Care for frail older adults in the community: an integrative review

Souza, Gislaine Alves de; Giacomin, Karla Cristina; Firmo, Josélia Oliveira Araújo

doi:10.1590/1981-22562020023.190134

Cited by 5 publications

(2 citation statements)

References 38 publications

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“…Concerning the ability to self-manage health, we know that the ability of the older adults to self-regulate or self-manage their health influences the aging processes. In our study, there was a correlation between health self-management and frailty levels among the older adults, which is in agreement with published studies [ 51 , 52 ]. Providing frail older adults with access to educational information and guidance on self-management of health and frailty improves their understanding and knowledge of their condition [ 53 ].…”

Section: Discussionsupporting

confidence: 93%

Multidimensional Frailty and Lifestyles of Community-Dwelling Older Portuguese Adults

Faria

Martins

Ribeiro

et al. 2022

IJERPH

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(1) Background: Lifestyles are referred to as conditioning factors for the frailty of older adults. However, there are few studies that explore its association. The objective of the present study is to analyze the association between sociodemographic, clinical, and lifestyle factors of older adults people with multidimensional frailty. (2) Methods: Descriptive and correlational study carried out with older adults people registered in a Health Unit in Portugal. Data were collected through a sociodemographic and clinical questionnaire and application of the Individual Lifestyle Profile and Tilburg Frailty Index to assess the lifestyles and multidimensional frailty of older adults, respectively. This last instrument, being of a multidimensional nature, assesses not only physical, but also psychological and social frailty, with a cut-off point of 6. (3) Results: Of the 300 older adults who participated, most were female (60.3%) and had a mean age of 81.34 ± 6.75 years. Moreover, 60.3% of the sample were frail older adults. Gender, marital status, number of household members, number of chronic diseases, number of daily medications, self-perception of health status and lifestyle and use of a walking device were associated with multidimensional frailty (p ≤ 0.001). Healthy eating habits, physical activity, relational behaviour, preventive behaviour, and stress management were significantly associated with lower physical, psychological, and social frailty (p ≤ 0.001). (4) Conclusions: When community health workers are aware of multidimensional frailty predictors and their components, they can intervene early and, consequently, delay the onset and progression of frailty in older adults.

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Section: Discussionsupporting

confidence: 93%

Multidimensional Frailty and Lifestyles of Community-Dwelling Older Portuguese Adults

Faria

Martins

Ribeiro

et al. 2022

IJERPH

View full text Add to dashboard Cite

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“…When other variables influence this process, such as the elderly being inserted in a hospital environment, or the spouse's death, who was responsible for this chore, this condition can become even worse. The role of low protein and possibly vitamin E intake, along with a persistent inflammatory state seems to be part of this path (25)(26) .…”

Section: Discussionmentioning

confidence: 99%

Clinical validation of nursing diagnosis Fragile Elderly Syndrome

et al. 2021

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Objective: to clinically validate the nursing diagnosis of NANDA-I Frail Elderly Syndrome in hospitalized elderly. Method: a methodological study, guided by the STROBE instrument, composed of 40 elderly people admitted to a teaching hospital in Paraíba, Brazil. The last phase of Hoskins’ Nursing Diagnostic Validation Model: clinical validation was adopted. Data collection took place from August to December 2018. The data were analyzed using univariate descriptive statistics. It was approved by the hospital’s ethics and research committee. Results: nine defining characteristics were validated; seven risk factors; six populations at risk and two associated conditions. Conclusion: the validation of the nursing diagnosis of the Frail Elderly Syndrome in our socio-cultural context was considered appropriate, being an important step for critical thinking that underlies the decision-making of nurses in the care of the frail elderly, as well as professional practice.

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Social death of the older adult population reinforced in pandemic times

Basheer,

Solanho,

Baracat

et al. 2023

Rev. Bioét.

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In a context in which the neglect toward the older adult population grows, the COVID-19 pandemic has made evident the lack of inclusion and care that these people face, creating a phenomenon of non-belonging and exclusion that can be described by the term “social death.” This study aims to analyze the social death of the older adult population from an integrative literature review that includes studies related to social death, older adults and the pandemic. Of the 1,291 studies found in the databases, 15 articles were selected, in which it was observed that aging is not understood as a physiological process, but as a disease, so that older adults are removed from society and treated exhaustively until they die in isolation. It can be concluded that a specific gaze toward this population is necessary to ensure their (re)integration and active participation in society.

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Care for frail older adults in the community: an integrative review

Cited by 5 publications

References 38 publications

Multidimensional Frailty and Lifestyles of Community-Dwelling Older Portuguese Adults

Multidimensional Frailty and Lifestyles of Community-Dwelling Older Portuguese Adults

Clinical validation of nursing diagnosis Fragile Elderly Syndrome

Social death of the older adult population reinforced in pandemic times

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