Functional independence of elderly patients who fell: a follow-up study

Abstract

Objective: to evaluate, in emergency hospital service and at home, the functional independence of elderly people who fell. Method: longitudinal study with 151 elderly. Functional Independence Measure (FIM) was used. Statistical tests were performed with univariate and bivariate analysis. Results: mean of total FIM value in the hospital was 70.4; and at home 84.3 (p <0.001). Independence was lower in the motor domain, in “self-care”, “mobility” and “locomotion” dimensions, in the two evaluations (p <0.001). Dependence reduced from 97.3% elderly in the hospital to 82.8% at home (p <0.001). There was a negative correlation between total FIM and age, number of medications, number of diseases and hospitalization time in both evaluations. Femoral and hip fractures were associated with lower total FIM values (p <0.001). Conclusion: the elderly had less independence in the hospital compared to at home, with greater impairment in the motor domain and “self-care”, “mobility” and “locomotion” dimensions, in the two moments evaluated.

Building and validating an educational video for elderly individuals about fall risks

“…institutionalization. and death (1)(2) . It is estimated that 35% of people over 65 and 42% of those over 70 fall every year (3) worldwide.…”

Elderly frailty in a social center / Fragilidade de idosos em um centro de convivência / Fragilidad de ancianos en un centro social

“…Os dados foram coletados no período de abril a agosto de 2018, por meio de questionário para caracterização sociodemográfica e clínica adaptado de um instrumento criado e validado para pesquisa com idosos após queda (10) , composto por 28 questões, comtempladas pelas seguintes variáveis: sexo, idade, cor da pele, estado civil, arranjo familiar, escolaridade, renda, chefe familiar, etilismo, tabagismo, comorbidades, pratica de exercício físico, quedas, hospitalização e uso de recurso para andar ou enxergar melhor; Escala de Fragilidade de Edmonton (EFE) e escala de autopercepção de saúde. A coleta foi realizada enquanto os idosos aguardavam ou após a realização das atividades do centro, por pesquisadores previamente treinados.…”