Trata da ergonomia aplicada aos espaços da habitação, com foco na cozinha e no usuário idoso. A escolha da cozinha como ambiente a ser estudado se deu ao fato, dos desafios ergonômicos encontrados nesse espaço: diversidade de atividades, diversidade de usuários, manipulação de equipamentos, circulação de pessoas entre outras. A pesquisa traz um pouco do histórico da evolução desse espaço destinado, prioritariamente, ao cozinhar e como esse espaço foi se modificando ao longo do tempo. Identifica a cozinha como um local da casa onde todos os moradores, sejam crianças, adultos, homens e mulheres fazem uso de alguma forma. Em um segundo momento, a pesquisa traz conceitos de design, que defendem a adequação do espaço construído ao uso eqüitativo de todos os usuários e a preocupação em se projetar com o foco no usuário. Busca-se conhecer as implicações das atividades humanas perante as soluções espaciais adotadas nos projetos de habitações. O idoso foi escolhido como personagem de estudo, por apresentar as dificuldades comuns a todos os usuários da cozinha, entretanto potencializadas e pela defesa de que um lar adaptado lhe trará uma maior autonomia e conseqüente melhoria na qualidade de vida. Por fim, o trabalho apresenta recomendações para o projeto de uma cozinha segura e adequada a todos os usuários. Pretende-se que os dados apresentados possam ser aplicados na prática projetual e que provoquem uma reflexão que traga melhorias na adequação de moradias. / With the ergonomic functions applied to the dwelling spaces focusing on kitchen used by elderly people. The choice of the kitchen as subject of studies results from the existing ergonomic difficulties found in this environment such as: diversity of users and functions, handling of several equipments, peoples circulation, among others. This reserch brings up a bit of the evolutions history of this space meant mainly to cook and how it has been changed througt the centuries. It also point out this space as a place that every resident, somehow, sometime, use no matter of age or sex. After that, the research focus on design concepts that justifies the utility adaptations in the kitchen to the safe use of all residents, and better knowledge of human activities related to the adopted spacial solutions in the housing planning. The elderly people were chosen as study subject for all difficulties they have, as every kitchen user, encreased by the lost of mobility. One adapted home will give them independence and a better quality of life. Finally, this study present suggestions for a kitchen project that is safe and suitable for all users. All collected items shown here is intended to be used while projecting and to bring up deeper thoughts on better and safer dwellings.

Bakgrund: Ensamhet beskrivs som en upplevelse av tomhet med anknytning till den emotionella känslan, känslan av att ge upp, sorg, längtan och hopp. Hälsa, välbefinnande och livskvalitet försämras på grund av den plågsamma ensamheten. Livskvalitet hänger ihop med människans existens och välbefinnandet är individens upplevelse av hälsa som omfattar människan som helhet, inte bara kropp och själ. Syfte: Syftet var att beskriva äldre människors upplevelser av ensamhet. Metod: En litteraturöversikt med kvalitativ ansats har använts för att analysera tio kvalitativa vetenskapliga artiklar. Resultat: Resultatet visar att ensamhet kan upplevas som både positivt och negativt. Negativ ensamhet upplevs som en brist på socialt stöd, känslan av övergivenhet, att leva med fysiska hälsohinder, att leva med sorg och att vara beroende av andra. Den negativa ensamheten har koppling till kroppsförändringar på grund av åldrandet. Att kunna ha egen tid och att känna sig fri upplevs som positiv ensamhet. Slutsats: Ensamhet upplevs som en riskfaktor relaterad till försämring av välbefinnande, hälsa och livskvalitet, även om ensamhet upplevs individuellt. Klinisk betydelse: Studiens resultat kan ha betydelse i omvårdnaden av äldre människor. Sjukvårdare måste vara observanta och ta sig tillräcklig tid vid varje möte med äldre människor. Att vara lyhörd kan hjälpa en äldre människa att tillhöra en gemenskap och förhoppningsvis få dem att känna sig tillräckligt. Detta kan förhindra ensamhet hos äldre människor. / Background: With age comes also the increase of loneliness. Loneliness is described as an experience of emptiness that is related to the emotional feeling, feeling of giving up, grief, longing and hope. Health, well-being and quality of life deteriorate because of the protruding loneliness. Quality of life is linked to the human existence and well-being is the individual´s perception of health that includes the person as a whole and not just the body and mind. Objective: The aim of this study was to describe the experience of loneliness from the elderly person´s perspective. Metod: A literature review with qualitative approach was used to analyze ten qualitative research articles. Results: This study´s results indicate that loneliness can be seen as both positive and negative. The negative loneliness is experienced as lack of social support, feelings of abandonment, living with physical health obstacles, living with grief and being dependent on others. It however shows that the so called negative loneliness is much related to the body changes with aging. The positive loneliness had to do with being able to have time to one’s self and feeling free and independent. Conclusion: Loneliness seemed to be a risk factor related to the deterioration of well-being, health and quality of life, even if loneliness is experienced individually. Clinical significance: The results of this study may be of importance in the care of an elderly person. Being observant and taking time to each meeting with the elderly person can possibly help them feel like they belong to a community and even feel involved in some way. All this can help to prevent loneliness.

