Geriatric care: ways and means of providing comfort
To know the ways and means of comfort perceived by the older adults hospitalized in a medical service. Ethnographic study with a qualitative approach. We conducted semi-structured interviews with 22 older adults and participant observation of care situations. The ways and means of providing comfort...
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| Published in: | Revista Brasileira de Enfermagem Vol. 70; no. 4; pp. 830 - 837 |
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| Format: | Journal Article |
| Language: | English Portuguese |
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Brazil
Associação Brasileira de Enfermagem
01-07-2017
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| Abstract | To know the ways and means of comfort perceived by the older adults hospitalized in a medical service.
Ethnographic study with a qualitative approach. We conducted semi-structured interviews with 22 older adults and participant observation of care situations.
The ways and means of providing comfort are centered on strategies for promoting care mobilized by nurses and recognized by patients(clarifying/informing, positive interaction/communication, music therapy, touch, smile, unconditional presence, empathy/proximity relationship, integrating the older adult or the family as partner in the care, relief of discomfort through massage/mobilization/therapy) and on particular moments of comfort (the first contact, the moment of personal hygiene, and the visit of the family), which constitute the foundation of care/comfort.
Geriatric care is built on the relationship that is established and complete with meaning, and is based on the meeting/interaction between the actors under the influence of the context in which they are inserted. The different ways and means of providing comfort aim to facilitate/increase care, relieve discomfort and/or invest in potential comfort.
Conhecer os modos e formas de confortar percecionadas pelos idosos hospitalizados num serviço de medicina.
Estudo etnográfico com abordagem qualitativa. Realizamos entrevistas semiestruturadas com 22 doentes idosos e observação participante nas situações de cuidados.
Os modos e formas de confortar centram-se em estratégias promotoras de conforto mobilizadas pelo enfermeiro e reconhecidas pelos doentes (informação/esclarecimento, interação/comunicação positiva, toque, sorriso, presença incondicional, integração do idoso/família nos cuidados e o alívio de desconfortos através da massagem/mobilização/terapêutica) e em momentos particulares de conforto (contato inaugural, visita da família., cuidados de higiene e arranjo pessoal), que se constituem como alicerces do cuidar/cuidado confortador.
O cuidado geriátrico edifica-se na relação que se desenvolve, atribuída de sentido, e assenta-se num encontro/interação entre os atores sob influência do contexto em que está inserido. Os diferentes modos e formas de confortar objetivam facilitar/aumentar o conforto, aliviar o desconforto e/ou investir no conforto potencial. |
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| AbstractList | ABSTRACT Objective: To know the ways and means of comfort perceived by the older adults hospitalized in a medical service. Method: Ethnographic study with a qualitative approach. We conducted semi-structured interviews with 22 older adults and participant observation of care situations. Results: The ways and means of providing comfort are centered on strategies for promoting care mobilized by nurses and recognized by patients(clarifying/informing, positive interaction/communication, music therapy, touch, smile, unconditional presence, empathy/proximity relationship, integrating the older adult or the family as partner in the care, relief of discomfort through massage/mobilization/therapy) and on particular moments of comfort (the first contact, the moment of personal hygiene, and the visit of the family), which constitute the foundation of care/comfort. Final considerations: Geriatric care is built on the relationship that is established and complete with meaning, and is based on the meeting/interaction between the actors under the influence of the context in which they are inserted. The different ways and means of providing comfort aim to facilitate/increase care, relieve discomfort and/or invest in potential comfort. ABSTRACT Objective: To know the ways and means of comfort perceived by the older adults hospitalized in a medical service. Method: Ethnographic study with a qualitative approach. We conducted semi-structured interviews with 22 older adults and participant observation of care situations. Results: The ways and means of providing comfort are centered on strategies for promoting care mobilized by nurses and recognized by patients(clarifying/informing, positive interaction/communication, music therapy, touch, smile, unconditional presence, empathy/proximity relationship, integrating the older adult or the family as partner in the care, relief of discomfort through massage/mobilization/therapy) and on particular moments of comfort (the first contact, the moment of personal hygiene, and the visit of the family), which constitute the foundation of care/comfort. Final considerations: Geriatric care is built on the relationship that is established and complete with meaning, and is based on the meeting/interaction between the actors under the influence of the context in which they are inserted. The different ways and means of providing comfort aim to facilitate/increase