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- Promover uma boa senescência junto dos jovensPublication . Almeida, Armando; Sá, Luís Octávio; Braga, Maria Clara; Costa, Tânia
- Palliative care at home: a literature reviewPublication . Coelho, Sílvia Patrícia; Costa, Tânia; Barbosa, Manuel Maria; Capelas, Manuel Luís; Mello, Ramon Andrade de; Sá, LuísIntroduction: Palliative care promotes a holistic care, promoting a centered care to the patient and, thus contributing to the comfort and quality of life by addressing the problems associated with life-threatening diseases, preventing and relieving suffering. Aims: Identify the evidence produced about home palliative care. Materials and methods: A integrative review on the data- bases of ISI Web of Knowledge, CINHAL, MEDLINE and PubMed, B-on with the descriptors “palliative care”, “home care”, “nursing care”. Articles in the English language, existing in full text, with abstract and references available and analyzed by experts were included. Results: A total of 69 articles were found and analyzed. The majority of the articles found are: original studies, literature reviews, editorials and commentaries. The most discussed topics were: home palliative care, family sup- port, home care, symptom control and promoting quality of life. There is predominance in the last decade especially in 2009-2012 and the predominant language was English. The research reveals the increasing number of patients with progressive and incurable diseases and 68,2% of patients prefer die at home. It becomes essential to develop a network of care extended to cover the home assistance. Conclusion: We observed that palliative care should improve social and innovative health policies, centered on the needs and preferences of patients, associating scientific knowledge, skills and attitudes in order to develop the excellence of care. According to the evidence found the development of a specialized care, implementing effective interventions which provide a dignified death, and supporting the family throughout the process including the stage of grief, contributes for an individualized approach focused on the problems of patients and families, in symptom control and maximizing comfort.
- Estratégias para estimulação cognitiva das pessoas idosas com demênciaPublication . Proença, Bárbara; Magalhães, Joana; Pereira, Raquel; Costa, Tânia
- A relevância da conferência familiar em contexto hospitalar - revisão integrativaPublication . Santos, Ana; Vieira, Carina; Barreto, Luísa; Costa, Tânia; Sousa, Tiago; Coelho, Patricia
- Capacidade funcional da pessoa idosa inscrita no serviço de apoio domiciliárioPublication . Costa, Tânia; Sá, Luís
- O significado que o idoso dependente no autocuidado atribui à sua dependênciaPublication . Costa, Tânia; Almeida, Armando
- Significados atribuidos à dependência no autocuidado: a perceção da pessoa idosa com doença progressiva incurávelPublication . Costa, Tânia; Coutinho, António; Mello, Ramón Andrade de; Coelho, Patrícia
- Phenomena sensitive to nursing care in day centrePublication . Almeida, Armando; Costa, Tânia; Baffour, Gabriel
- Community-dwelling elderly: ineffective management of drug regimen and risk fallPublication . Costa, Tânia; Pinto, Catarina; Afonso, Diogo; Almeida, Armando; Silva, Rosa; Coelho, Patrícia; Alves, PauloIntroduction: Drugs intake is common in the elderly, but pharmacodynamics/pharmacokinetic changes associated with multiple pathologiy amplifys the drug interactions and adverted effects. Objectives: Evaluate the management of drug regimen for the elderly residing at home (N=37), relating it to falls. Methods: Data collection was carried out by semi-structured interview (using instruments validated for the Portuguese reality) followed by descriptive/inferential analysis. Insured informed consent. Results: Average of drug ingestion was 6 drugs/day(min:2 /max:6) and 7 pills/day (min:2 /max:15),. A total of 9 prescribers were described: family physician (N=32), the hospital physician (N=26), the pharmacist (N = 6) and the elderly (N = 6). The reasons why we found that 25 elderly do not meet treatment as prescribed, was due to forgetfulness (68 %) and switching medications (23%). The management of medication regimen presents statistically significant differences compared to moderate/high risk of falling (þ=0.030), dependence in activities of daily living (þ=0.008), geriatric depression (þ=0.022), number of pills/day (þ=0.006) and number of diferent drugs (þ=0.009). The risk of falling, in other way, is related to cognitive impairment (þ=0.032), dependence in instrumental activities of daily living (þ=0.005) and number of pills/day (þ=0.043). Conclusion: Data seem indicate that there is a proportional relationship between fall risk and ineffective management of medication regimen. Considering the prevalence of falls in the elderly and it’s repercussions, highlights the need to implement nursing care of proximity/partnership, but also, integrals and integrated in both diagnoses, especially in the context of primary health care.
- Quais as estratégias que previnem quedas em pessoas idosas que residem na comunidade?Publication . Melo, Ana Isabel; Soares, Ana Margarida; Sá, Carolina; Costa, Tânia