Visibility and meanings of partnership in health care for older people who need support to live at home.

INTRODUCTION: Problems experienced by older people with complex needs to live at home have been reported in the literature. This qualitative study builds on previous research and investigates enduring issues older people face when interacting with healthcare services. AIM: To gain an in-depth understanding of what is involved in providing good quality health care for older people who need support to live at home. METHODOLOGICAL DESIGN: We adopted an interpretive descriptive approach and conducted semi-structured interviews with older people (n = 7), carers (n = 8) and key informants (n = 11). Initial and secondary analysis of qualitative data was completed. FINDINGS: Major themes emerged about meanings of partnership in health care, and invisibility of the older person as a partner in health care. Partnership in health care was understood to mean being treated as an equal, being involved in decision-making, and making contributions which impact on health care and health systems. The metaphorical concept of 'invisibility' related to the older person not being seen and heard as a partner in health care, as well as being a recipient of care. CONCLUSIONS: We concluded that older people who need support to live at home are not highly visible to health providers, policymakers and researchers as a central partner and consumer to be meaningfully engaged in shaping their health care. Opportunities to address persistent issues with quality of health care may in future be achieved through stronger partnerships between older people and health providers, to find new ways to improve the quality of care for older people.

Necessidades de apoio social em cuidadores de familiares idosos mexicanos / Social support needs of Mexican elders family caregivers

Conforme aumenta a quantidade de idosos, incrementa o número de pessoas que assumem o cuidado de um familiar idoso dependente funcional. As tarefas do cuidado demandam recursos econômicos, tempo, organização familiar e pessoal que geram uma sobrecarga que pode repercutir negativamente no cuidador. Um recurso que pode amenizar esses impactos é a existência de redes de apoio social, dentro das quais os familiares encontrem ajuda para satisfazer suas necessidades em situações cotidianas e de crise. O objetivo do estudo foi identificar as necessidades de apoio social experimentadas por cuidadores de familiares idosos com problemas de saúde. Análises de conteúdo revelaram as seguintes categorias temáticas: Necessidades emocionais pessoais e interpessoais, Necessidades de apoio econômico, Necessidades de apoio prático-instrumental, Necessidades de orientação e Percepção de recursos para responder às demandas do cuidado. Os resultados são discutidos à luz de outros estudos qualitativos sobre necessidades de cuidadores de idosos.

With the increase of elders, increases the number of family members that take care of functional dependent elders. the duties of caregivers demand economic resources, time, personal and familiar organization that generate a burden that can negatively impact the caregiver. One resource that can withhold this impact is the social support network, where the family members can find help to satisfy their daily needs and crises. The objective of this study was to identify social support needs experienced by family caregivers of functional dependent elders. the content analysis revealed the following thematic categories: Emotional personal and interpersonal support needs, Economic support needs, Practical-instrumental support needs, Orientation support needs and Perception of resources to respond to the caregiver's activities demands. the results were discussed compared to other qualitative studies about the needs of caregivers of elders.

[Ambulatory nursing-care related social work]. / Ambulante pflegebegleitende Soziale Arbeit.

From a gerontological point of view, social work which accompanies care processes is absolutely necessary. The social production of care depends crucially on an appropriate attention toward the fitting between informal and formal help systems. Social work can support these fitting processes both on a firm level and on a neutral level. Some specific attributes of social work with elder care-dependant living in their private homes are discussed, such as threatening, difficult or ashaming aspects, as well as the necessity of all involved persons agreeing in the developed help-planning process. Practice research and Social science perspectives are discussed as appropriate reference system for life-world orientated social work with informal caregiving arrangements. Concerning the support of informal caregivers as an important example of ambulant social work with elder people, some dimensions of theoretical and practical professionality are proposed.

Intervenciones de enfermería para el cuidado del adulto mayor con deterioro cognoscitivo / Nursing interventions for the care of the elderly with cognitive impairment

Introducción Esta guía pone a disposición del personal de enfermería del segundo y tercer nivel de atención, las recomendaciones basadas en la mejor evidencia disponible con la intención de estandarizar las intervenciones de enfermería para el cuidado del adulto mayor con deterioro cognoscitivo. Método: Se realizó un protocolo sistematizado de búsqueda en bases de datos electrónicas, PubMed, Cuiden, Lilacs y en sitios Web especializados; publicados entre 2010 y 2015 de los cuales se seleccionaron las fuentes con mayor puntaje obtenido en la evaluación de su metodología y las de mayor nivel en cuanto a gradación de evidencias y recomendaciones. Resultados: La búsqueda proporcionó 67 artículos de los cuales 26 fueron seleccionados. Se propone utilizar el test de la prueba de reloj (Clock Drawing Test), en combinación con el test Minimental (MMS) como pruebas de valoración para determinar la existencia y grado de deterioro cognitivo. Utilizar la escala de sobrecarga del cuidador de Zarit (Cariver Burden Interview) para valorar la carga del cuidador. Brindar apoyo necesario y servir de facilitadores en la búsqueda de opciones en el proceso de adaptación. Conclusiones: La aplicación de las recomendaciones en la práctica de Enfermería favorecerá a la detección temprana del deterioro cognoscitivo y establecer intervenciones dirigidas al cuidador primario a fin de aminorar el colapso del cuidador.

