Atenção primária à saúde e os idosos institucionalizados: a perspectiva da gestão municipal no Brasil

Piuvezam, Grasiela; Lima, Kênio Costa de; Carvalho, Monise Santos de; Xavier, Vítor Guerra Pereira; Silva, Rafael Alves da; Dantas, Aline Rochelle Filgueira; Nunes, Vilani Medeiros de Araújo

doi:10.1016/j.rpsp.2015.05.003

Cited by 16 publications

(16 citation statements)

References 17 publications

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“…Oral health conditions, constitute an important risk factor for infection, especially by the association between microorganisms present in the bacterial biofilm and potential to cause remote infections like pneumonia. The oral cavity is home to pathogenic bacteria that can permenecer hidden, but potentially aggressive when the mechanical control of biofilm is inappropriate, can compromise the overall health and put life at risk [2][3][4][5][10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Hospital dentistry and the occurrence of pneumonia

Gomes

Castelo

2019

RGO, Rev. Gaúch. Odontol.

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Objective:To determine the oral health conditions of the elderly patients hospitalized and restricted to the bed and to correlate with the development of infections at a distance, especially pneumonia. To verify if the daily follow-up of the dental surgeon improves oral health and reduces the occurrence of respiratory infection in hospitalized elderly patients. Methods: Quasi-experimental study with hospitalized and bed restricted elderly, two simple randomized groups, one group was evaluated and monitored daily by the dental surgeon, the other group was evaluated and received guidance on health care and oral hygiene and of dental prostheses. Results: Both groups presented poor health and oral hygiene and prosthetic conditions. There was improvement in the oral health conditions of both groups. Seven percent of the patients developed pneumonia during the period of hospital stay and the oral health of these patients were considered regular or bad. Conclusion: The performance of the dental surgeon promoted improvements in the oral health of both groups in the first evaluation, with no statistical difference between the group that received daily follow-up and the group that received guidelines, so it was concluded that oral health care should be a behavior of the team multidisciplinary, dentistry should intervene if the changes interfere in the clinical condition of the patient and offer training and support to the multidisciplinary team that is in the first line of care with hospitalized patients. RESUMOObjetivo: Determinar as condições de saúde bucal dos pacientes idosos hospitalizados e restritos ao leito e correlacionar com o desenvolvimento de infecções à distância, sobretudo a pneumonia. Verificar se o acompanhamento diário do cirurgião-dentista melhora a saúde bucal e reduz a ocorrência de infecção respiratória em pacientes idosos internados. Metodologia: Estudo quase experimental com idosos internados em um hospital de ensino do sul do Brasil, restritos ao leito. A amostra teve 42 indivíduos, divididos em 2 grupos de formação aleatória simples, o grupo 1 recebeu avaliação e acompanhamento diário do cirurgião-dentista, o grupo 2 foi avaliado e recebeu orientações sobre os cuidados com a saúde e higiene bucal e das próteses dentárias. Resultados: Ambos os grupos apresentavam condições precárias da saúde e higiene bucal e das próteses na primeira avaliação. Houve melhora nas condições de saúde bucal de ambos os grupos no final da internação. Sete por cento dos pacientes desenvolveram pneumonia durante a internação hospitalar e a saúde bucal destes pacientes foram consideradas regulares ou ruins. Conclusão: A atuação do cirurgião-dentista promoveu melhoras na saúde bucal de ambos os grupos, sem diferença estatística entre o grupo que recebeu acompanhamento diário e o grupo que recebeu orientações, assim conclui-se que a atenção à saúde bucal deve ser uma conduta da equipe multidisciplinar, a odontologia deve estar presente para atuar em alterações que interfiram na condição clínica do paciente e oferecer capacit...

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Section: Discussionmentioning

confidence: 99%

Hospital dentistry and the occurrence of pneumonia

Gomes

Castelo

2019

RGO, Rev. Gaúch. Odontol.

