Kontakt 2009, 11(1):124-130 | DOI: 10.32725/kont.2009.023

Nurse and senior in loss of self-carePotřeba rozvoje ošetřovatelské komunitní péče

Ľubica Poledníková^1,*, Alica Slamková¹, Erika Baráthová²

¹ Univerzita Konštantína Filozofa v Nitre, Fakulta sociálnych vied a zdravotníctva, katedra ošetrovateľstva

² Fakultná nemocnica v Nitre

The consideration of the functional condition is a part of taking care of elderly people and it is a principle of the nursing consideration. The level of self-sufficiency is evaluated by nurses working in inpatient medical and social institutions and nurses involved in primary care within the scope of the nursing anamnesis. From the practical standpoint, the knowledge is most important how the patient is able to manage activities of his/her daily life. Many functional tests are used for testing, which serve for objective evaluation of the degree of dependence in an elderly patient, for estimating the load and quantitative needs of the nursing personnel, or help in decisions on the indication of services of the home and social care or situation into permanent institutional care.
The target of the work was to determine the ability of the self-care in hospitalized seniors and to determine the deficiency in activities of the daily life through the mediation of functional tests, to compare results of the consideration of the degree of dependence by several functional tests, and to consider the agreement and thus the reliability of the diagnostic conclusion by a nurse. The next target is to affect the ability of taking care of themselves through planned interventions and to determine the efficacy of the applied nursing activities in a selected group from NIC classification systems (Nursing Interventions Classifications) by comparing the ability to take care of oneself at the beginning and at the end of the hospitalization. For the implementation of the research, we used quasi-experiment as the main method. The supplementary method was observation, contents analysis of the nursing documentation and comparison.
The measurement scales for objectivizing the deficiency in the self-care were manifested as practical tools for the nursing diagnostics as well as for the measurement of the degree of a progress of the senior functional capacity and for the nursing care efficacy consideration.

Keywords: taking care of oneself; daily life activities; Barthel ADL index (Activity Daily Living); NANDA; NIC; NOC

Received: October 6, 2008; Accepted: October 27, 2008; Published: May 27, 2009  Show citation