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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Sci Med ;21 3: 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.
Untangling the concepts of disablity, frailty and comorbidity: Qualidade de vida do idoso: For frailness testing, unintentional weight loss was considered the self-reporting of weight loss equal to or greater than 4. Therefore, the results indicate the need to recognize risks ve to frailty even in older people who do not have clear manifestations of the condition, in order to prevent the advance or the emergence of the syndrome, and to ensure a better QOL for as long as possible, as for elderly persons it is more geeiatria to live with quality, than simply to live for a long time.
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. The domain death and yeriatria displayed a coping capacity in relation to death, and a greater concern about the risk of suffering that precedes pux.
Although the presence of comorbidities not mean frailty, it may indicate higher chances for the development of the syndrome by altering gerontlogia health status of the elderly individudal. Geristria 08, ; Revised: Texto Contexto Enferm ;21 4: Finally, level of physical activity was measured by the short version of the International Physical Activity Questionnaire IPAQ15 adapted for Brazilian elderly janual, 16 with a time of minutes or less per week spent in moderate and intense activities counting towards a definition of frailty.
Further studies employing specific scales to each of these CF domains to confirm such evidence are suggested. 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 FC geronto,ogia, using the Functional Independence Measure FIM validated for the Brazilian population, 11 and QOL, using the World Health Organization WHOQOL-Old scale 12 were measured.
This is an open-access article distributed under the terms of the Creative Commons Attribution License. Services on Demand Journal. The study consisted of a sample of elderly persons with a mean age of Results The mean age was An observational, cross-sectional, descriptive and analytical study was performed.
Only 95 elderly persons were assessed for QOL, as interviews that were incomplete or where there was intrusion by companions were excluded. The FR group had on average 3. The domains with the highest score in the evaluation of QOL were intimacy and death and dying.
Biopsychosocial characteristics were recorded and the Tinetti gait and balance test was performed in all patients reporting falls.
Marín L., Pedro Paulo (Marín Larraín) [WorldCat Identities]
Gait variability is associated with frailty in community-dwelling older adults. Health Qual Life Outcomes [Internet] [acesso em 4 mar.
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. Fifty seven percent of falls occurred outside of home, and an extrinsic factor was a precipitating cause in 55 percent of the falls. What is known is that both can affect QOL, and so each case must be assessed individually, considering the lifestyle of each person, to reach correct conclusions, requiring studies with larger sample sizes and longitudinal approaches.
However, in the above study 9 the maunal age was higher and caregiver reports were considered, which may have influenced the results and caused them to differ from the present findings. Those with motor impairments that prevented the assessment of gait and who complained of pain, severe dyspnea or other acute symptoms at the time of evaluation were also excluded from the study.
Sampling was carried out by the convenience method and included elderly men and women aged 60 years or older who attended the geriatric clinic of the HUJBB between June and September 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.
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.
The elderly persons in the FR group had lower scores than those of the other scores Figure 2. Correlation between frailty level and adverse health-related outcomes of community- dwelling elderly: October 26, ; Accepted: Influence of sarcopenia and functionality indicators gsrontologia the frailty profile of communit-dwelling elderly subjects: Method Cross-sectional, descriptive and analytical study.
The results of the present study support the conclusion that elderly persons can remain independent, even when geronfologia at risk of developing frailty, or when already considered frail, as only three of elderly persons here presented minimal dependence. Tiempo nuevo para el adulto mayor: Falls among elders occur mainly outside of home, in subjects older than 75 years old, functionally dependent and with an important involvement of extrinsic factors.
A georntologia elderly individual is someone who exhibits three or more such components, while individuals with one or two components are classified geriatrka pre-frail, and have twice the risk of becoming frail. In general, while the latter domain provided the lowest score among the elderly, these individuals retained their functional independence.
The assessments were made by a single trained researcher based on the parameters determined by literature.
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 mznual, functional impairments, three or more chronic diseases, neurological diseases and with living alone, among other variables. In terms of degree of frailty, These data are important for early detection of determinants of frailty, since the criteria discussed here are reversible.
A total of Acta Paul Enferm [Internet] geriatrja em 20 jun. It is believed that in this way the data becomes more reliable. As has been described by other scientific studies, 2123 frail elderly persons have a lower FC than non-frail elderly individuals.
Texto Contexto Enferm ;22 2: None had behavioral alterations. Muscle weakness and physical inactivity were most striking in the development of gerkatria, which was associated with worse QOL and FC, despite most seniors be independent.
Marín L., Pedro Paulo (Marín Larraín)
The mean age of the three groups was similar. Quality of life of elderly persons treated at the HUJBB geriatric outpatient clinic by frailty group.
Prevision y preparacion para la etapa de la jubilacion by Alicia Forttes Bustamante 2 editions published in in Spanish and held by 2 WorldCat member libraries worldwide.