Felismina Mendes - Academia.edu (original) (raw)
Papers by Felismina Mendes
Texto & Contexto - Enfermagem, 2014
The start of university is presented as a crucial stage in the life of the student. If, on the on... more The start of university is presented as a crucial stage in the life of the student. If, on the one hand, it is a period of increased autonomy and freedom, on the other, it is a period that also increases the sense of responsibility and self discipline. In this study, based on a quantitative approach, we identified the main risk situations experienced by freshmen at the University of Evora, by applying a questionnaire developed for this purpose and the Beck inventory. Key findings are highlighted, such as the consumption of harmful substances (tobacco, alcohol and illicit drugs), whose values exceed the average population. The consumption of alcoholic beverages begins early and is continuous and excessive. Also, the presence of symptoms compatible with dysphoria and depression is noted in about 9% of students. Self-medication practices were found in 58.7% of the freshmen. Our findings reveal the need for preventive intervention by health professionals, due to these young people's...
2018 13th Iberian Conference on Information Systems and Technologies (CISTI)
Given the complex surgical scenario observed today, it is necessary to change the urgent definiti... more Given the complex surgical scenario observed today, it is necessary to change the urgent definition of a specific ontology, especially in terms of aging. The interventions of the Specialist Nurse in Rehabilitation Nursing to the person in the surgical process are primordial for the maintenance of the functional capacities, prevention of complications and impediment of incapacities. However, it is necessary to provide individualized and fostered care in a practice of excellence, and the consequent organized reading of records of an aging ontology for decision making on rehabilitation indicators. Method: a systematic review of the literature was carried out using the EBSCO host (MEDLINE with Full Text, CINAHL Plus with Full Text and MedicLatina), using the PI [C] O method, and 11 articles were selected. Results: 41 indicators were identified to be included in the ontology classes of aging: pain control, patient and family education, support and communication, reduction of postoperative complications, gain of functionality, restoration of physical function, mobility, multidisciplinary intervention and the frequency of interventions. Conclusion: it is considered that it was imperative to identify sensitive indicators for rehabilitation nursing care, based on scientific evidence and thus provide an opportunity for nurses to reflect on their daily practices and conduct their actions towards excellence in care, to propose a set of 41 classes internationally on the ontology of aging.
International Journal of Developmental and Educational Psychology. Revista INFAD de Psicología.
Os Cuidados de Longa Duração em Portugal representam um grupo abrangente de assistências destinad... more Os Cuidados de Longa Duração em Portugal representam um grupo abrangente de assistências destinadas às pessoas que necessitam da ajuda de outros por longos períodos de tempo, sobretudo idosos. Nas últimas décadas, a importância de apoiar os idosos dependentes tem sido reforçada pelos decisores políticos, com expressão no aumento das respostas destinadas a esta população e na melhoria dos serviços prestados. A maior atenção aos cuidados de longa duração tornou possível o reconhecimento da especificidade destes contextos que exige competências específicas que se configuram com o cuidar. Conceito central em numerosas relações, entendido como modo de ser, ou um modo de agir, o cuidar e o cuidado impõem-se face à constatação da vulnerabilidade do ser humano, mais acentuada quando este envelhece. Com este trabalho pretendeu-se identificar comportamentos de cuidar e não cuidar em contexto de cuidados de longa duração, compreender como é transposto ou não este conceito para a prática de cui...
Revista de Enfermagem UFPE on line
Resumo:Objetivo: compreender o impacto da dor do câncer na saúde holística dos pacientes. Método:... more Resumo:Objetivo: compreender o impacto da dor do câncer na saúde holística dos pacientes. Método: revisão integrativa da literatura, a partir da questão norteadora: Qual o impacto da dor do câncer na saúde holística dos pacientes? A pesquisa dos artigos científicos foi desenvolvida nas bases de dados LILACS e MEDLINE, de 2008 a 2019. Foram selecionados sete artigos como corpus de análise. Resultados: a dor do câncer limita a pessoa doente nas suas atividades cotidianas, altera a dinâmica familiar e afeta a pessoa de forma holística. Alguns doentes visualizam a dor oncológica como um sintoma que os impulsiona a continuar a viver e expressam uma aprendizagem pessoal. Conclusões: a dor do câncer não afeta somente a dimensão física mas também as dimensões psicológica, social e espiritual, sendo caraterizada como dor total. Dada a natureza multidimensional da dor oncológica, o sucesso para o tratamento requer a abordagem de uma equipa multidisciplinar.
