Uma revisão sobre instrumentos de avaliação do estado funcional do idoso

Abstract

The Comprehensive Geriatric Assessment is characterized as a functional and interdisciplinary evaluation. The first step is the assessment of functional status, which lies at the core of the procedure and can be defined by the level at which an individual performs roles and activities of daily living. Such assessment can be carried out by instruments (questionnaires) whose conceptual framework and psychometric properties must be well-defined. The present study systematically reviewed published data on the properties of the functional status measurement instruments and their adaptation and use in Brazil, through a search of the medical literature in reference textbooks and the LILACS and MEDLINE databases. After selection of the instruments, the next step consisted of a systematic scrutiny of validation, replication, and cultural adaptation studies. Thirty instruments were included according to explicit criteria. Only two, the Medical Outcomes Study SF-36 and the Health Assessment Questionnaire, were found to have equivalence studies in Brazil. However, some of these were apparently used in this country without any formal adaptation. The cultural adaptation of functional status measurement instruments is incomplete and inconsistent in Brazil.

Functional and cognitive changes in community-dwelling elderly: Longitudinal study

“…The advanced activities of daily living (AADLs) comprise a third category, which includes voluntary social, occupational, and leisure activities 8 . Although the difficulty in participating in AADLs might not indicate the actual presence of functional impairment, this difficulty might denote the conditions for a future loss of function that might be actualized.…”

Força de membros inferiores como indicador de incapacidade funcional em idosos

“…A variedade de instrumentos utilizados para mensurar a capacidade funcional, assim como, os diferentes pontos de corte adotados para classificar a dependência funcional dificulta a comparação de resultados referentes as atividades básicas e instrumentais da vida diária (Paixão & Reichenheim, 2005 incapacidade funcional são semelhantes entre os estudos. Em geral, a prevalência de quedas em idosos dependentes nas ABVD é superior a aqueles idosos que não sofreram quedas.…”

Situação vacinal e associação com a qualidade de vida, a funcionalidade e a motivação para o autocuidado em idosos

“…The Barthel Index assesses daily life functional activities (DLFA), which correspond to the ability to perform daily activities such as eating, bathing, personal hygiene, dressing, going from one site to another, and sphincter control. A revision of the tools used in the assessment of the elderly identified that the Barthel Index was used in 73.7% of studies on the theme and is considered to present the most consistent results in reliability and validations (10) ; · Adaptation of Subscale III, developed by Nunes (11) : to determine the competence of the Diabetic Patients for Self Care (ECDAC), aimed at verifying the motivation of the elderly for self care; · The generic quality- (12) . Data collected were organized in Microsoft Excel program spreadsheets and analyzed in SPSS version 12.0 statistical software.…”