Indicators of health and safety among institutionalized older adults

Abstract

Objective:To identify the incidence of mortality, diarrheal diseases, scabies and falls; and the prevalence of pressure ulcers -all of which are related to the safety of institutionalized older adults. Method: This was a documentary retrospective study developed in a longterm residential care institution for older adults in the Northeast region of Brazil. The data were gathered from records of health assessment indicators filed between January 2008 and December 2015. Analysis included absolute case frequency; the sum of monthly prevalence and incidence rates; mean values of cases; and mean annual incidence and prevalence rates. Results: The incidence of mortality over these nine years ranged from 9% to 13%; of acute diarrheic disease from 13% to 45%; and scabies from 21% to 63%. The prevalence of pressure ulcers ranged from 8% to 23%. Between 2012 and 2015, the incidence rate of falls without injury varied from 38% to 83%, and with injury from 12% to 20%. Conclusion: Analysis of the health indicators revealed a high incidence of scabies and falls and a high prevalence of pressure ulcers. The identification of less than optimal rates for performance indicators can help improve the quality of nursing care.

Avaliação Nutricional De Idosos Residentes Em Instituições De Longa Permanência

“…Outros fatores que favorecem a institucionalização são: maneira de evitar a solidão e necessidade de segurança, tratamento de saúde ou perda da autonomia (14) . (19) .…”

Intervenções de enfermagem para pacientes com lesão por pressão

“…21 Evaluate tissue perfusion. 23 Evaluate the client's clinical condition. 11,35,37 Evaluate patient exams.…”

Promoção Da Saúde E Prevenção Da Lesão Por Pressão: Expectativas Do Enfermeiro Da Atenção Primária

“…[2][3][4][5] As regards to Brazil, there are few studies on the prevalence and incidence of the disease, however, with regard to home care, there are studies which showed a 41.2% to 59% risk for the development of pressure injury and a prevalence of between 8% and 23%, this is a cause for concern as it is something which can be prevented in up to 95% of cases, as determined by the Rio de Janeiro Declaration on the Prevention of Pressure Injury. [6][7][8][9][10] It is known that care for people with pressure injuries should occur in high and medium complexity health services, as well as Primary Health Care (phc), under the care of the Family Health Team (ESF), which refers to the establishment of guidelines which guide the practice of prevention, with the need to move towards health promotion actions.…”