International Journal of Older People Nursing
BACKGROUND There are a variety of intrinsic determinants which are key to understand the reasons ... more BACKGROUND There are a variety of intrinsic determinants which are key to understand the reasons for older people to stay (or not) active. OBJECTIVES To identify and analyse the factors underlying the physical activity engagement in older Portuguese living in a rural area. METHODS A total of 504 community-dwelling older adults (aged ≥65 years) were enrolled in this cross-sectional study. Sociodemographic data, physical activity levels, physical fitness and body composition were analysed. RESULTS Gender, age, income level, lower body strength, overweight, muscle mass and sedentarism (sitting time) were significantly associated with different physical activity levels. The multinomial logistic regression pointed out that dynamic balance, BMI and sitting time for moderate levels, as well as muscle mass for high levels, were the main independent factors that seem to influence the engagement in these levels compared to low physical activity levels. Additionally, classification tree analysis confirmed sitting time, dynamic balance and gender as discriminating factors for physical activity levels. CONCLUSION Physical fitness-related variables seem to mainly determine the levels of physical activity in the studied population. Thus, nursing care must promote the integration of physical activity into daily life routines of community-dwelling older adults, especially in rural areas. IMPLICATIONS FOR PRACTICE The diverse nature of factors influencing physical activity must be taken into account in primary health care, particularly in rural areas. Nursing care for older people must promote the integration of physical activity into daily life routines of community-dwelling older adults.
Introduction Intensive care units are contexts in which, due to the remarkable existence of parti... more Introduction Intensive care units are contexts in which, due to the remarkable existence of particularly technological resources, interventions are promoted to extend the life of people who experience highly complex health situations. This ability can lead to a culture of death denial where the possibility of implementing futile care and treatment cannot be excluded. Objective To describe nurses’ perceptions of adult intensive care units regarding the therapeutic futility of interventions implemented to persons in critical health conditions. Method Review of the literature following the Scoping Review protocol of the Joanna Briggs Institute. The Population, Concept, and Context mnemonic was used to elaborate the research question and the research was performed using the EBSCOHost search engine in the CINAHL Complete databases, MEDLINE Complete, Cochrane Central Register of Controlled Trials, and Cochrane Database of Systematic Reviews to identify studies published between 1990 and 2...
Due to the expansion of the concept of health emerged diversified proposals and alternatives in e... more Due to the expansion of the concept of health emerged diversified proposals and alternatives in education, with discussions on approaches which achieve the desired levels of population health. Therefore, studying the Social Representations of professionals about the actions of health education offered by them to the community allows us to capture the meanings that these actors give to their practices; but, without underestimating the conditions under which they are developed. The purpose of this research is identifying the representations of the Family Health Strategy members about the health education. This is essentially a qualitative descriptive research, which was made in nine Health Centers with Family Health Strategy, in the city of Curitiba-Paraná, along with 58 health professionals. The data were collected in July to December 2010, through semi-structured interviews, after that the transcripts were submitted to thematic content analysis. It was founded two different modes of understanding of health education by professionals: "Knowledge Sculptors" and "Education for autonomy" and other conceptions, which prove the need for improvement and learning, and to invest in permanent education of professionals.
