Rev Rene (Aug 2024)

Mapping nursing diagnoses in geriatric syndromes prescribed in an intensive care unit

  • Vanessa Souza da Silva,
  • Luana dos Santos Braga,
  • Rayhelle Cristiny Arantes de Moura,
  • Marília Araújo Figueiredo de Lima,
  • Maria Eduarda Souza da Fonseca,
  • Lilia de Souza Nogueira,
  • Greiciane da Silva Rocha

DOI
https://doi.org/10.15253/2175-6783.20242593567
Journal volume & issue
Vol. 25
p. e93567

Abstract

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Objective: to identify nursing diagnoses related to geriatric syndromes in elderly patients hospitalized for COVID-19 in the intensive care unit. Methods: this is a observational study, based on the medical records of 132 elderly patients aged 60 and over, diagnosed with COVID-19 and admitted to the intensive care unit. The diagnoses listed by the nurses were grouped using the NANDA-I nomenclature and into geriatric syndromes with a presentation of the domains, defining characteristics, and risk factors. Results: among the elderly there was a predominance of males, 76 (57.6%), mean age 72.9, and standard deviation 8.18. Among the geriatric syndromes, frailty had 11 related diagnoses and, postural instability and iatrogenesis had 7. The most frequent diagnoses were risk of infection 131(99.2%), risk of impaired skin integrity 125 (94.7%), impaired physical mobility 123 (93.2%), and self-care deficit for bathing and hygiene 122 (92.4%) Conclusion: it is essential to carry out a rigorous clinical assessment at the bedside and to assess the basic needs of the elderly, taking into account their frailties, to provide effective nursing care. Contributions to practice: the identification of the diagnoses grouped in the geriatric syndrome enables professionals to provide nursing care targeted at specific age groups.

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