Académico de Postgrado de Geriatría y Gerontología, Universidad de Costa . Los métodos y enfoques clínicos que se recomiendan en este manual están. Manual de Geriatría y Gerontología – para alumnos- paginas/udas/. Manual de geriatría y gerontología(Book) 2 editions published in Ensenanza de la geriatria en la escuela de medicina by Pedro Paulo Marín L.() 2 editions.
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To report the results of RUG-T18 classification of elderly patients admitted to an university hospital.
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J Bras Psiquiatr ;58 1: Fisioter Pesqui ;16 2: J Psychiatr Res ;12 1: Only 95 elderly persons were assessed for QOL, ce interviews that were incomplete or where gefiatria was intrusion by companions were excluded. However, in the above study 9 the average age was higher and caregiver reports were considered, which may have influenced the results and caused them to differ from the present findings. Caidas en los ancianos: Elderly persons who used walking, visual or hearing aids were not excluded.
However, unintentional weight loss was less frequent. Population aging, which is a major phenomenon in Brazil, is related to an increase in chronic diseases and geriatric syndromes, such as the syndrome of frailty.
Instead, the focus was manial at the reports of the elderly persons themselves in relation to their health and well-being.
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Prevalence and factors associated with frailty in an older population from the city of Rio de Janeiro, Brazil: Rev Assoc Med Bras ;58 3: Muscle weakness and physical inactivity were most striking in the development of frailty, which was associated with worse QOL and FC, despite most seniors be amnual. For frailness testing, unintentional weight loss was considered the self-reporting of weight loss equal to or greater than 4.
Functional independence is understood as the capacity to perform essential living activities, including caring for oneself, living independently in a house, and carrying out activities that are important for one’s QOL 4 while QOL in old age means a perception of well-being through an evaluation of to what extent an individual has realized that which is seen as important for a good life and the degree of satisfaction with what has been achieved until that moment.
Tiempo nuevo para el adulto mayor: A negative perception of health is strongly associated not only with the development of the syndrome of frailty, but also with high rates of morbidity and mortality. Nevertheless, it is important to note that advanced activities of daily living AADLswhich were not analyzed in this study, are impaired earliest in life, followed by instrumental activities IADL and, lastly, basic activities of daily living BADL 26 and that the FIM scale used here places greater emphasis on BADL and some IADLs, which in this case are related to getting around and climbing stairs.
Falling two or more times versus one time during the last six months was statistically associated with an age over 75, an absence of periodic physical activity, functional impairments, three or more chronic diseases, neurological diseases and with living alone, among other variables. Among case mix classifications, the best for hospitalized elders is the Resource Utilization Groups RUG system, which allows a better location of patients, resource administration and the design of health care strategies for elderly people.
Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital. Qualidade de vida e fatores associados em idosos dependentes em uma cidade do interior do Nordeste. Validity of the center for epidemiological studies: Although there is some heterogeneity, currently the most commonly used definition of the frailty syndrome among the scientific community is that proposed by Fried et al.
Correspondence Crislainy Vieira Freitas E-mail: RUG-T18 classification was applied to patients aged As such, the frailty syndrome has the potential to affect all aspects of life of the elderly.
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Braz J Phys Ther ;17 4: Although the presence of comorbidities not mean frailty, it may indicate higher chances for the development of the syndrome by altering the health status of the elderly individudal.
These data are important for early detection of determinants of frailty, since the criteria discussed here are reversible. World Health Organization; [acesso 22 ago.
,anual Qual Life Outcomes [Internet] [acesso em 4 mar. Gait variability is associated with frailty in community-dwelling older adults. Geriatr Gerontol ;4 1: Although literature has identified a relationship between a history of falls and frailty, 33 this was not observed in this sample, as there was no difference between the F, PF and NF groups.
Most elders admitted to the hospital are classified in the superior categories of the RUG-T18 system and have severe mental and functional limitations. This is an open-access article distributed under the terms of the Creative Commons Attribution License. After signing a Free and Informed Consent Form FICFthe elderly persons considered fit for the study responded to an interview containing of sociodemographic age, gender, education, marital status, and others and clinical comorbidity, living habits data, history of falls and self-perceived health condition; followed by an evaluation of frailty using the phenotype proposed by Fried et al 8 Functional Capacity FCusing the Functional Independence Measure FIM validated for the Brazilian population, 11 and QOL, using the World Health Organization WHOQOL-Old scale 12 were measured.
Prevencion y cuidado de la salud bucal by Vicente Aranguiz Freyhofer 1 edition published in in Spanish and held manuql 1 WorldCat member library worldwide. Qualidade de vida do idoso: These authors 4 gerontologua a frailty phenotype that involves five factors: Results The mean age was Texto Contexto Enferm ;22 2: The reduced sample size is another limitation that hinders the generalization of the results presented here to other populations, and also meant that it could not be determined whether frailty can cause functional incapacity, or vice versa.
Muscle strength was measured by grip strength of the dominant hand measured with Saehan TM brand equipment, with which three measures were taken and the arithmetic average used, geronntologia a cut-off point adjusted for body mass index BMI and gender. This study was limited by the exclusion of elderly people with cognitive impairment, which is considered a factor for the development of the syndrome of frailty. Beriatria results of the present study support the conclusion that elderly persons can remain independent, even when already at risk of developing frailty, or when already considered frail, as only three of elderly persons here presented minimal dependence.
The domain death and dying displayed a coping capacity in relation to death, and a greater concern about the risk of suffering that precedes it. Elderly individuals with cognitive conditions that would make answering questions difficult or impossible were excluded, as determined by scores below the cutoff points established by the Mini-Mental State Examination MMSE adjusted for the level of education Among the PF and NF elderly, the highest scoring criteria were muscle weakness and physical inactivity, data ratified by Viana et al.
The study consisted of a sample of elderly persons with a mean age of An important finding was the similarity of FC and QOL results between PF and NF elderly persons, or in other words those at risk of developing frailty had the same scores as elderly individuals without this risk, indicating that preventive interventions can be extremely effective even among pre-frail elderly persons.
Persons aged 60 years or more were surveyed about the number of falls in the preceding six months, the characteristics and consequences of each falls. January 08, ; Revised: