scholarly journals Self-care and HIV/aids patients: nursing care systematization

2006 ◽  
Vol 14 (3) ◽  
pp. 336-345 ◽  
Author(s):  
Joselany Áfio Caetano ◽  
Lorita Marlena Freitag Pagliuca
Keyword(s):  
Nursing Care ◽  
Self Care ◽  
Nursing Theory ◽  
Aids Patients ◽  
Governmental Organization ◽  
Care Deficit ◽  
Nursing Diagnoses ◽  
Care Nursing ◽  
Care Development ◽  
Hiv Aids

This research aimed at systematizing nursing care to HIV/aids patients in view of Orem's Self-care Deficit Nursing Theory, using the convergent-care method and the Self-Care Nursing Process. Subjects were thirteen HIV/AIDS patients attended at a non-governmental organization in Fortaleza/CE, Brazil. We used interview techniques, physical examination, observation and information records, with a structured instrument, addressing requisites related to universal self-care, development and health alterations. Self-care deficits corresponded to nineteen nursing diagnoses, named according to NANDA's Taxonomy II, ten of which were based on the requisites for universal self-care, five on the requisites for self-care related to development and four on the requisites for self-care related to health deviations. In care planning, goals were established and the system and health methods were selected, prioritizing support-education actions in order to engage HIV/aids patients in self-care.

Nursing process applied to a client post-angioplasty: assistential convergent study

2011 ◽  
Vol 5 (9) ◽  
pp. 2220
Author(s):  
Joselany Áfio Caetano ◽  
Hérica Alves Vasconcelos ◽  
Marli Teresinha Gimeniz Galvão
Keyword(s):  
Nursing Care ◽  
Goal Attainment ◽  
Self Care ◽  
Nursing Process ◽  
Nursing Theory ◽  
Adequate Diet ◽  
Disturbed Sleep ◽  
Implementation Time ◽  
Care Deficit ◽  
Nursing Diagnoses

ABSTRACT Objective: to apply nursing care systemization to a client submitted to angioplasty with placement of coronary stents in the light of King’s Theory of Goal Attainment. Method: convergent care research, carried out at the patient’s home. The following Nursing Diagnoses were elaborated and the interventions are proposed according to the connection between NANDA, NIC and NOC. The project was previously approved by the Research Ethics committee from University Federal do Ceará, under no protocol 61/08. Results: the nursing diagnoses: imbalanced nutrition: less than body requirements, impaired physical mobility, activity intolerance, chronic sadness, disturbed sleep patterns, self-care deficit control and ineffective family therapeutic regimen. the goals were: To obtain an adequate diet and fluid intake; Perform physical exercise safely and social interaction activities; Try and decrease dependence on the medication and adjust sleep times; Facilitate the accomplishment of self-care activities. The nursing plan attained a majority of the established goals, even if partially, which was expected in view of the proposed goals and implementation time. Conclusion: the use of Nursing Diagnoses is a technology needed for daily nursing care, as it permits comprehensive care and is relevant in home treatment, with an emphasis on health promotion.Descriptors: nursing process; nursing theory; coronary disease; care.RESUMO Objetivo: implementar a sistematização da assistência de enfermagem a um cliente submetido à angioplastia com colocação de stents coronarianos à luz da Teoria de Alcance de Metas de King. Método: pesquisa convergente-assistencial, realizada em um domicílio de Fortaleza, em 2010. Elaboraram-se os Diagnósticos de Enfermagem e propôs intervenções, segundo a ligação entre NANDA, NIC e NOC. O projeto foi previamente aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal do Ceará, sob nº de protocolo 61/08. Resultados: os diagnósticos de enfermagem: nutrição desequilibrada: menos do que as necessidades corporais, mobilidade física prejudicada, intolerância à atividade, tristeza crônica, padrão do sono perturbado, déficit no autocuidado e controle familiar ineficaz do regime terapêutico. As metas foram: Obter dieta e ingesta hídrica adequada; Realizar as atividades físicas e atividades de interação social; Tentar diminuir a dependência do medicamento e ajustar os horários de sono; Facilitar a realização das atividades de autocuidado. O plano de enfermagem alcançou a maioria das metas estabelecidas, mesmo que de forma parcial, fato esperado diante das metas propostas e o tempo de implementação. Conclusão: o uso dos Diagnósticos de Enfermagem é tecnologia necessária ao cotidiano de enfermagem, pois possibilita o cuidado integral e se mostra relevante no tratamento domiciliar, com ênfase na promoção da saúde. Descritores: processo de enfermagem; teoria de enfermagem; coronariopatia; cuidado.RESUMEN Objetivo: implementar la sistematización de la asistencia de enfermería a un cliente sometido a la angioplastia con la colocación de stents coronarianos a la luz de la Teoría de Alcance de Metas de King. Método: investigación convergente asistencial, realizada en un domicilio de Fortaleza, en 2010. Se elaboraron los Diagnósticos de Enfermería y se propuso intervenciones, según la conexión entre NANDA, NIC y NOC. El proyecto fue previamente aprobado por el Comité de Ética en Investigación de la Universidad Federal do Ceará, bajo protocolo 61/08. Resultados: los diagnósticos de enfermería: nutrición desequilibrada: menos que las necesidades corporales, movilidad física perjudicada, intolerancia a la actividad, tristeza crónica, trastornos del sueño, déficit en el autocuidado y control familiar ineficaz del régimen terapéutico. Las metas fueron: Obtener una dieta e ingesta hídrica adecuada; Realizar las actividades físicas y actividades de interacción social; Intentar disminuir la dependencia del medicamento y ajustar los horarios de sueño; Facilitar la realización de las actividades de autocuidado. El plan de enfermería alcanzó la mayoría de las metas establecidas, aunque de forma parcial, hecho esperado delante de las metas propuestas y el tiempo de implementación. Conclusión: el uso del Diagnóstico de Enfermería es tecnología necesaria al cotidiano de enfermería, pues posibilita el cuidado integral y se muestra relevante en el tratamiento domiciliario, con énfasis en la promoción de la salud. Descriptores: proceso de enfermería; teoría de enfermería; coronariopatía; cuidado.

