ObjectiveThe aim of this study was to analyze the relationship between cognition and frailty in the elderly.MethodsA systematic review on the currently existing literature concerning the subject was carried out. The search strategy included LILACS, SCOPUS, SciELO, PsycINFO, PubMed and Web of Science databases.ResultsA total of 19 studies were selected for review, from which 10 (52.6%) were cross-sectional and 9 (47.4%) longitudinal, and the majority Brazilian. All of the studies established a link between cognition and frailty. There was a relationship between components of frailty and the cognitive domains. Risk of Mild Cognitive Impairment (MCI), dementia and mortality were all evidenced in the relationship between frailty and cognitive impairment.ConclusionThe theory remains limited, but results show the variables that appear to be linked to cognition and frailty in elderly. This data can help in implementing actions to improve the quality of life among elderly.

Objectiveto analyze the relationship between the hope and spirituality of patients with chronic kidney disease undergoing hemodialysis.Methodthis is a cross-sectional, correlational study. The sample was composed of 127 patients of a Renal Replacement Unit. Data were collected through individual interviews guided by the following instruments: participant characterization, Herth Hope Index (HHI), and Pinto Pais-Ribeiro Spirituality Scale (PP-RSS).Resultsthe average HHI score was 38.06 (±4.32) while the average PP-RSS score was 3.67 (±0.62) for "beliefs" and 3.21 (±0.53) for "hope/optimism". Spearman's coefficient indicated there was a moderate positive correlation between the HHI and PP-RSS dimensions of "beliefs" (r=0.430; p<0.001) and "hope/optimism" (r=0.376; p<0.001).ConclusionSince a relationship between the sense of hope and spirituality of patients with chronic kidney disease was found, these constructs should be taken into account at the time health professionals deliver care to help patients coping with the disease and treatment.

Objective: to evaluate the instrumental and emotional social support of patients with chronic kidney disease on hemodialysis. Method: descriptive cross-sectional study. The sample was sized for convenience and included 103 participants under treatment in a Renal Replacement Therapy Unit. Data were collected through individual interviews, using the Social Support Scale. Results: the mean scores of the emotional and instrumental social support were 3.92 (± 0.78) and 3.81 (± 0.69) respectively, an indication of good support received. The most frequent sources of instrumental and emotional social support mentioned by participants were partners, spouse, companion or boyfriend and friends. Conclusion: patients with chronic kidney disease have high social support, both instrumental and emotional, and the main support comes from the family.

Objectives: To compare burden and sociodemographic profile and to analyze the care needs of caregivers of elderly persons enrolled in Social Care Referral Centers in a municipal region in the interior of the state of São Paulo, Brazil. Method: A cross-sectional, quantitative-qualitative study was carried out. A sociodemographic questionnaire, the Zarit Burden Scale and three open questions regarding care needs were applied. The quantitative data were analyzed by descriptive statistics and the correlation test. The hermeneutic-dialectic referential was applied and the qualitative data were analyzed by the content analysis technique. Results: A total of 86 caregivers participated in the study. The majority were female (71.7%), had a mean age of 56.5 (sd=14.9) years, suffered burden and lived in vulnerable neighborhoods. With regard to care, the provision of support for activities of daily living, difficulties in caring and the help of other relatives were identified. Burden negatively correlated with age range and schooling (r=-0.11; r=-0.87). Conclusion: Guidance and the acquisition of caring skills remain unprovided by the resources and services that exist in vulnerable contexts, and resolutive support strategies are lacking in public facilities.

Perfil de idosos que cuidam de outros idosos em contexto de alta vulnerabilidade social AbstrActObjective: To characterize older adult caregivers who care for other older adults in the context of high social vulnerability. Methods:Descriptive cross-sectional study, conducted with 40 older adult caregivers using: Mini Mental State Examination, Katz Index, Lawton's Instrumental Activities of Daily Living Scale, Geriatric Depression Scale and the Frailty phenotype proposed by Fried. The previously scheduled interviews were conducted in the home of the caregiver. For the data analysis, the statistical software Stata 11.0 was used, descriptively. Results: There was a predominance of females, age range 60-69 years, married, with primary education, who were retired. They had no health insurance. Most were pre-frail, hypertensive and independent in both instrumental activities and basic activities of daily living. They showed no evidence of depressive symptoms or cognitive impairments. Conclusion: To know the profile of the older adult caregiver is essential to support health services in planning quality care.Keywords: Caregivers; Geriatric Nursing; Older Adult; Social Vulnerability. La mayoría era pre-frágil, hipertensa e independiente, tanto para las actividades instrumentales como para las actividades básicas de la vida diaria. No presentaban indicios de síntomas depresivos ni de alteraciones cognitivas. Conclusión: Conocer el perfil de los ancianos cuidadores es imprescindible para subsidiar los servicios de salud en la planificación de una atención de calidad.