The urgency of fostering long-term care systems in aging societies

Morsch, Patrícia; Jenkins, Hailey R.; Vitoy, Bernardino; Guzman, Lely Stella; Vega, Enrique

doi:10.53886/gga.e0210050

Cited by 3 publications

(2 citation statements)

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“…O aumento da expectativa de vida é um fenômeno mundial, "em uma era de desafios de saúde imprevisíveisseja devido a mudanças climáticas, doenças infecciosas emergentes -uma tendência é certa: em todo o mundo, o envelhecimento da população está se acelerando" 1 . Ainda, segundo a Organização Mundial da Saúde, a expectativa de vida no mundo passou de 66,8 anos em 2000 para 73,3 anos em 2019 2 e acompanhando a rapidez que esse fenômeno vem acontecendo, observa-se também o aumento das morbidades com relevância na cronicidade das doenças e das limitações do sujeito, ambos os aspectos podem estar relacionados ao processo natural do envelhecimento [3][4][5] .…”

Section: Introductionunclassified

“…Esse crescimento está impactando diretamente nos sistemas sociais e de saúde, exigindo cada vez mais profissionais e instituições capacitados e envolvidos na promoção de um envelhecimento com qualidade de vida 1,[5][6][7] . Nessa perspectiva, o enfermeiro precisa estar em constante processo de capacitação, aprendendo, pesquisando e conhecendo novas tecnologias, com objetivo principal de prestar uma assistência de qualidade, eficaz, eficiente e com segurança 8,9 .…”

Section: Introductionunclassified

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Utilização da hipodermóclise em pessoas idosas no ambiente domiciliar: protocolo de revisão de escopo

Soares,

Araújo,

Vale

et al. 2023

GANJ

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PROTOCOLO Utilização da hipodermóclise em pessoas idosas no ambiente domiciliar: protocolo de revisão de escopoUse of hypodermoclysis in elderly people in the home environment: scoping review protocol Uso de hipodermoclisis en personas mayores en el ámbito domiciliario: protocolo de revisión del alcance ResumoObjetiva-se mapear e sumarizar as produções científicas sobre o uso da hipodermóclise em pessoas idosas no ambiente domiciliar. A revisão de escopo será conduzida de acordo recomendações do Instituto JBI e Prisma-Scr. Esta revisão de escopo buscará fontes de evidência em textos completos de estudos primários e na literatura cinzenta teses e dissertações, disponíveis nas principais bases de dados: PubMed, CINAHL, SCOPUS, Web of Science, Science Direct e SciELO. Como critério de exclusão, não serão incluídos os estudos de revisão (secundários) ou que não atendam a combinação mnemônica PCC: P Population -Cuidadores de Saúde; C Concept -Hipodermóclise; C Context -Pessoa idosa domiciliada. Nessa revisão não haverá restrição de idioma, entretanto estabeleceu-se um recorte temporal a partir do ano de 2009. A seleção dos estudos será feita por dois revisores independentes utilizando os softwares Endnote e Rayyan, enquanto um terceiro resolverá divergências entre esses. Para extração, análise das evidências e síntese do conhecimento será utilizado uma ferramenta de extração de dados estruturada desenvolvido pelo Instituto JBI e adaptado pelos revisores para atender ao objetivo e questão principal da pesquisa. Na revisão de escopo final haverá descrição dos resultados da pesquisa e do processo de inclusão dos artigos no estudo.

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Section: Introductionunclassified

Utilização da hipodermóclise em pessoas idosas no ambiente domiciliar: protocolo de revisão de escopo

Soares,

Araújo,

Vale

et al. 2023

GANJ

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Dignity in the care of older adults living in nursing homes and long-term care facilities

Wachholz,

Giacomin

2023

F1000Res

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Depending on the fields and actors involved, dignity may involve, signify, and encompass different meanings. This fundamental right can be subjectively experienced and rooted in a person’s perception of being treated and cared for. Care refers to a set of specific activities combined in a complex life-sustaining network, including long-term Care, which involves various services designed to meet a person’s health or personal care needs. However, older residents’ human rights have been disrespected and widened the gaps between theory and practice regarding the precarious protection of their rights and dignity inside long-term facilities and nursing homes. This paper aims to discuss threats to dignity and elucidate some strategies to promote and conserve dignity in care, including the person-centered practice in long-term care. Some barriers to the dignity of older residents involve the organizational culture, restraints of time, heavy workload, burnout, and lack of partnership between the residents, their families, and the long-term care homes’ staff. Person-centered integrated care quality frameworks are core components of a good quality of care in these spaces in high-income countries. Unfortunately, the COVID-19 pandemic highlighted how weak long-term care policies were and demonstrated that much progress in the dignity of care in long-term care facilities and nursing homes is needed. In low- and middle-income countries, long-term care policies do not accompany the accelerated and intense aging process, and there are other threats, like their invisibility to the public sector and the prejudices about this service model. It’s urgent to create strategies for designing and implementing sustainable and equitable long- term care systems based on a person-centered service with dignity to everyone who needs it.

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Reflections on the development of an integrated continuum of long-term care for older adults in Brazil

Wachholz

Boas

Domingues

et al. 2022

Geriatr Gerontol Aging

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To catalyze the discussion and implementation of state policies for an integrated continuum of long-term care (LTC), it is imperative to assemble strategic actions involving the public and private sectors, civil society, international agencies, professionals, academia, and the media, considering clear objectives for improving the lives of older adults, their families, and the communities where they live. Care may be provided at home, in the community, or at LTC facilities (LTCFs) for older adults. In this essay, we focused on institutional care. Tensions between advocates of different models of care for older people should include space for dialogue, convergence, and intersectoral actions, regardless of where LTC is provided. Conditions for LTCFs not to be perceived as the “last and undesirable alternative” should exist or be created so that these institutions are seen instead as welcoming, productive, and inclusive environments that are integrated to the community and its social, recreational, and health systems. The aim of this essay was to reflect on the urgency of developing an integrated continuum of LTC for older adults in Brazil that considers care as a right along with its modalities of delivery, flow, services, and activities, as well as sustainable financing alternatives and legal and governance directives. This work was divided into four sections: (1) aging as a social achievement and care as a right; (2) models of LTC and panorama of the sector in Brazil; (3) change in paradigms for conceiving LTCFs and LTC; and (4) framework for achieving an integrated continuum of LTC.

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The urgency of fostering long-term care systems in aging societies

Cited by 3 publications

References 0 publications

Utilização da hipodermóclise em pessoas idosas no ambiente domiciliar: protocolo de revisão de escopo

Utilização da hipodermóclise em pessoas idosas no ambiente domiciliar: protocolo de revisão de escopo

Dignity in the care of older adults living in nursing homes and long-term care facilities

Reflections on the development of an integrated continuum of long-term care for older adults in Brazil

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