Resultados e Intervenções de Enfermagem para os diagnósticos dez ; 17 (4): . Diagnosis Association (NANDA), para a identifica-. Rev. SOBECC. Extraído da dissertação “Análise do Diagnóstico de Enfermagem Risco de quedas em . a terminologia da NANDA-I(8) e as intervenções de en- Tabela 1 – Cuidados de enfermagem prescritos para pacientes com DE Risco de quedas - Porto Alegre, .. Available from: soundofheaven.info v46n1/. fatores relacionados dos diagnósticos de enfermagem. Descritores: no diagnóstico dos. J Health Sci Inst. ;30(4) NANDA (Norh American Nursing Diagnosis), NOC (Nur- .. soundofheaven.info pdf. 3.
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Obra originalmente publicada sob o título Nanda International nursing Copyright © by NANDA International; , , , , , , , , , edição do Diagnósticos de enfermagem da NANDA-I. tre elas, a taxonomia de Diagnósticos de Enfermagem da Nanda. International . foi retirado da taxonomia da NANDA-I, edição , todavia, encontra-se .. icoes//04_out-dez/V30_n4__papdf. Cavalcanti ACD. Diagnósticos de enfermagem em terapia intensiva: mapeamento cruzado e . do livro da classificação da NANDA-I , para possibilitar a análise.
Despite the implementation of the steps of the nursing process in the institution, which were initiated in the unit where this study was conducted, less than half of the records analyzed contained the nursing diagnoses identified by nurses. These actions should be appropriate to help individuals to achieve maximum quality of life, independence and preservation of functionality, which can contribute to nursing care of the highest quality to elderly clients. The formulation of ND provides several benefits for patient care: Thus, 41 records were not involved in the study because they did not meet the inclusion criteria established for the study. It is suggested that the managers of the institution must work on the factors that hinder the process, in order to better promote and consolidate the SNC at the hospital in question.
This must be implemented in all public and private health institutions within Brazil. It consists of the following steps: Nursing diagnoses are clinical judgments derived from interpretations of data collected during the nursing consultation.
They constitute the synthesis of clinical reasoning and are essential in guiding nursing planning, implementation of interventions, and evaluation of the care provided.
The formulation of ND provides several benefits for patient care: From the point of view of the organization, the ND may collaborate in a greater clinical and risk control, showing a relationship between theory, education and clinical practice implemented by the nurse - in other words, it collaborates with evidence-based nursing.
The proposed study was justified because the adherence and implementation of SNC in the institution is currently a legally established and important method. Moreover, when the ND are identified, quality care for the elderly clients can be planned and it can be encouraged that data concerning the implementation of steps of the nursing process by nurses of that institution are obtained.
This was a descriptive, cross-sectional study, conducted through research within the medical records of patients admitted from January to July of , in the functional unit of a public teaching hospital of Belo Horizonte, Minas Gerais.
The hospital in question had beds, and was classified as general and large scale. Activities of teaching, research and care were performed there, and it was a municipal and state reference of health for care of patients with diseases of medium and high complexity.
In the sector where this research was conducted, the SNC was implemented beginning in June of The inclusion criteria for the study of the records included: The number of elderly patients hospitalized in the unit during the period of January-July of was patients.
However, among these only records were available for consultation during the period of data collection. Thus, 41 records were not involved in the study because they did not meet the inclusion criteria established for the study. Despite the implementation of the steps of the nursing process in the institution, only 49 of the records contained the nursing diagnoses identified by nurses.
These were selected for analysis in the study. The search for the data in the medical records was performed by one of the investigators.
An instrument was used that was specifically designed for documentation of information about: The study conformed to Resolution No. Of the 49 medical records of elderly patients studied, The age ranged between 60 and 99 years, with a mean of The comorbidities with higher prevalence among patients were: The primary medical diagnoses identified in individuals on admission to the unit were categorized into cardiac disease Table 1.
For the 49 records analyzed, nurses established ND. After exclusion of repetitions identified, 36 different diagnoses labels were identified. It is observed that fourteen diagnosis labels Table 2.
Distribution of nursing diagnosis, identified for 49 elderly patients, hospitalized in a unit of a public teaching hospital of Belo Horizonte - MG, January to July of The data revealed that there was a greater distribution of female patients The Demographic Census of 9 showed, for the total population in the country, a ratio of 96 men for every women.
Thus, it was found that the historical trend of female predominance in the sex composition of the population of Brazil has been accentuated, as in this indicator was Consequent alterations to the physiological process are inevitable in the elderly. It can be said that aging without chronic disease is an exception.
As people get older, the chances of developing chronic disease are greater. And these have become a public health problem worldwide. Among the major chronic diseases, cardiovascular, metabolic and respiratory are emphasized. The SNC is an assistance model that aims to organize the nursing care based on the adoption of a systematic method, provided to the nurse to directly assist the patient, family and community and to obtain health indicators from the records performed. However, professionals face difficulties in its implementation.
Some reasons for not applying the steps of the nursing process in some institutions have been described by scholars and include: Regarding the profile of the identified nursing diagnoses, it was observed that This diagnostic profile is relevant, as in planning nursing care should the initial care to actual diagnoses must be prioritized, which are the human responses to health conditions demonstrated by the person.
Risks must be identified and interventions implemented. In this perspective, the planning of nursing care must be done in order to control the risk, with the purpose of preserving safety. However no ND were identified by any nurse for patients in the following domains of human responses: These may be aggravated and anticipated in the presence of multiple chronic degenerative diseases.
They were: The ND encountered in this study are corroborated by other studies, 13 but the distribution of their frequencies is not the same in comparative terms. The risk for infection diagnosis is defined as the individual being at risk for being invaded by pathogenic organisms. In these situations, the risk of acquiring infection is increased.
Among the possible causes for the problem of the loss of muscle mass, decreased strength, maximum heart rate, exercise tolerance and aerobic capacity, as well as increased body fat, pain and changes in neuromuscular functions stood out. The physical limitation may be a contributing factor to a series of health problems. In a considerable number of patients The skin of the elderly tends to become dry due to: Vascular irrigation decreases as capillary fragility increases.
The dermic mass and subcutaneous interface became flattened and the skin is thinner, exposing the elderly to a greater risk for injuries and skin diseases.
The diagnosis, risk for falls , is defined as an individual being at risk for increased susceptibility to falling that may cause physical harm. The occurrence of falls is one of the major health problems faced by the elderly population; the physiological changes associated with advanced age may cause functional limitations, making the elderly more prone to falls. Thus, it can be stated that several factors are involved in this event, 18, and that they deserve identification, intervention and monitoring.
Therefore, this constitutes a major challenge for the health care team. With aging, people may lose interest in ingesting meals. Meanwhile, physiological changes can affect various organs and systems with consequent damage to their functions. A consequent decrease in intestinal motility also occurs with lower water intake, reduction of muscle tone and elasticity, and lower calorie and fiber intake in the diet.
It is a major cause of mortality, renal failure, lower limb amputation, blindness and cardiovascular disease. The fact was also confirmed in other studies, 13, which corroborated the results found here.
Probably it is a reflection of the peculiarity of the high prevalence of metabolic diseases The risk factors related to the risk of unstable blood glucose were: Expertise in nursing practice: New York: Springer Publishing Company; Manual de terminologia.
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