Promoting the autonomy of rural older adults in active aging

Abstract

Objective: to understand how the rural older adults promote their autonomy in active aging. Method: qualitative research through the Paulo Freire's research itinerary, consisting of three steps: area of research; encoding and decoding; and critical unveiling. Seventeen older adults living in the rural area of a municipality in Southern Brazil participated in the research. Six culture circles were conducted from July to December 2016. Results: the investigation revealed two generating themes: joint pain and participation in groups. The understanding of autonomy promotion for the active aging of older adults is focused on the physical capacity and independence of activities of daily living. Final considerations: the culture circles have promoted reflection moments for the participants, especially about the advantages and difficulties related to the practice of autonomy in the exercise of citizenship for active aging in the rural area.

<p>Decreased Autonomy In Community-Dwelling Older Adults</p>

“…The decrease in the perception of autonomy in community-dwelling older adults implies a risk of reduced participation in the decisions regarding their life plan, according to their traditions and beliefs 58. Therefore, it is necessary to promote programs, policies, or actions that increase the capacity of older adults to make their own choices (autonomy of decision), regardless of whether or not they have the capability to make decisions independently (autonomy of execution), thus promoting their self-realization 21,59…”

Conforto do idoso em contexto de instituição de longa permanência para idosos

“…Essas duas variáveis, a autonomia e independência do idoso possibilitam o cuidado confortador considerando características do conforto quais sejam: o conforto físico/desconforto; a disponibilidade de serviços; a relações com o pessoal; continuar como membro da família; e auto-confortante (Bland, 2007). Research, Society andDevelopment, v. 9, n. 9, e201996900, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i9.6900 O entendimento do conceito de autonomia do idoso está diretamente relacionada a preservação de sua capacidade física e, no que se refere a independência a relação está voltada para as atividades do cotidiano, sendo identificadas a partir capacidade de decidir, considerando suas preferências (Lange et al, 2018). Nesse sentido as dimensões do conforto que são: físico, psicoespiritual, social e ambiental (Sousa, 2014;Kolcaba, 1991) evidenciam a preservação e promoção da autonomia e da independência, que são referenciadas na legislação brasileira como direitos legais e sociais das pessoas idosas em qualquer contexto de vida (Brasil, 1994;Brasil, 2003;Miranda et al, 2016).…”

“…Considerando a atenção à saúde, aos idosos que residem em ILPI os quais, podem apresentar comprometimentos físicos e fisiológicos que afetam o conforto do mesmo, cabe destacar a relevância em planejar e realizar o cuidado a partir das singularidades e complexidades próprias das pessoas idosas tendo como foco a preservação da autonomia e da independência, variáveis diretamente associadas a velhice com qualidade de vida, independente do contexto de vida (Lange et al, 2018).…”

Healthy aging promotion model referenced in Nola Pender’s theory

“…Individual ability to decision and command over actions, establishing and following the rules (28) .…”

“…Autonomy and independence are events linked to the concept of healthy aging. Studies (28)(29) reinforce the importance of nursing care aimed at promoting elderly's independence and autonomy so that they are co-responsible for the determinants of their health-disease and health care process, i.e., learning to take care of themselves and make relevant decisions about their actions in the process of living.…”