Abstract
to clinically validate the nursing diagnosis of NANDA-I Frail Elderly Syndrome in hospitalized elderly. a methodological study, guided by the STROBE instrument, composed of 40 elderly people admitted to a teaching hospital in Paraíba, Brazil. The last phase of Hoskins' Nursing Diagnostic Validation Model: clinical validation was adopted. Data collection took place from August to December 2018. The data were analyzed using univariate descriptive statistics. It was approved by the hospital's ethics and research committee. nine defining characteristics were validated; seven risk factors; six populations at risk and two associated conditions. the validation of the nursing diagnosis of the Frail Elderly Syndrome in our socio-cultural context was considered appropriate, being an important step for critical thinking that underlies the decision-making of nurses in the care of the frail elderly, as well as professional practice.
Highlights
The worldwide age pyramid has undergone major changes due to the drop in fertility and mortality rates, causing a substantial increase in the elderly population(1)
The Informed Consent Form (ICF) was provided, in which participants were guaranteed information about the study, anonymity, confidentiality related to the data provided, and the choice to give up participating in any stage of the investigation
According to information presented in table 4, of the 12 associated conditions included in the diagnosis,“Walking less than four meters requires more than five seconds” and “Chronic disease” were identified more frequently by the diagnosticians, and an adequate reliability coefficient for inclusion in the diagnosis
Summary
The worldwide age pyramid has undergone major changes due to the drop in fertility and mortality rates, causing a substantial increase in the elderly population(1). In Brazil, these changes have been taking place more rapidly, with an estimate that in 2025 there will be nearly 32 million elderly people, ranking sixth world population with people aged over 60 years(2). Aging is characterized as a heterogeneous, complex, gradual, and dynamic phenomenon, in which functional, anatomical, psychological, and social changes occur, involving individual and social aspects, which result in an increased vulnerability to intrinsic and extrinsic factors and the chance of morbidity and mortality, disabilities, and dependence(3). Amid the knowledge produced so far, the Nursing Process stands out, aiming at diagnosing and treating human responses to potential and real health problems, through a unique work or way of doing professional (Nursing Care Systematization) that is based on a system of ethical and moral values, and on the technical-scientific knowledge of the professional practice(5)
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