion, in most cases associated with the Behavioral domain.
References
Diniz AS, Silva AP, Souza CC, Chianca TCM. Demanda clínica de uma unidade de pronto atendimento, segundo o protocolo de Manchester. Rev. Eletr. Enf. 2014;16(2):312-20. doi: 10.5216/ree.v16i2.21700.
Herdman, TH, Kamitsuru S, Lopes CT. Diagnósticos de enfermagem da NANDA-I: Definições e classificação. 12ª edição. Porto Alegre: Artmed; 2021.
Placideli N, Bocchi S. Modelos de atenção integral para idosos no mundo: revisão da literatura. Physis. 2021;31(3):e310326. doi: 10.1590/S0103-73312021310326.
Eliopoulos C. Enfermagem gerontológica. 9ª. ed. Artmed: Porto Alegre, 2019.
Ribeiro MNS, Espírito Santo FH, Diniz CX, Araújo KB, Lisboa MGL, Souza CRS. Scientific evidence of the violence against the older adult: an integrative review. Acta Paul Enferm. 2021;34:eAPE00403. doi: 10.37689/acta-ape/2021AR00403.
Butcher HK, Bulechek GM, Dochterman JM, Wagner CM. Classificação das intervenções de enfermagem (NIC). 7ª edição. Guanabara Koogan: Rio de Janeiro, 2020.
Marinho CLA, Oliveira AS, Silva RS da, Oliveira JF de, Leite AMC. Basic human need in persons in hemodialysis in the light of Wanda Horta's theory. Cien Cuid Saúde. 2020;19:e47832. doi: 10.4025/ciencuidsaude.v19i0.47832.
Souza Júnior EV, Santos BFM, Souza DF, Sampaio VP, Balbinote FS, Sawada NO. Diagnósticos de enfermería relacionados con la sexualidad de las personas adultas mayores: contribuciones a la práctica. Enferm. Actual Costa Rica. 2021;41. doi: 10.15517/revenf.v0i41.44087.
Muniz VO, Braga LCA, Araújo PO, Santana PPC, Pereira GS, Sousa AR, Pedreira LC, Carvalho ESS. Self-care deficit among older men in the COVID-19 pandemic: implications for nursing. Rev Bras Enferm. 2022;75(Suppl 4):e20210933. doi: 10.1590/0034-7167-2021-0933.
Muniz VO, Santos FS, Souza AR, Araújo PO, Coifman AHM, Carvalho ESS. Theory of unpleasant symptoms applicability for the elderly men public with COVID-19 in Brazil. Esc Anna Nery. 2023;27:e20220245. doi: 10.1590/2177-9465-EAN-2022-0245en.
Souza MT, Silva MD, Carvalho R. Revisão integrativa: o que é e como fazer. Einstein.2010;8(1):102-6. doi: 10.1590/S1679-45082010RW1134.
Polit DF, Beck CT. Fundamentos da pesquisa em enfermagem: Avaliação de evidências para a prática de enfermagem. 9ª edição. Porto Alegre: Artmed; 2019.
Silva GTR, Góis RMO, Almeida DB, Santos TBS, Cantarino MSG, Queirós PJP, Amestoy SC. Evidence on nursing management models in hospital services: an integrative review. Acta Paul Enferm. 2021;34:eAPE002095. doi: 10.37689/acta-ape/2021ar02095.
Barbosa APM, Santo FHE. Permanent education on palliative care for nursing professionals: an integrative literature review. R Pesq Cuid Fundam. 2022;14:e11534. doi: 10.9789/2175-5361.rpcfo.v14.11534.
Galvão TF, Pansani TSA, Harrad D. Principais itens para relatar revisões sistemáticas e Meta-análises: a recomendação PRISMA. Epidemiol. Serv. Saúde. 2015;24(2):335-342. doi: 10.5123/S1679-49742015000200017.
Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: A guide to best practice. 2ª edição. Philadelphia: Lippincot Williams & Wilkins; 2010.
Teston EF, Peternella FMN, Sales CA, Haddad MCL, Cubas MR, Marcon SS. Effect of the consultation of nursing on knowledge, quality of life, attitude towards disease and self-care among persons with diabetes. Rev Min Enferm. 2018;22:e-1106. doi: 10.5935/1415-2762.20180034.
Olympio PCAP, Alvim NAT. Board games: gerotechnology in nursing care practice. Rev Bras Enferm. 2018;71(suppl2):818-26. doi: 10.1590/0034-7167-2017-0365.
Ribeiro IA, Lima LR, Volpe CRG, Funghetto SS, Rehem TCMSB, Stival MM. Frailty syndrome in the elderly in elderly with chronic diseases in Primary Care. Rev Esc Enferm USP. 2019,53:e03449. doi: 10.1590/S1980-220X2018002603449.
Alencar TD, Aquino RG, Santos LR, Lobato HA, Santos GLA, Santana RF, Sá SPC. Consulta de enfermagem gerontológica associada à escala de adesão terapêutica. REAID.2019;87(25). doi: 10.31011/reaid-2019-v.87-n.25-art.230.
Rodrigues MA, Santana RF, Hercules AB, Bela JC, Rodrigues JN. Telenursing in the Home Care Service in COVID-19 pandemic: A cross-sectional study. Online Braz J Nurs. 2021;20(Suppl1):e20216462. doi: 10.17665/1676-4285.20216462.
Nava LF, Duarte TTP, Lima WL, Magro MCS. Advanced nursing monitoring: at-risk patients in primary care. Rev Esc Anna Nery. 2022,26:e20210282. doi: 10.1590/2177-9465-EAN-2021-0282.
Agud AIJ, Reventos DE. Rol enfermero en la valoración de síndromes geriátricos y estado funcional en una consulta de geriatría. Gerokomos. 2018;29(4):160-4.
Hakimjavadi R, Levi C, LeBlanc K, Guglani S, Helmer-Smith M, Joschko J, Karunananthan S, Keely E, Liddy C. Electronic consultation by advanced practice nurses to mprove access to specialist care for older adults. Journal of Gerontological Nursing. 2022;48(4):33-40. doi: 10.3928/00989134-20220307-02.
Ministério da Saúde. Gabinete do Ministro. Portaria Nº.436, de 21 de setembro de 2017. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS). Diário Oficial da União [Internet]. 2017 Sep 21 [cited 2023 Sep 20]. https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html. Portuguese.
Ministério da Saúde. Portaria Nº.825, de 25 de abril de 2016. Redefine a Atenção Domiciliar no âmbito do Sistema Único de Saúde (SUS) e atualiza as equipes habilitadas. Diário Oficial da União [Internet]. 2016 Apr 25 [cited 2023 Sep 19]. https://bvsms.saude.gov.br/bvs/saudelegis/gm/2016/prt0825_25_04_2016.html. Portuguese.
Pena SB, Guimarães HC, Lopes JL, Guandalini LS, Taminato M, Barbosa DE,Barros ALBL. Fear of falling and risk of falling: a systematic review and meta-analysis. Acta Paul Enferm.32(4):456-63. doi:10.1590/19820194201900062.
Crossetti MGO, Antunes M, Waldman BF, Unicovsky MAR, Rosso LH, Lana LD. Factors that contribute to a NANDA nursing diagnosis of risk for frail elderly syndrome. Rev Gaúcha Enferm. 2018;39:e20170233. doi: 10.1590/19831447.2018.2017-0233.
Comments
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright (c) 2023 Vinícius de Oliveira Muniz, Marcos Vinícius Pereira Leal, Fátima Helena do Espírito Santo, Larissa Chaves Pedreira, Anderson Reis de Sousa