scholarly journals Cognition and Functional Capacity in the Elderly Adult

2021 ◽  
Vol 36 (1) ◽  
pp. 124-139
Author(s):  
Zoila Esperanza Leitón Espinoza ◽  
Elizabeth Fajardo-Ramos ◽  
Ángel López-González ◽  
Rosa María Martínez-Villanueva ◽  
Maritza Evangelina Villanueva-Benites
Keyword(s):  
Functional Capacity ◽  
The Elderly ◽  
Elderly Adult ◽  
Calidad De Vida ◽  
Para Determinar ◽  
State Examination

Objetivo: determinar la relación entre la cognición y la capacidad funcional en la persona adulta mayor. Método: Investigación descriptiva transversal, correlacional realizada en 2015-2016 en la región La Libertad-Perú, con 1110 adultos mayores de 60 años y más, ambos sexos, aptos o no física y mentalmente. quienes cumplieron los criterios de inclusión y aceptaron voluntariamente participar en el estudio. Se midieron la variables cognición con el Minimental State Examination (MMSE) de Folstein y Cols., y la capacidad funcional con el indice de Katz modificado, para las actividades básicas de la vida diaria (ABVD) y la escala de Lawton y Brody para las actividades instrumentales de la vida diaria (AIVD), proporcionando un índice de autonomía-dependencia. Recolectada la información, se hizo un análisis bivariado para determinar la relación entre las variables utilizando la prueba chicuadrado. Resultados: El mayor porcentaje (22.7%) de los adultos mayores estuvieron en edades de (60-64 años), 58.8% mujeres, 47.4% con instrucción primaria, 93.6% cognitiva normal, y 83,4% y 60 % fueron independiente en las actividades básicas de la vida diaria (ABVD) y en las actividades instrumentales de la vida diaria (AIVD) respectivamente. Existe relación altamente significativa entre la cognición y la capacidad funcional de las actividades básicas de la vida diaria (ABVD) (x2=206.0 valor p= 0.000) y actividades instrumentales de la vida diaria (AIVD) (x2=289.0 valor p= 0.000). Conclusiones: El envejecimiento saludable implica la capacidad de conservar y mantener altos niveles de funcionalidad cognitiva y física, y son los principales determinantes de la calidad de vida y de bienestar en la vejez, y para enfermería son desafíos promover y/o mantener la autonomía e independencia al nivel más alto posible.

scholarly journals Impact of cognitive performance on the functional capacity of an elderly population in Natal, Brazil

2008 ◽  
Vol 66 (4) ◽  
pp. 809-813 ◽  
Author(s):  
Keithlen Cruz Moreira de Castro ◽  
Ricardo Oliveira Guerra
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Performance ◽  
Functional Capacity ◽  
Elderly Population ◽  
Population Sample ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Elderly Persons ◽  
Cross Sectional ◽  
State Examination

Functional incapacity and cognitive impairment are conditions related to the process of human aging. Cognitive impairment is considered an important predicitve factor for functional impairment in elderly populations. This cross-sectional study analyzes the association between cognitive performance and functional capacity in an elderly population sample in Natal, Brazil. A total of 213 elderly persons were assessed by the BOAS Multidimensional Questionnaire (Brazil Old Age Schedule) and the Mini-Mental State Examination (MMSE). The results of multivariate analysis and linear regression showed that age and schooling level are factors associated with cognitive performance in the elderly of this study. The final explicative model, elaborated by logistic regression, found that cognitive performance was the only predicitve variable of functional incapacity for the activities of daily living even when adjusted for sociodemographic variables.