Age brings about that physical strength diminishes and in many cases there is also a loss of social contact. Older people possess years of knowledge based on experience which can be applied effectively in a service centre to the advantage of other older people. Amongst others, Section A contains the problem statement, research objectives and procedures that were undertaken. The overarching aim of this investigation was to establish the role of the retired volunteer in the functioning of Potchefstroom Service Centre for Older People. To reach the aim, the following objectives were aimed at: Obiective 1. To establish what the reasons are for retired people to become involved in Potchefstroom Service Centre of Older People as volunteers. Obiective 2. To establish in what area of the service centre retired people are involved as volunteers. Obiective 3. To establish the psychosocial functioning, self-perception, work values and profile of the retired volunteer involved in Potchefstroom Service Centre for Older People. Obiective 4. To determine what volunteers of the service centre for older people expect of the staff regarding, for instance, acknowledgement, responsibilities and remuneration. Section B contains the two articles in which the outcomes of the research were reported. Article 1 pertains to the reasons why older people become involved in service centres as volunteers and in which areas. Article 2 enters into the psychosocial functioning, self-perception, work values, profile and expectations of the retired volunteer. In Section C a synopsis of the most important findings and conclusions regarding the investigation was presented in its entirety. Additionally, recommendations were made and the contribution of the investigation was highlighted. Section D contains addendums to the research report such as the self-compiled questionnaire and the standardised questionnaire. The dissertation was concluded in Section E with a comprehensive reference list. / Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2009.

Age brings about that physical strength diminishes and in many cases there is also a loss of social contact. Older people possess years of knowledge based on experience which can be applied effectively in a service centre to the advantage of other older people. Amongst others, Section A contains the problem statement, research objectives and procedures that were undertaken. The overarching aim of this investigation was to establish the role of the retired volunteer in the functioning of Potchefstroom Service Centre for Older People. To reach the aim, the following objectives were aimed at: Obiective 1. To establish what the reasons are for retired people to become involved in Potchefstroom Service Centre of Older People as volunteers. Obiective 2. To establish in what area of the service centre retired people are involved as volunteers. Obiective 3. To establish the psychosocial functioning, self-perception, work values and profile of the retired volunteer involved in Potchefstroom Service Centre for Older People. Obiective 4. To determine what volunteers of the service centre for older people expect of the staff regarding, for instance, acknowledgement, responsibilities and remuneration. Section B contains the two articles in which the outcomes of the research were reported. Article 1 pertains to the reasons why older people become involved in service centres as volunteers and in which areas. Article 2 enters into the psychosocial functioning, self-perception, work values, profile and expectations of the retired volunteer. In Section C a synopsis of the most important findings and conclusions regarding the investigation was presented in its entirety. Additionally, recommendations were made and the contribution of the investigation was highlighted. Section D contains addendums to the research report such as the self-compiled questionnaire and the standardised questionnaire. The dissertation was concluded in Section E with a comprehensive reference list. / Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2009.

