Background: Heart failure is a chronic disease that increases among the population, despite progress in research. Living with heart failure can cause suffering and impaired health due to physical limitations in daily life. Research indicates that patients experience of living with heart failure is paid too little attention in relation to the medical treatment itself. Aim: The aim of this study was to describe patients' experiences of living with heart failure. Method: This study is based on a method to contribute to evidence-based nursing with ground in analysis of qualitative research. Eleven qualitative articles were analyzed using Fribergsfive step model. Results: Through the analysis three main themes and eight sub-themes were developed. The main themes were: The daily life changes, To be involved in your own care and Listen to your heart. Conclusion: To be diagnosed with heart failure means a life change. Therefore, it is important that the nurse is aware of the physical, and psychological effects of the disease.

Bakgrund: Kronisk obstruktiv lungsjukdom (KOL) är en folksjukdom, sompåverkar kroppen både fysiskt och emotionellt. Enligt världshälsoorganisationenberäknas sjukdomen öka och bli den tredje största dödsorsaken år 2030. Syfte:Syftet med litteraturstudien var att belysa patienters upplevelser av att leva medKOL genom frågeställningen; hur upplevs det emotionellt av att leva med KOL.Metod: En litteraturstudie bestående av tio kvalitativa artiklar genomdatabassökning i CINAHL, Medline och PubMed. Resultat: Det framkom en radolika känslor i relation till olika upplevelser. Fyra huvudkategorier identifieradestill: upplevelser av fysiska begränsningar, upplevelser av att leva med syrgas,upplevelser av minskad självständighet och betydelsen av sociala relationer. Denförsta kategorin delades in i en underkategori som var upplevelser av att leva meddyspné. Slutsats: Att leva med KOL kan upplevas med varierande emotioner. Detär viktigt vid omvårdnad av dessa patienter att ha en förståelse för derasupplevelser. / Background: Chronic obstructive pulmonary disease (COPD) is a common disease that affects the body both physically and emotionally. According to the World Health Organization it is estimated that the disease will increase in number and become the third largest cause of death in 2030. Aim: The aim of this literature review was to elucidate patients' experiences of living with COPD through the question of issue; how it is perceived emotionally by living with COPD. Method: A literature review consisting of ten qualitative articles through database search in CINAHL, Medline and PubMed. Results: There emerged a range of emotions in relation to different experiences. Four main categories were identified: experiences of physical limitations, experiences of living with oxygen therapy, experiences of reduced independence and significance of social relationships. The first category was divided into a subcategory that was experiences of living with dyspnoea. Conclusion: Living with COPD can be experienced with varying emotions. It is important when caring for these patients to have an understanding of their experiences.

Introduktion: Hjärtsvikt är ett allvarligt sjukdomstillstånd med hög grad av funktionsnedsättning, hospitalisering och dödlighet. Fatigue och andfåddhet är två av de vanligast förekommande och besvärligaste symtomen hos personer med hjärtsvikt. Syfte: Att beskriva upplevelser och påverkan av fatigue och/eller andfåddhet på det dagliga livet hos personer med hjärtsvikt. Metod: En induktiv litteraturöversikt genomfördes enligt Polit och Becks niostegsmodell med kvalitativ design. Från databaser införskaffades 12 vetenskapliga artiklar från ett flertal kontinenter. Artiklarna analyserades enligt Fribergs femstegsmodell. Resultat: I resultatet framkom två huvudkategorier med sex subkategorier. Båda symtomen orsakade hög grad av obehag och ledde till begränsningar i fysisk kapacitet, förlust av självständighet, familjeroller och sociala kontakter, känslor av skuld och att anpassa sig efter den nuvarande livssituationen. Slutsats: Det finns en kunskapsbrist om hur personer upplever fatigue och andfåddhet. Sjuksköterskor bör tillämpa personcentrerad omvårdnad i mötet med dessa personer. / Introduction: Heart failure is a severe medical condition with high prevalence of disability, hospitalization and death. Fatigue and breathlessness are two of the most commonly experienced and most distressful symptoms among persons with heart failure. Aim: To describe experiences and impact of fatigue and/or breathlessness in daily life among persons with heart failure. Method: An inductive literature review was conducted according to Polit and Beck’s nine step model with qualitative design. From databases 12 scientific articles were acquired from several continents. The articles were analysed according to Friberg’s five step model. Result: In the result two main categories and six sub categories were presented. Both symptoms caused a high degree of discomfort and led to limitations in physical capacity, loss of independence, family roles and social contacts, feelings of guilt and adapting to the current life situation. Summary: There is a lack of knowledge regarding people’s experience of fatigue and breathlessness. Nurses ought to apply person-centered care when meeting these persons.