Characterization of quantitative aspects of pain in elderly at asylum

2011 ◽  
Vol 5 (5) ◽  
pp. 1210
Author(s):  
Luciana Araújo dos Reis ◽  
Gilson De Vasconcelos Torres ◽  
Thaiza Teixeira Xavier Nobre
Keyword(s):  
Social Science ◽  
Musculoskeletal Diseases ◽  
Rio Grande ◽  
The Elderly ◽  
Pain Questionnaire ◽  
Calidad De Vida ◽  
The City ◽  
State Examination

ABSTRACTObjective: investigating aspects of quantitative behavior of pain caused by musculoskeletal diseases, in relation to presence, intensity and localization on elderly residents in a specialized institution in the city of Jequié/BA. Method: this is a descriptive study in Fundação Leur Brito, approved by the Ethics Committee of the Federal University of Rio Grande do Norte (No Opinion No. 177/05) and the studied population was compound by 60 elderly. The instruments applied were: 1) Health and socio-demographic characterization; 2) Mini-mental State Examination; 3) Mc Gill Pain Questionnaire. The data were analyzed descriptively way and program used Statistical Package for Social Science (SPSS) version 14.0 for Windows. Results: we studied 60 institutionalized elderly, 50% of each sex, more often males aged 60 to 80 years (33.3%). Concerning intensity, 61,4% of the elderly reported intense pain. The most predominant localization was Lower Extremity (53,3%). Conclusion: the evaluation of pain is important in trying to describe it, aiming adequate therapeutic intervention and contributing on the improvement of the quality of life of the elderly. Descriptors: pain; elderly; evaluation.RESUMOObjetivo: investigar os aspectos quantitativos da dor decorrente de doenças osteomusculares quanto à presença, intensidade e localização em idosos asilados no município de Jequié/BA. Método: trata-se de um estudo descritivo realizado na Fundação Leur Brito, aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal do Rio Grande do Norte (nº Parecer nº177/05), sendo a amostra composta por 60 idosos. O instrumento utilizado constituiu-se de: 1) Caracterização sociodemográfica e de saúde; 2) Mini-exame do estado mental; 3) Questionário para dor McGill. Os dados foram analisados de maneira descritiva, sendo utilizado programa Statistical Package for Social Science (SPSS) versão 14.0 Windows. Resultados: foram estudados 60 idosos institucionalizados, sendo 50% de cada sexo, com maior frequência do sexo masculino na faixa etária de 60 a 80 anos (33,3%). A ocorrência de dor foi de 73,3%, sendo predominantemente entre 60 a 80 anos (33,3%). Em relação a intensidade, 61,4% dos idosos relataram dor intensa. Quanto à localização foi mais predominante nos MMII (53,3%). Conclusão: a avaliação da dor é importante na tentativa de descrevê-la, objetivando uma intervenção terapêutica adequada e contribuindo na melhoria da qualidade de vida dos idosos. Descritores: dor; idoso; avaliação.RESUMENObjetivo: investigar los aspectos de dolor cuantitativos causadas por las enfermedades musculoesqueléticas, en relación con la presencia, intensidad y localización de personas mayores residentes en una institución especializada en la ciudad de Jequié /BA. Este es un estudio descriptivo. Método: este es un estudio descriptivo en Fundação Leur Brito, aprobado por el Comité de Ética de la Universidad Federal de Rio Grande do Norte (n opinión N º 177/05) y de la población estudiada estaba compuesto por 60 personas mayores. Los instrumentos que se aplicaron fueron: 1) Salud y sociodemográficas caracterización; 2) Mini - mental de examen de Estado; 3) Mc Gill Pain Questionnaire. Los datos fueron analizados descriptivamente y el programa utilizado Statistical Package for Social Science (SPSS) para Windows versión 14,0. Resultados: se estudiaron 60 ancianos institucionalizados, y  50% de cada sexo, y su distribución equitativa entre los dos grupos de edad estudiados (36,7%), respectivamente. La aparición de dolor fue del 73,3%. En cuanto a la intensidad, el 61,4% de las personas de edad informó de intenso dolor. Conclusión: a localización más predominante fue Extremidades Inferiores (53,3%).  La evaluación del dolor es importante en el intento de describirla, con el objetivo adecuada intervención terapéutica y contribuir en la mejora de la calidad de vida de las personas de edad. Descriptores: dolor; anciano; evaluación.