A pesquisa aborda a contribuição da Primeira Igreja Batista e do Ministério Sião em Caetanos-Ba para a aquisição da capacidade de leitura na Terceira Idade, relatando brevemente o histórico da Igreja Batista no mundo, no Brasil e em Caetanos. Traz ainda o conceito de terceira idade, destacando a realidade da pessoa idosa em nossa sociedade, e como a pessoa idosa tem sido assistida pelas políticas públicas, uma vez que a qualidade de vida destas pessoas depende diretamente do Estado. Estuda-se também o analfabetismo na terceira idade, o aspecto histórico da EJA no Brasil e quais medidas os governos têm tomado a fim de erradicar o analfabetismo na terceira idade. Realiza-se um estudo sobre a importância da leitura na terceira idade, buscando o conceito de leitura em Paulo Freire, autor que se consolidou por criar o método de alfabetização para jovens e adultos. Relata-se também sobre o papel da leitura como bem-estar e inserção social. Realiza-se uma pesquisa de campo com 10 pessoas das igrejas pesquisadas com idade acima de 60 anos; a pesquisa tem um roteiro de entrevistas com 13 perguntas. A pesquisa aponta que as igrejas batistas em Caetanos contribuem para a aquisição da leitura na terceira idade. / The research deals with the contribution of the First Baptist Church and the Zion Ministry toward elderly people acquiring reading capability. It briefly relates the history of the Baptist Church in the world, in Brazil and in Caetanos. Besides this, it brings up the concept of elderly person, pointing out the reality of the elderly person in our society, and how the elderly person has been assisted by the public policies, since the quality of life of these people depends directly on the State. The research also studies illiteracy among the elderly, the historical aspect of the EJA program in Brazil and what measures the governments have put in place to eradicate illiteracy among the elderly. A study is carried out about the importance of reading for the elderly, seeking the concept of reading in Paulo Freire, an author who became known for creating a method of literacy training for youth and adults. It will also report on the role of reading for well being and social insertion. A field research with 10 people over the age of 60 from the churches researched will be carried out; the research project will have an interview guide with 13 questions. The research points to the fact that the Baptist churches in Caetanos contribute to literacy acquisition in the third age (as elderly).

Submitted by Haroudo Xavier Filho (haroudo.xavierfo@ufpe.br) on 2016-03-17T17:31:58Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissertacao de Mestrado-PPGISC-Karine Kamila de Lima Carvalho-2015.pdf: 1671357 bytes, checksum: b60afe04c163ffd73111277586c0d667 (MD5) / Made available in DSpace on 2016-03-17T17:31:58Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissertacao de Mestrado-PPGISC-Karine Kamila de Lima Carvalho-2015.pdf: 1671357 bytes, checksum: b60afe04c163ffd73111277586c0d667 (MD5) Previous issue date: 2015-03-11 / CAPES / Com o avançar da idade registra-se uma redução nos níveis de atividade física, sendo este um fator relevante para o surgimento e/ou agravamento de diversas enfermidades com ocorrência já elevada na velhice. Objetivou-se, nesta pesquisa, analisar os fatores associados ao nível de atividade física em idosas participantes de um Programa de Educação Permanente. Trata-se de um estudo de descritivo, quantitativo de corte transversal, cuja amostra correspondeu a 149 mulheres idosas participantes da UnATI– UFPE. Foi utilizada a técnica de entrevista, com registro das informações em roteiro semiestruturado. Para identificar o nível de atividade física (NAF) aplicou-se o Questionário Internacional de Atividade Física (IPAQ) adaptado para idosos. Na análise dos dados foram empregados o Teste Qui-quadrado de Pearson e a Regressão Logística Binária. Adotou-se um nível de significância de 5%. A maioria das idosas (85,2%) foi classificada como fisicamente ativa. As atividades físicas domésticas foram as mais praticadas (51%). Quando realizada a análise por domínios do IPAQ destaca-se os resultados para a atividade física de lazer, na qual 56,4% das entrevistadas foram classificadas como inativas. Verificou-se que a percepção do estado de saúde comparada a de outras pessoas da mesma idade (p<0,0348) esteve associada ao NAF total. Para o domínio da atividade física doméstica houve significância estatística com a imagem corporal autopercebida (p<0,0424), já para a atividade física de lazer pôde-se observar que renda (p<0,0316) e percepção do estado de saúde atual (p<0,0496) estiveram associadas ao NAF neste domínio. Diante dos achados no modelo logístico, ajustado por renda, idade e problemas de saúde, pôde-se estimar a probabilidade das idosas em ser fisicamente inativa no lazer (78,6%) ou de ser ativa (53,8%). A elevada proporção de idosas fisicamente ativas sugere ser positiva a participação desta população em programas de educação permanente, por estimular hábitos de vida saudáveis. Entretanto, a predominância de inatividade física no lazer revela-se