Objective: To evaluate the functional capacity and quality of life (QoL) of the institutionalized elderly from an ICF perspective. Method: A cross-sectional observational analytic study was conducted with 22 elderly residents (77.9 ± 9.41 years) of a long-stay care institution in Curitiba, Paraná. The following assessment instruments were applied: the Barthel Index, the Nottingham Health Profile Questionnaire, and the International Classification of Functioning, Disability, and Health (ICF). Analysis of the data was done by measures of central tendency (mean) and dispersion (standard deviation). The ICF was analyzed by the distribution of relative and absolute frequencies. Results: The majority of the sample had medium cognitive status and light functional dependency. The domain that most interfered with the elderly's QOL was physical ability, energy level, sleep, and emotional and social pain, respectively. The ICF frequency distribution showed aspects not observed in the conventional assessment of the participants; in particular, it showed great specificity in the following functions: mental, sensory, and pain, the digestive, metabolic, and endocrine systems, psychomotor, movement, personal care, support and relationships, and individual activities. Conclusions: It is expected that the ICF will be adopted and used in various areas of health, including long-stay care facilities and multidisciplinary teams, so that professionals, through a unified and standard language, may intervene in the health of the individual as a whole.
Introdução: Trabalhos de extensão desenvolvidos durante a formação de profissionais de saúde tem elevado impacto sobre as comunidades assistidas, porém poucas são as publicações relatando estas experiências. Objetivo: Relatar experiências em um projeto de extensão universitária com objetivo de intervir em criança com deficiência visual estimulando a independência desta na realização de suas atividades rotineiras e aperfeiçoar a percepção corporal e espacial. Metodologia: Relato de experiência. Resultados: Participou do estudo uma criança com baixa visão sem deficiências associadas, frequentadora de uma escola municipal em Matinhos/PR. Foram aplicados os testes Performance Oriented Mobility Assessment (POMA) – versão brasileira e Askevold. Em seguida, foram realizadas 12 intervenções com atividades corporais lúdicas baseadas na dança contemporânea associadas à eutonia. Terminadas as intervenções, os testes foram reaplicados. Desde o pré-teste a criança obteve escore máximo no teste POMA; e no teste de Askevold a criança marcou o ponto do trocânter maior direito levemente afastado e houve modificação da distância entre os pontos referentes à articulação acromioclavicular e curva da cintura, obtendo melhor representação no momento da reaplicação. Houve relato por parte da mãe e da professora de melhor atenção e concentração da criança em atividades classe e extraclasse. Conclusão: As atividades propostas parecem constituir parte das estratégias para estimular a percepção corporal em crianças com deficiência visual e melhorar atenção e participação da criança em atividades no ambiente escolar e domiciliar.
Objective: To evaluate the functional capacity and quality of life (QoL) of the institutionalized elderly from an ICF perspective. Method: A cross-sectional observational analytic study was conducted with 22 elderly residents (77.9 ± 9.41 years) of a long-stay care institution in Curitiba, Paraná. The following assessment instruments were applied: the Barthel Index, the Nottingham Health Profile Questionnaire, and the International Classification of Functioning, Disability, and Health (ICF). Analysis of the data was done by measures of central tendency (mean) and dispersion (standard deviation). The ICF was analyzed by the distribution of relative and absolute frequencies. Results: The majority of the sample had medium cognitive status and light functional dependency. The domain that most interfered with the elderly’s QOL was physical ability, energy level, sleep, and emotional and social pain, respectively. The ICF frequency distribution showed aspects not observed in the conventional assessment of the participants; in particular, it showed great specificity in the following functions: mental, sensory, and pain, the digestive, metabolic, and endocrine systems, psychomotor, movement, personal care, support and relationships, and individual activities. Conclusions: It is expected that the ICF will be adopted and used in various areas of health, including long-stay care facilities and multidisciplinary teams, so that professionals, through a unified and standard language, may intervene in the health of the individual as a whole.
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