Clinical-functional vulnerability index and the dimensions of functionality in the elderly person

Freitas, Fabiana Ferraz Queiroga; Soares, Sônia Maria

doi:10.15253/2175-6783.20192039746

Cited by 9 publications

(9 citation statements)

References 17 publications

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“…Finally, the maintenance of functional capacity has important implications for the quality of life of the elderly, since the physical limitations resulting from loss of strength, comorbidities and falls generate disabilities that influence Basic Activities of Daily Living (BADLs) and Instrumental Activities of Daily Life (IADLs). The greater the functional decline, the greater the weakness and the development of disabilities (40) .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with vulnerability and fragility in the elderly: a cross-sectional study

et al. 2022

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Objectives: to assess factors associated with vulnerability and fragility in the elderly. Methods: crosssectional study with 384 elderly people in Fortaleza, Ceará. The Vulnerable Elders Survey and Clinical-Functional Vulnerability Index - 20 were used. Chi-square and Fisher’s exact tests were used for associations. In the analysis of the combined influence of risk factors, the stepwise logistic regression and multinomial regression methods were adopted. Results: 251 (65.4%) non-vulnerable and 133 (34.6%) vulnerable elders. From the vulnerable elders analyzed, 42 (30.9%) are at high risk for frailty. Factors associated with vulnerability: age, gender, presence of comorbidities, hypertension, diabetes, osteoporosis and use of polypharmacy. There is a 30% increase in the chance of vulnerability for each additional drug. Physical activity reduces the chance of vulnerability by 60%. Factors associated with frailty: educational level; self-perception of health; comorbidities; polypharmacy. Conclusions: it is important to pay attention to the presence of arterial hypertension, osteoporosis, polypharmacy, and encourage the practice of physical activity.

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Section: Discussionmentioning

confidence: 99%

Factors associated with vulnerability and fragility in the elderly: a cross-sectional study

et al. 2022

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“…The sample size was defined a priori considering an infinite population, prevalence of frailty in older adults of 16.6 %, α = 0.05 (5 %) and confidence interval (CI) = 95 % (zα/2 = 1.96), which resulted in a minimum sample of 213 older adults (13). However, more than 15 % was added to the calculation to compensate for possible losses due to duplication and/or incompleteness of responses, resulting in 250 participants in the final sample.…”

Section: Methodsmentioning

confidence: 99%

Assessment of Sexuality and Frailty in Older Adults Living in Northeast Brazil

et al. 2022

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Objective: to evaluate the experiences of sexuality and its correlation with frailty among older adults. Materials and methods: cross-sectional study carried out with a total of 250 older adults living in the Northeast of Brazil. They answered three instruments to obtain biosociodemographic, sexuality and frailty data. The analysis was performed using Spearman correlation, Mann-Whitney and Kruskal-Wallis test with 95% confidence interval. Results: sexual intercourse was negatively correlated with reduced strength (ρ = -0.263; p < 0.001) and walking speed (ρ = -0.201; p = 0.001) and positively correlated with reported fatigue (ρ = 0.149; p = 0.018). Affective relationships were negatively correlated with reduced strength (ρ = -0.254; p < 0.001) and walking speed (ρ = -0.207; p = 0.001) and positively correlated with reported fatigue (ρ = 0.207; p = 0.001). Finally, physical and social adversities were positively correlated with reduced strength (ρ = 0.279; p < 0.001), reduced walking speed (ρ = 0.261; p < 0.001) and low physical activity (ρ = 0.140; p = 0.034), in addition to being negatively correlated with reported fatigue (ρ = -0.171; p = 0.009). Conclusion: it was found that the sexuality of older adults is better experienced in affective relationships and weak positive and negative correlations between sexuality and frailty.

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“…These factors can make the environment and coexistence hostile, triggering violent behavioral responses on the part of family caregivers, being potentiated by the complications of the elderly's physical, emotional and psychological health status (2,14) . In addition, several factors intrinsic to the elderly contribute to making it difficult for health professionals to identify violence (7,14) .…”

Section: Situations Of Family Violence and The Positive Aspects Of Institutionalizing The Elderlymentioning

confidence: 99%

“…Yet, the fact that many elderly people in this condition of vulnerability do not have an active and intense public and social life, such as, for example, doing house work, going to the market, having romantic relationships, attending dances or social groups (14,19) , it also facilitates the acceptance of the context of life at the ILPI. It is noteworthy that units with welcoming processes specialized in individuals who are victims of violence, neglect and abandonment, such as the location of this study, provide for rescuing social life, in addition to dignity, which in some situations may have been lost (7,14) .…”

Section: Violence Is Most Often Caused By Families [] (Te-02)mentioning

confidence: 99%

“…Clinical-functional vulnerability comprises organic changes that can compromise the main dimensions of functionality, resulting in locomotor deficit, mood disorders, cognition and communication, directly affecting the autonomy and independence of the elderly person to perform basic and instrumental activities of life. daily life, also affecting their quality of life (7) .…”

Section: Introductionmentioning

confidence: 99%

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Vulnerability, family violence and institutionalization: narratives for elderly and professionals in social welcome center

Ribeiro

Costa

Mariano

et al. 2021

Rev. Gaúcha Enferm.

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Objective To know the institutionalization process and the functional clinical condition of elderly people who suffered family violence, from the perspective of the elderly and professionals. Methods Qualitative, which used oral history as a data collection technique. Held in a long-term institution for the elderly, using a semi-structured interview script. The participants were three nursing technicians, two nursing assistants, five caregivers for the elderly and eight elderly. Thematic analysis was performed with the aid of the MAXQDA® software. Results Three categories were identified: The condition of vulnerability and the care needs of the elderly, indicating welcoming as an intervention; Suffering and denial of conditions of vulnerability; and Situations of family violence and the positive aspects of reception. Conclusions Long-term institutions are considered important spaces for comprehensive and humanized care, as well as essential for the protection of elderly victims of family violence.

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Clinical-functional vulnerability index and the dimensions of functionality in the elderly person

Cited by 9 publications

References 17 publications

Factors associated with vulnerability and fragility in the elderly: a cross-sectional study

Factors associated with vulnerability and fragility in the elderly: a cross-sectional study

Assessment of Sexuality and Frailty in Older Adults Living in Northeast Brazil

Vulnerability, family violence and institutionalization: narratives for elderly and professionals in social welcome center

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