como dado preocupante, e aponta para a necessidade de programas que desenvolvam atividades físicas estruturadas e orientadas, no intuito de proporcionar maiores benefícios à saúde. / With the advance of age registers a reduction in levels of physical activity, this being a factor relevant to the emergence and/or worsening of several diseases with already high occurrence in old age. The objective of this research, analyze the factors associated with the level of physical activity in older participants of a Permanent education program. It is a descriptive, quantitative study of cross-section, whose sample corresponded to 149 elderly women participating in the UnATI-UFPE. Interview technique was used, with registration of information in semistructured roadmap. To identify the level of physical activity (NAF) applied the International Physical Activity Questionnaire (IPAQ) adapted for seniors. In the analysis of the data were employed the Pearson's Chi-square Test and the Binary logistic regression. Adopted a significance level of 5%. Most elderly (85,2%) was classified as physically active. Domestic physical activities were the most widely practised (51%). When performed the analysis for the fields of IPAQ stands out the results for leisure-time physical activity, in which 56,4% of the interviewed were classified as inactive. It was found that the perception of health state compared to other people of the same age (p<0,0348) was associated with the NAF total. To the field of domestic physical activity there was statistical significance with the self-perceived body image (p<0,0424), to leisure physical activity could be observed that income (p<0,0316) and perception of current health condition (p<0,0496) were associated with the NAF in this domain. Before the findings in the logistic model, adjusted by income, age and health problems, he was able to estimate the likelihood of the elderly being physically inactive at leisure (78,6%) or to be active (53,8%). The high proportion of physically active elderly suggests positive participation of this population in permanent education programs encourage healthy living habits. However, the prevalence of physical inactivity at leisure reveals itself as given worrisome, and points to the need for programs that develop structured physical activities and targeted in order to provide greater benefits to health.

Trata da ergonomia aplicada aos espaços da habitação, com foco na cozinha e no usuário idoso. A escolha da cozinha como ambiente a ser estudado se deu ao fato, dos desafios ergonômicos encontrados nesse espaço: diversidade de atividades, diversidade de usuários, manipulação de equipamentos, circulação de pessoas entre outras. A pesquisa traz um pouco do histórico da evolução desse espaço destinado, prioritariamente, ao cozinhar e como esse espaço foi se modificando ao longo do tempo. Identifica a cozinha como um local da casa onde todos os moradores, sejam crianças, adultos, homens e mulheres fazem uso de alguma forma. Em um segundo momento, a pesquisa traz conceitos de design, que defendem a adequação do espaço construído ao uso eqüitativo de todos os usuários e a preocupação em se projetar com o foco no usuário. Busca-se conhecer as implicações das atividades humanas perante as soluções espaciais adotadas nos projetos de habitações. O idoso foi escolhido como personagem de estudo, por apresentar as dificuldades comuns a todos os usuários da cozinha, entretanto potencializadas e pela defesa de que um lar adaptado lhe trará uma maior autonomia e conseqüente melhoria na qualidade de vida. Por fim, o trabalho apresenta recomendações para o projeto de uma cozinha segura e adequada a todos os usuários. Pretende-se que os dados apresentados possam ser aplicados na prática projetual e que provoquem uma reflexão que traga melhorias na adequação de moradias. / With the ergonomic functions applied to the dwelling spaces focusing on kitchen used by elderly people. The choice of the kitchen as subject of studies results from the existing ergonomic difficulties found in this environment such as: diversity of users and functions, handling of several equipments, peoples circulation, among others. This reserch brings up a bit of the evolutions history of this space meant mainly to cook and how it has been changed througt the centuries. It also point out this space as a place that every resident, somehow, sometime, use no matter of age or sex. After that, the research focus on design concepts that justifies the utility adaptations in the kitchen to the safe use of all residents, and better knowledge of human activities related to the adopted spacial solutions in the housing planning. The elderly people were chosen as study subject for all difficulties they have, as every kitchen user, encreased by the lost of mobility. One adapted home will give them independence and a better quality of life. Finally, this study present suggestions for a kitchen project that is safe and suitable for all users. All collected items shown here is intended to be used while projecting and to bring up deeper thoughts on better and safer dwellings.