PLOS ONE
The stepping-forward affordance perception test (SF-APT) fills an important gap within the screen... more The stepping-forward affordance perception test (SF-APT) fills an important gap within the screening of falls risk factors by considering the perception of affordances. The test showed to be a valid instrument for community-dwelling older adults falls risk assessment. The present study aimed to distinguish and test the key outcomes of the SF-APT usable for falls risk assessment in community-dwelling older adults to determine the respective cut-offs. This cross-sectional study enrolled 347 participants (73.1 ± 6.2 years; non-fallers: 57.9%; fallers: 42.1%; recurrent-fallers: 17.9%). Falls occurrence and SF-APT outcomes were assessed. Analyses were performed using multivariate binary logistic regression analysis and receiver operating characteristic (ROC). The area under the ROC curve was computed (AUC) for each built model explaining falling or recurrent falling. Results distinguished the Estimated stepping-forward, and Absolute-error in interaction with Error-tendency as the SF-APT key outcomes for falls risk assessment [AUCfalling: 0.665 (CI 95%: 0.608–0.723); AUCfalling recurrently: 0.728 (CI 95%: 0.655–0.797)]. Computed cut-offs’ analysis showed that (i) a boundary stepping-forward estimation >58 cm plus an underestimation bias >5 cm (>42nd percentile) avoid older adults to be recurrent-fallers, and (ii) a boundary stepping-forward estimation >62 cm plus an underestimation bias >6 cm (>54th percentile) avoid older adults to be fallers. In conclusion, results suggest that SF-APT is a valuable tool for falls risk assessment in community-dwelling older adults. Interventions targeting the prevention of falls should consider the above key outcomes and the respective cut-offs as alert red-flags.
BMC Public Health
Background Falls and violence against older people might represent a joint public health problem,... more Background Falls and violence against older people might represent a joint public health problem, as both may result in injury, fear, social isolation, sedentary behavior and dependence or even death. The ESACA project “Aging safely in Alentejo - Understanding for action” was designed to promote the healthy aging of older people in Alentejo by preventing the occurrence of falls and violence. This study aimed to report the ESACA protocol and the preliminary outcomes. Methods The ESACA study has a twofold design as a cross-sectional study that included retrospective and prospective surveys. The participants were 508 community-dwelling older people. Assessments included falls, the risk of violence against older people, sociodemographic characteristics, health-related measurements, fear of falling, anthropometric measures and body composition, functional physical fitness, physical activity, and environmental hazards. Results Among the participants, 43% were fallers, 21% were recurrent f...
Research Anthology on Changing Dynamics of Diversity and Safety in the Workforce
Sociodemographic changes occurring in past decades are reflected as increased population aging, r... more Sociodemographic changes occurring in past decades are reflected as increased population aging, resulting in a higher need to institutionalize elderly. Violence against elderly is a relevant public health problem. The aims of the present cross-sectional exploratory and descriptive study with a quantitative approach were to analyze burnout among formal caregivers at institutions for elderly and to assess the risk of violence against institutionalized elderly. As a part of project ESACA—Envelhecer com Segurança no Alentejo (Prevenir as Quedas e a Violência sobre Idosos)—Compreender para Agir (Aging Safely in Alentejo [Preventing Falls and Violence against Elderly]), the present study analyzed 34 formal caregivers from three institutions that provide care to elderly in the Evora district, Portugal. No situations involving violence against institutionalized elderly were detected. Most participants (96.3%) did not exhibit burnout, although they did report feeling physically and emotional...
Clinical Ethics
Introduction Due to the constant scientific and technological development, health professionals a... more Introduction Due to the constant scientific and technological development, health professionals are regularly confronted with situations in which there are always therapeutic options, regardless of the severity of the patient’s condition. However, regarding these therapeutic options as feasible in all situations can be harmful, since it is universally accepted that, despite all advances in health, there are inevitable limits and the promotion of some interventions may be useless or futile. Objective To characterize the use of the concept of futility in the health literature. Method Review of the literature following the Scoping Review protocol of the Joanna Briggs Institute. The research was performed in CINAHL, Cochrane, Pubmed, Scopus e Web of Science to identify studies published prior to 2020. Nineteen studies were selected. Results There is no universally accepted definition for the concept of futility. In the literature there are different conceptions for the concept of futili...
