Pub Date : 1900-01-01DOI: 10.4018/978-1-5225-9818-3.ch008
R. Ferreira, Luis Ribeiro, César Fonseca
To identify the gains in elderly functional independence through the implementation of the rehabilitation nursing program, a pilot study involving the quantitative, descriptive, and cross-sectional case study methodology was applied to an accidental sample of elderly people, with only two persons having completed the previously defined intervention program. The Rikli and Jones functional fitness test for older adults exercises, such as a rehabilitation nursing exercise program and the Barthel scale, were used to measure the functional independence of the elderly in the performance of activities of daily living. From the implementation of the rehabilitation nursing program to the elderly who concluded it in its entirety, the results show global gains in the functional aptitude program and an improvement in functional independence with gains in most activities of daily living. An improvement in the functional independence of elderly people who participated in the rehabilitation nursing program involving the functional fitness exercises of Rikli and Jones was verified.
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Pub Date : 1900-01-01DOI: 10.4018/978-1-5225-9818-3.ch016
Helena Arco, M. A. Costa
Urinarsy incontinence involves difficulty in retaining urine, making it a problem with multiple consequences. The purpose of this chapter is to encourage reflection on this situation and identify potential action with a view to promoting self-care in the elderly with urinary incontinence. The authors undertook an ethnographic survey in convalescence units in which they observed and interviewed elderly patients with urinary incontinence and healthcare professionals. Implementing an “observation, reporting, and reflection” approach, they carried out a content analysis. Three cultural dimensions emerged affecting self-care. Functional dependence and vulnerability led to an impaired attitude to the body, which constituted the primary challenge in the process. The promotion of self-care was marked by difficulties, strategies, and modes of action where the nurses played a significant role in liaison with the multidisciplinary team. The preparation for discharge was marked by points of contention and negotiations that decided whether the patient would return home or be the subject of referral.
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