scholarly journals Factors associated with the functional capacity of elderly individuals with hypertension and/or diabetes mellitus

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Thaciane Alves Mota ◽  
Manuela Bastos Alves ◽  
Valdenir Almeida da Silva ◽  
Francieli Aparecida de Oliveira ◽  
Priscilla Mécia Conceição de Brito ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Functional Capacity ◽  
Demographic Data ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Elderly Individuals ◽  
Conditioning Factors ◽  
Katz Index ◽  
State Examination

Abstract Objective: To identify the association of sociodemographic and clinical factors with the functional capacity of elderly individuals with hypertension and/or diabetes mellitus. Method: An outpatient, non-probabilistic cross-sectional study, performed in two Health Units in a city from the inland of Bahia, Brazil, with a population of 100 elderly individuals monitored through the HIPERDIA Program. Data was collected using a questionnaire covering socio-demographic data, the Katz index and the Mini Mental State Examination. Results: The analysis showed that 45% of the respondents had some degree of dependence. In the multivariate analysis it as observed that the elderly individuals aged 70 years old or more presented 1.9 times more chances to develop some degree of dependence in relation to those under 70 years old. Considered the same age group, it was shown that those with concomitant comorbidities (hypertension and diabetes) were 1.7 times more likely to develop some dependence compared to those who only had hypertension. Conclusion and implications for practice: It was possible to conclude that functional capacity as a multifactorial condition in this population was determined by age and by the presence of comorbidities (hypertension and diabetes). Identifying these disability-conditioning factors allows for a better planning of nursing care based on promoting a healthy, independent and autonomous aging process.

Validity of the Elderly Behavior Assessment for Relatives (EBAR)

2000 ◽  
Vol 16 (1) ◽  
pp. 77-83 ◽  
Author(s):  
Lina Pezzuti ◽  
Caterina Laicardi ◽  
Marco Lauriola
Keyword(s):  
Cognitive Functioning ◽  
Mini Mental State Examination ◽  
Rating Scale ◽  
Good Health ◽  
The Elderly ◽  
Behavior Assessment ◽  
Elderly Persons ◽  
Behavior Rating Scale ◽  
Components Analysis ◽  
State Examination

Summary: An Elderly Behavior Assessment for Relatives (EBAR), updating the GERRI ( Schwartz, 1983 ), was administered to relatives (or significant others) of 349 elderly persons, from 60 to over 80 years of age, living at home, in good health and without cognitive impairment. A trained psychologist administered subjects the Life Satisfaction for Elderly Scale (LSES), the Instrumental Activity of Daily Living (IADL), the Mini Mental State Examination (MMSE), and personally answered to an overall elderly behavior rating scale (RA). EBAR items were first examined. The more attractive and less discriminative statements were excluded. A principal components analysis was carried out on the remaining EBAR items. Three factors were extracted. After varimax rotation they were tentatively labeled: Everyday Cognitive Functioning, Depression, and Hostility. Factor-driven EBAR subscales were designed, taking into account simpler items in the factor matrix. Results provide evidence for EBAR construct validity. Everyday Cognitive Functioning is connected to the IADL and the RA scores; Depression is very highly related to the LSES; Hostility is weakly related to RA, IADL, and MMSE, indicating that the scale needs further investigation.