Abstract The purpose of this study was to describe and explain the use of physical restraints in institutional elderly care from the viewpoint of the elderly, their family members, nursing staff and nursing superiors. The empirical part of the study was conducted in two stages. The approach in the first stage was quantitative: data were collected with a questionnaire from the nursing staff (n = 1,148). The data were collected using stratified sampling in two stages: by type of institution and by province. The data were analysed using descriptive statistics as well as explorative factor analysis. The second stage of the study was conducted with a qualitative approach, collecting the data from the elderly (n = 7), their family members (n =  7), nursing staff (n = 16) and nursing superiors (n = 5) using participant observation, individual and group interviews. The data were analysed using inductive content analysis. The use of physical restraints on the elderly was common in institutional care, especially in health centre wards. Both direct and indirect forms of restraint were used to limit the mobility of the elderly. The most commonly used form of direct restraint was elevating the sides of the bed (84%). Indirect forms of restraint included removing the patient’s mobility aid, clothes or alarm bell, as well as a mode of operation that promotes passivity. The nursing staff considered the use of physical restraints on the elderly as an ethical conflict situation. A family member of the elderly could be an active agent, either by using physical restraints or demanding that the nursing staff use them. The nursing staff stated that lack of legislation has an effect on the widespread use of physical restraints. Thirty-three per cent of the nursing staff reported having written instructions on the use of physical restraints in their work unit. The use of physical restraints made the elderly susceptible to hazardous situations, maltreatment and institutionalisation. Attempts were being made to reduce the use of physical restraints by using alternative methods. The participation of a doctor and a physical therapist in elderly care would promote the use of alternative methods, as would support provided by the work unit superiors. The information obtained from the study can be used to widen the gerontological knowledge basis of nursing science as well as to develop gerontological nursing practices in elderly care. The new information can be utilised in basic, further and updating education in the field of social and health care, as well as in producing and developing institutional care services for the elderly. / Tiivistelmä Tämän tutkimuksen tarkoituksena oli kuvata ja selittää fyysisten rajoitteiden käyttöä vanhusten laitoshoidossa vanhusten, omaisten, hoitohenkilökunnan ja hoitotyön esimiesten näkökulmasta. Tutkimuksen empiirinen osio tehtiin kahdessa vaiheessa. Ensimmäisen vaiheen lähestymistapa oli kvantitatiivinen ja aineisto kerättiin kyselylomakkeella vanhusten hoitotyöhön osallistuvalta henkilökunnalta (n = 1148). Aineisto kerättiin käyttäen ositettua otantaa kaksivaiheisesti: laitostyypeittäin ja lääneittäin. Aineisto analysoitiin käyttäen kuvailevan tilastotieteen menetelmiä sekä eksploratiivista faktorianalyysia. Tutkimuksen toisen vaiheen lähestymistapa oli kvalitatiivinen ja aineistot kerättiin vanhuksilta (n = 7), omaisilta (n = 7) sekä vanhusten hoitotyöhön osallistuvalta henkilökunnalta (n = 16) ja hoitotyön esimiehiltä (n = 5) osallistuvan havainnoinnin sekä yksilö- ja ryhmähaastatteluiden menetelmillä. Aineistot analysoitiin induktiivisella sisällön analyysimenetelmällä. Fyysisten rajoitteiden käyttö oli yleistä vanhusten laitoshoidossa, erityisesti terveyskeskusten vuodeosastoilla. Vanhuksen liikkumisen rajoittamiseen käytettiin sekä suoria että epäsuoria rajoittamismuotoja. Yleisimmin käytetty suora rajoittamismuoto oli ylösnostetut sängynlaidat (84 %). Epäsuoria rajoittamismuotoja olivat liikkumisen apuvälineen, vaatteiden, soittokellon poisottaminen sekä passivoiva toimintatapa. Hoitohenkilökunta piti fyysisten rajoitteiden käyttöä eettisenä ristiriitatilanteena, jossa hoitaja joutui valitsemaan vanhuksen turvallisuuden lisäämisen ja henkilökohtaisen vapauden riistämisen välillä. Omainen saattoi olla aktiivinen toimija käyttäessään itse tai vaatiessaan hoitohenkilökuntaa käyttämään