Revista Ibero-Americana de Saúde e Envelhecimento
Objetivo : Testar a Escala de Avaliacao do Risco de Violencia em Idosos nao Institucionalizados, ... more Objetivo : Testar a Escala de Avaliacao do Risco de Violencia em Idosos nao Institucionalizados, num grupo de pessoas idosas autonomas do Alentejo. Metodos : Pesquisa exploratoria, com abordagem quantitativa. Participaram 500 pessoas idosas com idades compreendidas entre os 65 e os 96 anos, do projeto Envelhecer em Seguranca no Alentejo - Compreender para Agir, da Universidade de Evora. Resultados : A Escala de Avaliacao do Risco de Violencia em Idosos nao Institucionalizados e constituida por 27 itens. O Coeficiente de Alpha de Cronbach com um valor de 0,727 revela uma consistencia interna aceitavel. O ponto de corte que produz a sensibilidade e especificidade maximas para prever o risco de violencia sobre as pessoas idosas foi de 4,5 (sensibilidade = 64,9%, especificidade = 80,7%) e a area da curva ROC = 0,812 (0,766 - 0,702, de intervalos de confianca de 95 %). Conclusoes : 26,7% das pessoas idosas apresentaram risco de violencia. E imperioso desenvolver e aperfeicoar instrumentos que detetem o risco de violencias sobre as pessoas idosas para que todos os profissionais de saude e outros possam agir precoce e preventivamente no combate a violencia sobre as pessoas idosas. Destacam-se como fatores de risco de violencia o fato de ser mulher, o isolamento social e o baixo rendimento. Descritores : Maus-tratos ao idoso, envelhecimento, gestao de risco, promocao da saude
Revista Ibero-Americana de Saúde e Envelhecimento
Objective: To understand the anguish arising from the proximity of death in the experi-ence of pe... more Objective: To understand the anguish arising from the proximity of death in the experi-ence of people with chronic cancer pain. Method: we used the qualitative method, and for data analysis we used phenomenology. The study subjects were ten cancer patients, followed by pain consultation. We used the partially structured interview as a data collection instrument. The research was appro-ved by the ULSBA Ethics Committee, EPE. Results: from the grouping of meaning units, the central themes emerged, one of the the-mes being: anguish in the proximity of death, in the person with cancer pain, from the grouping of meaning units for this theme. The main subtheme were: meaning of life/death. Conclusion: Getting sick by cancer reminds the patient that he is a Being-to-death and it is the understanding of finitude that can lead man to the discovery of Being. It is verified that each person gives a meaning to his death in function of the sense. that gives to your life, then it becomes necessary to give meaning to life in order to make sense of death. Keywords: Cancer pain; patients; death; stress, psychological.
Revista Ibero-Americana de Saúde e Envelhecimento
Objetivo : compreender a experiencia da pessoa com dor cronica do foro oncologico na sua transcen... more Objetivo : compreender a experiencia da pessoa com dor cronica do foro oncologico na sua transcendencia. Metodo: metodologia de natureza qualitativa, utilizando a fenomenologia. Os participantes foram dez doentes do foro oncologico seguidos na consulta da dor e como instrumento de colheita de dados utilizamos a entrevista parcialmente estruturada. Resultados: a partir do agrupamento das unidades de significacao, emergiram os temas centrais sendo um dos temas: a transcendencia na experiencia da pessoa com dor cronica do foro oncologico e, a partir do agrupamento das unidades de significacao para este tema central, foram identificados os subtemas: esperanca e forca interior e, fe. Conclusao: a esperanca e percecionada como uma forca interior que conduz ao pensamento positivo. A fe, ao estabelecer uma crenca com o transcendente ou o divino e concebida como conforto, como uma fonte de apoio e possibilidade de partilha. Descritores: Esperanca; Cura pela fe; Oncologia.
Communications in Computer and Information Science, 2020
2018 13th Iberian Conference on Information Systems and Technologies (CISTI), Jun 1, 2018
With the increase in the average life expectancy, the appearance of chronic diseases and, in part... more With the increase in the average life expectancy, the appearance of chronic diseases and, in particular, in the respiratory forum and its disadvantages in the autonomy an... View more
2018 13th Iberian Conference on Information Systems and Technologies (CISTI), Jun 1, 2018
Background: Rehabilitation Nursing assumes a fundamental role in contemporary society in the resp... more Background: Rehabilitation Nursing assumes a fundamental role in contemporary society in the response to the installation of new paradigms of chronic illness and dependen..
