Game of Attitudes: educational gerontotechnology for the elderly undergoing haemodialysis.

OBJECTIVE: To develop and apply educational gerontotechnology through the articulation of playfulness, aimed at promoting the health of the elderly undergoing haemodialysis. METHOD: Convergent Care Research, following phases: conception, research structure (problem, objective and literature review); instrumentation, involving decisions about delimitation/detailing of the location (haemodialysis clinic), participants (ten elderly patients on haemodialysis), data collection instruments (semi-structured interview, participant observation and documentary/medical analysis); screening, rigorous investigation of haemodialysis treatment and analysis, guided by apprehension, synthesis, theorization and transfer. RESULTS: Health needs of emerging elderly: Complications and worsening of chronic kidney disease; Self-care; Empowerment; Deficit of activities; Health promotion and Nursing care; and Importance of the family. Gerontotechnology developed: Game of Attitudes; its application aroused feelings - overcoming, occupation and knowledge. Final considerations: Game of attitudes makes it possible to remodel the care of the elderly undergoing haemodialysis; it is a tool that enriches the practice, allows innovation, aiding in the success of the treatment.

Game of Attitudes: educational gerontotechnology for the elderly undergoing haemodialysis / Juego de actitudes: gerontotecnología educacional para ancianos en tratamiento hemodialítico / Jogo das Atitudes: gerontotecnologia educacional para idosos em tratamento hemodialítico

ABSTRACT Objective: To develop and apply educational gerontotechnology through the articulation of playfulness, aimed at promoting the health of the elderly undergoing haemodialysis. Method: Convergent Care Research, following phases: conception, research structure (problem, objective and literature review); instrumentation, involving decisions about delimitation/detailing of the location (haemodialysis clinic), participants (ten elderly patients on haemodialysis), data collection instruments (semi-structured interview, participant observation and documentary/medical analysis); screening, rigorous investigation of haemodialysis treatment and analysis, guided by apprehension, synthesis, theorization and transfer. Results: Health needs of emerging elderly: Complications and worsening of chronic kidney disease; Self-care; Empowerment; Deficit of activities; Health promotion and Nursing care; and Importance of the family. Gerontotechnology developed: Game of Attitudes; its application aroused feelings - overcoming, occupation and knowledge. Final considerations: Game of attitudes makes it possible to remodel the care of the elderly undergoing haemodialysis; it is a tool that enriches the practice, allows innovation, aiding in the success of the treatment.

RESUMEN Objetivo: Desarrollar y aplicar gerontotecnología educacional por medio de la articulación del lúdico, con vistas a la promoción de la salud de los ancianos en tratamiento hemodialítico. Método: Investigación Convergente Asistencial, siguiendo fases: concepción, estructuración de la investigación (problema, objetivo y revisión de literatura); instrumentación, envolviendo decisiones sobre delimitación/caracterización del local (clínica de hemodiálisis), participantes (diez ancianos en hemodiálisis), instrumentos recogida de datos (entrevista semiestructurada, observación participante y análisis documental/prontuarios); perscrutación, investigación rigorosa sobre tratamiento hemodialítico y análisis, guiado por la aprehensión, síntesis, teorización y transferencia. Resultados: Necesidades de salud de los ancianos emergentes: Complicaciones y agravios de la enfermedad renal crónica; Autocuidado; Empoderamiento; Déficit de actividades; Promoción de la salud y el cuidado de Enfermería; e Importancia de la familia. Gerontotecnología desarrollada: Juego de Actitudes; su aplicación suscitó sentimientos - superación, ocupación y conocimiento. Consideraciones finales: Juego de actitudes posibilita remodelar el cuidado de los ancianos en tratamiento hemodialítico; es herramienta que enriquece la práctica, permite innovación, auxiliando en el suceso del tratamiento.

RESUMO Objetivo: Desenvolver e aplicar gerontotecnologia educacional por meio da articulação do lúdico, visando à promoção da saúde dos idosos em tratamento hemodialítico. Método: Pesquisa Convergente Assistencial, seguindo fases: concepção, estruturação da pesquisa (problema, objetivo e revisão de literatura); instrumentação, envolvendo decisões sobre delimitação/detalhamento do local (clínica de hemodiálise), participantes (dez idosos em hemodiálise), instrumentos coleta de dados (entrevista semiestruturada, observação participante e análise documental/prontuários); perscrutação, investigação rigorosa sobre tratamento hemodialítico e análise, guiada pela apreensão, síntese, teorização e transferência. Resultados: Necessidades de saúde dos idosos emergentes: Complicações e agravos da doença renal crônica; Autocuidado; Empoderamento; Déficit de atividades; Promoção da saúde e o cuidado de Enfermagem; e Importância da família. Gerontotecnologia desenvolvida: Jogo das Atitudes; sua aplicação suscitou sentimentos - superação, ocupação e conhecimento. Considerações finais: Jogo das atitudes possibilita remodelar o cuidado dos idosos em tratamento hemodialítico; é ferramenta que enriquece a prática, permite inovação, auxiliando no sucesso do tratamento.

Gerontotecnología para prevención de caídas: Promoción de la salud del anciano con enfermedad de Parkinson / Gerontotechnology for fall prevention: Promotion of health of the elderly with Parkinson's disease

Objetivo principal: Evaluar la contribución de las gerontotecnologías para el cuidado de enfermería para la promoción de la salud del anciano con enfermedad de Parkinson para la prevención de caídas. Metodología: Investigación Convergente Asistencial. El proceso de elaboración de las gerontotecnologías involucró evaluación clínica, entrevista grabada y talleres. La evaluación de los materiales elaborados fue realizada por diez jueces de la Sociedad Brasileña de Geriatría y Gerontología, que utilizaron Instrumentos de Evaluación de la Gerontotecnología y "Suitability Assessment of Materiales" (Evaluación de Idoneidad de Materiales). Resultados principales: La investigación apuntó que para que los ancianos puedan comprender la gerontotecnología son necesarios por lo menos unos seis años de estudio. El contenido, comprensión del texto, presentación y adaptación cultural fueron logrados. Conclusión principal: Las gerontotecnologías son efectivas para la prevención de caídas, pues proveen conocimiento sobre la enfermedad de Parkinson, acciones de prevención y seguridad ambiental, además de contribuir en el proceso de reflexión a través de la promoción de la salud, haciendo al anciano protagonista de su proceso de cuidado

Objective: Evaluate the contribution of gerontotechnologies in nursing care to promote the health of the elderly with Parkinson's disease to prevent falls. Methods: The Convergent Care Survey was used through the construction and application of educational material developed by clinical evaluation, semi-structured recorded interview and workshops. The evaluation of the elaborated materials was carried out by ten judges, selected by the list of graduates in gerontology of the Brazilian Society of Geriatrics and Gerontology, who used the Gerontotechnology Assessment and Suitability Assessment of Materials. Results: The research pointed out that it takes, at least, six years of study for the elderly to understand the gerontotechnology used. The objectives related to content, text comprehension, motivation and cultural adaptation were achieved. Conclusions: Gerontotechnologies are effective in preventing falls, since they provide knowledge about Parkinson's disease, environmental prevention and safety actions, and contribute to the process of reflection through health promotion, making the elderly protagonist of their care process