scholarly journals Contributory factors for the functional independence of oldest old

2015 ◽  
Vol 49 (1) ◽  
pp. 89-96 ◽  
Author(s):  
Dâmarys Kohlbeck de Melo Neu Ribeiro ◽  
Maria Helena Lenardt ◽  
Tatiane Michel ◽  
Larissa Sayuri Setoguchi ◽  
Clóris Regina Blanski Grden ◽  
...  
Keyword(s):  
Social Life ◽  
Oldest Old ◽  
Leisure Activities ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Clinical Factors ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Everyday Activities ◽  
Basic Health Units

OBJECTIVE To investigate the socioeconomic and clinical factors that contribute to the functional independence of the oldest old of a community. METHOD Cross-sectional quantitative study whose sample consisted of 214 elderly people registered in Basic Health Units. Data were collected through structured interviews and application of the Functional Independence Measure. We used descriptive statistics, and for association of the variables we used the Student t-test, ANOVA and Tukey's test for multiple comparisons. RESULTS The significant variables that contributed to the functional independence were remaining economically active, practicing physical and leisure activities, having a social life, eating fruits, vegetables and meat. The orientation to conduct these practices reduces the demand for care and help needed in everyday activities. CONCLUSION Maintaining independence is primordial to delay disability and presents itself as an excellent field of work for nursing.

scholarly journals Prevalência, desempenho cognitivo e funcionalidade de idosos com Doença de Alzheimer em instituições de longa permanência de Bento Gonçalves

2017 ◽  
Vol 5 (1) ◽  
pp. 23 ◽  
Author(s):  
Daniela Fernandes Tonholi ◽  
Gisele Oltramari
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Performance ◽  
Junior High School ◽  
Functional Independence Measure ◽  
The Elderly ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Functional Evaluation ◽  
Cross Sectional

Aims: To determine the prevalence, cognitive performance and functionality of elderly people with Alzheimer's disease in long-stay institutions for the elderlyin the city of Bento Gonçalves. Methods: Cross-sectional study including 24 elderly residents in long-stay institutions for the elderly, sociodemographic datawere obtained, and the elderly were subjected to functional evaluation by the Functional Independence Measure and evaluation of cognitive performancethrough the mental state the Mini (MMSE). Results: Most of the residents were female (83%), as 54.2% schooling had completed junior high school, mostof the elderly (70.8%) was admitted by the will of the family, 100% of the elderly showed cognitive performance bad, and the smaller the more dependentcognitive performance was the individual. Conclusion: institutionalized elderly with Alzheimer's disease had negative results on cognitive performance,as well as deficits in their ability to perform activities of daily living, thus altering their functionality.Keywords: aging; functionality; cognition; Alzheimer Disease; long-stay institutions.

A Global Measure of Patient-reported Outcomes After Injury – Life Back on Track

2021 ◽  
Author(s):  
Gang Chen ◽  
Maame Esi Woode ◽  
Kah Ling Sia ◽  
Nina Ellis ◽  
Cassie Citroen ◽  
...  
Keyword(s):  
Social Life ◽  
Leisure Activities ◽  
Work Status ◽  
Conceptual Basis ◽  
Global Measure ◽  
Client Outcome ◽  
Cross Sectional ◽  
Patient Reported ◽  
Related Quality ◽  
Survey Responses

Abstract Background The study assessed the psychometric properties of the Life Back on Track (LBoT) measure, a new self-reported single-item global measure of the trajectory of wellbeing after a transport accident. Methods The data come from four waves of the Transport Accident Commission Longitudinal Study (n=1,556 in wave 1), and two repeated cross-sectional surveys– a Client Outcome Survey (n=5,238) and a Client Experience Survey (n=1,964) of individuals injured in a transport accident in Victoria. The conceptual basis of the measure was confirmed in a qualitative analysis of open-ended survey responses. The psychometric performance of the measure, including known-groups validity, test-retest reliability, sensitivity, and responsiveness was investigated. Results The LBoT measure was found to have a conceptual basis of recovery towards a normal life with domains of independence, control, happiness, work, social life, pain, physical function, cognitive function, work and leisure activities, income, anxiety, and depression. There were significant differences in the distribution of the LBoT scores based on the respondent’s depression, pain, return to work status, financial ability to get by, ability to cope, and ability to bounce back. The LBoT measure was a reasonable predictor of future work status and was moderately responsive to change. Conclusions LBoT is a valid measure to track the individual’s trajectory of subjective wellbeing in the context of recovery after a trauma, and it covers wider concepts than health-related quality of life. For use as a performance or tracking measure, however, further evidence is needed on its responsiveness.