scholarly journals Coronavirus infections: health care planning based on Orem's Nursing Theory

2021 ◽  
Vol 74 (suppl 1) ◽  
Author(s):  
Tayomara Ferreira Nascimento ◽  
Graziela Maria Ferraz de Almeida ◽  
Marielle Poyo Bello ◽  
Rosemary Pereira Lino da Silva ◽  
Cassiana Mendes Bertoncello Fontes
Keyword(s):  
Nursing Care ◽  
Self Care ◽  
Care Planning ◽  
Health Care Planning ◽  
Nursing Theory ◽  
Graduate Course ◽  
Theoretical Concepts ◽  
Academic Context ◽  
Care Theory ◽  
Nursing Diagnoses

ABSTRACT Objective: to report the experience of professors and students of a graduate course on nursing care in coping with the new coronavirus (COVID-19) based on Self-Care Theory. Method: the active methodologies used were a literature search and seminar presentations, with an understanding of Orem's theoretical concepts: health; man; self-care; universal, developmental and health deviation requirements; self-care activities; self-care deficits; the required therapeutic demand; nursing systems. The pandemic was considered a health deviation that requires critical thinking and nursing care planning. Methodological frameworks to classify nursing diagnoses, interventions, and outcomes were used. Results: for each health deviation, nursing systems were identified; self-care deficits, diagnoses; actions, interventions; and the form of assessment, outcomes. Final considerations: theoretical-practical reflections of the academic context support nursing care planning.

Penerapan Activity Daily Living (ADL) Makan Terhadap Tingkat Kemandirian Pada Pasien Skizofrenia Dengan Defisit Perawatan Diri Makan

2021 ◽  
Vol 1 ◽  
pp. 1542-1552
Author(s):  
Intan Cahyani ◽  
Ramadhan Putra Satria ◽  
Puji Suhiro
Keyword(s):  
Nursing Care ◽  
Daily Living ◽  
Self Care ◽  
Descriptive Study ◽  
Narrative Form ◽  
Case Study Approach ◽  
Study Approach ◽  
The Third ◽  
Care Deficit

AbstractFeeding self-care deficit is a person's inability to perform eating activities according to the proper way of eating. Activity Daily Living (ADL) therapy is one of the therapies claimed to be able to increase the patient's independence in improving how to eat. To apply Activity Daily Living (ADL) in patients with feeding self-care deficit to increase self-feeding independence. The research was a descriptive study with a case study approach conducted in the working area of Puskesmas Dukuhwaru, Tegal Regency. It was carried out on 15-17 February 2021. Data were obtained through interviews, observation and physical examination and presented in narrative form. After performed the intervention for 3 days, the results showed an increase in self-feeding independence in both subjects. It described at the third day of the research. Patients with nursing problems of feeding self-care deficit are recommended to provide ADL to increase the patient's independence. Keywords: Activity Daily Living (ADL); Feeding Self-Care Deficit; Mental Nursing Care AbstrakDefisit Perawatan Diri Makan merupakan ketidakmampuan seseorang dalam melakukan aktivitas makan sesuai tata cara makan yang benar. Terapi Activity Daily Living (ADL) menjadi salah satu terapi yang diyakini mampu meningkatkan kemandirian pasien dalam meningkatkan cara makan. Dapat menerapkan terapi Activity Daily Living (ADL) pada pasien defisit perawatan diri makan untuk meningkatkan kemandirian makan. Peneliti ini merupakan penelitian deskriptif dengan pendekatan studi kasus, lokasi studi kasus di Wilayah Puskesmas Dukuh waru Kabupaten Tegal dilakukan tanggal 15-17 Februari 2021, data diperoleh melalui wawancara, observasi dan pemeriksaan fisik. data disajikan dalam bentuk naratif. Setelah dilakukan intervensi selama 3 hari didapatkan hasil adanya peningkatkan makan pada kedua subjek penelitian yaitu dari ketergantungan makan pada awal pengkajian menjadi setelah selesai makan pada hari ketiga penelitian. Pasien dengan masalah keperawatan defisit perawatan diri makan dianjurkan untuk memberikan terapi Activity Daily Living (ADL) untuk meningkatkan kemandirian pasien dalam meningkatkan kemandirian.Kata Kunci: Activity Daily Living (ADL); Asuhan Keperawatan Jiwa; Defisit Perawatan Diri Makan