Texto & Contexto - Enfermagem, 2014
The start of university is presented as a crucial stage in the life of the student. If, on the on... more The start of university is presented as a crucial stage in the life of the student. If, on the one hand, it is a period of increased autonomy and freedom, on the other, it is a period that also increases the sense of responsibility and self discipline. In this study, based on a quantitative approach, we identified the main risk situations experienced by freshmen at the University of Evora, by applying a questionnaire developed for this purpose and the Beck inventory. Key findings are highlighted, such as the consumption of harmful substances (tobacco, alcohol and illicit drugs), whose values exceed the average population. The consumption of alcoholic beverages begins early and is continuous and excessive. Also, the presence of symptoms compatible with dysphoria and depression is noted in about 9% of students. Self-medication practices were found in 58.7% of the freshmen. Our findings reveal the need for preventive intervention by health professionals, due to these young people's...
2018 13th Iberian Conference on Information Systems and Technologies (CISTI)
Given the complex surgical scenario observed today, it is necessary to change the urgent definiti... more Given the complex surgical scenario observed today, it is necessary to change the urgent definition of a specific ontology, especially in terms of aging. The interventions of the Specialist Nurse in Rehabilitation Nursing to the person in the surgical process are primordial for the maintenance of the functional capacities, prevention of complications and impediment of incapacities. However, it is necessary to provide individualized and fostered care in a practice of excellence, and the consequent organized reading of records of an aging ontology for decision making on rehabilitation indicators. Method: a systematic review of the literature was carried out using the EBSCO host (MEDLINE with Full Text, CINAHL Plus with Full Text and MedicLatina), using the PI [C] O method, and 11 articles were selected. Results: 41 indicators were identified to be included in the ontology classes of aging: pain control, patient and family education, support and communication, reduction of postoperative complications, gain of functionality, restoration of physical function, mobility, multidisciplinary intervention and the frequency of interventions. Conclusion: it is considered that it was imperative to identify sensitive indicators for rehabilitation nursing care, based on scientific evidence and thus provide an opportunity for nurses to reflect on their daily practices and conduct their actions towards excellence in care, to propose a set of 41 classes internationally on the ontology of aging.
International Journal of Developmental and Educational Psychology. Revista INFAD de Psicología.
Os Cuidados de Longa Duração em Portugal representam um grupo abrangente de assistências destinad... more Os Cuidados de Longa Duração em Portugal representam um grupo abrangente de assistências destinadas às pessoas que necessitam da ajuda de outros por longos períodos de tempo, sobretudo idosos. Nas últimas décadas, a importância de apoiar os idosos dependentes tem sido reforçada pelos decisores políticos, com expressão no aumento das respostas destinadas a esta população e na melhoria dos serviços prestados. A maior atenção aos cuidados de longa duração tornou possível o reconhecimento da especificidade destes contextos que exige competências específicas que se configuram com o cuidar. Conceito central em numerosas relações, entendido como modo de ser, ou um modo de agir, o cuidar e o cuidado impõem-se face à constatação da vulnerabilidade do ser humano, mais acentuada quando este envelhece. Com este trabalho pretendeu-se identificar comportamentos de cuidar e não cuidar em contexto de cuidados de longa duração, compreender como é transposto ou não este conceito para a prática de cui...
Revista de Enfermagem UFPE on line
Resumo:Objetivo: compreender o impacto da dor do câncer na saúde holística dos pacientes. Método:... more Resumo:Objetivo: compreender o impacto da dor do câncer na saúde holística dos pacientes. Método: revisão integrativa da literatura, a partir da questão norteadora: Qual o impacto da dor do câncer na saúde holística dos pacientes? A pesquisa dos artigos científicos foi desenvolvida nas bases de dados LILACS e MEDLINE, de 2008 a 2019. Foram selecionados sete artigos como corpus de análise. Resultados: a dor do câncer limita a pessoa doente nas suas atividades cotidianas, altera a dinâmica familiar e afeta a pessoa de forma holística. Alguns doentes visualizam a dor oncológica como um sintoma que os impulsiona a continuar a viver e expressam uma aprendizagem pessoal. Conclusões: a dor do câncer não afeta somente a dimensão física mas também as dimensões psicológica, social e espiritual, sendo caraterizada como dor total. Dada a natureza multidimensional da dor oncológica, o sucesso para o tratamento requer a abordagem de uma equipa multidisciplinar.
