Manuel Lopes

Universidade de Évora | uevora · Department of Nursing

The WHO has been promoting the paradigm shift in health care towards person-centered care, considering this strategy as fundamental for the personalization of care, but globally, the implementation of person-centered health intervention programs is still in an early stage. Older adults have high morbidity rates, which are often precursors to functi...

A Coordenação do Programa de Mestrado Profissional em Gerontologia da Universidade Federal da Paraíba, no sentido de publicizar a qualidade do Programa e, também valorizar a sua produção técnico-cientifica, divulga junto à comunidade acadêmica o livro: Sistematização da Assistência de Enfermagem e Diferentes Abordagens sobre o Cuidado, destinado a...

Background: The success of healthy aging depends on the ability of countries to study and act on frailty in the elderly, control chronic diseases, improve functional capacity and prevent cognitive decline and social interaction. Aim: (1) to evaluate the functional profile of older adults hospitalized in a Unit of the National Network of Integrat...

Introduction Depression is a common mental disorder and is a major cause of years lived with disability. The COVID-19 pandemic has caused an increase in the prevalence of depression worldwide. Our aim is to identify and synthesise the determinants of depression, the diagnostic assessment tools used to evaluate depression, and the interventions carr...

Background: Person and Family Centered Care (PFCC) has demonstrated important contributions to health care outcomes. However, in response to the need for safety due to the pandemic COVID-19, measures were taken to restrict hospital visits. So, the aim of this study was to understand the healthcare experience of family members of patients hospitali...

Objectives: Identifying frequent users' (≥3admissions/year) associated factors in an emergency department (ED), using a comprehensive geriatric assessment (CGA), describing the characteristics of patients over 65 years of age. Methods: A cross-sectional study was performed between August 2017 and June 2018 in an ED in Lisbon, Portugal. CGA was a...

Purpose: Spontaneous notification systems are essential in a post-marketing safety context. However, using this method, only about 6% of all adverse drug reactions are notified. To overcome this sub-notification problem, new methods need to be developed to improve and facilitate reporting. In this sense, the use of digital media, mainly medical mo...

Objective The main goal of this work was to identify, describe, characterize, and classify the scientific evidence regarding the use of pharmacogenomic biomarkers in antidepressant treatment. Methods The work was developed in two phases: i) a search for pharmacogenomic biomarkers in summaries of antidepressant drugs with marketing authorization in...

Background: In response to the COVID-19 pandemic, several measures were taken to prevent the transmission of infection in the hospital environment, including the restriction of visits. Little is known about the consequences of these directives, but it is expected that they will have various implications. Thus, this study aimed to understand the co...

Objective: this study aimed at evaluating the perceptions of Nursing students from public universities in three European Union countries on mental health and clinical learning environments, a topic that has been rarely investigated in the literature. Method: data collection took place using a demographic data form, the Clinical Learning Environm...

Objective: this study aimed at evaluating the perceptions of Nursing students from public universities in three European Union countries on mental health and clinical learning environments, a topic that has been rarely investigated in the literature. Method: data collection took place using a demographic data form, the Clinical Learning Environment...

The current COVID-19 pandemic has affected the whole world, leading to changes in one's personal and working life. Researchers have undergone extensive changes in their roles, mainly in the area of health care, with research into the virus now the priority. Aim To assess the anxiety, depression, stress, fears, and coping strategies of Portuguese r...

Introduction: A paradigm shift in the assessment and rehabilitation of people with schizophrenia is needed, with an integrative perspective rather than a simple focus on the underlying symptomatology. To this end, it is essential to adopt integrated and continuous care focused on the person in his/her context. As a contribution, the Brief Internati...

Background Functioning assessment is a key tool for health professionals to characterize the person's degree of dependence and plan care. Objectives The objectives were: (1) know the functioning components of older adults hospitalized in the National Network of Continuous Integrated Health Care (NNCIHC) in Portugal; and (2) compare the conceptual...

Objective: The main objective of this research was to operationalize a nursing sensitive outcome, designated as Satisfaction, using a set of indicators sensitive to various aspects of the nursing care: (i) Functional capacity assessment (Functionality), which is considered an important indicator for elderly people’s health and should be used to pro...