scholarly journals Relationships and interactions in healthy process to be an adolescent

2010 ◽  
Vol 31 (1) ◽  
pp. 136-142 ◽  
Author(s):  
Adelita Campos Araújo ◽  
Valeria Lerch Lunardi ◽  
Rosemary Silva da Silveira ◽  
Maira Buss Thofehrn ◽  
Adrize Rutz Porto
Keyword(s):  
Interpersonal Relationships ◽  
Thematic Analysis ◽  
Social Life ◽  
Rio Grande ◽  
Exploratory Research ◽  
Rio Grande Do Sul ◽  
Structured Interviews ◽  
Building Relationships ◽  
State College ◽  
Basic Health Units

The purpose of this study is to explore how teenagers view the relationships and interactions in the process of healthily becoming an adolescent. This qualitative exploratory research was conducted with ten teenagers in a state college in a town in southern Rio Grande do Sul, Brazil, from August to October, 2007. We used semi-structured interviews to collect the data. Later, we decided to use a thematic analysis, in which two themes emerged: (1) the process of building relationships and interactions in adolescence and (2) the risk in social life. As a result, we realized the importance of interpersonal relationships formed in adolescence, which deserve the nurse’s attention. Nurses can help in the guiding of this population in basic health units, hospitals or schools, to a healthy adolescence. Thus, teenagers may enjoy the relationships built in this process in order to grow and to enter into adulthood.

scholarly journals FUNCTIONAL INDEPENDENCE OF PEDIATRIC PATIENTS WITH MUCOPOLYSACCHARIDOSES

2019 ◽  
Vol 27 (4) ◽  
pp. 212-215
Author(s):  
Paloma Silva Lopes ◽  
Diógenes Pires Serra Filho ◽  
Marcos Antônio Almeida Matos
Keyword(s):  
Pediatric Patients ◽  
Case Series ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Cognitive Domain ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Documentary Analysis ◽  
The Mean

ABSTRACT Objective: To measure the functional independence to perform activities of daily living of pediatric patients diagnosed with mucopolysaccharidoses. Methods: A descriptive cross-sectional study was carried out with the population of pediatric patients with a confirmed enzymatic diagnosis of mucopolysaccharidoses, enrolled in the Orthopedics outpatient clinic of a hospital in the State of Bahia. The data were collected between October 2016 and March 2017, based on the documentary analysis of the assessment forms used in the department. The variables of this study comprised sex, age, type of MPS and level of functional independence, measured by the Functional Independence Measure scale. Results: Twenty-six patients participated in the study. These were predominantly male (61.5%), with a mean age of 10 ± 4.5 years, affected by MPS VI (73.1%). In the motor domain, the mean score was 65 (± 19.9 points); the cognitive domain obtained a mean score equal to 28 (± 8.2 points); and the total FIM score was 93 (± 26.5). Conclusion: Impaired functional independence was observed among children and adolescents with mucopolysaccharidoses. Tasks related to dressing, toileting, bathing, problem solving and social interaction were those that required the most assistance and/or supervision. Level of Evidence IV, Case Series.

scholarly journals Relationship between upper limb motor function and activities of daily living after removing the influence of lower limb motor function in subacute patients with stroke: A cross-sectional study

2020 ◽  
pp. 156918612092660
Author(s):  
Haruka Yamamoto ◽  
Kazuya Takeda ◽  
Soichiro Koyama ◽  
Keisuke Morishima ◽  
Yuichi Hirakawa ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Motor Function ◽  
Upper Limb ◽  
Lower Limb ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Motor Score ◽  
Cross Sectional ◽  
The Relationship

