Avaliação funcional de idosos com déficit cognitivo

Macêdo, Ana Macli Leite; Cerchiari, Ednéia Albino Nunes; Alvarenga, Márcia Regina Martins; Faccenda, Odival; Oliveira, María Amélia de Campos

doi:10.1590/s0103-21002012000300007

Cited by 20 publications

(22 citation statements)

References 11 publications

(21 reference statements)

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“…For example, one study 17 classified participants as functional dependents if they had limitations in only one ADL, while others used limitations in two or more ADLs, or used specific validated instruments, such as the FIM 6,10 . Macêdo et al 12 applied the FIM using the same cut-off score as in the present study and showed a prevalence of 14.9% of functional dependency among elderly people with cognitive deficits. Ricci et al…”

supporting

confidence: 56%

“…The lack of significance may be explained by the major difference in proportion between men and women in this sample of 20% and 80%, respectively; there were insufficient numbers of men to allow inferences to be made for sex difference in function. According to Macêdo et al 12 , there is a higher tendency for male participants to be functionally dependent and suggests that the lack of statistical significance in this present study was due to a major difference in the number of males (35) compared to females (134). Nerevtheless, other studies 8,20 have shown higher dependency among elderly women and have attributed this sex difference to the greater longevity of women compared to men.…”

contrasting

confidence: 56%

“…Each dimension is scored from 1 (total dependency) to 7 (total independency), with total scores ranging from 18 to 126. Participants with scores of 103 or less were considered as functional dependents 12,13 . Since the assessments were conducted in the participant's residence, there was no need to adopt special resources to simulate real life situations; however, it is important to note that if the participant/caregiver was incapable of answering a specific item they would receive a score of 1, as recommended by the Brazilian Ministry of Health.…”

mentioning

confidence: 99%

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Prevalence and factors associated with functional dependency in homebound elderly people in Brazil

Pampolim

Lourenço

Silva

et al. 2017

J. Hum. Growth Dev.

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Introduction: Population ageing is a worldwide reality that requires attention, and a concern for healthy and functional ageing is increasingly the focus of government policies and programmes.Objective: To identify the prevalence of homebound elderly people, and the influence of sociodemographic and economic characteristics on their functional dependency. Methods:Cross-sectional study with 178 homebound elderly people assisted by a family healthcare unit in Vitória, ES, Brazil. Functional independence was measured by the Functional Independence Measure (FIM) and the sociodemographic and economic variables were collected by a questionnaire developed by the authors. Binary logistic regression was used to determine the influence of the sociodemographic and economic characteristics on the risk of being functionally dependent.Results: Forty-eight percent of the participants were functional dependents, 80% were female, 72% belonged to the fourth age, 74% were white, 63% were widowed, 78% had retired, 90% had children, 83% had a caregiver, 52% had low education and 40% had low income. Logistic regression indicated that having a caregiver increased by 40 times the chance of being functionally dependent (OR = 40.2; and having between one to eight years of education decreased the chance of functional dependency (OR = 0.2; 95%CI 0.04-0.9). Conclusions:The prevalence of functional dependency was very high in this sample, and since the presence of a caregiver was the strongest and significant predictor of functional dependency, we suggest that guidance and support should be offered to caregivers, followed by a family healthcare strategy, to make consistent efforts with the objective of improving functional recovery and independence of homebound elderly. Keywords Open acessSuggested citation: Pampolim G, Lourenço C, Silva VG, Coelho MCR, Sogame LCM. Prevalence and factors associated with functional dependency in homebound elderly people in Brazil. J Hum Growth Dev. 2017; 27(2): 235-243 J Hum Growth Dev. 2017; 27(2): 235-243 Prevalence and factors associated with functional dependency in homebound elderly people in BrazilIn the past few years, worldwide demographics have indicated intensive population ageing¹. In Brazil, according to the Brazilian Institute of Geography and Statistics, this ageing process has accelerated over the past decade and, by 2060, they expect that more than 30% of the Brazilian population will be 60 years old or more 2 . According to the Brazilian National Policy of Elderly Health, most of these elderly people will present some physical and/or mental disability that can impact upon their activities of daily living (ADLs). Therefore, the focus should be on the promotion of health and prevention of disabilities; this may be achieved through the Family Health Strategy (FHS) that works as a bridge between the health system and the elderly 3 , it has evolved into a robust approach to providing primary care for defined populations by deploying interdisciplinary health care teams. Family health t...

