Abstract
Objective: evaluate the structure, the development and the functionality in families of hospitalized elderly patients with vascular encephalic accident under palliative care. Method: qualitative field research conducted with five families. Data were collected through the technique of interview, genogram and ecomap. The empirical material was analyzed in light of the Calgary Family Assessment Model. Results: it was verified that the participant families of the study retained the nuclear structure; presented low and education levels and financial difficulties. However, two families showed better economic conditions. As for the social support network, majority mentioned relatives, friends and the church. All referred to have conflictual family relationships. The family caregivers are females, specially daughters-in-law and daughters. Final Considerations : The structural, developmental and functional evaluation of the families in the study provide a space for nursing intervention in the hospital context for the families of hospitalized elderly with cerebral vascular accident. Descritores: Relacoes familiares; Idoso; Cuidados paliativos. Descriptors: Family Relationships; Elderly; Palliative Care.
Highlights
In the contemporary world, oncological and cardiovascular diseases and multiples degenerative processes contribute to the aggravation of health framework, as a result of the progressive aging of the world population [1]
The structural, developmental and functional evaluation of the families in the study provide a space for nursing intervention in the hospital context for the families of hospitalized elderly with cerebral vascular accident
The study sample consisted of five families represented by five elderly patients with cerebral vascular accident (CVA) who were being treated in the palliative care perspective and five accompanying relative totaling ten participants
Summary
Oncological and cardiovascular diseases and multiples degenerative processes contribute to the aggravation of health framework, as a result of the progressive aging of the world population [1]. Functional disability may cause difficulties for the elderly to perform daily activities, which can be temporary or permanent, depending on the affected area. These difficulties might compromise quality of life of the elderly and interfere in their family [4]. In case of permanent brain damage, implying in a stage of disease in which there is no possibility of cure, it is necessary the indication of palliative care in order to improve their and their relatives’ life
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