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A n n u a l C o n g r e s s o n
Nursing & Healthcare
December 03-04 , 2018
Amsterdam, Nether l ands
Journal of Nursing and Health Studies
ISSN: 2574-2825
Nursing & Healthcare 2018
Objective:
To evaluate the nursing diagnosis of fragile elderly syndrome in the
elderly with chronic diseases.
Methodology:
Quantitative, descriptive and cross-sectional study with 78
elderly patients with arterial hypertension and/or diabetes mellitus treated in
primary care. We used a socio-demographic questionnaire, mini mental state
examination, anthropometric data (weight and height), sarcopenia evaluation,
body composition (bone densitometry), muscle strength (dynamometer)
and functional performance evaluation (timed up and go-TUG). The nursing
consultation was performed for the identification of the nursing diagnosis of
the Fragile Elderly Syndrome of NANDA-I. The data were analysed in statistical
software SPSS 20.0.
Results:
The majority of the elderly were female, with a mean age of 68.8±6.0
years and low schooling. The majority of the elderly had associated
hypertension and diabetes mellitus (53.9%), 80.8% were overweight, 44.9%
had cognitive deficits, 7.7% had sarcopenia and 3.8% had severe sarcopenia.
The most prevalent related factors were: previous falls (79.5%), sedentary
lifestyle (48.7%) and alteration in cognitive function (44.9%). The defining
characteristics were identified: 93.6% with impaired memory; 93.6% impaired
physical mobility; 82.1% fatigue; 76.9% impaired walking; 53.8% self-care
deficit for dressing; 43.6% activity intolerance; 35.9% social isolation; 30.8%
hopelessness; 29.5% self-care deficit for food; 29.5% for bath; 12.8% for
intimate hygiene and 10.3% decreased cardiac output.
Conclusion:
Elderly individuals with risks for geriatric disabilities were
identified. The identification of this diagnosis in the elderly in the primary care
showed to be relevant when demonstrating a holistic approach of this elderly
with chronic disease. This research is essential in view of the high prevalence
observed mainly related to mobility and cognition. Nurses should be aware
of the diversity of signs and symptoms involved in syndrome, as they may
interfere with diagnostic accuracy and problems be judged in isolation rather
than approaching a syndrome
Biography
Marina Morato Stival has completed her Nursing from Health
Sciences and Technologies Program of the University of Brasilia,
Brazil. Currently, she conducts research on the subject of Human
Aging and has published more than 30 papers in nationals and
international journals.
marinamorato@unb.brNursing diagnosis fragile elderly syndrome in the elderly
with chronic diseases
Marina Morato Stival, Ingrid Alves Ribeiro, Luciano Ramos
de Lima, Cris Renata Grou Volpe, Silvana Schwerz Funghetto,
Paulo Henrique Fernandes dos Santos, Tania Cristina Morais
Santa Barbara Rehem
University of Brasilia, Brazil
Marina Morato Stival et al., J Nurs Health Stud 2018, Volume: 3
DOI: 10.21767/2574-2825-C5-015