A gestão do cuidado ao idoso na perspectiva dos direitos instituídos

• Autor(a) principal: Meireles, Viviani Camboin
• Data de Publicação: 2006
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Estadual de Maringá (RI-UEM)
• Texto Completo: http://repositorio.uem.br:8080/jspui/handle/1/2292
• topic: Idoso; Hospitalização; Direitos; Serviço de saúde; Paciente; Brasil.; Elderly; Elderly Health System; Elderly Rights; Patient Rights; Brazil.; Ciências da Saúde; Enfermagem

The increase of older population in Brazil is reflecting in socioeconomic changes which affect the way of society living. In addition to these changes, the country is going through a demographic and epidemiologic transition that contributes to alterations on health standards, and social and health assistance, that increase demands for hospitalization and medical care at the public health services by elderly are highlighted. For optimization of elderly care, the nursing staff, in addition to technical and scientific skills, must base its actions in ethical principles and legal precepts aiming fulfilling their rights. This study was undertaken with the purpose of verifying if the expectations and rights of elderly patient are being met by current laws. It is a descriptive exploratory study of quantitative approach, carried out at a school-hospital and a city hospital, both exclusive of Single Health System, located in the Northwestern of Paraná State. The research was approved by the Committee of Ethics in Research of a state university, according to Resolution 196/96 of CNS/MS (Brazil, 1996). The observation of the patients' rights by nursing staff was analyzed through a home-applied questionnaire, after hospital dismiss, to the 24 patients that comprised the sample. In the questionnaire, issues concerning the socioeconomic characteristics, attendance to the patients? rights concerning information provided by nursing staff, respect towards personal values, rights for an accompanying, secrecy and spiritual support, and their expectations towards the nursing attendance were included. According to the results, 16 (66.7%) elderly were female; the greatest proportion of widows was among women; 13 (54.2%) of the elderly could not read or write. As for living conditions, 12 (50%) owned their homes and lived with family members, and 12 (50%) had incomes of one minimum salary, often coming from retirement. It was observed that the patients rights concerning information and autonomous decision-making relative to their treatment are not frequently met neither appropriately by nursing staff. As for respect towards personal values, some habits were maintained, but rules and routines of hospital are first-place. As for nursing assistance, most of them reported that were well cared of, and when a criticism was raised it was soon compensated by some kind of congratulation. Nineteen (79.2%) of the elderly had an accompanying, five (20.8%) did not have this support because their family members had to work. None of the patients asked for secrecy about any fact or spiritual support but even in that case four (16%) received a religious visit while in hospital. As for expectations of patients concerning the attendance by nursing staff, they expect to be treated with attention, tenderness and respect. Despite the elderly not expressing much criticism, it was perceived unfavorable opinions about received care. It was concluded in the hospitalization context that elderly rights are not very well respected by nursing staff.