The frail elderly and integral health management centered on the individual and the family

Moraes, Edgar Nunes de

doi:10.1590/1981-22562017020.170061

Cited by 2 publications

(4 citation statements)

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“…Self-perception of skills, limitations and social context are stressors of intrapersonal and extrapersonal origin to the extent that elderly people need to adapt the environment and the support network that have (10) . This fact was evidenced in a study (26)(27)(28) conducted with elderly people, in which a positive association was observed between Qol and support network presence for elderly people. There is evidence about the fact that the support network favors individuals' emotional and affective support, providing appreciation of themselves, and relationships present in the network function as easing of negative events, improving elderly people's well-being and QoL (34)(35) .…”

Section: Discussionmentioning

confidence: 85%

“…In the sample, more than one third were identified with age over 75 years and a few years of study, variables that predispose the individual to an increase in frailty and the degree of dependence (27) , although these variables did not show statistical significance for the group investigated. Elderly people, in general, have, throughout their lives, losses in functional capacity and physical aspect, such as reduced mobility, difficulty in balance and reduction of strength, which can make them more restricted and dependent.…”

Section: Discussionmentioning

confidence: 94%

“…Information gathering from the social actors mentioned above, when approximated by those provided by the majority of elderly people regarding polypharmacy in their routine is corroborated by evidence. This evidence interprets the use of several medications, linking to a high number of comorbidities, in particular chronic diseases of high prevalence in the elderly population (2,(30)(31) , making them susceptible to drug interactions, triggering hypotension and drowsiness, which compromise reflexes and other conditions that are predictors for falls (24)(25)(26)(27)(28)(29)(30)(31)(32) . These are situations that evidence interpersonal stressors (10) .…”

Section: Discussionmentioning

confidence: 98%

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Quality of life and falls in elderly people: a mixed methods study

et al. 2021

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Objective: to assess elderly people’s quality of life, understanding the social representations of falls. Methods: a convergent mixed methods research carried out at homes, with a sample of 134 elderly people. A structured questionnaire was used, covering sociodemographic variables and factors that indicated frailty and risk of falling. For quality of life assessment, Medical Outcomes Study Short-Form 36 and Theory of Social Representations, Abric’s structural approach were used, with data treated by dictionary of equivalent terms, processed in Evoc 2000, converging analytically according to Neuman. Results: quality of life impairment was identified in terms of physical, emotional and functional capacity. The elements of the possible central nucleus were fall, fear, and bruised-broken-bone. Final considerations: quality of life impairment can contribute to increase the number of falls, which has been shown to be an event present in elderly people’s lives through evocations. Understanding elderly people’s individual demands allows planning actions.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 98%

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Quality of life and falls in elderly people: a mixed methods study

et al. 2021

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“…It is necessary to minimize the consequences of the aging process, seeking to keep older adults functionally independent for as long as possible 1,2,5 . Individual aging is not the only cause of functional decline but the main risk factor for the accumulation of chronic health conditions, which tend to decrease functionality and quality of life, besides generating more costs for health systems 6 .…”

Section: Introductionmentioning

confidence: 99%

Robust older adults in primary care: factors associated with successful aging

et al. 2020

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OBJECTIVE: To estimate the prevalence of robustness among older adults assisted in primary health care and identify factors in successful aging. METHODS: This is a cross-sectional study conducted with older adults in Northern Minas Gerais, Brazil. Two questionnaires were used for data collection: the Brazilian Older Americans Resources and Services Multidimensional Function Assessment Questionnaire (BOMFAQ) and the Clinical-Functional Vulnerability Index IVCF-20). The adjusted prevalence ratios were obtained by robust Poisson regression. Statistical analysis was performed for older adults in general (60 to 107 years) and stratified by age: from 60 to 79 years and 80 years or more. RESULTS: A total of 1,750 older adults aged 60 to 107 years participated; between them, 48.7% were robust. Older adults aged 60 to 79 years (n = 1,421) and 80 years or more (n = 329) had a prevalence of robustness of 55.4% and 19.3%, respectively. Some factors associated with successful aging were: positive self-perception of health, dancing habits, walking habits, absence of cognitive impairment, absence of depressive symptoms and polypathology, as well as daily life independence. After adjustment by age, the absence of polypathology and independence for activities of daily living stand out for robustness between 60 and 79 years; in those aged 80 years and over, independence for activities of daily living and dance practice presented greater strength of association. CONCLUSION: The prevalence of robust older adults in primary care is considered satisfactory for the older population in general but decreases with age and is associated with the absence of diseases and disabilities. These results denote the need to redesign the health care system, focusing on promoting and preventing clinical-functional vulnerability.

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The frail elderly and integral health management centered on the individual and the family

Cited by 2 publications

References 0 publications

Quality of life and falls in elderly people: a mixed methods study

Quality of life and falls in elderly people: a mixed methods study

Robust older adults in primary care: factors associated with successful aging

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