(1) Background: Improvement in pressure ulcer care depends both on the dissemination of knowledge and its implementation. This study aims to translate the Pressure Ulcer Knowledge Test into Portuguese from Portugal and evaluate the internal consistency of the questionnaire. The second aim is to assess nurses’ pressure ulcer knowledge level. (2) Met...

(1) Background: considering the growing increase in informal caregivers or family caregivers, it is critical to identify the unmet care needs of informal caregivers to improve their experiences, health, and well-being, contributing to the achievement of care needs of the elderly or people with adult dependency and promotion of successful transition...

(1) Background: Due to the increase in care needs, especially in the elderly, the concept of caregiver has emerged. This concept has undergone changes over the years due to new approaches and new research in the area. It is in this context that the concept of informal caregiver emerged. (2) Objectives: To analyse the evolution of the caregiver conc...

Healthcare systems are capable of collecting a significant number of patient health-related parameters. Analyzing them to find the reasons that cause a given disease is challenging. Feature Selection techniques have been used to address this issue—reducing these parameters to a smaller set with the most ”determinant” information. However, existing...

Resumen Objetivo: este estudio tuvo como objetivo evaluar las percepciones de estudiantes de enfermería de universidades públicas de tres países de la Unión Europea sobre la salud mental y los Ambientes de Aprendizaje Clínico, tema poco estudiado en la literatura. Método: la recolección de datos se realizó mediante un formulario de datos demográfic...

Aim: To evaluate the evolution of the functional profile of older adults admitted to a health unit in Portugal; to relate the functional profile of these individuals with age, sex, education level and emotional state; and to evaluate the probability of the degree of dependence as a function of age and sex. Methods: longitudinal, retrospective st...

Patient-centered care is essential in high-quality health care, as it leads to beneficial outcomes for patients. The objective of this review is to systematize indicators for the care of patients with cardiometabolic diseases based on patient-centered care, extending from the stages of diagnostic evaluation and care planning to intervention. An int...

Medicines are the most used health technology in Long-Term Care. The prevalence of potentially inappropriate medicines amongst Long-Term Care patients is high. Pharmacists, assisted by prescribing-assessment tools, can play an important role in optimizing medication use at this level of care. Through a modified RAND/UCLA Appropriateness Method, 13...

Daily medication use can be affected by the gradual loss of functional ability. Thus, elderly patients are at risk for nonadherence due to functional decline, namely, decreases in cognitive skills and visual and manual dexterity. The main objective was to assess the ability of older people to self-manage their medication and to identify the main pr...

Temos assistido a um incremento da complexidade dos problemas de saúde, associado, entre outros, ao envelhecimento populacional e à multimorbilidade e dependência, mas também a uma consciência mais aguda do acesso à saúde enquanto direito. Por múltiplas razões, os sistemas de saúde não têm sido muito ágeis a responder a esta complexidade. Urge a di...

Introdução: A prevalência das feridas é de grande variabilidade entre países, sobretudo condicionada por estudos de características muito heterogéneas. A presente investigação foi efetuada nas unidades de internamento da Rede Nacional de Cuidados Continuados do Alentejo (RNCCI). Objetivo: Desenvolver e validar um instrumento clínico útil na medição...

People have specific and unique individual and contextual characteristics, so healthcare should increasingly opt for person-centered care models. Thus, this review aimed to identify and synthesize the indicators for the care process of the person with depression and/or anxiety disorders, based on patient-centered care, going through the stages of d...

The functioning and cognition of older adults can be influenced by different care contexts. We aimed to compare the functioning profiles and cognition of institutionalized and noninstitutionalized older adults and to evaluate the effect of sociodemographic factors on the functioning and cognition. This is a cross-sectional study that included 593 o...

Background The aging population and its associated health needs require specific nursing care. The aim of this study was to draw an epidemiological profile of Portuguese elderly adults attending in residential homes and day centers and to evaluate the association between the functioning and cognition of these older adults and their sociodemographic...

Background The goal of this article was to research the psychometric properties of the WHOQOL-BREF(PT) instrument in a sample of elderly citizens residing in a rural area in their own homes or at family members’ or friends’ homes and to compare the results: (i) to those reported by the team of Portuguese researchers that undertaken the instrument's...

Depression and anxiety are mental diseases found worldwide, with the tendency to worsen in the current pandemic period. These illnesses contribute the most to the world’s rate of years lived with disability. We aim to identify and synthesize indicators for the care process of the person with depression and/or anxiety disorders, based on patient-cen...

