“…Life expectancy of people with disabilities (PwD) has increased (Hess, Campagna, & Jensen 2017), accompanying the world panorama of increased life expectancy (Mckenzie, Ouellette-Kuntz, & Martin, 2017), but there are few Brazilian studies (Margre, Reis, Morais, & Ramos, 2011), especially in institutionalized persons with multiple disabilities. Multiple disability is defined as the association of more than one type of disability, with impacts on its functionality (Rocha & Pletsch, 2018).…”