Made available in DSpace on 2016-08-03T12:20:50Z (GMT). No. of bitstreams: 1 DissertaCAO de Mestrado.pdf: 399172 bytes, checksum: b0885e185ae016c08edecbea830e2835 (MD5) Previous issue date: 2009-04-27 / The need for deeper studies regarding what the Methodist Church has to offer for the transformation of the lived reality of persons with physical limitations in the context in which we live, within society as well as in ecclesiastical life, is the fundamental justification of this research. In first place, the research analyses social practices in the history of the Methodist movement, beginning with it origins. In second place, the relations between official Methodist documents and the Universal Declaration of Human Rights will be examined, a document that is recommended and recognized by the Methodist Church. Specific elements in the official documents of the Methodist Church in Brazil are researched, among them the Institutes, Plan for Life and Mission, Social Creed, and General Rules, among others, which demonstrate the commitment of this Church to persons with limitations. Finally, this study demonstrates, within the context presented, that both in its historical origins as well as in the current official documents of the Methodist Church can be found bases that support the social responsibility of the Church for the inclusion of all persons in the Methodist community, specifically in terms of the social inclusion of persons with physical limitations.(AU) / A necessidade de estudos mais aprofundados sobre o que a Igreja Metodista tem a oferecer para que se transforme a realidade atual da pessoa com deficiência física no meio onde vive, tanto na sociedade, como no que diz respeito à participação na vida eclesiástica é o que justifica a presente dissertação. Serão analisadas, primeiramente, as práticas sociais presentes na história do movimento metodista em suas origens. Em seguida serão examinadas as relações e correspondências entre os documentos da Igreja Metodista e a Declaração Universal dos Direitos Humanos, a qual é recomendada e reconhecida pela Igreja Metodista. Serão levantados elementos nos documentos oficiais da Igreja Metodista no Brasil, dentre eles Cânones, Plano para a Vida e a Missão, Credo Social, Regras Gerais e outros que demonstrem o compromisso desta Igreja junto a pessoas com deficiências físicas. Enfim, este estudo demonstrará, mediante os aspectos abordados que, tanto em sua origem histórica como nos documentos oficiais da Igreja Metodista são encontrados subsídios que fundamentam a responsabilidade social da Igreja, especificamente pela inclusão social da pessoa com deficiência física, o que faz da comunidade metodista acessível a todas as pessoas.(AU)

Made available in DSpace on 2015-05-08T14:47:20Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 1158103 bytes, checksum: cd2250135ddf53f0a12db1fe036139f1 (MD5) Previous issue date: 2011-09-28 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Introduction: The elderly are more susceptible to developing UPP due to changes that occur with aging, especially in the skin. The incidence and prevalence of these lesions increases with age, especially over 85 years. Being able to identify groups at risk for UPP from the application of many assessment tools used in order to diagnose the degree of risk for developing skin lesions. Objectives: Assess the risk factors for pressure ulcers in elderly people with physical limitations, living in the city of João Pessoa - PB, to describe the socio-demographic and clinical characteristics of elderly; evaluate the functional capacity of the elderly; Identify the risk score for pressure ulcers; Relate the level of functional independence according to age, physical limitations, and mental state; Relate the risk scores of the pressure ulcer according to the Braden scale socio-demographic, clinical, physical limitations, mental state level functional independence and history of previous UPP. Methodology: This is an observational cross-sectional survey, quantitative, developed through a household survey, the city of João Pessoa. Based on a sampling process by clusters of dual-stage, obtaining a sample of 51 people aged 60 years or older who had some physical limitation. To analyze the data distributions were obtained absolute percentage and bivariate and inferential statistical techniques. Results: We identified 25 elderly (49%) at risk for UPP, mostly with cognitive deficits and high levels of dependency for activities of daily living, prevalence of UPP 7.8%, several factors have acted to the risk of injury elderly, since the aging of biological, social and economic aspects, clinical conditions (involving behaviors, underlying disease, mental state, medication), activity level and physical mobility, functional dependency to self-care, education for preventive care, and previous history of UPP. Conclusion: It is expected from this study contribute to public policy in order to sensitize managers to the issue, and prepare our professionals to work in assessing the functional capacity of older people and adding scale for risk assessment as part of the UPP preventive strategies for the occurrence of these skin lesions at home. / Introdução: As pessoas idosas são mais susceptíveis ao desenvolvimento de UPP em virtude das alterações que ocorrem com o envelhecimento, sobretudo na pele. A incidência e prevalência dessas lesões aumentam com a idade, principalmente acima de 85 anos. Nos últimos tempos tem sido possível identificar grupos em risco para UPP a partir da aplicação de inúmeros instrumentos de avaliação empregados com a finalidade de diagnosticar o grau de risco para desenvolvimento de lesões de pele. Objetivos: Avaliar os fatores de risco para úlcera por pressão em idosos com limitação física, domiciliados no município de João Pessoa PB; descrever as características sócio-demográficas e clínicas dos idosos; Avaliar a capacidade funcional dos idosos; Identificar o escore de risco para úlcera por pressão; Relacionar o nível de independência funcional segundo a faixa etária, limitação física, e estado mental; Relacionar os escores de risco de úlcera por pressão da Escala de Braden segundo as variáveis sócio-demográficas, clínicas, limitação física, estado mental nível de independência funcional e história de UPP prévia. Metodologia: Trata-se de uma pesquisa transversal e observacional, de natureza quantitativa, desenvolvida por meio de inquérito domiciliar, no município de João Pessoa-PB, a qual partiu de um processo amostral por conglomerados de duplo estágio. Obteve-se uma amostra de 51 pessoas com 60 anos ou mais que apresentavam alguma limitação física. Para a análise dos dados foram obtidas distribuições absolutas, percentuais uni e bivariadas, sendo empregadas técnicas de estatística inferencial. Resultados: Identificou-se 25 idosos (49%) com risco para UPP; sendo a maioria com déficit cognitivo e elevados níveis de dependência para as atividades de vida diárias; uma prevalência de UPP de 7,8%; percebeu-se que diversos fatores agiram sinergicamente para o risco da lesão no idoso: desde o próprio envelhecimento biológico, aspectos sociais e econômicos, condições clínicas (que envolvem comportamentos, doença de base, estado mental, medicação), nível de atividade e mobilidade física, dependência funcional para o autocuidado, educação para o cuidado preventivo, e história de UPP anterior. Conclusão: Espera-se com este estudo contribuir com as políticas públicas, de modo a sensibilizar os gestores para essa problemática, e preparar nossos profissionais para atuarem na avaliação da capacidade funcional dos idosos e na inclusão de escala de avaliação de risco para UPP, a exemplo da Escala de Braden, como parte das estratégias preventivas para ocorrência dessas lesões de pele no domicílio.

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