There are many pathologies and capacity losses that progress with a similar evolution profile in certain groups of people. Health professionals are becoming increasingly knowledgeable in anticipating the development of these pathologies through preventive medicine. However, the increasing amount of data, coming from the collection of information fr...

Aim: To know the sociodemographic profile of people aged 65 or over who use the Continuing Care Network in Portugal, between 2010 and 2017, of the Convalescence Units, Medium Duration and Rehabilitation Unit and Long Term and Convalescence Unit. Methods: Retrospective and cross-sectional study, based the analysis on the big data, produced by the Na...

Stroke continues to be one of the main causes of functional disability, in which the Rehabilitation Nursing Specialist (RNS) has an active intervention in promoting motor, sensory and self-care functional re-education for the recovery of autonomy in Activities of Daily Living (ADL), decreasing the impact of disabilities. Objective: Acquire RNS skil...

Objective: Identify the Rehabilitation Nursing intervention gains based on the model of self-care in people with a Proximal Femur Fracture. Methodology: Descriptive and exploratory study, using Robert Yin’s qualitative case study methodology. The Elderly Nursing Core Set (ENCS) was used as a data collection and diagnostic tool; and Fonseca’s Self C...

Introduction: We verified the existence of a greater number of people over 65 years of age, with associated multimorbidity and in need of care. Cares that in previous times were provided by the extended family, at home. Nowadays, with the need for women to enter the labor market and the transition to nuclear families, this assistance becomes compli...

Chronic Obstructive Pulmonary Disease (COPD) is characterized by a series of persistent respiratory symptoms that limit airflow, causing morbidity and even mortality. The intervention of the Rehabilitation Nursing Specialist (RNS) is important to promote actions which ensure functional empowerment in self-care, preventing complications. Objective:...

The aging process is associated with social changes, among all the modifications that it entails. Relationship networks are transformed and/or impoverished, they may decrease. A decrease in social activity is possible and all these accumulated changes contribute, or can contribute, to increase the vulnerability of the elderly to experience loneline...

Functional disability can arise at any time in the life cycle of the elderly person, impairing autonomy and independence in their daily life activities. Making early intervention by the Rehabilitation Nursing Specialist (RNS) essential to maximize independence in self-care and improve quality of life through physical and emotional recovery, with ve...

Introdução: A vulnerabilidade física feminina ao consumo de álcool, o julgamento social e a existência de um maior número de mulheres com sintomas depressivos e ansiosos, são fatores apontados pela literatura como diferenciadores em relação ao género no consumo e consequências do mesmo. A compreensão da trajetória de consumo de álcool no género fem...

The COVID-19 pandemic has contributed to mental health problems worldwide. Nurses are particularly prone to stress because they directly care for individuals with suspected or confirmed cases of COVID-19. The aims of this study were (a) to explore the association between the mental health promotion strategies used by nurses during the COVID-19 o...

PurposeLong-Term Care (LTC) systems have experienced recent developments driven by changes in healthcare and demography (e.g. population ageing). As well, pharmacists are changing from traditional roles to more patient-oriented services. The present study aimed to identify and assess pharmacists’ and/or pharmacy-based interventions in institutional...

São equacionados os desafios que as atuais condições demográficas e epidemiológicas colocam aos cuidados de saúde. Nesta base é feita uma análise aprofundada das reformas dos cuidados de Saúde Primários e dos Cuidados Continuados Integrados. Dessa análise resultam propostas de mudança focadas nos desafios futuros e abrindo os horizontes além dos Cu...

Objectives To evaluate and compare nurses’ depression, anxiety and stress symptoms at the beginning of the COVID-19 pandemic and after six months; to evaluate and compare the frequency of use of mental health promotion strategies during the same period; and to identify the relationship between the frequency of use of mental health promotion strateg...

Introdução: A vulnerabilidade física feminina ao consumo de álcool, o julgamento social e a existência de um maior número de mulheres com sintomas depressivos, ansiosos assim como problemas de adaptação quotidianos são fatores apontados pela literatura como diferenciadores em relação ao género no consumo e consequências do mesmo. A compreensão da t...