care, relieve discomfort and/or invest in potential comfort. RESUMEN Objetivo: Conocer los modos y las formas de confortar percibidas por adultos mayores hospitalizados en un centro hospitalario. Método: Se trata de un estudio etnográfico de abordaje cualitativo. Se realizaron entrevistas semiestructuradas entre 22 mayores enfermos con observación participante en las situaciones de cuidados. Resultados: Las maneras y formas de consolar se concentran en estrategias promotoras de conforto movilizadas por el enfermero y reconocidas por los enfermos (información/aclaración, interacción/comunicación positiva, toque, sonrisa, presencia incondicional, integración del adulto mayor/familia en los cuidados y el alivio de malestares mediante masaje/movilización/terapéutica) en momentos particulares de conforto (primer contacto, visita de la familia, aseo y cuidados personales), que se constituyen en la base del cuidar/cuidado confortador. Consideraciones finales: El cuidado geriátrico se cimenta en la relación edificada con sentido y se fortalece durante el encuentro/interacción entre los actores en el contexto en que están insertados. Las diferentes maneras y formas de confortar tienen como objetivo facilitar/aumentar el consuelo, aliviar el malestar y/o invertir en el cuidado prolífico. RESUMO Objetivo: Conhecer os modos e formas de confortar percecionadas pelos idosos hospitalizados num serviço de medicina. Método: Estudo etnográfico com abordagem qualitativa. Realizamos entrevistas semiestruturadas com 22 doentes idosos e observação participante nas situações de cuidados. Resultados: Os modos e formas de confortar centram-se em estratégias promotoras de conforto mobilizadas pelo enfermeiro e reconhecidas pelos doentes (informação/esclarecimento, interação/comunicação positiva, toque, sorriso, presença incondicional, integração do idoso/família nos cuidados e o alívio de desconfortos através da massagem/mobilização/terapêutica) e em momentos particulares de conforto (contato inaugural, visita da família., cuidados de higiene e arranjo pessoal), que se constituem como alicerces do cuidar/cuidado confortador. Considerações finais: O cuidado geriátrico edifica-se na relação que se desenvolve, atribuída de sentido, e assenta-se num encontro/interação entre os atores sob influência do contexto em que está inserido. Os diferentes modos e formas de confortar objetivam facilitar/aumentar o conforto, aliviar o desconforto e/ou investir no conforto potencial. The ways and means of providing comfort are within what stimulates, strengthens and contributes to maintaining and recovering existing abilities, thus allowing the older adult to better withstand the moments of discomfort(4). [...]understanding the meaning of comfort is essential, as well as ways and means of providing comfort, in order to delineate effective interventions to promote comfort. [...]the bond created by the nurse who care for the older adult at the time of the first contact becomes important for a relationship of trust and comfort, established between the actors in the context on which care is developed05/ The moments of hygiene and grooming care were also valued by the older adult. [...]we understand that this study can raise questions and originate new investigations that will certainly demonstrate the essence of the nursing intervention. The nurses seek to, at the same time, take care of details and respond to the totality of the person, reaffirming their commitment to alleviate the pain/suffering, to help and to comfort. [...]the geriatric caregiving process is built on the relationship that is established and replete with meaning, which constitutes an interpersonal process with therapeutic intention and is valued not only for what is done, but for how it is done. To know the ways and means of comfort perceived by the older adults hospitalized in a medical service. Ethnographic study with a qualitative approach. We conducted semi-structured interviews with 22 older adults and participant observation of care situations. The ways and means of providing comfort are centered on strategies for promoting care mobilized by nurses and recognized by patients(clarifying/informing, positive interaction/communication, music therapy, touch, smile, unconditional presence, empathy/proximity relationship, integrating the older adult or the family as partner in the care, relief of discomfort through massage/mobilization/therapy) and on particular moments of comfort (the first contact, the moment of personal hygiene, and the visit of the family), which constitute the foundation of care/comfort. Geriatric care is built on the relationship that is established and complete with meaning, and is based on the meeting/interaction between the actors under the influence of the context in which they are inserted. The different ways and means of providing comfort aim to facilitate/increase care, relieve discomfort and/or invest in potential comfort. Conhecer os modos e formas de confortar percecionadas pelos idosos hospitalizados num serviço de medicina. Estudo etnográfico com abordagem qualitativa. Realizamos entrevistas semiestruturadas com 22 doentes idosos e observação participante nas situações de cuidados. Os modos e formas de confortar centram-se em estratégias promotoras de conforto mobilizadas pelo enfermeiro e reconhecidas pelos doentes (informação/esclarecimento, interação/comunicação positiva, toque, sorriso, presença incondicional, integração do idoso/família nos cuidados e o alívio de desconfortos através da massagem/mobilização/terapêutica) e em momentos particulares de conforto (contato inaugural, visita da família., cuidados de higiene e arranjo pessoal), que se constituem como alicerces do cuidar/cuidado confortador. O cuidado geriátrico edifica-se na relação que se desenvolve, atribuída de sentido, e assenta-se num encontro/interação entre os atores sob influência do contexto em que está inserido. Os diferentes modos e formas de confortar objetivam facilitar/aumentar o conforto, aliviar o desconforto e/ou investir no conforto potencial. |
