RESUMO
As we move into the 21st century, nurses are facing the challenge of contributing to the health care of a society with an increasing proportion of ageing persons. This group of people become more heterogeneous as they age, bringing with them an extended life history of experiences of wellness and illness. They have been faced with numerous stressors and losses and have made successful or unsuccessful adaptation to those life experiences. One of the disconcerting stressors of the elderly is the promotion and maintenance of mental health. In this paper we will examine the application of the Neuman System Model to the mental health nursing of older adults.
Assuntos
Enfermagem Geriátrica/métodos , Saúde Mental , Teoria de Enfermagem , Enfermagem Psiquiátrica/métodos , Adaptação Psicológica , Idoso , Meio Ambiente , Saúde Holística , Humanos , Modelos Teóricos , Fatores de Risco , Estresse Psicológico/etiologia , Estresse Psicológico/enfermagem , Estresse Psicológico/prevenção & controleRESUMO
This paper describes the planning, teaching format, and evaluation of an interdisciplinary education program in diabetes mellitus for physicians and nurses in a rural Canadian community. Most participants preferred the conjoint teaching format to the unidisciplinary didactic programs traditionally offered. An evaluation, by chart review, of the management of diabetic patients cared for before and at 3, 6, and 12 months after the teaching program revealed significant changes in the referral practices of both the home care nurses and the physicians. Our findings suggest the occurrence of a program-related change in collaborative care practiced by the physicians and nurses who participated. A more extensive three year project has been initiated to further document the effectiveness of interdisciplinary continuing education in this community.
