RESUMO
OBJECTIVE: To investigate the meanings given by women caregivers to their care practices and to analyze the relationship between such practices and their work history. METHOD: This was a phenomenological qualitative cohort study conducted in Seville, Spain, with family caregivers. Data were collected using semi-structured interviews and submitted to content analysis, using Atlas-ti GmbH software version 5.0®. The following categories emerged: caregiving history and work history, and the meaning of care in their lives. RESULTS: Twenty caregivers participated in the study. Women caregivers told stories of wide-ranging care, including several individuals in their family at different moments. They performed different forms of care, encompassing physical and social dimensions. Their discourse expressed the contradiction between their caregiving role and entering and/or maintaining their place in the labor market. CONCLUSION: The women expressed a concept of comprehensive care that includes responsibility, availability, and companionship, as well as emotional states, which greatly impact health. They tailored their participation in the labor market according to their family's care needs. Thus, the gender perspective must be incorporated by health care providers who work with the health of caregivers.
Assuntos
Cuidadores/psicologia , Emoções , Emprego/estatística & dados numéricos , Família/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Feminino , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Fatores Sexuais , EspanhaRESUMO
Nurses regularly use the patient's clinical history and we interact through it with multi and interdisciplinary team with the purpose of providing comprehensive care to the elderly. We make professional use of personal patient information with this interaction, as well we generate the nursing care plan and nursing records. We also perform comprehensive geriatric assessment and other specific registers aimed at elderly care, which have a clear impact on patient health care. The progress and regulatory complexity on the use of medical history, new strategies of the relationship in the context of care, based on bioethics, as well as the active role of nurses in the creation of information, makes necessary to review the ethical and legal issues surrounding this document, in this case, in elderly patients.
Assuntos
Temas Bioéticos , Registros de Enfermagem/legislação & jurisprudência , Fatores Etários , Idoso , HumanosRESUMO
This paper introduces the concept of refractory spiritual suffering in the terminal patient, the factors that influence it, the possibility of their assessment and care approach emphasizing the role of nurse care to despair for identification and relief through the use of taxonomy NANDA-NOC-NIC (NNN). We conclude that it is necessary to incorporate into the care routine screening of spiritual suffering, assessment, prevention and interdisciplinary care. When direct care nursing developed aimed at improving levels of hope that the patient achieves his spiritual suffering terminal decline. In refractory spiritual suffering is necessary to consider the option of palliative sedation in which nurses have a crucial role both in their valuation for the indication and in the administration and evaluation of its therapeutic effects.
Assuntos
Estresse Psicológico/enfermagem , Humanos , Espiritualidade , Estresse Psicológico/classificação , Estresse Psicológico/psicologiaRESUMO
En este trabajo se presenta el concepto de sufrimiento espiritual refractario en el paciente en situación terminal, los factores que influyen sobre el mismo, la posibilidad de su valoración y el abordaje de cuidados destacando el papel de la atención enfermera a la desesperanza para su identificación y alivio, mediante el uso de la taxonomía NANDA-NOC-NIC (N-N-N). Concluimos que se hace necesario incorporar a la rutina asistencial el screening del sufrimiento espiritual, su evaluación, prevención y su atención interdisciplinar. Cuando la enfermería desarrolla cuidados directos orientados a mejorar los niveles de esperanza se logra que el paciente terminal disminuya su sufrimiento espiritual. Ante un sufrimiento espiritual refractario es necesario plantearse la opción de una sedación paliativa en la que enfermería tiene un papel esencial tanto en su valoración para la indicación como en la administración y en la evaluación de sus efectos terapéuticos (AU)
This paper introduces the concept of refractory spiritual suffering in the terminal patient, the factors that influence it, the possibility of their assessment and care approach emphasizing the role of nurse care to despair for identification and relief through the use of taxonomy NANDA-NOC-NIC (NNN). We conclude that it is necessary to incorporate into the care routine screening of spiritual suffering, assessment, prevention and interdisciplinary care. When direct care nursing developed aimed at improving levels of hope that the patient achieves his spiritual suffering terminal decline. In refractory spiritual suffering is necessary to consider the option of palliative sedation in which nurses have a crucial role both in their valuation for the indication and in the administration and evaluation of its therapeutic effects (AU)
Assuntos
Humanos , Cuidados de Enfermagem/métodos , Espiritualidade , Dor Intratável/enfermagem , Cuidados Paliativos na Terminalidade da Vida/métodos , Terapias Espirituais , Doente Terminal/psicologiaRESUMO
The people of San Rafael Coxcatlán use Cordia curassavica to treat gastrointestinal and respiratory disorders. The aim of this work was to investigate the temporal variation of chemical composition and antimicrobial activity of the essential oil of C. curassavica in two seasons of the year (dry and rainy). The essential oil of aerial parts was obtained by steam distillation, 12 and 17 compounds were identified for dry and rainy seasons respectively by GC-MS. The major component was for the dry season 1,7,7-trimethyl tricyclo (2.2.1.0(2,6)) heptane (20.3 percent), and for the rainy season was germacrene (24.41 percent). The antibacterial activity of essential oils varies temporarily because was active in nine strains in the dry season and four in the wet. The more sensitive strains were Stapahylococcus epidermidis and Vibrio cholera. The essential oil obtained in dry season presented a MIC of 0.75 and 0.125 mg/mL, and for the rainy season a MIC of 1.00 and 0.375 mg/mL respectively. Rhizoctonia solani was the more sensitive fungi strain (IC25 0.1300 mg/mL) in the rainy season. These results show that the chemical composition and biological properties of essential oil of the C. curassavica have temporal variation.
La población de San Rafael para tratar padecimientos gastrointestinales y respiratorios emplean Cordia curassavica. El objetivo del presente trabajo fue investigar la variación temporal de la composición química y la actividad antimicrobiana del aceite esencial de C. curassavica colectada en dos épocas del año (sequía y lluvias). El aceite esencial se obtuvo mediante la técnica de arrastre de vapor y los componentes se identificaron por CG-MS. En la época de secas se detectaron 12 compuestos y 17 en la de lluvias. El principal componente para la época de secas fue el 1,7,7 trimetil triciclo (2.2.1.0(2,6)) heptano (20.3 por ciento) y para la temporada de lluvias fue el germacrano (24.41 por ciento). La actividad antibacteriana del aceite esencial varía temporalmente porque fue activo sobre nueve cepas en la época seca y sobre cuatro cepas en la época lluviosa. Las cepas más sensibles para ambas estaciones fueron Stapahylococcus epidermidis y Vibrio cholerae. En la época de seca, el aceite esencial presentó la concentración mínima inhibitoria (CMI) de 0.75 y 0.125mg/mL, mientras que en la época de lluvias fueron de 1.00 y 0.375 mg/mL respectivamente. La cepa fúngica más sensible fue Rhizoctonia solani (IC25 0.130 mg/mL) en la época de lluvia. Estos resultados muestran que la composición química y las propiedades biológicas de los aceites esenciales de Cordia curassavica varian de acuerdo a la época del año.