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“…Although they do not mention the articulation between SUS and LTCIE, Evangelista et al 35 emphasize the importance of assuring to the elderly diverse care proposals that can transcend the supply of food and medicines. A national study 43 that covered two municipalities in each Brazilian region, and whose objective was to identify the actions developed in primary care with institutionalized elderly, found the lack of complex actions geared to neurodegenerative or rheumatic diseases, for example, in the way of exercising the integrality of elderly care, with scarcity and even absence, in many places, of actions with LT-CIE elderly residents.…”

Section: Long-term Care Institutions For the Elderly In The Brazilianmentioning

confidence: 99%

“…In a documentary and bibliographic analysis of LTCIE-related policies, Silva and Almeida 34 observed that the integration between the residents and the community is recommended, but does not happen in practice, which suggests confinement of many seniors to the institutional environment. A qualitative study 43 conducted with 18 older adults in an institution of a Brazilian capital point to the abandonment of the elderly by the family as one of the most present themes in the interviews, which showed resentment and suffering.…”

Section: Long-term Care Institutions For the Elderly In The Brazilianmentioning

confidence: 99%

Análise do tema violência nas políticas de cuidado de longa duração ao idoso

Poltronieri

Souza

Ribeiro

2019

Ciênc. saúde coletiva

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Resumo Objetivou-se identificar e analisar na literatura nacional e internacional se e como o tema da violência é abordado nos estudos de políticas públicas de atenção ao idoso albergado em Instituição de Longa Permanência para Idosos. Realizou-se revisão integrativa da literatura publicada entre 2010 e agosto de 2016. Foram consultadas as principais bases bibliográficas utilizando-se os descritores: “idoso”, “políticas públicas”,“instituição de longa permanência para idosos”,“asilo”, “casa de repouso” e “ILPI”, nos idiomas português, inglês e espanhol. Analisou-se 77 artigos, sendo 12 brasileiros e 65 estrangeiros, dos quais 30 são dos Estados Unidos. A análise mostrou que muitos países possuem políticas de cuidados de longa duração que regem as modalidades dos serviços que os fornecem. Somente oito artigos abordaram a questão da violência no interior das ILPI no âmbito das políticas de proteção ao idoso e afirmam que países da América Latina e da Ásia precisam avançar nesta pauta e colocar o tema da violência contra idosos na agenda de prioridades. Nenhum artigo brasileiro abordou o tema diretamente, embora tenha ficado claro que paira sobre as ILPI a negligência institucional e outras formas de violências.

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“…The creation and implementation of actions and services with inter and intra-sectorial linkage between all segments of society envisaged by the National Policy on the Elderly (1994) 33 , faces operationalization and implementation challenges, especially considering the relationship between LTCFs and the Health System 31,34 . The (Unified Health System or National Health Service) SUS is the main place of care for institutionalized elderly persons (61.9%), through basic health units and SAMU 11,23 .…”

Section: Complex Health Needsmentioning

confidence: 99%

“…This phenomenon depends on cultural factors, the degree of family support and the availability of alternative services. While Brazilian legislation recommends that care should be provided by the family, many families do not have the financial conditions or time to care for their elderly relatives, and Long-Term Care Facilities for the Elderly (LTCFs) are an alternative to preserve the lives of these individuals 6 . Long-term care for the elderly, however, is considered a major gap in public policies, whether in the health sector or in social policies 7 .…”

Section: Introductionmentioning

confidence: 99%

Characterization of long-term care facilities for the elderly in the metropolitan region of Belo Horizonte

Lacerda

Horta

Souza

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: to characterize Long Term Care Facilities for the Elderly (LTCFs) from the Metropolitan Region of Belo Horizonte, Minas Gerais, Brazil in terms of administrative and care aspects. Method: an exploratory, quantitative study was conducted in the MRBH, with primary and secondary sources used to map the LTCFs. A structured questionnaire was used for characterization, and data was collected between November 2014 and December 2015 through telephone contact and site visits to the LTCFs. A descriptive statistical analysis of the data was subsequently performed. Results: the 156 participating institutions included private and mixed institutions, with predominantly female residents with dependency levels I and II, and elevated levels of occupation. Philanthropic LTCFs directly receive the retirement pensions of the elderly persons, although most also receive a government grant. The results in terms of activities offered were similar for the philanthropic and private facilities, while the staff of the private facilities had more health professionals and the philanthropic facilities had more social workers and psychologists. Conclusions: there was significant participation among the LTCFs, despite the limiting factors of the study such as the data collection instrument and strategy. It is important to prioritize the elderly when creating policies to improve care for institutionalized individuals, as well as facilitating interlocution between LTCFs to minimize the abandonment of state participation.

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Atenção primária à saúde e os idosos institucionalizados: a perspectiva da gestão municipal no Brasil

Cited by 16 publications

References 17 publications

Hospital dentistry and the occurrence of pneumonia

Hospital dentistry and the occurrence of pneumonia

Análise do tema violência nas políticas de cuidado de longa duração ao idoso

Characterization of long-term care facilities for the elderly in the metropolitan region of Belo Horizonte

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