Velhice, incapacidade e cuidado na saúde pública

Abstract

Old age, disability and care in public health

Fatores Associados À Qualidade De Vida De Cuidadores Familiares De Idosos

“…Diante da contextualização, evidencia-se que estratégia preventiva como o apoio social é imprescindível para os cuidadores, e o enfermeiro é um dos atores sociais o qual pode contribuir para isso acontecer. Para tanto, estudo (32) aponta a necessidade de capacitação dos profissionais de saúde em habilidades as quais valorizem a pessoa em todo o curso da vida, inclusive quando esta for idosa, eventualmente com alguma incapacidade.…”

The perception of the elderly about suffering related to frailty

“…In addition, the idealized conception that the elderly should be able to preserve their health, branding themselves as a "failure" due to their own frailty, becomes a cruel corollary of the view that aging equals illness. At the same time the ideology of "do it yourself" relieves the family, the state and society from the responsibility of providing favorable conditions for care and protection in old age 23 . The blame for the disease, from a normative perspective, characterizes in part the biomedical approach -which seeks to provide a form of care and treatment, but can become a type of violence and coercion, which is also evident from the research of Moraes et al 24 .…”

“…They speak of a world of their own, the experiential world, which constitutes an anthropological reality -historical, social, psychic, of the elderly human being. If the frailty phenotype proposed by Fried et al 2 was used as a reference, the elderly emphasized only two of the five proposed criteria: the aspects of mobility and loss of energy -which is translated as "lack of enthusiasm", as in these excerpts: The marking of the passage of time corresponds to a "natural" process of becoming frail that is confused with old age, which is almost always associated with illness and debilitation, ideas that are part of the Western historical imaginary 23,24 . Although it is accepted that there are "elderly diseases ", when they describe their difficulty in understanding why certain diseases do not have medical treatment, a lack of pharmacological and biomedical resources is used to as an explanation to solve the experience of sickness and sadness of old people.…”

Implicações do uso do Aparelho de Amplificação Sonora Individual na qualidade de vida de idosos

“…However, increased life expectancy and population aging also reflect a change in the morbidity and mortality profile, with an increase in situations that require chronic care (3) .…”

“…Therefore, the elderly face physical limitations and disabilities and present a need for greater care (3) . In addition to physical impairments, cognitive and behavioral deficits are also common, resulting from a set of biological changes and neuropsychiatric factors such as depression and dementia, which may also be associated with advancing age.…”