scholarly journals Integralidade da assistência na visita domiciliar: relato de experiência

2020 ◽  
Vol 10 (32) ◽  
pp. 324-331
Author(s):  
Anna Rebeka Oliveira Ferreira ◽  
Wanderson Rocha Oliveira ◽  
Brenda Melissa Barros Mota dos Santos ◽  
Claudia Regina Marchiori Antunes Araújo
Keyword(s):  
Nursing Care ◽  
Home Visit ◽  
Nursing Process ◽  
Health Unit ◽  
Unified Health System ◽  
Primary Health ◽  
History Of ◽  
Nursing Diagnoses ◽  
Care Nursing

Este relato possui como objetivo realizar a elaboração e aplicação de um instrumento para concretização do Processo de Enfermagem durante as visitas domiciliares. O relato foi realizado em uma Unidade Básica de Saúde de Maringá. Primeiramente foi realizado um aprofundamento teórico e observação da realidade para a construção de roteiros com histórico de enfermagem, diagnósticos e intervenções de acordo com a Classificação Internacional de Práticas em Saúde Coletiva (CIPESC), articulada à Sistematização da Assistência de Enfermagem específica para cada fase do ciclo da vida, para posterior aplicação e avaliação. O instrumento possibilitou a efetivação do princípio da integralidade do Sistema Único de Saúde por parte dos discentes e enfermeiros, o que facilitou a identificação das necessidades do paciente e família de uma forma holística, e contribuiu para uma maior autonomia do enfermeiro durante o processo do cuidar.Descritores: Visita Domiciliar, Educação em Saúde, Atenção Primaria a Saúde, Processo de Enfermagem. Integrality of assistance in home visit: experience reportAbstract: This report aims to carry out the elaboration and application of an instrument for  implementation of the Nursing Process during home visits. This report was carried out in a Basic Health Unit at Maringá. First of all, we carried out a theoretical deepening and observation of reality, for the construction of scripts with a history of nursing, diagnoses and interventions according to the International Classification of Public Health Practices (CIPESC) linked to the Systematization of Nursing Care specific to each phase of the life cycle, and later, application and evaluation. The instrument enabled the implementation of the principle of integrality of the Unified Health System by students and nurses, making easier the identification of the needs of patient and family in a holistic way and adding to the greater autonomy of nurses during the care process.Descriptors: Home Visit, Health Education, Primary Health Care, Nursing Process. Integralidad de la asistencia durante las visitas domiciliares: informe de experienciaResumen: Este informe tiene como objetivo llevar a cabo la elaboración y aplicación de un instrumento para implementación del Proceso de Enfermería durante las visitas domiciliarias. Este informe se realizó en una Unidad Básica de Salud en Maringá, en primer realizamos una profundización teórica y observación de la realidad, para la construcción de guiones con antecedentes de enfermería, diagnósticos e intervenciones según la Clasificación Internacional de Prácticas en Salud Colectiva (CIPESC), vinculado a la Sistematización de la Asistencia de Enfermería, específica para cada fase del ciclo de vida, para su posterior aplicación y evaluación. El instrumento permitió la aplicación del principio de integración del Sistema Único de Salud por parte de estudiantes y enfermeros, facilitando la identificación de las necesidades del paciente y la familia de manera integral y contribuyendo a una mayor autonomía de las enfermeras durante el proceso de atención.Descriptores: Visita Domiciliaria, Educación Sanitária, Atención Primaria de Salud, Proceso de Enfermería.