International Journal of Older People Nursing
BACKGROUND There are a variety of intrinsic determinants which are key to understand the reasons ... more BACKGROUND There are a variety of intrinsic determinants which are key to understand the reasons for older people to stay (or not) active. OBJECTIVES To identify and analyse the factors underlying the physical activity engagement in older Portuguese living in a rural area. METHODS A total of 504 community-dwelling older adults (aged ≥65 years) were enrolled in this cross-sectional study. Sociodemographic data, physical activity levels, physical fitness and body composition were analysed. RESULTS Gender, age, income level, lower body strength, overweight, muscle mass and sedentarism (sitting time) were significantly associated with different physical activity levels. The multinomial logistic regression pointed out that dynamic balance, BMI and sitting time for moderate levels, as well as muscle mass for high levels, were the main independent factors that seem to influence the engagement in these levels compared to low physical activity levels. Additionally, classification tree analysis confirmed sitting time, dynamic balance and gender as discriminating factors for physical activity levels. CONCLUSION Physical fitness-related variables seem to mainly determine the levels of physical activity in the studied population. Thus, nursing care must promote the integration of physical activity into daily life routines of community-dwelling older adults, especially in rural areas. IMPLICATIONS FOR PRACTICE The diverse nature of factors influencing physical activity must be taken into account in primary health care, particularly in rural areas. Nursing care for older people must promote the integration of physical activity into daily life routines of community-dwelling older adults.
Introduction Intensive care units are contexts in which, due to the remarkable existence of parti... more Introduction Intensive care units are contexts in which, due to the remarkable existence of particularly technological resources, interventions are promoted to extend the life of people who experience highly complex health situations. This ability can lead to a culture of death denial where the possibility of implementing futile care and treatment cannot be excluded. Objective To describe nurses’ perceptions of adult intensive care units regarding the therapeutic futility of interventions implemented to persons in critical health conditions. Method Review of the literature following the Scoping Review protocol of the Joanna Briggs Institute. The Population, Concept, and Context mnemonic was used to elaborate the research question and the research was performed using the EBSCOHost search engine in the CINAHL Complete databases, MEDLINE Complete, Cochrane Central Register of Controlled Trials, and Cochrane Database of Systematic Reviews to identify studies published between 1990 and 2...
Due to the expansion of the concept of health emerged diversified proposals and alternatives in e... more Due to the expansion of the concept of health emerged diversified proposals and alternatives in education, with discussions on approaches which achieve the desired levels of population health. Therefore, studying the Social Representations of professionals about the actions of health education offered by them to the community allows us to capture the meanings that these actors give to their practices; but, without underestimating the conditions under which they are developed. The purpose of this research is identifying the representations of the Family Health Strategy members about the health education. This is essentially a qualitative descriptive research, which was made in nine Health Centers with Family Health Strategy, in the city of Curitiba-Paraná, along with 58 health professionals. The data were collected in July to December 2010, through semi-structured interviews, after that the transcripts were submitted to thematic content analysis. It was founded two different modes of understanding of health education by professionals: "Knowledge Sculptors" and "Education for autonomy" and other conceptions, which prove the need for improvement and learning, and to invest in permanent education of professionals.
