Processo de desenvolvimento do instrumento de avaliação do nível de dificuldade do cuidador informal ao cuidar do idoso

Pós-graduação em Saúde Coletiva - FMB

Integralidade do cuidado com o idoso na estrategia de saude da familia: visao da equipe

Tal estudo buscou compreender como vem sendo realizado o cuidado ao idoso em Unidade de Saúde da Família segundo a visão dos profissionais de saúde.MÉTODOS:Estudo qualitativo, com a análise fenomenológica social de Alfred Schutz.RESULTADOS:Foram entrevistados sete profissionais de nível superior por meio de questão norteadora. A análise possibilitou evidenciar: cuidados pautados em programas de saúde, com prejuízo da integralidade do cuidado e da clínica ampliada, e visão das necessidades e perspectivas do cuidado integral.CONCLUSÃO:O estudo revela a necessidade de avançarmos no cuidado ao idoso. Os profissionais reconhecem o envelhecimento da população e apontam a necessidade de capacitação para o cuidado. A educação dos trabalhadores se dá como ponto de partida para a mudança. Também é preciso que os gestores e o Estado organizem uma rede de cuidado que inclua a pessoa idosa, com ofertas de serviços de acordo com a demanda apresentada.

Saúde do Idoso: percepções relacionadas ao atendimento

Objetivou-se compreender como o idoso percebe o atendimento na atenção básica.Métodos: Trata-se de estudo qualitativo. Resultados: A análise possibilitou o emergir do tema central: A dualidade na percepção do atendimento na Atenção Básica, que foi analisada a partir de duas subcategorias. Revelou haver controvérsia na percepção do atendimento recebido, emergindo aspectos positivos e negativos. Os discursos pontuam demanda de ações individualizadas de cuidado, embora algumas vezes necessitem de cuidados complexos em saúde, não demandam cuidado em rede integrada. Conclusão: O estudo revela que, embora possa haver integralidade nas ações de uma equipe bem articulada, o cuidado integral à saúde poderá ser alcançado em rede, integrado em todos os espaços organizacionais do sistema de saúde, beneficiando, assim, os sujeitos dessas ações.

Revendo estudos sobre a assistência domiciliar ao idoso

Home care presents itself as a new modality of care for the elderly, especially in Brazil , and has been inserted into public policies. This study aims to identify scientific productions about home care, in order to ascertain which are the contributions of this social dynamic in the elderly. The research was conducted in the databases MEDLINE and LILACS, with articles published between the years 2001- 2011, in Portuguese and English. The combination of keywords used was home care and elderly , elderly and care, and elderly and caregiver, and correspondents in Portuguese. The discussion highlighted the importance of home care, especially for lonely or neglected elderly. The review revealed few studies concerning the social dynamics in the home care of the elderly and the need to broaden the discussion beyond the field of health.

Factors associated with the prevalence of hypertension and control practices among elderly residents of São Paulo city, Brazil

The aim of this study was to analyze the prevalence of hypertension and control practices among the elderly. The survey analyzed data from 872 elderly people in São Paulo, Brazil, through a cluster sampling, stratified according to education and income. A Poisson multiple regression model checked for the existence of factors associated with hypertension. The prevalence of self-reported hypertension among the elderly was 46.9%. Variables associated with hypertension were self-rated health, alcohol consumption, gender, and hospitalization in the last year, regardless of age. The three most common measures taken to control hypertension, but only rarely, are oral medication, routine salt-free diet and physical activity. Lifestyle and socioeconomic status did not affect the practice of control, but knowledge about the importance of physical activity was higher among those older people with higher education and greater income. The research suggests that health policies that focus on primary care to encourage lifestyle changes among the elderly are necessary.