Background It is important to characterize the functioning of elderly adults in different care contexts and evaluate their suitability to the condition of the elderly population. Therefore, the present study aimed to compare the functional profiles of institutionalized and noninstitutionalized older adults; to evaluate the effect of biological and...

cada vez está cobrando una mayor dimensión. Este fenómeno lleva aparejadas una serie de problemáticas que se acentúan especialmente en regiones como Alentejo (Portugal) y Extremadura (España), debido a sus particularidades sociodemográficas. Frente a este desafío, surge el Instituto Internacional de Investigación e Innovación del Envejecimiento (4I...

The aim of this study was to evaluate the psychometric qualities of the WHOQOL-BREF(PT) (the questionnaire developed by the World Health Organization Quality of Life Grpup for quality of life assessment), when applied to Portuguese elderly people residing in a community setting. The psychometric qualities were assessed by confirmatory factor analys...

Objective: to evaluate the psychometric properties of the Social Support Satisfaction Scale in people with schizophrenia. Methods: psychometric study, with a convenience sample, consisting of 282 people diagnosed with schizophrenia. The psychometric properties: validity (construct, criterion) and reliability (Cronbach's α) of the Social Support Sat...

The aim of the study was to describe the prevalence and general characteristics of acute and chronic wounds in 2018 in Alentejo (Portugal) continuing care units. In order to look at associations, wound characteristics studied were location, type, place of acquisition, number, and duration, and patient characteristics were sex, age, and presence of...

Objectives: A core set of International Classification of Functioning, Disability and Health codes was used, to ascertain the general profile of functionality as a function of biological and sociodemographic characteristics and to determine systematized nursing interventions in accordance with self-care needs identified with the study of self-care...

Objectives: A core set of International Classification of Functioning, Disability and Health codes was used, to ascertain the general profile of functionality as a function of biological and sociodemographic characteristics, notably the age of the citizens.

Surgical needs have been growing in Portugal due to the aging population, the increasing number of people with acute and chronic disease with consequent acquisition of deficiencies and restrictions, being verified dependence on self-care of the people in surgical process. The purpose of rehabilitation nursing intervention is to enable the person to...

Background: The increase in the average life expectancy has increased the need for intensive care. In these units people remain under ventilatory support, remaining in bed for long periods. It is up to the rehabilitation nurse to intervene, reducing dependency and promoting self-care, conditioning a better quality of life. Objective: To identify th...

Objectives: This paper describes the psychometric qualities of a core set composed initially of 31 codes and extracted from International Classification of Functioning, Disability and Health, to ascertain the Functional Profile of Portuguese Elderly Citizens, residing in their own home or at a family or friends’ home. Methods: Cross-sectional, desc...

A core set of International Classification of Functioning, Disability and Health codes was used to ascertain general profiles of functionality as a function of biological and sociodemographic characteristics and to develop structured nursing interventions in accordance with self care deficits identified by studying self care behavior for elderly pe...

A computer-based pattern recognition system architecture destined to collect and process geographically referenced data about integrated continuous healthcare teams (ECCI) is presented and discussed in the chapter. These teams are part of Portugal's National Network of Integrated Continuous Care (RNCCI). The system is designed to collect data about...

The individual care plan (ICP) is a metamorphic being. The only steady reality that it maintains is its final objective, stated and explained in the previous chapter where the ICP is thoroughly introduced and debated. It is a fantastic beast, better described as a system of systems that is severely polymorphic due to its coverage both in level of c...

The idea of the need for healthcare planning, whether in the individual or collective dimensions, is consensual among all health professionals. Despite this consensus, as well as a discourse that values teamwork, planning focused on health professionals has prevailed. Due to the current circumstances, particularly those resulting from changes in th...

This paper describes the Quality-of-Life profile of the elderly residing in an inland region located at middle south of the Portugal main territory, presenting a larger area and low population density, which is composed of several items, extracted after statistics analysis of the data taken from the European Portuguese version of WHOQOL-BREF. Cross...

About 45% of older people are unable to take their medicines as prescribed. Adherence represents a complex behavior that involves both the intention and the ability to take medication. In this way, it is important to distinguish the intention to take medicine and the ability to do so. The daily consumption of medication is a methodical process, mar...

Population aging is a growing challenge worldwide. As such, new models of provision, organization, and allocation of resources, particularly in healthcare, are needed. As the self-care and long-term care needs of this age group become more prevalent, the importance of improved health services and effective health management strategies are apparent....