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supporting

confidence: 56%

contrasting

confidence: 56%

mentioning

confidence: 99%

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Prevalence and factors associated with functional dependency in homebound elderly people in Brazil

Pampolim

Lourenço

Silva

et al. 2017

J. Hum. Growth Dev.

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“…Esse achado é similar ao de outros trabalhos 14,15,16,22 , sendo justificado em função da maior necessidade de saúde e, em consequência, de utilização de serviços, decorrente das condições crônicas. A literatura também destaca a associação entre baixa escolaridade e condições crônicas, particularmente expressas em multimorbidades 6,25,26,27 , aumentando a complexidade dos desafios tanto de expansão da atenção domiciliar na rede de atenção à saúde do SUS quanto de sua efetividade, em contextos de maior vulnerabilidade social 20,22,23,24,25,26,27,28,29,30 .…”

Section: Discussionunclassified

Prevalência da assistência domiciliar prestada à população idosa brasileira e fatores associados

et al. 2016

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Avaliar a prevalência e os fatores associados à assistência domiciliar na população idosa brasileira. Estudo transversal de base populacional com indivíduos de 60 anos ou mais, residentes na área urbana de 100 municípios, localizados em 23 estados brasileiros. Foi utilizado modelo de regressão de Poisson para análise bruta e ajustada. Foram entrevistados 6.624 idosos e a prevalência da assistência domiciliar foi de 11,7%. Após ajuste, a ocorrência foi maior entre as mulheres, nos mais velhos, com menor escolaridade e poder aquisitivo, com diagnóstico de morbidade crônica, história de queda, hospitalização prévia e consulta médica nos últimos três meses. Os resultados destacam a maior utilização da assistência domiciliar por idosos mais vulneráveis. Esse achado indica uma contribuição da assistência domiciliar à promoção da equidade na atenção à saúde no país, principalmente em decorrência da expansão da Estratégia Saúde da Família. Os resultados podem subsidiar a organização do processo de trabalho de profissionais e gestores na atenção básica à saúde.

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“…(2) The aging process is characterized by the loss of functional capacity which leads to greater vulnerability and dependence during this stage of life. (3) Impaired functional capacity has major consequences for the family, the community, the health system and the life of the elderly. Functional capacity appears as a new component in the health model of the elderly, because aging, while at the same time maintaining full functionality, means greater autonomy and less risk of institutionalization.…”

Section: Introductionmentioning

confidence: 99%

Capacidade funcional e a gravidade do trauma em idosos

et al. 2013

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Objective: Correlate functional capacity in elderly people with the severity of the trauma and compare it before and after the trauma. Methods: Prospective observational study conducted in an emergency department, comprised of 55 elderly people, age 60 and over, of both sexes, who suffered trauma. The incapacity of patients with functional limitations of various origins was assessed. The research instruments applied at three different times were: the Functional Independence Measure and the Injury Severity Score to assess the severity of the trauma. Results: Functional capacity within 48 hours of the trauma was significantly higher than functional capacity at discharge and after one month. The lower the severity of the trauma was the greater the functional capacity of the aged. Conclusion: The functional capacity of the elderly deteriorated during the time of hospital stay and one month after discharge. ResumoObjetivo: Correlacionar a capacidade funcional do idoso com a gravidade do trauma e compará-la nos momentos antes e após a ocorrência do trauma. Métodos: Estudo prospectivo e observacional realizado no Serviço de Emergência. Foram incluídos 55 idosos com idade a partir de 60 anos, ambos os sexos, vítimas de trauma. Foram avaliados a incapacidade de pacientes com restrições funcionais de origem variada. Os instrumentos de pesquisa aplicados em três momentos foram: a Medida de Independência Funcional e o Injury Severity Score para avaliar a gravidade do trauma. Resultados: A capacidade funcional em até 48 horas foi significativamente maior que a capacidade funcional na alta e após um mês. Quanto menor a gravidade do trauma maior a capacidade funcional do idoso. Conclusão: Os idosos apresentaram piora da capacidade funcional durante o período de internação e após um mês de na alta hospitalar.

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Avaliação funcional de idosos com déficit cognitivo

Cited by 20 publications

References 11 publications

Prevalence and factors associated with functional dependency in homebound elderly people in Brazil

Prevalence and factors associated with functional dependency in homebound elderly people in Brazil

Prevalência da assistência domiciliar prestada à população idosa brasileira e fatores associados

Capacidade funcional e a gravidade do trauma em idosos

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