Association between bone mass and functional capacity among elderly people aged 80 years and over

Objetivo:Analisar a associação entre a massa óssea e capacidade funcional de idosos com 80 anos ou mais.Métodos:A amostra foi composta por 93 idosos entre 80 e 91 anos (83,2 ± 2,5 anos), 61 mulheres (83,3 ± 2,7 anos) e 32 homens (83,1 ± 2,2 anos) da cidade de Presidente Prudente. A avaliação da massa óssea foi feita pela absorptiometria de dupla energia de raios X (DXA), na qual foram mensurados os valores de conteúdo mineral ósseo (BMC) e densidade mineral óssea (BMD) do fêmur e da coluna (L1-L4). A capacidade funcional foi avaliada por meio dos testes de velocidade para caminhar, equilíbrio estático e força de membros inferiores contidos no questionário Saúde, Bem-Estar e Envelhecimento (Sabe). As variáveis da massa óssea e capacidade funcional foram categorizadas de acordo com os valores de mediana e a pontuação obtida nos testes, respectivamente. Para tratamento estatístico fez-se o teste qui-quadrado, o software usado foi SPSS (13.0) e o nível de significância estabelecido foi de 5%.Resultados:Os idosos do sexo masculino com maior desempenho nos testes funcionais apresentaram maiores valores de BMC de fêmur comparados com os de menor desempenho, resultado não encontrado quando avaliadas as mulheres.Conclusão:Dessa forma, a massa óssea do fêmur para idosos longevos do sexo masculino está associada à capacidade funcional. A avaliação constante da massa mineral óssea e a prática de atividade física ao longo da vida seriam medidas para prevenção das quedas em idosos.

Handgrip and functional mobility in elderly with different levels of physical activity

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

Analysis of localized muscle fatigue in elderly women with and without a history of falls using electromyographic signal frequency parameters

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

Impactos da institucionalização na saúde mental do idoso

The present work proposes an analysis of the conditions of the elderly on a Brazilian context, focusing the institutionalized elders and the nuances of the institutionalization process on their mental health. Bibliographical analysis and participative observation were used as method. On the discussion, the present work demonstrates that the institutionalization have harmful effects to the elders, at their mental health and from this, proposes a multidisciplinary view of the process.

Estudo epidemiológico do perfil do idoso institucionalizado do interior paulista

The increase in the elderly population is a worldwide phenomenon and has different consequences not only in terms of health, but also in terms of economy. One of those consequences is the institutionalization. The understanding of this process, as well as of the reality of the institutionalized elderly is essential to develop policies of care. Goals: a) present the epidemiological profile of institutionalized elderly who live in institutions in the countryside of São PauloState and describe the development of an extension project implemented in two elderly-care institutions (IRLPI’s). Methods and procedures: data were collected in three forms, from which it was possible to verify: a) institutional data; b) social data and c) data about general and mental health. The data related to health were collected from the medication of continuous use. All data were launched into the database (Access) and subjected to the descriptive statistical analysis. Data related to mental health were confirmed from the application of clinical trials (Geriatric Depression Scale – GDS and Mini Mental State Examination: MMSE).

Cuidado ao paciente idoso hospitalizado: implicações para a equipe de enfermagem

The Brazilian population is ageing rapidly, and chronic diseases have increased. Due to deficient health care services, the diagnosis and treatment of such diseases occur in the tertiary level, which increases costs and reduces the possibilities of early diagnoses. In view of the elderly population‟s increase and of the great demand at hospitalization units, it is important to learn about the difficulties and facilities faced by nursing teams when giving care to hospitalized individuals. In order to reach the objectives, a cross-sectional, prospective, descriptive, analytical and qualitative study was performed with basis on Bardin‟s Content Analysis. Among the difficulties were patients‟ limitations, dependence level, behaviors and habits, interference from companions, feeling of abandonment, perception of needs, dealing with suffering and lack of time for adequate care. As to facilities, acceptance of the disease, adherence to treatment, collaboration, trust in the team, and older patients‟ politeness were reported, which shows that passiveness is an important indicator in caring for the elderly. Older individuals suffer the outcomes of certain physical, psychological and mental deficits. When facing disease conditions, they require special care, including hospitalization and greater attention. The nursing team provides daily care and follows patients‟ development; however, its members are still not knowledgeable enough about the ageing process. This contributes to increase prejudice and erroneous stereotypes about older persons. Therefore, not understanding such process compromises the full care to be provided to older patients. This leads team members to accelerate the care provision process in order to meet the daily work demand, thus compromising older patients‟ autonomy and making them more dependent on the team, whereas the process should follow the opposite path