Introduction. This guide provides nurses the second and third level of care recommendations based on the best available evidence with intent to standardize nursing interventions for the care of the elderly with cognitive impairment.Method: A systematic search protocol was performed in electronic databases, PubMed, Cuiden, Lilacs and specialized websites; published between 2010 and 2015 which were selected sources with the highest score obtained in the evaluation of its methodology and higher level as to grading evidence and recommendations.results: The search yielded 67 articles of which 26 were selected, It is proposed to use the test test clock (Clock Drawing Test), in combination with the Mini-mental test (MMS) as assessment tests to determine the existence and degree of cognitive impairment. Using the scale of Zarit caregiver burden (Burden Interview Cariver) to assess caregiver burden. Provide necessary support and serve as facilitators in the search for options in the adaptation process.Conclusions: The implementation of the recommendations in the practice of Nursing favor early detection of cognitive impairment and establish targeted interventions to the primary caregiver to lessen the collapse of the caregiver.

Introdução. Este guia fornece enfermeiros o segundo e terceiro nível de recomendações de cuidados com base na melhor evidência disponível com a intenção de padronizar as intervenções de enfermagem para o cuidado dos idosos com comprometimento cognitivo.Método: Um protocolo de busca sistemática foi realizada em bases de dados electrónicas, PubMed, Cuiden, Lilacs e sites especializados; publicados entre 2010 e 2015, as quais foram selecionadas as fontes com o maior resultado obtido na avaliação de sua metodologia e nível superior quanto à classificação de evidências e recomendações.Resultados: A busca resultou em 67 artigos, dos quais 26 foram selecionados. Propõe-se a usar o relógio de teste de teste (Teste do Desenho do Relógio), em combinação com o teste Mini-Mental (MMS) como testes de avaliação para determinar a existência e grau de comprometimento cognitivo. Usando a escala de sobrecarga do cuidador Zarit (Burden Interview Cariver) para avaliar a sobrecarga do cuidador. Prestar o apoio necessário e servir como facilitadores na busca de opções no processo de adaptação.conclusões: A implementação das recomendações na prática da Enfermagem favorecer a detecção precoce de comprometimento cognitivo e estabelecer intervenções orientadas para o cuidador principal para diminuir o colapso do cuidador.

Cuidar em família: análise da representação social da relação do cuidador familiar com o idoso / Caretaking within the family: Social representation analysis of the relationship between the caretaker and the elderly

O estudo se propôs investigar o cotidiano dos cuidadores familiares de idosos com idade a partir de 70 anos e com incapacidade funcional. Particularmente, o objetivo foi compreender o que é para esse cuidador familiar o ato de cuidar e como ele vê esse idoso objeto do cuidado. O universo da pesquisa abrangeu 17 cuidadores familiares de idosos, circunscritos na área de abrangência do Centro de Saúde Escola Geraldo Paula Souza da Faculdade de Saúde Pública da USP, do município de São Paulo, e participantes do "Projeto Capacidade," intitulado Programa de Assistência ao Idoso no Domicílio, fundamentado num Sistema de Vigilância à Incapacidade Funcional e Dependência. A metodologia de pesquisa utilizada foi a qualitativa e a estratégia metodológica para análise das entrevistas foi a do Discurso do Sujeito Coletivo (DSC). Diferentes representações sociais foram extraídas dos discursos desses cuidadores familiares. Podemos salientar que cuidadores do presente estudo cuidam de seus idosos com respeito e dignidade embora sintam-se, muitas vezes, desencorajados pelo desgaste e pelas dificuldades que, cotidianamente, têm de enfrentar no seu trabalho, sem a ajuda e respaldo necessários, solitários e desprovidos de atenção.(AU)

The study aimed at investigating the daily routine of family caretakers who attend on elderly individuals aged 70 and over that are functionally incapable. More specifically, the objective was to understand what caretaking means for the caretaker and how he depicts the elderly under his care. The population encompassed 17 elderly family caretakers within the catchment area of the Centro de Saúde Escola (Health Center and School) Geraldo Paula Souza, of the School of Public Health - University of São Paulo, who participate in the "Capacidade" (Capacity) Project (Elderly Home Care Program, grounded on a Functional Incapability and Dependence Surveillance System). A cohort methodology was used and the Collective Subject Discourse was the strategy used for interview analysis. Different social representations were drawn from the discourse of these family caretakers. It can be pointed out that the caretakers in the present study look after their elders with respect and dignity, although they frequently feel discouraged by the weariness and difficulties they have to face in their work on a daily basis, without the help or support needed. They also feel lonely and lacking attention.(AU)

Nuevas cuidadoras. ¿Cómo formarlas? / New caretakers for the elderly; how to prepare them?

La aparición en los domicilios de nuestros mayores de unanueva cuidadora ajena a la unidad familiar y que necesitaformación, justifica realizar un Curso Formativo a nivel localy de carácter multidisciplinar. Los grupos se captaron desdecentros cívicos y sociales del municipio. Se utilizó metodologíateórico-práctica, abordando temas diversos desdehigiene general de las personas mayores hasta recursossociales de interés para el grupo. La diversidad cultural de lasparticipantes permitió un flujo continuo de informaciónentre ellas, enriqueciendo los contenidos con aportacionespersonales de gran utilidad para la aplicación de cuidados.Aunque el 50% no era hispanohablante, la exposición prácticade los talleres resultó de gran utilidad ya que facilitó laparticipación y la integración del grupo(AU)

The appearance at the homes of our elderly of a new caretakerwho is foreign to the family unit and in need of preparationjustifies the creation of a multidisciplinary FormativeCourse at the local level. Groups were captured at civic andsocial centers in the town. A theoretical-practical methodologywas used, dealing with diverse themes ranging from theelderly’s general hygiene needs to social resources of interestto the groups. The participants’ cultural diversity permitted acontinuous flow of information among the participants,enriching the contents with personal anecdotes which willprove to be of great use for the application of treatment.Although 50% of the participants were non-Spanish speakers,the practical nature of the workshops proved of greatusefulness since it facilitated the participation and integrationof the group(AU)

Las necesidades detectadas por los cuidadores de mayores / No disponible

No disponible