The dimensions of the human being and nursing care in the pandemic context of COVID-19

Paula, Paulo Henrique Alexandre de; Pinheiro, Patricia Neyva da Costa; Mondragón-Sánchez, Edna Johana; Costa, Maria Isabelly Fernandes da; Rodrigues, Icleia Parente; Dourado, João Víctor Lira

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REFLEXION • Esc. Anna. Nery 24 (spe) • 2020 • https://doi.org/10.1590/2177-9465-EAN-2020-0321 copy

The dimensions of the human being and nursing care in the pandemic context of COVID-19

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

to reflect on the dimensions of the human being and nursing care in the pandemic context of Covid-19.

Method

this is a reflection study, in which the corporeal dimensions (Homo somaticus), human life (Homo vivens), knowing (Homo sapiens), will (Homo volens), language (Homo loquens), social (Homo socialis), work (Homo faber), play and fun (Homo ludens) and nursing care in the pandemic context of Covid-19.

Results

the dimensions are being influenced by the pandemic context of the new coronavirus, requiring humanizing nursing interventions, such as transpersonal clinical and therapeutic management, support for the sick physical body, guarantee of a language that enables self-care and psychological support, attitude of open listening, encouraging game practices to spend time and methods of relaxation, meditation and guided imagination, among others. The act of reflecting on the dimensions creates new possibilities for signaling points of intercession for the understanding of the new reality experienced by man.

Conclusion and implications for practice

when reflecting on the dimensions of man in the light of anthropology with the theoretical basis of the Nursing Interventions Classification (NIC) Care Models, possibilities for holistic care are created in the context of the new coronavirus pandemic.

Keywords:
Anthropology; Coronavirus Infections; Existentialism; Nursing Care; Pandemics

Humanized Nursing Care
Person, Family and Community
- Pay attention to the knowledge of the signs and symptoms involved, as well as the attitudes to be taken when identifying risks;
- Include preventive measures that reduce the spread of the virus in daily life;
- Use measures to overcome fears, anxieties and uncertainties when facing the preservation of quality of life and health;
- Effective family confrontation to add healthy and collaborative support measures;
- Personal, individual and non-transferable decision to be a participant of the will to contribute in the decrease of the viral load dissemination.
Health Professionals
- To know the pandemic, with emphasis on the identification of the prevalent signs and symptoms, as well as its therapeutic management;
- Pay attention to the increase in body temperature;
- Alert for signs and symptoms of Gripal Syndrome;
- Maintain an effective respiratory pattern of area pathways;
- Offer the client safety about the therapy developed;

Humanized Nursing Care
Person, Family and Community

- Use a calm and reassuring approach;
- Try to understand the perspective of the patient and family in relation to the feared situation;
- Listening to the patient and family with attention;
- Encourage the expression of feelings, perceptions and fears;
- Determine the adequacy of existing social networks;

Health Professionals
- Identify stressful events in the work environment;
- Initiate programs to promote health in the workplace;
- Identify and treat acute conditions at work;
- Initiate changes in the environment to eliminate or minimize risk;
- Use relaxation techniques;

Humanized Nursing Care
Work
Person, Family and Community
- The first thing is to keep an open listening attitude to what people manifest;
- Carefully evaluate the reactions of affected people and identify, with clear criteria, those that require the most urgent psychological attention to offer personalized support;
- You need to make her feel that she is accompanied, hold her hand, hug her, caress her, speak to her in an affectionate and serene tone, calling her by name;
- If the person expresses their feelings of pain or frustration with aggressive behavior, such as hitting objects, accompany them calmly, without trying to stop them immediately, unless the safety of yourself or others is at risk;
Health Professionals
- Spend some time with colleagues and vent to verbalize thoughts of lived situations;
- Avoid destructive criticism that affects everyone;
- Try to rest every two hours, taking a deep breath for a few minutes to help you relax;
- When leaving work, avoid excessive information about the pandemic (TV, radio, internet and WhatsApp).
Game
- Using relaxing, interesting and leisure activities to promote well-being;
- Using music to help achieve a specific change in behavior, feelings or physiology;
- Facilitating communication through drawings or other forms of art;
- Providing a calm environment;
- Encourage the person to describe their drawings or artistic creations;
Religion
- Identify the spiritual and religious needs of this person, using the knowledge to value and present spiritual and religious care daily;
- Provide an environment that favors the person with the possibility of a meditative / contemplative attitude of self-reflection;
- Be open to listening actively to expressions and concerns of loneliness and powerlessness in times of pandemic and, if necessary, help the individual to adequately express and release negative feelings;
- Use techniques to help the individual classify his or her beliefs and values, as well as areas and reasons for hope in life;
- Encourage the person to relate to family, friends, and other people;

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E-mail: annaneryrevista@gmail.com

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[1] Corresponding author:
Edna Johana Mondragón Sánchez E-mail: ejmondragon@uniquindio.edu.com