Efeitos do Square Stepping Exercise nas capacidades funcionais e funções executivas em frequentadores do Centro do Idoso de Rio Claro - SP

With aging process, there is a natural biological decline that eventually may lead to a functional and cognitive decrease. It is important that older people preserve these functions so they can live an independent life. Some declines in old people who attend Geriatric Day-Care tend to be more severe and recurrent. The Square Stepping Exercise (SSE) is a program created by Shigematsu & Okura (2006), in order to improve the balance of its practitioners, thereby decreasing the risk of falls. It is also believed that the SSE stimulates cognition, and thus, executive functions. The present study, with a longitudinal design, evaluated the effects of SSE in balance performance and executive functions of elderly from the “Centro-Dia do Idoso Padre Casagrande” from Rio Claro – SP. A group of 15 people (GT, n = 15), which performed a four month SSE intervention, and a control group (GC; n = 17) answered the following evaluations.: Questionnaire Registration Data and Anamnesis, Questionnaire Baeck Modified for Elderly, Mini-Mental State Examination, Modified Card Sorting Test, Geriatric Depressive Scale, Questionnaire Pfeffer for Instrumental Activities, Berg Balance Scale and Time Up and Go Test. Although significant improvements have not been observed in GT, the results showed a decline in instrumental activities performance in GC, as well as maintenance in executive functions and balance, and also an improvement in depressive symptoms in GT. This way, Square Stepping Exercise can be considered an activity that helps maintaining functional capacity, among them balance, and executive function in elderly people.

A visibilidade do idoso no jornalismo impresso: uma análise das matérias culturais da Folha de São Paulo

The improvements on the quality of life are causing the number of the elderly to grow on a global level, which is causing changes in our society. This new phenomenon demands that some actions are executed in several areas. On the communications field, it is needed to put the older people in the spotlight, so they can know themselves better and be included in the society. The goal of this work is to investigate if there is visibility for the elderly on Folha de São Paulo, using the daily cultural section (Ilustrada) and the weekly papers (the extinct Mais! and Ilustríssima) as a basis for the study. In order to find out the main aspects of the newspaper’s coverage, the Content Analysis is going to be used, a methodology that includes quantitative and qualitative techniques and which intent is to reveal the material’s implicit content. Through it, it will to be possible to understand how the elderly are treated on Folha de São Paulo, and what can be done to better their position in the newspaper

Melhor idade na rede: uma visão da inclusão digital do idoso : estudo do caso da Universidade Aberta à Terceira Idade da UNESP Bauru

In the information society, the use of Technologies has been incorporated to our quotidian. The use of personal computers and internet, however, does not reach to all the individuals, creating the problem of digital exclusion. Nowadays, many inclusion politics are being developed to diminish the digital abyss in society, in a way to enable a plural access to the internet. Between these initiatives, we highlight the projects of digital inclusion among the elderly, slice of the population that grows more each day and seek quality of life, social reinclusion and health. In this context, the open universities for the elderly bring to the aged courses and workshops, in order to encourage the activity in this age group. An example of this idea is the Unati of UNESP Bauru, that develops the project “Terceira Idade Digital”. This work aims to analyze the relation between the elderly with certain technologies, apart from showing the digital inclusion scenario, with its delays and progresses

Saúde mental do idoso: percepções relacionadas com o envelhecimento em interface com o atendimento de saúde na atenção básica

Worldwide, growth is seen in the elderly population, which has prompted the use oftechnologies of care that include all stages of life and for that use, it is necessary toprepare professionals to meet this growing demand population. This work aims to understand how old people feel by their condition and identify how old people perceive this treatment in the Family Health Unit. The research is characterized asqualitative and Minayo second analysis was used Bardin. After, thematicinterviews, it was possible to appreciate the topics: Good, dissatisfaction through the life and likes / dislikes of the service unit. This work can be seen that the elderlywho were well, allied to good living with this family, with spouses, autonomy, respect they encounter in society. And when compared with those who have a complaint, we find that lack of family and age restrictions and diseases are the main complaints