Depressão em idosos com feridas crônicas atendidos em uma comissão de pele / Depression in elderly people with chronic wounds treated at the skin commission

Objetivo: Verificar a ocorrência de sintomas depressivos em idosos com feridas crônicas. Método: Estudo descritivo, transversal, quantitativo, realizado com 40 idosos em um Hospital Universitário, utilizou-se a Escala de Depressão Geriátrica e um questionário estruturado com variáveis sociodemográficas, clinicas, características das lesões e um breve histórico de saúde mental. Resultados: Houve predomínio do sexo feminino (72,5%), parda (50,0%), católica (65,0%), casada (50,0%), com ensino fundamental incompleto (55,0%), aposentada (92,5%), rendimentos entre 1 a 2 salários mínimos (62,5%), doenças metabólicas (55,0%) e cardíacas (25,0%). As feridas foram em 55,0% úlceras venosas, dessas 85,0% localizam-se no membro inferior. Em relação aos escores da Escala, 40,0% apresentaram sintomas sugestivos de depressão. Idosos com feridas venosas e localizadas em membro inferior apresentaram maior escore da mediana de depressão. Conclusão: Ulcera venosa de perna figuraram como possível fator de risco para ocorrência de Depressão, que ocorreu em quase metade dos idosos estudados.

Objetivo: Verificar la aparición de síntomas depresivos en ancianos con heridas crónicas. Metodología: Estudio descriptivo, transversal, cuantitativo, realizado con 40 ancianos en un Hospital Universitario, se utilizó la Escala de Depresión Geriátrica y un cuestionario estructurado con variables sociodemográficas, clínicas, características de la lesión y una breve historia de salud mental. Resultados: Predominó la de mujeres (72,5%), morenas (50,0%), católicas (65,0%), casadas (50,0%), con educación primaria incompleta (55,0%), jubiladas (92,5%), ingresos entre 1 y 2 salarios mínimos (62,5%), enfermedades metabólicas (55,0%) y enfermedades cardíacas (25,0%). Las heridas se encontraban en el 55,0% de las úlceras venosas, de estas el 85,0% se localizan en el miembro inferior. En cuanto a las puntuaciones Escala, el 40,0% presentó síntomas sugestivos de depresión. Los ancianos con heridas venosas y localizados en el miembro inferior presentaron mayor puntuación de la mediana de la depresión. Conclusão: La úlcera venosa de la pierna se situó como un posible factor de riesgo para la aparición de Depresión, que se produjo en casi la mitad de los ancianos estudiados.

Objectives: Verify the occurrence of depressive symptoms in the elderly with chronic wounds. Methods: A descriptive, cross-sectional, quantitative study conducted with 40 elderly people at a University Hospital, using the Geriatric Depression Scale and a structured questionnaire with sociodemographic, clinical variables, lesion characteristics and a brief history of mental health. Results: There was a predominance of females (72.5%), brown (50.0%), Catholic (65.0%), married (50.0%), with incomplete primary education (55.0%), retired (92.5%), income between 1 and 2 minimum wages (62.5%), metabolic diseases (55.0%) and cardiac diseases (25.0%). The wounds were 55.0% venous ulcers, of which 85.0% are in the lower limb. Regarding the Scale scores, 40.0% presented symptoms suggestive of Depression. The elderly with venous wounds and located in the lower limb presented higher score of the depression median. Conclusions: Venous ulcers of the leg was a risk factor for the occurrence of Depression, which occurred in half of the elderly surveyed.

Bioethical analysis to the therapeutic use of Cannabis: Integrative review.

INTRODUCTION:: Despite being considered as a contravention under some countries' legislation, the therapeutic use of Cannabis sativa has been growing in Brazil, due to the promising results observed in many pathologies. Such a scenario has fostered the need to deepen discussions on the subject and possibly revise legislation governing the substance use and access. OBJECTIVES:: Identify the types of stigma related to the therapeutic use of Cannabis and describe the strategies people use to overcome stigma. METHODS:: This integrative review was carried out in the databases PubMed, Scopus, CINAHL, MEDLINE, PsycINFO, Web of Science, and Cochrane Library, with 565 articles being retrieved. Triads' cross-check were done, first maintaining the "cannabis" and "therapeutic use" pair, added by "stigma," "bioethics," "ethics," "social consequences," and "legal consequences." The final selection resulted in six articles. ETHICAL CONSIDERATION:: However, the ethical issues that pervade and regulate decisions on this subject must be considered. RESULTS:: Different dimensions and types of stigma related to the therapeutic use of Cannabis have been identified. The bioethical principle of autonomy was an expression of citizenship and human rights, mitigating internal conflicts related to self-stigma and the effects of external stigma on the person's life. CONCLUSION:: It was possible to identify the types of stigma related to the therapeutic use of Cannabis is an internal dimension represented (self-stigma) and an external dimension, represented (social and structural stigmas) and to identify strategies adopted to face this stigma: skills training group for users, elaboration of laws and specific programs to clarify the therapeutic use of Cannabis with a greater social scope, and support for family members. Thus, contributing to the building of people's autonomy in a broader context of decision-making autonomy and executive autonomy will provide the development of people's capacity to perform complex tasks of self-management and, consequently, to continue promoting and preserving their decision-making process and their capacity to plan and perform tasks associated with managing their lives and their treatments.