Objetivo: Testar a Escala de Avaliação do Risco de Violência em Idosos não Institucionalizados, num grupo de pessoas idosas autónomas do Alentejo. Métodos: Pesquisa exploratória, com abordagem quantitativa. Participaram 500 pessoas idosas com idades compreendidas entre os 65 e os 96 anos, do projeto Envelhecer em Segurança no Alentejo-Compreender para Agir, da Universidade de Évora. Resultados: A Escala de Avaliação do Risco de Violência em Idosos não Institucionalizados é constituída por 27 itens. O Coeficiente de Alpha de Cronbach com um valor de 0,727 revela uma consistência interna aceitável. O ponto de corte que produz a sensibilidade e especificidade máximas para prever o risco de violência sobre as pessoas idosas foi de 4,5 (sensibilidade= 64,9%, especificidade= 80,7%) e a área da curva ROC= 0,812 (0,766-0,702, de intervalos de confiança de 95 %). Conclusões: 26,7% das pessoas idosas apresentaram risco de violência. É imperioso desenvolver e aperfeiçoar instrumentos que detetem o risco de violências sobre as pessoas idosas para que todos os profissionais de saúde e outros possam agir precoce e preventivamente no combate à violência sobre as pessoas idosas. Destacam-se como fatores de risco de violência o fato de ser mulher, o isolamento social e o baixo rendimento. Descritores: Maus-tratos ao idoso; envelhecimento; gestão de risco; promoção da saúde.
Discovering the readings of health professionals on home care practices for patients at the end of their life, through a sociological prism, is one way to better understanding the nature of palliative care. In this article, we have explored the voice of healthcare professionals from a Community Palliative Care Support Team (ECSCP), analyzing the implicit textuality of their discourse and perspectives on the nature of palliative, curative and preventive work, challenges of work on end of life process, logic of communication and translation to solve problems at work as part of the patient's end of life trajectory. This article has been prepared on the basis of preliminary data analysis collected between 2019 and 2020, as part of the project funded by the Foundation for Science and Technology (FCT), entitled ETIC (End-of-Life Trajectories In Care) - Managing end-of-life trajectories in palliative care: a study on the work of healthcare professionals.
The purpose of this study was to understand the correlation between the elderly with depressive symptomatology and the predictors of the risk of violence against them. The method used was a quantitative approach using the Statistical Package program for Social Sciences. There was a participation of 237 elderly people aged 65-96 years, of the project “Aging in Safety in Alentejo-Understanding to Act”, at the University of Évora. The Geriatric Depression Scale and the Predictors of Risk of Violence (an adaptation of the Elder Abuse and Neglect-Risk Assessment Tool and Vulnerability to Abuse Screening Scale) were applied. About the results, 50 elderly (21.1%) had mild depressive symptomatology, and 14 (5.9%) had severe depressive symptomatology. Of the 64 elderly individuals who presented depressive symptomatology 55 were female. In the relationship between the severity of depressive symptomatology and predictors of risk of violence, significant results were found in three dimensions: current supports and relationships, family context and cognitive/emotional difficulties. The main conclusion of the study is that factors like no social support networks, complex family context and cognitive and emotional changes, contribute to greater physical and mental vulnerability of the elderly, resulting in cases of anxiety and stress, which present a depressive symptomatology and the risk of violence.
The healthcare industry is rapidly evolving with new technologies and treatments being developed all the time. This trend means that healthcare professionals must continuously educate themselves to stay current in their field and provide the best possible care to their patients. However, the traditional models of continuing education and training are not always well suited to the fast-paced nature of the healthcare industry. Digital technologies have the potential to revolutionize the way that healthcare professionals are educated and trained. Online courses, virtual simulations, and other interactive learning tools offer a flexible way for professionals to stay current in their field. Therefore, considering that digital instructional technologies could provide a valuable resource for healthcare professionals, this chapter intends to explore the potential of using an educational tool (Moodle), providing the concrete experience of our educational group in the design and implementation of curricular units for teaching health professionals through e-learning methods.
Elder abuse is a multifactorial public health issue deeply affected by silence and discrimination. This paper aims to analyze the social representations of violence among older people with functional dependence based on the theory of social representations. A qualitative exploratory–descriptive study was conducted with a sample of 21 older people enrolled in a home-based program in Vitória da Conquista, Bahia, Brazil. A sociodemographic survey and an interview script were used for data collection. The data were analyzed using the content analysis technique and QSR NVivo® software. Concerning the social representations of violence, older people’s narratives revealed a broad perception of the phenomenon through the following categories: multivariate phenomenon, ageism, neglect, and denial. The identification of the subtle forms of violence against older people and the exploration of this issue from the perspective of these vulnerable people can contribute to the production of new knowledge and the creation of mechanisms by which to raise awareness of and prevent this issue, as well as to break the silence surrounding it through reporting.
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