PLOS ONE
The stepping-forward affordance perception test (SF-APT) fills an important gap within the screen... more The stepping-forward affordance perception test (SF-APT) fills an important gap within the screening of falls risk factors by considering the perception of affordances. The test showed to be a valid instrument for community-dwelling older adults falls risk assessment. The present study aimed to distinguish and test the key outcomes of the SF-APT usable for falls risk assessment in community-dwelling older adults to determine the respective cut-offs. This cross-sectional study enrolled 347 participants (73.1 ± 6.2 years; non-fallers: 57.9%; fallers: 42.1%; recurrent-fallers: 17.9%). Falls occurrence and SF-APT outcomes were assessed. Analyses were performed using multivariate binary logistic regression analysis and receiver operating characteristic (ROC). The area under the ROC curve was computed (AUC) for each built model explaining falling or recurrent falling. Results distinguished the Estimated stepping-forward, and Absolute-error in interaction with Error-tendency as the SF-APT key outcomes for falls risk assessment [AUCfalling: 0.665 (CI 95%: 0.608–0.723); AUCfalling recurrently: 0.728 (CI 95%: 0.655–0.797)]. Computed cut-offs’ analysis showed that (i) a boundary stepping-forward estimation >58 cm plus an underestimation bias >5 cm (>42nd percentile) avoid older adults to be recurrent-fallers, and (ii) a boundary stepping-forward estimation >62 cm plus an underestimation bias >6 cm (>54th percentile) avoid older adults to be fallers. In conclusion, results suggest that SF-APT is a valuable tool for falls risk assessment in community-dwelling older adults. Interventions targeting the prevention of falls should consider the above key outcomes and the respective cut-offs as alert red-flags.
BMC Public Health
Background Falls and violence against older people might represent a joint public health problem,... more Background Falls and violence against older people might represent a joint public health problem, as both may result in injury, fear, social isolation, sedentary behavior and dependence or even death. The ESACA project “Aging safely in Alentejo - Understanding for action” was designed to promote the healthy aging of older people in Alentejo by preventing the occurrence of falls and violence. This study aimed to report the ESACA protocol and the preliminary outcomes. Methods The ESACA study has a twofold design as a cross-sectional study that included retrospective and prospective surveys. The participants were 508 community-dwelling older people. Assessments included falls, the risk of violence against older people, sociodemographic characteristics, health-related measurements, fear of falling, anthropometric measures and body composition, functional physical fitness, physical activity, and environmental hazards. Results Among the participants, 43% were fallers, 21% were recurrent f...
Research Anthology on Changing Dynamics of Diversity and Safety in the Workforce
Sociodemographic changes occurring in past decades are reflected as increased population aging, r... more Sociodemographic changes occurring in past decades are reflected as increased population aging, resulting in a higher need to institutionalize elderly. Violence against elderly is a relevant public health problem. The aims of the present cross-sectional exploratory and descriptive study with a quantitative approach were to analyze burnout among formal caregivers at institutions for elderly and to assess the risk of violence against institutionalized elderly. As a part of project ESACA—Envelhecer com Segurança no Alentejo (Prevenir as Quedas e a Violência sobre Idosos)—Compreender para Agir (Aging Safely in Alentejo [Preventing Falls and Violence against Elderly]), the present study analyzed 34 formal caregivers from three institutions that provide care to elderly in the Evora district, Portugal. No situations involving violence against institutionalized elderly were detected. Most participants (96.3%) did not exhibit burnout, although they did report feeling physically and emotional...
Clinical Ethics
Introduction Due to the constant scientific and technological development, health professionals a... more Introduction Due to the constant scientific and technological development, health professionals are regularly confronted with situations in which there are always therapeutic options, regardless of the severity of the patient’s condition. However, regarding these therapeutic options as feasible in all situations can be harmful, since it is universally accepted that, despite all advances in health, there are inevitable limits and the promotion of some interventions may be useless or futile. Objective To characterize the use of the concept of futility in the health literature. Method Review of the literature following the Scoping Review protocol of the Joanna Briggs Institute. The research was performed in CINAHL, Cochrane, Pubmed, Scopus e Web of Science to identify studies published prior to 2020. Nineteen studies were selected. Results There is no universally accepted definition for the concept of futility. In the literature there are different conceptions for the concept of futili...
