Systematization of Nursing Care for the Elderly in Primary Health Care: An Integrative Literature Review
Kélia das Graças de Paiva Macias Nakai
State University of Pará (UEPA), Parauapebas, Pará, Brazil.
Rebecca Máxima de Souza Lopes
State University of Pará (UEPA), Parauapebas, Pará, Brazil.
Thais Garcia Raymond Franco
Nurse at State University of Pará and Santa Casa de Misericórdia Foundation of Pará, Belém, Pará, Brazil.
Paula Carolina Lima de Aviz
Nurse in Psychosocial Support Center III, Castanheira, Marabá, Pará, Brazil.
Letícia Dias Pena
Brazil Amazon Integrated Colleges (FIBRA), Belém, Pará, Brazil.
Carla Daniara Feitosa Coelho
Empresa Brasileira de Serviços Hospitalares (EBSERH), Belém, Pará, Brazil.
Bruno da Silva Mendonça
Pharmaceutical at Amazon University Center – UNIESAMAZ, Belém, Pará, Brazil.
Danielle de Alencar Alves dos Santos Franco
Physiotherapist from the University of the Amazon (UNAMA), Belém, Pará, Brazil.
Darlete Godinho da Veiga
Faculdade Pan da Amazônia (FAPAN), Belém, Pará, Brazil.
Elem Gabriela Reis Pinheiro
Federal University of Pará (UFPA), Belém, Pará, Brazil.
Annely Barros Góis
Santa Casa de Misericórdia Foundation of Pará (FSCMPA), Belém, Pará, Brazil.
Eneida Horta Costa
State University of Pará (UEPA), Belém, Pará, Brazil.
Thiago Simplício Costa
State University of Pará (UEPA), Belém, Pará, Brazil.
Ana Caroline Guedes Souza Martins *
State University of Pará (UEPA), Belém, Pará, Brazil.
*Author to whom correspondence should be addressed.
Abstract
Background: The global increase in life expectancy has intensified the demand for qualified health services aimed at the elderly, particularly within Primary Health Care (PHC). In this context, the Systematization of Nursing Care (SNC) emerges as a fundamental strategy to guide professional practice, ensuring comprehensive, individualized, and continuous care. SNC enables structured nursing actions through standardized methodologies, contributing to the promotion, prevention, and management of health conditions in older adults. Despite its recognized importance, challenges in its application persist, especially in PHC settings, where resource limitations and professional training gaps can hinder its full implementation.
Objective: This study aimed to analyze the evidence available in the literature on the Systematization of Nursing Care (SNC) aimed at caring for the elderly in Primary Health Care (PHC).
Methods: This is an integrative bibliographic review, with a qualitative approach, carried out between March and April 2025, with searches in the SciELO, LILACS, BDENF and PubMed databases, using descriptors such as “elderly”, “primary health care” and “systematization of nursing care”. Were included 14 articles published between 2019 and 2024, in Portuguese, English or Spanish.
Results: The results were organized into three categories: (1) systematized approaches in nursing consultations for the elderly, highlighting the importance of multidimensional assessment and the construction of a care plan; (2) instruments and technologies applied to SNC, such as the use of Electronic Medical Records, CIPE® and mobile applications, which promote standardization and continuity of care; and (3) challenges faced in implementing SNC, such as work overload, lack of specific protocols and deficiencies in professional training.
Conclusion: It is concluded that SNC is an essential strategy to qualify care for the elderly in PHC, but its effective implementation still depends on investments in training, infrastructure and valorization of the nursing process. Strengthening these practices is essential for the construction of comprehensive, effective and humanized care, especially in view of the aging population.
Keywords: Nursing, geriatric nursing, primary health care, systematization of nursing care