fyysisiä rajoitteita. Hoitohenkilökunta totesi lainsäädännön puuttumisen vaikuttavan fyysisten rajoitteiden runsaaseen käyttöön. Hoitohenkilökunnasta 33 % ilmoitti työyksikössään olevan kirjalliset ohjeet fyysisten rajoitteiden käytöstä. Fyysisten rajoitteiden käyttö altisti vanhuksen vaaratilanteille, kaltoinkohtelulle sekä laitostumiselle. Vanhusten laitoshoidossa pyrittiin vähentämään fyysisten rajoitteiden käyttöä vaihtoehtoisia toimintatapoja käyttämällä. Lääkärin ja fysioterapeutin osallistuminen vanhusten hoitoon edistäisi vaihtoehtoisten toimintatapojen käyttöä, samoin työyksikön esimiesten tuki. Tutkimuksessa tuotetulla tiedolla voidaan laajentaa hoitotieteen gerontologista tietoperustaa ja kehittää gerontologisen hoitotyön toimintoja vanhusten hoitotyössä. Uutta tietoa voidaan hyödyntää sosiaali- ja terveydenhuoltoalan perus-, jatko- ja täydennyskoulutuksessa sekä tuotettaessa ja kehitettäessä vanhusten laitoshoitopalveluja.

Bakgrund: Brytpunktssamtal är ett samtal som sker mellan den ansvarige läkare, patienten och dess närstående med syfte att informera om vårdens inriktning samt ger möjlighet för den äldre personen att framföra sina önskemål i livet slutskedet. Sjuksköterskan har en viktig roll vid brytpunktsamtal genom att ge emotionellt stöd till den äldre och dennes närstående under samtalet, att följa upp efter samtalet samt planera personcentrerad vård utifrån den äldres och dess närståendes behov och önskemål.  Syfte: Syftet med studien var att beskriva sjuksköterskors erfarenheter före, under och efter brytpunktssamtal med äldre personer och dennes närstående i kommunalt särskilt boende. Metod: Studien har en deskriptiv design med kvalitativ ansats. Total åtta sjuksköterskor med fem till trettiotvå års erfarenheter inom den kommunala äldreomsorgen i tre kommuner i mellan Sverige deltog i intervju.  Insamlade data analyserades med hjälp av innehållsanalys Resultat: Tre kategorier framkom under analysen nämligen, att agera professionellt, att ge stöd till närstående, att skapa förutsättningar för- och motverka hinder för ett bra brytpunktssamtal.  Slutsats:  Sjuksköterskorna upplevde att förutom utöva sin yrkesroll i vården av patienten, samt att tillsammans med vårdpersonalen bedöma patientens tillstånd och ta ställning till om brytpunktssamtal behöver genomföras, tar de också ofta ansvarar för att genomföra brytpunktssamtal. Vidare beskrev sjuksköterskorna att de flesta äldre inte deltog i samtalet, vilket uppfattades som syftet med brytpunktssamtal och vikten av att kommunikationen inte uppfylldes. / Background: A breakpoint conversation is a conversation that takes place between the responsible doctor, the patient, and their relatives with the purpose of informing about the direction of care and giving the elderly person the opportunity to express their wishes in the final stages of life. The nurse has an important role in end-of-life conversations, to provide emotional support to the elderly and their relatives during the conversation, to follow up after the conversation and to plan person-centered care based on the elderly's and their relatives' needs and wishes.   Aim: The aim of this study was to describe nurses' experiences before, during and after breakpoint conversations with elderly people and their relatives in municipal nursing homes. Methods: The study has a descriptive design with a qualitative approach. A total of eight nurses with five to thirty-two years of experience in municipal elderly care in three municipalities in the middle of Sweden were interviewed. The collected data was analysed using content analysis methods.  Results: Three categories emerged during the analysis, namely: to act professionally, to provide support to relatives, to create conditions for and counteract obstacles for a good breakpoint conversation.  Conclusion: The nurses experienced that apart from exercising their professional role in the care of the patient, which means, together with the nursing staff, assessing the patient's condition and deciding whether break-point conversations need to be carried out, they are also often responsible for carrying out breakpoint calls. Furthermore, the nurses described that most elderly people did not participate in the conversation, which was perceived as the purpose of break point conversations and the importance of communication not being met.

