Dyspnea |
Forced air movement into and out of the lungs, shortness of breath, associated with circulating oxygen deficiency, feeling of discomfort and anxiety(10). (CVI = 1,0) |
To evaluate the dyspnea by means of the identification of the signs of fatigue, with the use of the accessory musculature. Measure the degree of dyspnea using the Medical Research Council scale(10). Measures ventilation and perfusion by means of pulse oximeter and arterial blood gas. (CVI = 0,98) |
Impaired swallowing |
Difficulty swallowing that arises from a variety of disorders affecting the neural, motor, and/or sensory systems underlying the swallowing function. There is difficulty of oral control of the food bolus and greater time of oral transit. Based on the presence of coughing and/or gagging during feeding, regurgitation, low diet acceptance and consequent weight loss(11). (CVI = 0,92) |
Measure the commitment of swallowing as well as categorize it according to severity grades using the Gugging Swallowing Screen (GUSS) scale(11). ( CVI = 0,91) |
Urinary incontinence |
Involuntary loss of urine. Based on altered urinalysis for density, piocytes, proteins and glucose(12). (CVI = 0,98) |
Identify increased urinary frequency, nocturia, urgency, increase or reduction or absence of bladder sensitivity, hesitancy, short urinary blast, intermittence, urge force, scattered urination, and incomplete emptying sensation. Evaluate through the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF)(12). (CVI = 0,94) |
Bowel incontinence |
Complaint of loss of any amount of feces repeated times. Based on changes in stool appearance and increased bowel frequency(13). (CVI = 1,0) |
Measure the anal incontinence index by means of Fecal incontinence quality of life scale (FIQL), which can be classified as frequency, generating a score of 0 normal continence and 20 complete incontinence(13). (CVI = 0,97) |
Impaired hygiene of the scalp |
Scalp cleansing status changed. Grounded by reduced hygiene, scalp with dirt, showing oiliness, peeling, infestations, unpleasant odor, pruritus, hair loss(14). (CVI = 1,0) |
Verify through the inspection the presence of dirt, dandruff, and pediculosis; on palpation to investigate the presence of oily capillary fiber(14). (CVI = 0,96) |
Impaired Consciousness |
Qualitative change in the overall pattern of mental functioning which the individual feels to be radically different from his usual mode of functioning. Grounded by decreased awareness, difficulty staying alert, disorientation, confusion and delusions(8). (CVI = 0,89) |
Identify alteration in the overall pattern of mental functioning through neurological physical examination, application of the Glasgow Coma Scale and Mini Mental State Examination (MMSE)(8). (CVI = 0,87) |
Insomnia |
Difficulty with initiation, duration, consolidation or quality of sleep that occurs despite the adequate opportunity for sleep, and which results in some form of daytime involvement. Based on stress, difficulty in resting and use of medications for sleep(15). (CVI = 0,98) |
To evaluate the quality of sleep of the patients through the application of instrument called "Pittsburgh Sleep Quality Index (PSQI)"(15). (CVI = 0,97) |
Risk for Infection |
It is the probability of a pathological process occurring by invasion of the body by pathogenic microorganisms, or invasion of the environment or environment where the infectious agent circulates. Characterized by the insufficient adoption of preventive measures, which can be determined by the reduction of the immunological capacity of the individual, or by the environment to which he is exposed(16). (CVI = 0,96) |
Evaluate the devices used in the patient (whether hematogenous, urinary or respiratory), as well as the length of stay, functionality, cleanliness and purpose. Analyze the leukogram, vital signs, as well as antibiogram(16). (CVI = 0,95) |
Impaired adherence to the therapeutic regimen |
Degree of disagreement between a person's behavior and the directions received from the health care professional as the patient attempts to maintain his or her personal identification. Based on difficulty in following the indicated therapy and lack of significant improvement(17). (CVI = 0,94) |
To assess the degree of adherence through the Assessment of Adherence to Antiretroviral Therapy Questionnaire (CEAT-VIH)(17). (CVI = 0,89) |
Fear about death |
Fear of disease progression and death, based on behavioral changes: anxiety, anguish, introspection, reports of fear of the death process and death, and may be accompanied by isolation(18). (CVI = 0,89) |
To evaluate the fear of death through the application of the Collett-Lester Death Fear Scale (EMMCL)(18), which consists of 28 items, and contains four subscales with seven items each. (CVI = 0,88) |
Knowledge of deficient health |
Inadequate follow-up of instructions and verbalization of the problem. Grounded by difficulty in understanding and performing health information(19). (CVI = 0,89) |
To identify the level of health knowledge regarding HIV/AIDS, through the application of the HIV/AIDS Attitudes Scale(19), which is composed of religiosity and magical practices, technical and scientific information, illicit drug use, sexuality and prejudice. (CVI = 0,86) |
Loneliness |
Cognitive perception that the social relationships existing in one's life are insufficient or inadequate, generating an affective reaction of sadness. Grounded by isolation and feeling of emptiness(20). (CVI = 0,92) |
Identify the presence of the feeling of loneliness through the UCLA Solitude Scale(20). (CVI = 0,90) |
Lack family support |
Impaired ability to adapt the family to new family events. Based on the offer of reduced family support that may interfere with the treatment(21). (CVI = 0,88) |
Identify low family support through the presence of the following characteristics: verbal expressions of lack of family support, easy crying, isolation, and reports of family neglect (21). (CVI = 0,85) |
Impaired acceptance of health status |
Difficulty of acceptance of the diagnosis. Based on feelings and behaviors such as: sadness lack of self-confidence, behavioral changes and reduction of future prospects(19). (CVI = 0,89) |
Identify the low acceptance of the state of health through affective blunting, irritability, aggressiveness, high tone of voice, negativity for any therapeutic action(19). (CVI = 0,86) |
Marked body changes |
Change in body fat distribution. Based on lipoatrophy or lipohypertrophy, weight loss(22). (CVI = 0,98) |
Evaluate the presence of marked corporal modifications through the Subjective Global Assessment (AGS) instrument. Investigate issues inherent in the patient's ingestion of food; fat accumulation; changes in weight; changes in the tissues around the face, arms, hands, shoulders and legs(22). (CVI = 0,97) |
Alcohol abuse |
Excessive consumption of alcohol linked to frequent adverse consequences. Fulfills criteria for dependency. Based on behavioral changes and reports of use by the patient and/or family members(23). (CVI = 0,99) |
To assess alcohol abuse through the HIV/AIDS Attitudes Scale, which is composed of religiosity and magical practices, technical and scientific information, illicit drug use, sexuality and prejudice(23). (CVI = 0,97) |
Tobacco abuse |
Excessive smoking /tobacco consumption linked to frequent adverse effects. Fulfills criteria for dependency(24). (CVI = 0,91) |
Assessing tobacco abuse by means of a Scale of attitudes toward HIV/AIDS, which is composed of religiosity and magical practices, technical and scientific information, legal drug use, sexuality and prejudice(19,24). (CVI = 0,92) |
Impaired religious belief |
Decline in spirituality. Grounded by spiritual anguish, anger of a greater being and feeling guilty(25). (CVI = 0,89) |
Identify the presence of impaired religious belief through the application of the Spiritual Well-being Scale (SBS)(25). (CVI = 0,87) |