CALIDAD DE VIDA RELACIONADA A LA SALUD BUCAL EN ESCOLARES DEL ÁMBITO COSTA - SIERRA DE ECUADOR

2018 ◽  
Vol 3 (2) ◽  
pp. 58
Author(s):  
Luis Fernando Orellana ◽  
Liliana Encalada Verdugo ◽  
Ebingen Villavicencio Caparó
Keyword(s):  
Calidad De Vida ◽  
Para Determinar ◽  
Oral Impacts

Objetivo: Comparar el  impacto de  las condiciones orales sobre la calidad de vida en los escolares del ámbito Costa- Sierra  de  la  provincia de Cañar Ecuador, a través del cuestionario Child Oral Impacts Daily Performance. Materiales y Métodos: Estudio  transversal, descriptivo, observacional, se evaluó a 166 escolares que cumplieron con criterios de selección. Los datos fueron recolectados a través de una entrevista personalizada que duró de 8 a 10  minutos por escolar. Se usó una versión en español validada en Perú del Child-OIDP Index para determinar el impacto de 17 condiciones  bucales en 8 desempeños o actividades diarias. Resultados: Se determinó que: El 98.2% de escolares refirieron uno ó más  desempeños  impactado, entre los más   afectados fueron comer,  sonreír  y socializar según el sexo, mientras que en la sierra el desempeño más afectado fue sonreír, y en la costa fue socializar  (68.0% y 56.8%)  respectivamente. Conclusión: no existió diferencia estadísticamente significativa de acuerdo a lugar de procedencia  y sexo  en  escolares del Cantón Cañar.

scholarly journals Letter to the Editor: Microbiota in the Respiratory System—A Possible Explanation to Age and Sex Variability in Susceptibility to SARS-CoV-2

2021 ◽  
Vol 14 ◽  
pp. 117863612098860
Author(s):  
Vishal Shah
Keyword(s):  
Respiratory System ◽  
Elderly Population ◽  
Age Groups ◽  
The Elderly ◽  
Elderly Adult ◽  
Human Respiratory Tract ◽  
System A ◽  
Number Of Patients ◽  
Children And Young Adults ◽  
Age And Sex

The Human respiratory tract is colonized by a variety of microbes and the microbiota change as we age. In this perspective, literature support is presented for the hypothesis that the respiratory system microbiota could explain the differential age and sex breakdown amongst COVID-19 patients. The number of patients in the older and elderly adult group is higher than the other age groups. The perspective presents the possibility that certain genera of bacteria present in the respiratory system microbiota in children and young adults could be directly or through eliciting an immune response from the host, prevent full-fledged infection of SARS-CoV-2. The possibility also exists that the microbiota in older adults and the elderly population have bacteria that make it easier for the virus to cause infection. I call upon the scientific community to investigate the link between human microbiota and SARS-CoV-2 susceptibility to further understand the viral pathogenesis.

scholarly journals Combined instruments for the screening of dementia in older people with low Education

2009 ◽  
Vol 67 (2a) ◽  
pp. 185-190 ◽  
Author(s):  
Cássio M.C. Bottino ◽  
Sonia E. Zevallos-Bustamante ◽  
Marcos A. Lopes ◽  
Dionisio Azevedo ◽  
Sérgio R. Hototian ◽  
...  
Keyword(s):  
Older People ◽  
The Elderly ◽  
Cognitive Tests ◽  
Weighted Sum ◽  
Dementia Screening ◽  
Moderate Dementia ◽  
Icd 10 ◽  
Roc Area ◽  
Low Educated ◽  
State Examination

OBJECTIVE: To determine which combination of cognitive tests and informant reports can improve the diagnostic accuracy of dementia screening in low educated older people. METHOD: Patients with mild to moderate dementia (n=34) according to ICD-10 and DSM-III-R criteria and 59 older controls were assessed with the Mini-Mental State Examination (MMSE) and the Fuld Object Memory Evaluation (FOME). Informants were assessed using the Informant Questionnaire on Cognitive Decline in the Elderly and the Bayer-Activities of Daily Living Scale. RESULTS: The 4 instruments combined with the mixed rule correctly classified 100% and the logistic regression (weighted sum) classified 95.7% of subjects. The weighted sum had a significantly larger ROC area compared to MMSE (p=0.008) and FOME (p=0.023). The specificity of the tested combinations was superior to the MMSE alone (p=0.002). CONCLUSIONS: Cognitive tests combined with informant reports can improve the screening of mild to moderate dementia in low educated older people.