[pt] A longevidade da população e, consequentemente, o aumento de doenças crônicodegenerativas que causam dependência, são uma realidade com a qual as famílias brasileiras estão se defrontando. No imaginário social e familiar há uma expectativa de que mulheres se responsabilizem pelos cuidados dos enfermos e dos idosos. Considerando a diversidade de papéis ocupados pela mulher na atualidade – filha, mãe, esposa, profissional –, o cuidado ao idoso dependente torna-se um desafio para esta, fazendo emergir inúmeros sentimentos e mudanças na dinâmica familiar. Este estudo teve como objetivo geral investigar a vivência da mulher cuidadora familiar principal de idoso dependente. Como objetivos específicos, pretendemos investigar como a mulher cuidadora de idoso dependente percebe a repercussão da função de cuidar em sua família; e compreender as especificidades do vínculo entre a mulher cuidadora e o idoso dependente. Realizamos uma pesquisa qualitativa, na qual entrevistamos oito mulheres cuidadoras de idoso dependente, com idades entre 45 e 57 anos. Da análise do material discursivo coletado nas entrevistas emergiram cinco categorias de análise: 1) Da autonomia à dependência: tempos do cuidado; 2) Experiência do cuidado e seus impactos; 3) O lugar da cuidadora principal de idoso familiar dependente; 4) Rede de apoio aos cuidados e 5) Lutos no cuidado. O diagnóstico de demência foi prevalente neste estudo e causou grande impacto nas cuidadoras. A evolução da doença, com as perdas cognitivas e aumento da dependência, despertou sentimentos de desamparo, impotência, tristeza e culpa, sobrecarregando emocionalmente a maioria das cuidadoras. A naturalização do lugar de cuidadora e as perdas vivenciadas são percebidas pelas entrevistadas como um destino. Elas não se questionam sobre as repercussões da sobrecarga associada ao cuidado com o familiar idoso dependente nas suas vidas. Contudo, relatam ter menos oportunidades de trabalho e de progressão na carreira, assim como restrições na vida social e no lazer. Recorrer a tratamentos médicos e psicológicos foi uma estratégia para minimizar os efeitos nocivos da sobrecarga. O suporte da rede de apoio foi fundamental para que as mulheres cuidadoras continuassem a exercer outras funções como trabalhadora e mãe. / [en] The longevity of the population and, consequently, the increase of chronicdegenerative diseases that cause dependence, are a reality with which the Brazilian families are facing. In the social and family imaginary there is an expectation that women will be responsible for the care of the sick and the elderly. Considering the diversity of roles currently occupied by women – daughter, mother, wife, professional – care for the dependent elderly becomes a challenge for this, causing innumerable feelings and changes in family dynamics to emerge. This study aimed to investigate the experience of the female family caregiver leading to the elderly dependent. We intended to investigate how the female caregiver perceives the repercussion of the caring function in their family; and to understand the specificities of the bond between the caregiver and the dependent elderly. We conducted a qualitative research, in which we interviewed eight women who were dependent caregivers, aged between 45 and 57 years. From the analysis of the discursive material collected in the interviews emerged five categories of analysis: 1) From autonomy to dependency: times of care; 2) Experience of care and its impacts; 3) The place of the primary caregiver of dependent elderly family members; 4) Care network and 5) Grief within the care. The diagnosis of dementia was prevalent in this study and had a great impact on caregivers. The evolution of the disease, with cognitive losses and increased dependence, aroused feelings of helplessness, impotence, sadness and guilt, emotionally overwhelming most caregivers. The naturalization of the caregiver s place and the lived losses are perceived by the interviewees as a destination. They do not question the repercussions of the overload associated with care with the dependent elderly relative in their lives. However, they report fewer opportunities for work and career advancement, as well as restrictions on social and leisure life. Using medical and psychological treatments was a strategy to minimize the harmful effects of overload. The support network was essential for female caregivers to continue to perform other roles as both worker and mother.