Abstract
Introduction: Aging is characterized by a decline in physical and cognitive functioning, increasing the older person’s vulnerability to dependence. The age factor and the associated physiological skin changes contribute to the occurrence of skin tears. This type of wounds is common in older people and often results from care delivery, hence the importance of caring with Humanitude and avoiding the use of force during interventions. Objectives: This study aims to identify and analyze the current scientific evidence on the contribution of the Humanitude care methodology toward reducing the agitation and preventing skin tears in dependent older people. Methods: Integrative literature review of articles published between 2011 and 2016, available in full text and written in Portuguese and English, in the EBSCOhost and Google Scholar databases. Results: Of a total of 75 articles, five articles were obtained after applying the inclusion and exclusion criteria. Conclusions: The studies showed that the application of the Humanitude care methodology, by using gentle caring techniques, is particularly effective in dependent older people by reducing their pathological agitation behaviors and opposition to treatment/refusal of care and preventing shearing, friction, and bruising.
Highlights
Aging is characterized by a decline in physical and cognitive functioning, increasing the older person’s vulnerability to dependence
A literature review was conducted to answer the following research question: “What is the contribution of the Humanitude care methodology in reducing agitation and preventing skin tears in dependent older people?” Studies show that nurses should be aware of this issue and intervene for reducing the prevalence and incidence of skin tears during care delivery to dependent older people, by avoiding sudden movements and using appropriate positioning and transferring techniques (Stephen-Haynes, 2012; LeBlanc and Baranoski, 2014)
This study aims to identify the main scientific evidence available on the risk factors for skin tears among dependent older people and identify the contribution of the Humanitude care methodology toward the prevention of this type of wounds
Summary
Aging is characterized by a decline in physical and cognitive functioning, increasing the older person’s vulnerability to dependence. The Humanitude care methodology is an important tool for reducing the risk of complications during care delivery by using accurate and replicable techniques to establish how nurses should interact with patients This care methodology is effective in dependent patients and in patients with cognitive alterations by avoiding pathological agitation behaviors through a 5-step sensory capture process: openings, preliminaries, sensory circle, emotional consolidation, and appointment (Gineste & Pellissier, 2008; Phaneuf, 2010; Simões, Salgueiro, & Rodrigues, 2011; Salgueiro, 2014). This study aims to identify the main scientific evidence available on the risk factors for skin tears among dependent older people and identify the contribution of the Humanitude care methodology toward the prevention of this type of wounds
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