Self-care profiles of the elderly institutionalized in Elderly Care Centres

Imaginário, Cristina; Rocha, Magda; Machado, Paulo; Antunes, Cristina; Martins, Teresa

doi:10.1016/j.archger.2018.05.012

Cited by 7 publications

(6 citation statements)

References 10 publications

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“…The results obtained concerning the functional capacity in performing the BADL and the IADL regarding the selfcare profiles are consistent with the conceptualisation made by Backman and Hentinen for the typology of selfcare profiles (7). The results by others (20) further validate and add value to the research and to the present study, since our conclusions can be further supported by empirically derived data.…”

Section: Discussionsupporting

confidence: 91%

“…In the present study, the four clusters were created firstly by establishing the correct number of profiles using the latent profile analysis approach and afterwards by using the combination method of cluster analysis described by Hair et al and derived theoretically according to the model of Backman and Hentinen and Rasanen, Backman and Kyngas . Furthermore, a recent study which used the same sample, validated the self‐care profiles model, both statistically and theoretically.…”

Section: Methodsmentioning

confidence: 74%

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Functional capacity and self‐care profiles of older people in senior care homes

Imaginário

Rocha

Machado

et al. 2019

Scandinavian Caring Sciences

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The reduction of the functional capacity in older people is the result of physical, psychological and functional changes related to the ageing process, compromising the performance of daily life activities. Assessing their functional capacity and their self‐care profile can facilitate the planning of targeted strategies related to stimulation, as well as cognitive and motor rehabilitation. This study aims to evaluate and analyse the functional capacity, as well as the level of dependence in self‐care of older people in senior care centres. This is a transversal exploratory study, quantitative in nature. The sample was comprised of 313 participants, randomly selected from a set of senior care centres, with an average age of 83.41 (SD=7.14) years, recruited from the interior North of Portugal. The data collection instruments included the Barthel Index, the Lawton and Brody Scale, the Evaluation Form of Dependence in Self‐care, the Self‐care of Home Dwelling Elderly (self‐care subscale profiles) and a questionnaire on demographic data. The elderly showed several levels of dependence on different self‐care items. It was possible to observe that the staff often replaces the elderly in many of the tasks that could still be performed by them, and thus aggravates their levels of dependence. The link observed between functional capacity and self‐care profiles highlights the need to focus on the notion of a healthy and active ageing process, especially in some profiles. The monitoring of the functional capacity and the self‐care profile can provide knowledge concerning the potential for autonomy and individual needs, thus enabling targeted and more responsive interventions for the individual and the real needs of older people.

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 74%

Functional capacity and self‐care profiles of older people in senior care homes

Imaginário

Rocha

Machado

et al. 2019

Scandinavian Caring Sciences

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“…Aging associated with changes in the new health condition does not impose a state of incapacity or dependence in the face of self-care actions, for the elderly. Thus, it is important to give due consideration to the social roles exercised, as well as performing self-care actions, allowing them to provide a state of well-being and autonomy [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic and clinical characteristics of people with ostomy and the adaptive domains of Roy’s theory: A cross-sectional study

Xavier,

Medeiros,

Lima Neto

et al. 2024

PLoS ONE

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Introduction The adaptation of people with ostomies may be associated with and affected by sociodemographic and clinical factors. The present study aimed to investigate the association between the sociodemographic and clinical characteristics and the adaptation of people with an intestinal stoma. Method An analytical study, carried out through an interview with 200 patients with ostomy for five months. For that, it was applied to scale for the level of adaptation of ostomy patients to measure the physiological domains, self-concept, role function and interdependence and a questionnaire was used in which sociodemographic and clinical information. Descriptive and multivariate analyses were performed to test the study hypothesis. Results The study pointed out statistically significant associations with male sex, age group below 60, low education level, Stoma time less than one year, below one minimum wage, temporary permanence criteria and presence of complications relation to low scores of adaptation. Conclusions The association of sociodemographic and clinical factors with the measured adaptive modes provides important information for the planning of nursing care and other care providers, since it directs actions to the aspects that give greater adaptive difficulty to people with stomas and which are the focus of care nursing to this clientele.

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“…Responsible and abandoned self-care profiles have a lower risk when compared with an independent profile. People with an independent self-care profile value autonomy and take unnecessary risks, which can result in falls [32, 41]. In fact, this profile has a higher chance of falling than the others.…”

Section: Discussionmentioning

confidence: 99%

“…The domains of the SCEF (walking, transferring, turning, lifting, using the toilet, feeding, getting ready, dressing, bathing, taking medication, and recreational activities) are structured according to the International Classification for Nursing Practice (ICNP, 2006) [39] and the items of each domain are based on the Nursing Outcomes Classification (NOC) [40]. The study of the instrument metric properties showed a high fidelity rate [32, 41]. Higher values are indicative of a higher level of Independence.…”

Section: Methodsmentioning

confidence: 99%

Risk Factors Associated with Falls among Nursing Home Residents: A Case-Control Study

Imaginário

Martins

Araújo

et al. 2021

Port J Public Health

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Introduction: To identify factors predictive of falls and enable appropriate management of fall risk it is necessary to understand the behaviour and health conditions of older adults living in nursing homes. Objective: This study had two main objectives. The first was to find significant predictors for falls in older adults living in nursing homes. The second main goal was to build a predictive model to find the best predictors for falls. Methods: Out of 56 nursing homes with the same legal statute, 25 agreed to participate. The sample was randomly selected and only the independent or slight/moderately dependent participants were included in the study (n = 325). Results: There was a mean of 1.47 ± 0.99 falls (range from 1 to 7) per resident in nursing homes. By using the t test and odds ratio analysis, ten factors related to falls were identified. Through the binary logistic regression, a model was tested identifying four robust predictors: static balance, resorting to emergency services, polypharmacy, and an independent self-care profile. Conclusions: The present study replicated the main results of contemporary research on the risk factors of falls. More importantly, it suggests that the self-care profile model should be taken into account in future studies and early interventions. It is crucial to implement preventive measures consistent with safer environments and to establish an individual plan for integrated activities according to older adults’ health needs.

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Self-care profiles of the elderly institutionalized in Elderly Care Centres

Cited by 7 publications

References 10 publications

Functional capacity and self‐care profiles of older people in senior care homes

Functional capacity and self‐care profiles of older people in senior care homes

Sociodemographic and clinical characteristics of people with ostomy and the adaptive domains of Roy’s theory: A cross-sectional study

Risk Factors Associated with Falls among Nursing Home Residents: A Case-Control Study

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