Manejo de sintomas psicocomportamentais em instituições de longa permanência para idosos: a atuação da enfermagem

Abstract

This work has as research object: the nursing care to the residents in a Long-term Institution for older persons, regarding the Psycho-behavioral Symptoms (PCS). Research question: How has the nursing team been managing the psycho-behavioral symptoms of elderly people living in an LSIE? General objective: to investigate the nursing care provided to elderly people with psycho-behavioral symptoms in an LSIE. The specific objectives are: to describe the institution's environment and care routines; to describe the perception of the nursing team about the psychobehavioral symptoms of the elderly; discuss with the nursing team the strategies used to deal with the elderly with psychobehavioral symptoms; To analyze the offer of nursing care to the elderly with psychobehavioral symptoms in the light of the theory “Becoming human”. This is a case study, whose participants are the nursing staff working in the chosen LSIE. Data collection procedures were as follows: document analysis, direct observation and interviews. For data treatment, the thematic content analysis technique was used. Results: Through the study it was possible to observe that the activation of psychobehavioral symptoms may be related to factors internal and external to the institution. From this perspective, we can mention the interpersonal relationships between nurses and patients and between the residents themselves and between them and their families. The difficulty that nursing encounters to intervene in these situations arouses feelings of incapacity and frustration in the team, which significantly interferes with the quality of care to be provided.