The loss of functionality in aging process is a concern nowadays. We proposed to perform the diagnosis of the functionality of institutionalized elderly people in Portalegre city. We developed a quantitative, descriptive and transversal study with the application of three evaluation instruments (Elderly Nursing Core Set, Mini-Mental State Examination and Blessed Dementia Scale (BDS)). The sample consisted of 89 elderly people, with an average age of 86.6 years-old, most of them are female (71.9%), widowed (77,5%) and illiterate (51.7%). The average of years of institutionalization was 3.5. 45.3% showed cognitive deterioration, and 50% showed moderate to severe deficits on the BDS. It was also found that 7% of the older people had low weight and 79.4% were overweight. It was also found that 7% of them had low weight and 79.4% were overweight. 37% reported they have pain and more than 52% presented moderate to complete disability in daily life activities such as walking, washing, caring for body parts, excretion processes and dressing. However, less than 26% presented some deficiency in eating. Regarding environmental factors 88% of the elderly people reported having some kind of support from family and friends. We concluded that the sample presents functional deficits, including considered cognitive deficiencies, requiring intervention. Considering that the evaluation presented here was made before the pandemic period caused by Covid-19, it is important to re-evaluate this sample after the restrictions of social conviviality to assess the effect of the pandemic on functionality and rethink the model of care for the institutionalized elderly people.
Aprendendo o cuidado ao idoso... online 2015. abril. 1(1): 54 -68 54 resumo O envelhecimento populacional é uma realidade crescente, bem como a necessidade de cuidados. Também a formação em enfermagem não poderá ser alheia a este facto, pelo que procurando responder às solicitações da sociedade os estudantes, cada vez mais, têm no seu currículo unidades curriculares onde aprendem a cuidar o idoso. Objetivo: Sendo a formação efetuada numa estreita articulação entre a escola e as organizações de saúde, torna-se necessário analisar a estrutura da rede social estabelecida e as dinâmicas de cooperação que sustentaram as relações entre os atores no âmbito da formação dos estudantes de enfermagem em contexto de cuidados continuados ao idoso. Métodos: Ancorados no paradigma de análise de redes sociais, questionámos 21 atores envolvidos no processo de cooperação para a formação em enfermagem. Foram salvaguardados os aspetos éticos. Resultados: Verificámos que a rede de cooperação apresentava uma densidade de 45,7% em contexto de ensino clínico com particularidades estruturais e de posicionamento dos atores desocultadas através das respostas que os mesmos facultaram, onde explicavam a importância que atribuíam à cooperação. Conclusão: A cooperação apresentou mais conexões durante o período de ensino clínico do que durante o período teórico indo ao encontro das respostas dos participantes que evidenciaram a necessidade de se continuar a apostar nesta rede, uma vez que era considerada promotora da difusão de saberes e que a formação em enfermagem no âmbito dos cuidados ao idoso constituía uma mais-valia face às atuais necessidades da sociedade. Descritores: Idoso; redes de cooperação; formação em enfermagem. AbstractAging is a reality and care that cope the constant daily challenges and needs of older people.Nurse training cannot be unrelated to this fact. To answer the following demands of society and quality objectives, more and more students have in their curriculum, units where they learn to care the elderly. Objective: Nursing training is done in close collaboration between the nurse school and the health organizations,so is necessary analyze the structure of the established social network and the dynamics of cooperation that sustained relationships between the actors in the training of nursing students in the context of long-term care for the elderly. Methods:Anchored in the analysis of social networks, we questioned twenty-one actors involved in the process of cooperation for training in nursing. The ethical aspects are preserved. Results:We found that the cooperation network had a 45.7% density in clinical teaching context with a particular structure and positioning of the actors through. The answers that they have provided, explained the importance they attached to cooperation. Conclusion: Cooperation had Aprendendo o cuidado ao idoso... online 2015. abril. 1(1): 54 -68 55
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