Revista Ibero-Americana de Saúde e Envelhecimento
Objetivo : Testar a Escala de Avaliacao do Risco de Violencia em Idosos nao Institucionalizados, ... more Objetivo : Testar a Escala de Avaliacao do Risco de Violencia em Idosos nao Institucionalizados, num grupo de pessoas idosas autonomas do Alentejo. Metodos : Pesquisa exploratoria, com abordagem quantitativa. Participaram 500 pessoas idosas com idades compreendidas entre os 65 e os 96 anos, do projeto Envelhecer em Seguranca no Alentejo - Compreender para Agir, da Universidade de Evora. Resultados : A Escala de Avaliacao do Risco de Violencia em Idosos nao Institucionalizados e constituida por 27 itens. O Coeficiente de Alpha de Cronbach com um valor de 0,727 revela uma consistencia interna aceitavel. O ponto de corte que produz a sensibilidade e especificidade maximas para prever o risco de violencia sobre as pessoas idosas foi de 4,5 (sensibilidade = 64,9%, especificidade = 80,7%) e a area da curva ROC = 0,812 (0,766 - 0,702, de intervalos de confianca de 95 %). Conclusoes : 26,7% das pessoas idosas apresentaram risco de violencia. E imperioso desenvolver e aperfeicoar instrumentos que detetem o risco de violencias sobre as pessoas idosas para que todos os profissionais de saude e outros possam agir precoce e preventivamente no combate a violencia sobre as pessoas idosas. Destacam-se como fatores de risco de violencia o fato de ser mulher, o isolamento social e o baixo rendimento. Descritores : Maus-tratos ao idoso, envelhecimento, gestao de risco, promocao da saude
Revista Ibero-Americana de Saúde e Envelhecimento
Objective: To understand the anguish arising from the proximity of death in the experi-ence of pe... more Objective: To understand the anguish arising from the proximity of death in the experi-ence of people with chronic cancer pain. Method: we used the qualitative method, and for data analysis we used phenomenology. The study subjects were ten cancer patients, followed by pain consultation. We used the partially structured interview as a data collection instrument. The research was appro-ved by the ULSBA Ethics Committee, EPE. Results: from the grouping of meaning units, the central themes emerged, one of the the-mes being: anguish in the proximity of death, in the person with cancer pain, from the grouping of meaning units for this theme. The main subtheme were: meaning of life/death. Conclusion: Getting sick by cancer reminds the patient that he is a Being-to-death and it is the understanding of finitude that can lead man to the discovery of Being. It is verified that each person gives a meaning to his death in function of the sense. that gives to your life, then it becomes necessary to give meaning to life in order to make sense of death. Keywords: Cancer pain; patients; death; stress, psychological.
Revista Ibero-Americana de Saúde e Envelhecimento
Objetivo : compreender a experiencia da pessoa com dor cronica do foro oncologico na sua transcen... more Objetivo : compreender a experiencia da pessoa com dor cronica do foro oncologico na sua transcendencia. Metodo: metodologia de natureza qualitativa, utilizando a fenomenologia. Os participantes foram dez doentes do foro oncologico seguidos na consulta da dor e como instrumento de colheita de dados utilizamos a entrevista parcialmente estruturada. Resultados: a partir do agrupamento das unidades de significacao, emergiram os temas centrais sendo um dos temas: a transcendencia na experiencia da pessoa com dor cronica do foro oncologico e, a partir do agrupamento das unidades de significacao para este tema central, foram identificados os subtemas: esperanca e forca interior e, fe. Conclusao: a esperanca e percecionada como uma forca interior que conduz ao pensamento positivo. A fe, ao estabelecer uma crenca com o transcendente ou o divino e concebida como conforto, como uma fonte de apoio e possibilidade de partilha. Descritores: Esperanca; Cura pela fe; Oncologia.
Communications in Computer and Information Science, 2020
2018 13th Iberian Conference on Information Systems and Technologies (CISTI), Jun 1, 2018
With the increase in the average life expectancy, the appearance of chronic diseases and, in part... more With the increase in the average life expectancy, the appearance of chronic diseases and, in particular, in the respiratory forum and its disadvantages in the autonomy an... View more
2018 13th Iberian Conference on Information Systems and Technologies (CISTI), Jun 1, 2018
Background: Rehabilitation Nursing assumes a fundamental role in contemporary society in the resp... more Background: Rehabilitation Nursing assumes a fundamental role in contemporary society in the response to the installation of new paradigms of chronic illness and dependen..