Limitações para o autocuidado de idosos reinternados portadores de vasculopatias

AUTOR(ES)

Silvia Helena Ferrero

DATA DE PUBLICAÇÃO

2001

RESUMO

The process of aging leaves individuais very susceptible and vulnerable to diseases and makes them potential users of hospital services. In Brazil, there is a tendency to underestimate the patient s potential regarding self-care during hospitalization, especially in the case of the elderly. This attitude favors discontinuity of the treatment at home and results in an increased risk of repeated hospitalizations. Self-care is fundamental for maintaining health, independence and autonomy in the case of patients who suffer from vasculopathies and have a history of repeated hospitalizations. The purpose of this study was to detect and analyze the limitations of self-care regarding these aged patients. This research study was conducted on six elderly patients who were above the age of 60 years, suffered frem vasculopathies, had a history of repeated hospitalizations and during the study were hospitalizedin the ClinicalVascular Infirmaryof a Universityhospital.A spec~ficindividual interview was used to collect data. The analysis was performed in two phases that complemented each other. The first phase identified and analyzed limitations for self-care according to Dorothea E. Orem s Theory of Self-care. The Discourse Analysis, in a French perspective, was used to analyze the data during the second phase. The results demonstrated that the conditions for discourse production related to a discussion on health by the elderly determined the appearance of limitations that impeded effectiveself-care. These limitations were found to result from an absence of interlocution between the patient and health professionals, and his own body. Self-care is made impossible because this gap created by a lack of interlocution is filled with doubts and insecurity conceming the patient s body, medical care and prognosis

ASSUNTO(S)

idosos doenças vasculares perifericas gerontologia

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