Cuidado de enfermería como proceso transpersonal en la completitud e incompletitud del adulto mayor amputado
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Date
2018
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Universidad Nacional de Trujillo
Abstract
La presente investigación de naturaleza cualitativa, exploratorio, descriptiva se realizó con el objetivo de describir y analizar el cuidado de enfermería desde la perspectiva del adulto mayor amputado hospitalizado. Para el abordaje teórico, se selecciono a Watson, con el cuidado tanspersonal; armonía entre mente/cuerpo/alma/naturealeza. A Le Breton, por su representación de la corporeidad como la manifestación del ser humano, en su incompletitud. A Kübler-Ross con el proceso de duelo por una pérdida. Metodologia: La recolección de información se ejecutó a través de la entrevista semiestructurada, la muestra de estudio fue constituida por 13 pacientes adultos mayores determinada por saturación del discurso de ambos sexos, hospitalizados con diagnóstico de diabetes mellitus, en sus primeros 7 días de postquirúrgico con amputación por pie diabetico. Resultados: se obtuvieron tres categorías con sus respectivas subcategorías: 1) Cuidado como proceso transpersonal: Confianza, conversar, acompañamiento y respeto a las creencias. 2) El cuerpo como sede del cuidado: Vigilar el dolor y confort. Y 3) Cuidado en la completitud e incompletitud: Ayudando a hacer real la pérdida del pie fantasma, dar tiempo para elaborar el duelo y ayudando a encontrar el significado en la pérdida. Conclusión: Esta investigación permitió identificar las potencialidades del cuidado, se comprobó la presencia de la calidad y calidez, se rescatan las vivencias y las experiencias de los adultos mayores con una pérdida corporal, se dislumbra el vínculo que existe entre el personal de enfermería (o) y el paciente amputado que vive una situación de pérdida.
The present qualitative, exploratory, descriptive research was carried out with the aim of describing and analyzing nursing care from the perspective of the hospitalized elderly amputee. For the theoretical approach, Watson was selected, with the tanspersonal care; harmony between mind / body / soul / nature. To Le Breton, for his representation of the corporeity as the manifestation of the human being, in its incompleteness. A Kübler-Ross with the grieving process for a loss. Methodology: Data collection was performed through the semi-structured interview. The study sample consisted of 13 elderly patients, determined by speech saturation of both sexes, hospitalized with a diagnosis of diabetes mellitus, in their first 7 postoperative days with amputation by diabetic foot. Results: three categories were obtained with their respective subcategories: 1) Care as a transpersonal process: Confidence, conversation, accompaniment and respect for beliefs. 2) The body as the seat of care: Monitor pain and comfort. And 3) Beware of completeness and incompleteness: Helping to make phantom foot loss real, giving time to work out the duel and helping to find meaning in loss. Conclusion: This research made it possible to identify the potentialities of care, to verify the presence of quality and warmth, to rescue experiences and experiences of older adults with a corporal loss, the link between nursing staff ) and the amputated patient who experienced a loss situation
The present qualitative, exploratory, descriptive research was carried out with the aim of describing and analyzing nursing care from the perspective of the hospitalized elderly amputee. For the theoretical approach, Watson was selected, with the tanspersonal care; harmony between mind / body / soul / nature. To Le Breton, for his representation of the corporeity as the manifestation of the human being, in its incompleteness. A Kübler-Ross with the grieving process for a loss. Methodology: Data collection was performed through the semi-structured interview. The study sample consisted of 13 elderly patients, determined by speech saturation of both sexes, hospitalized with a diagnosis of diabetes mellitus, in their first 7 postoperative days with amputation by diabetic foot. Results: three categories were obtained with their respective subcategories: 1) Care as a transpersonal process: Confidence, conversation, accompaniment and respect for beliefs. 2) The body as the seat of care: Monitor pain and comfort. And 3) Beware of completeness and incompleteness: Helping to make phantom foot loss real, giving time to work out the duel and helping to find meaning in loss. Conclusion: This research made it possible to identify the potentialities of care, to verify the presence of quality and warmth, to rescue experiences and experiences of older adults with a corporal loss, the link between nursing staff ) and the amputated patient who experienced a loss situation
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Keywords
Adulto mayor, Diabetes mellitus, Enfermería