Calidad de vida laboral de enfermeros en servicio de emergencia y su influencia en calidad del cuidado del hospital Cayetano Heredia - Lima 2017

2019 ◽  
Vol 4 (2) ◽  
pp. 6-11
Author(s):  
Alicia Ortega-Soto
Keyword(s):  
Calidad De Vida ◽  
Para Determinar

Para determinar la influencia de la calidad de vida laboral de los enfermeros en la calidad del cuidado. Se llevó a cabo un estudio correlacional, con 46 profesionales de Enfermería en el servicio de Emergencia del Hospital Cayetano Heredia - Lima 2017. Se utilizó un cuestionario de calidad de vida en el trabajo y guía de observación de calidad de cuidado de Enfermería. Para el análisis inferencial se utilizó la prueba de correlaciones de r de Pearson. El 93,5% (43 enfermeros) manifestaron calidad de vida laboral media y el 67,4% (31 enfermeros) brindaron calidad de cuidado buena. Por otro lado, se encontró relación significativa estadísticamente entre la calidad de vida laboral y la calidad del cuidado de enfermería, con p≤0,000. Y, la calidad del cuidado de enfermería se relaciona significativamente con el Soporte institucional para el trabajo (p≤0,010), Seguridad en el trabajo (p≤0,010), Integración al puesto de trabajo (p≤0,006), Satisfacción por el trabajo (p≤0,000), Bienestar logrado a través del trabajo (p≤0,007), Desarrollo personal (p≤0,019) y Administración del tiempo libre (p≤0,003). La calidad de vida laboral de los enfermeros influye en la calidad del cuidado de servicio de Emergencia del Hospital Cayetano Heredia - Lima.

scholarly journals Applicability of a cognitive questionnaire in the elderly and proxy

2008 ◽  
Vol 2 (3) ◽  
pp. 228-232 ◽  
Author(s):  
Renata Areza Fegyveres ◽  
Ana Paula Formigoni ◽  
Cláudia Sellitto Porto ◽  
Maria Teresa Carthery Goulart ◽  
Mirna Lie Hosogi Senaha ◽  
...  
Keyword(s):  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Community Dwelling ◽  
Geriatric Depression ◽  
Community Group ◽  
Proxy Report ◽  
Proxy Responses ◽  
The Mean ◽  
State Examination

Abstract The Informant Questionnaire on Cognitive Decline in the Elderly with the Proxy (IQCODE) was developed as a screening tool for cognition alterations. Objectives: 1) To verify the applicability of IQCODE in the elderly with limited schooling, 2) To verify the reliability of the responses supplied by the aged and their proxies. Methods: Individuals of a Community Group were evaluated using the Mini-Mental State Examination (MMSE), IQCODE and Geriatric Depression Scale (GDS). The IQCODE was applied to informants and proxies. Results: We analyzed 44 individuals, aged between 58-82 years (M=66.8, SD=5.97) with mean elderly-schooling level of 3.75, SD=2.82 and 44 proxies aged 44.5 (SD=13.3), with mean schooling level of 8.25 (SD=4.3). The mean GDS was 8.22, SD=4.90 and 13 participants presented a score suggestive of depressive symptoms. The mean elderly IQCODE score was 3.26, SD=0.69 and 3.21, SD=0.65, for proxy responses. There was no statistical difference between these means. On the MMSE, the mean score was 24.20, SD=4.14 and 18 participants presented scores below the cut-off. The IQCODE answers by the elderly in this latter group were more congruent with MMSE than the answers of proxies. Conclusions: The applicability of the IQCODE in a population with little schooling was verified in that the proxy-report was similar to the elderly report. We can affirm that the elderly answers were more accurate than the proxies, as they were closer to MMSE score. The inclusion of a greater number of participants from community-dwelling settings is necessary to confirm the results obtained in this study.

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