Análise da Teoria do Autocuidado de Orem de acordo com os critérios de Fawcett

2009 ◽  
Vol 3 (2) ◽  
pp. 392 ◽  
Author(s):  
Lidiany Galdino Felix ◽  
Maria Miriam Lima da Nóbrega ◽  
Wilma Dias de Fontes ◽  
Maria Júlia Guimarães de Oliveira Soares
Keyword(s):  
Internal Consistency ◽  
Professional Growth ◽  
Analytical Study ◽  
Self Care ◽  
Nursing Theory ◽  
Care Theory ◽  
Criteria For Evaluation ◽  
Care Nursing

ABSTRACTObjective: to analyze the Orem’ Self Care Theory according to the criteria from Fawcett. Methodology: this is about a descriptive and analytical study which was used the criteria for evaluation based on Fawcett: significance, internal consistency, parsimony and pragmatic adequacy. The analysis was descriptive, not requiring judgments as to its origin and content, reproducing or told accurately what it was considered. Results: the analysis expanded our knowledge on the Theory and to understand as it appeared, what influenced its development, its objective, main focus, its coverage and which the contributions for Nursing. Conclusions: it can be affirmed that this study was of extreme importance for the authors and contributed for the scientific and professional growth as well, and we hope that it can serve to also extend the knowledge of others researchers on this Theory or that it to get interest from this reading. Descriptors: nursing; nursing theory; self care; nursing process.RESUMOObjetivo: analisar a Teoria do Autocuidado de Orem de acordo com o modelo proposto por Fawcett. Metodologia: pesquisa descritiva e analítica na qual foram utilizados os modelos propostos por Fawcett para avaliação de teorias de enfermagem: significância, consistência interna, parcimônia e adequação pragmática. A análise foi apresentada de forma descritiva, não requerendo julgamentos quanto a sua origem e conteúdo, sendo reproduzido ou relatado exatamente o que foi proposto. Resultados: a análise expandiu os conhecimentos sobre a teoria e a compreender como ela surgiu, o que influenciou o seu desenvolvimento, seu objetivo, foco principal, sua abrangência e quais as contribuições para a Enfermagem. Conclusão: pode-se afirmar que este trabalho foi de extrema importância para as autoras e contribuiu para o crescimento científico e profissional das mesmas e espera-se que possa servir para ampliar também o conhecimento dos que se interessam pelo assunto ou quem passe a se interessar a partir dessa leitura. Descritores: enfermagem; teoria de enfermagem; auto cuidado; processo de enfermagem.RESUMENObjetivo: analizar la teoría del Auto cuidado de Orem que tiene con referencial teórico del metodológico los criterios del análisis de los modelos conceptuales considerados por Fawcett. Metodologia: investigación descriptiva y analítica desarrollada utilizando los criterios para la evaluación las teorías de enfermería del Fawcett: significación, consistencia interna, parsimonia y suficiencia pragmática. El análisis se presentó de forma descriptiva, no requiriendo a los juicios cuánto su origen y contenido, siendo reproduce o relatado exactamente o que fue propósito. Resultados: La realización del análisis permitidos de ahora en adelante ampliar el conocimiento en la teoría y, para entender como apareció, qué influenció su desarrollo, su foco objetivo, principal, su habrán encía, y cuál las contribuciones que trajeron para el oficio de enfermería. Conclusión: puede ser afirmado que este trabajo era de la importancia extrema para los autores y contribuida para el crecimiento científico y profesional los mismos, y cuenta con que pueda servir también para ampliar el conocimiento de eso si interesan para el tema o quién pasa si al interés de esta lectura. Descriptores: enfermería; teoría de enfermería; auto-cuidado; proceso de enfermería.

scholarly journals Nursing care to an ostomy patient: application of the Orem´s theory

2008 ◽  
Vol 21 (1) ◽  
pp. 94-100 ◽  
Author(s):  
Francisca Aline Arrais Sampaio ◽  
Priscila de Souza Aquino ◽  
Thelma Leite de Araújo ◽  
Marli Teresinha Gimenez Galvão
Keyword(s):  
Nursing Care ◽  
Self Care ◽  
Therapeutic Communication ◽  
Care Theory ◽  
Appropriate Care ◽  
Determining Factors ◽  
Health Disorders ◽  
Patient’S Perception ◽  
Care Requirements ◽  
Care Development

OBJECTIVE: To apply the "Orem's Self-care Theory" in ostomy patient care. METHODS: This is a clinical study with an intestinal ostomy patient, whose illness is a consequence of the "Chagas disease". Data collection was performed during the home visits, using a form with questions referred to the Orem's presuppositions. The data were analyzed and presented according to the determining factors in self-care development. RESULTS: Some self-care requirements were modified, such as: "Balance between loneliness and social interaction" and "Self-care in health disorders". The home care delivered based on the supporteducation system allowed for the promotion of health and the patient's perception regarding the importance of self-care. CONCLUSION: The self-care theory allowed for appropriate care and therapeutic communication adjusted to the patient's situation.

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