| Author | Ribeiro, Patricia Cruz Pontifice Sousa Valente Marques, Rita Margarida Dourado Ribeiro, Marta Pontifice |
| Author_xml | – sequence: 1 givenname: Patricia Cruz Pontifice Sousa Valente surname: Ribeiro fullname: Ribeiro, Patricia Cruz Pontifice Sousa Valente organization: Universidade Católica Portuguesa, Institute of Health Sciences. Lisbon, Portugal – sequence: 2 givenname: Rita Margarida Dourado surname: Marques fullname: Marques, Rita Margarida Dourado organization: Centro Hospitalar Lisboa Norte, Intensive Care Unit. Lisbon, Portugal – sequence: 3 givenname: Marta Pontifice surname: Ribeiro fullname: Ribeiro, Marta Pontifice organization: Universidade Nova de Lisboa, Medical Sciences College. Lisbon, Portugal |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28793115$$D View this record in MEDLINE/PubMed |
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| References | Kolcaba K (ref10) 2003 Sousa PP (ref4) 2014 Tremayne P (ref16) 2014; 28 (ref3) 2013 Cibanal L (ref15) 2009 Creswell JW (ref13) 2014 Medeiros FA (ref5) 2015; 36 Miles MB (ref12) 1994 Pott FC (ref18) 2013; 66 Tsai JL (ref7) 2012; 59 Ponte KM (ref9) 2015; 7 (ref2) 2015 (ref1) 2011 Pinto S (ref6) 2017; 2 Bernard B (ref14) 2014 Ribeiro PP (ref8) 2012; 3 Marques RM (ref11) 2016; 4 Waldrop DP (ref17) 2009; 12 |
| References_xml | – year: 2013 ident: ref3 – volume: 59 start-page: 77 issue: 1 year: 2012 ident: ref7 article-title: Comfort: a concept analysis publication-title: Hu Li Za Zhi J Nurs contributor: fullname: Tsai JL – volume: 3 start-page: 149 issue: 7 year: 2012 ident: ref8 article-title: O conforto do doente idoso crônico em contexto hospitalar: contributos para uma revisão sistemática da literatura publication-title: Rev Enf Ref doi: 10.12707/RIII11166 contributor: fullname: Ribeiro PP – volume: 12 start-page: 719 issue: 8 year: 2009 ident: ref17 article-title: Comfort measures: a qualitative study of nursing homebased end-of-life care publication-title: J Palliat Med. doi: 10.1089/jpm.2009.0053 contributor: fullname: Waldrop DP – volume: 4 start-page: 91 issue: 11 year: 2016 ident: ref11 article-title: Revalidação do Holistic Comfort Questionnaire - Family para cuidadores de pessoas com doença crónica avançada publication-title: Rev Enf Ref contributor: fullname: Marques RM – year: 1994 ident: ref12 contributor: fullname: Miles MB – volume: 28 start-page: 37 issue: 30 year: 2014 ident: ref16 article-title: Using humour to enhance the nurse-patient relationship publication-title: Nurs Stand doi: 10.7748/ns2014.03.28.30.37.e8412 contributor: fullname: Tremayne P – year: 2014 ident: ref13 contributor: fullname: Creswell JW – volume: 66 start-page: 174 issue: 2 year: 2013 ident: ref18 article-title: Medidas de conforto e comunicação nas ações de cuidado de enfermagem ao paciente crítico publication-title: Rev Bras Enferm doi: 10.1590/S0034-71672013000200004 contributor: fullname: Pott FC – year: 2009 ident: ref15 contributor: fullname: Cibanal L – year: 2011 ident: ref1 – volume: 7 start-page: 2603 issue: 3 year: 2015 ident: ref9 article-title: Conforto como resultado do cuidado de enfermagem: revisão integrativa publication-title: Rev Pesqui: Cuid Fundam contributor: fullname: Ponte KM – year: 2003 ident: ref10 contributor: fullname: Kolcaba K – year: 2014 ident: ref14 article-title: Human dignity as a component of a long-lasting and widespread conceptual construct publication-title: Bioethical Inquiry contributor: fullname: Bernard B – year: 2015 ident: ref2 – year: 2014 ident: ref4 contributor: fullname: Sousa PP – volume: 2 start-page: 6 issue: 1 year: 2017 ident: ref6 article-title: Comfort, well-being and quality of life: Discussion of the differences and similarities among the concepts publication-title: Porto Biomed J doi: 10.1016/j.pbj.2016.11.003 contributor: fullname: Pinto S – volume: 36 start-page: 56 issue: 1 year: 2015 ident: ref5 article-title: O cuidar de pessoas idosas institucionalizadas na percepção da equipe de enfermagem publication-title: Rev Gaúcha Enferm contributor: fullname: Medeiros FA |
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| Snippet | To know the ways and means of comfort perceived by the older adults hospitalized in a medical service.
Ethnographic study with a qualitative approach. We... ABSTRACT Objective: To know the ways and means of comfort perceived by the older adults hospitalized in a medical service. Method: Ethnographic study with a... The ways and means of providing comfort are within what stimulates, strengthens and contributes to maintaining and recovering existing abilities, thus allowing... |
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| SubjectTerms | Adults Aged Aged, 80 and over Anthropology, Cultural Delivery of Health Care Female Geriatric Nursing Geriatrics Hospice Care Hospitalization Humans Internet Male Nurse-Patient Relations Nursing care Older people Patient Comfort - methods Qualitative Research |
| Title | Geriatric care: ways and means of providing comfort |
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