844 resultados para polimedicação no idoso


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A fadiga muscular é definida como uma falha no sistema neuromuscular na capacidade de gerar uma força requerida ou esperada. Quanto maior a idade do indivíduo, maior é a probabilidade de chegar à fadiga, aumentando o risco de quedas. Dessa forma, a fadiga pode influenciar no andar dos indivíduos, causando prejuízos no controle postural e podendo causar lesões músculo-esqueléticas A partir dos estudos realizados, percebe-se que a fadiga muscular pode prejudicar o desempenho do andar, sendo ele adaptativo ou não. O objetivo do estudo foi analisar e comparar a influência da fadiga muscular sobre os parâmetros cinemáticos do andar livre e adaptativo entre adultos jovens e idosos. Participaram do estudo 20 indivíduos, distribuídos em dois grupos etários: Adulto Jovem - 20 a 40 anos; e Idoso - a partir de 60 anos. Os participantes realizaram o andar livre e adaptativo percorrendo uma distância retilínea de 8 metros sobre um carpete de borracha com 1,4m de largura. Foram realizadas 6 tentativas para cada condição experimental. Para a coleta dos dados cinemáticos dos ciclos do andar definidos foi utilizado um sistema tridimensional (3D) optoeletrônico de análise do movimento (OPTOTRAK Certus – 3D Motion Measurement System, NDI), com precisão de 0,1 mm, posicionado no plano frontal, face anterior, ao movimento do participante, com frequência de 100 Hz. A indução a fadiga será através da tarefa de sentar e levantar. Para a comparação entre os dois grupos foram analisados as seguintes variáveis espaciais e temporais do andar livre e adaptativo: comprimento de cada passo, largura de cada passo, velocidade média do andar, distância horizontal pé-obstáculo antes da ultrapassagem, distância horizontal depois do obstáculo e distância vertical péobstáculo. Estas variáveis foram analisadas durante o ciclo do andar antes e após fadiga muscular.

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Pós-graduação em Serviço Social - FCHS

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Pós-graduação em Ciências da Motricidade - IBRC

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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One of the roles allocated to the elderly is to be the collective memory of their social group, transmitting their cultural heritage. In our work with seniors, entitled "Workshop of Psychology", carried in the University for the Elderly (UNESP - Assis), we privilege a space in which these memories gain materiality and senses through polysemic narrative. In the workshops with a group of 30 seniors, we record the stories told that the word can be incorporated in the group and the university. For the elderly, the rescue of the past through the narrative experience provides a space for dialogue from their memories and reinterpretation of the past and present. To a psychologist, is the opportunity for a differentiated practice that seeks to remember to remember, but this is a political act of confrontation with the present, questioning the social role of older people today.

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The active presence of the old ones in the society brings up discussions about the political and social participation in the advanced ages of the life. The senior citizen, like an actor of great relevance in the present time, shows their potential as scriptwriter and protagonist of their own history. However, many spaces constituted vertically, turned for this aim become artificial, abolishing, many times, the spontaneity and potential of these actors. Anyway, the important thing is to open spaces for the different expressions of social participation and that they find their legitimacy and place in the set of the protagonism that attaches life and sense to the world.

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The present study aims to analyze the Brazilian public policies made for the elderly citizen population and to examine their resonance in the production of senses and images on the process of aging. For this, we draw cartographies that could find producing figures of sense about the aging, passing through some politics formulated for to this age group, since the decade of 1920 until the creation of the “Estatuto do Idoso”, in 2003. We checked that the appearance of public policies for the old age happened as an answer to the challenge of managing and controlling the aging process courses in front of the increase of the elderly citizen population. The “Estatuto do Idoso” is an important landmark of the management advance of the State upon the oldness and of the substitution of an philanthropic-assistance model for a preventive model which is based on the promotion of a healthy and productive longevity. With that, next to the figure of the sick and inactive elderly , it begins to appear figurations of a healthy and powerful aging, crossed by images of vitality and rejuvenation.

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This article analyzes and discusses the experience of time in old age through the relations of the elderly with photography. We did photography workshops with a group of elders exploring with them the sense of the photographic act death, as an act of freezing and stopping time and also the sense of exploring the future to create, through the photographic act, an image that can symbolize moving on in life.

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This study aimed to draw the profile of informal caretakers in the city of Assis, SP, analyzing the relationships between quality of life (QL) and burden rates (BR) due to the care tasks. It is a Sample Study of the traverse type, in which 165 female informal caretakers, above 18 years old, residents in the urban area were interviewed through a structured questionnaire and standardized scales. We observed that the caretakers of our sample do not fell themselves too much burdened and, yet they present reasonable indexes of quality of life. However, differences in the rates of burden and quality of life were observed when considering social markers (social class, educational level, generation and parenthood), living or not with the person who is being cared. Besides, we found a significant negative correlation between BR and QL, that is, as higher the burden perception, as lower the QL evaluation. These inequalities urge for new studies and reflections in what concerns public policies in the sense of supporting and improving home care.

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Underdeveloped nations have the largest absolute number of the world's elderly population. Approximately 10.7% of the Brazilian population comprises aged individuals. Aging populations are associated with a higher incidence of chronic degenerative diseases such as dementia. Demented individuals place a high burden of care on healthcare systems and family members. General practitioners should be able to diagnose the most common elderly diseases such as dementia since they act as gatekeepers to specialized care. In Brazil, many medical students work as general practitioners upon graduating. The present study shows some scenarios of medical schools worldwide, including Brazilian, regarding teaching on dementia.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Certain medicines are considered potentially inappropriate (PIM) for elderly people as they increase the risk of adverse drug events (ADE) and because safer alternative therapies are available on the market. In this context, in order to identify the instruments that assess the quality of medical prescriptions for elderly and to determine which drugs are considered PIM, a bibliographic survey was conducted in PUBMED, LILACS and PAHO databases, in February and March/2010. The search strategy included the use of health descriptors and a manual search in the references cited by selected papers. During the period of data collection, 15 instruments were identified. In 2012, with the publication of the update of Beers criteria, this instrument was included in the study. We identified 163 PIM of 25 therapeutic classes, of which 125 (76.7%) are marketed in Brazil. Of these, 31 (24.8%) are essential medicines (RENAME 2012), of which 13 have safer therapeutic equivalents and 19 (15.2%) are over-the-counter drugs. Data suggest the need for inclusion of safer alternatives for the elderly in the national list of essential medicines and the pharmaceutical care for early detection of ADE in this age group, in order to contribute to the safe use of medicines.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)