Background Previous studies have reported a relationship between upper limb motor function and activities of daily living. However, their relationship after removing the influence of lower limb motor function has not been clarified. Objective This study aimed to investigate the relationship between Fugl-Meyer assessment upper limb and total Functional Independence Measure motor score and between Fugl-Meyer assessment upper limb and each item contained in Functional Independence Measure motor score after eliminating the influence of the motor function of the affected lower limb. Methods This retrospective cross-sectional study included 58 subacute stroke patients. To investigate the relationship between the Fugl-Meyer assessment upper limb and total Functional Independence Measure motor score before and after removing the influence of Fugl-Meyer assessment lower limb, Spearman’s rank correlation coefficient and partial correlation analysis were used. Additionally, the relationship between Fugl-Meyer assessment upper limb and each item of Functional Independence Measure motor score after removing the influence was assessed. Results Before removing the influence of Fugl-Meyer assessment lower limb, Fugl-Meyer assessment upper limb was strongly correlated with total Functional Independence Measure motor score (r = 0.74, p < 0.001). However, it became weak after removing the influence (r = 0.27, p = 0.04). Regarding each item of Functional Independence Measure motor score, Fugl-Meyer assessment upper limb was correlated with grooming (r = 0.27, p = 0.04), bathing (r = 0.28, p = 0.03), dressing upper body (r = 0.33, p = 0.01), dressing lower body (r = 0.31, p = 0.02), and stair-climbing (r = 0.31, p = 0.02) after removing the influence. Conclusion These findings suggest that the relationship between the upper limb motor function and activities of daily living is strongly influenced by lower limb motor function.

scholarly journals Accidental falls in the elderly and their relation with functional capacity

2012 ◽  
Vol 20 (5) ◽  
pp. 927-934 ◽  
Author(s):  
Jack Roberto Silva Fhon ◽  
Suzele Cristina Coelho Fabrício-Wehbe ◽  
Thais Ramos Pereira Vendruscolo ◽  
Renata Stackfleth ◽  
Sueli Marques ◽  
...  
Keyword(s):  
Functional Capacity ◽  
Functional Independence Measure ◽  
Prevalence Ratio ◽  
Female Gender ◽  
The Elderly ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Gender And Age ◽  
Elderly Health

AIM: This study aimed to determinate the prevalence of falls in the elderly and its relationship with the functional capacity. METHOD: This is an epidemiological and cross-sectional study; a two-stage cluster sample of 240 male and female subjects aged over 60 years was used. Data were collected from November 2010 to February 2011. The following questionnaires were used: socio-demographic profile, assessment of falls, Functional Independence Measure, Lawton and Brody Scale. Significance was set at 0.05. To identify the occurrence of falls and their relation with functional capacity, the prevalence ratio and prevalence odds ratios were used, as well as multiple logistic regression. RESULTS: Average age was 73.5 years (±8.4); 25% 80 years or more, with preponderance of female gender; 48.8% attended school between 1-4 years. The average was 1.33 falls (±0.472), with prevalence in women and elderly between 60 and 79 years old; the most frequently sites were the backyard and bathroom. Strong correlation between the level of functional independence and instrumental activities and age was found, but no relation between elderly victims of falls and the gender and age variables. CONCLUSION: Women who suffered falls related to functional independence were predominant, which can be prevented through elderly health promotion strategies, a policy that serves to offer living conditions to people in the aging process.

scholarly journals Usability, occupational performance and satisfaction evaluation of a smart environment controlled by infrared oculography by people with severe motor disabilities

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256062
Author(s):  
Mariana Midori Sime ◽  
Alexandre Luís Cardoso Bissoli ◽  
Daniel Lavino-Júnior ◽  
Teodiano Freire Bastos-Filho
Keyword(s):  
Assistive Technology ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Performance Measure ◽  
Smart Environment ◽  
Occupational Performance ◽  
Structured Interviews ◽  
Motor Disabilities ◽  
Canadian Occupational Performance Measure ◽  
Severe Motor

A smart environment is an assistive technology space that can enable people with motor disabilities to control their equipment (TV, radio, fan, etc.) through a human-machine interface activated by different inputs. However, assistive technology resources are not always considered useful, reaching quite high abandonment rate. This study aims to evaluate the effectiveness of a smart environment controlled through infrared oculography by people with severe motor disabilities. The study sample was composed of six individuals with motor disabilities. Initially, sociodemographic data forms, the Functional Independence Measure (FIMTM), and the Canadian Occupational Performance Measure (COPM) were applied. The participants used the system in their domestic environment for a week. Afterwards, they were reevaluated with regards to occupational performance (COPM), satisfaction with the use of the assistive technology resource (QUEST 2.0), psychosocial impact (PIADS) and usability of the system (SUS), as well as through semi-structured interviews for suggestions or complaints. The most common demand from the participants of this research was ‘control of the TV’. Two participants did not use the system. All participants who used the system (four) presented positive results in all assessment protocols, evidencing greater independence in the control of the smart environment equipment. In addition, they evaluated the system as useful and with good usability. Non-acceptance of disability and lack of social support may have influenced the results.

scholarly journals Understanding the shopping behavior, clothing choice and consumption experience of mature Taiwanese women

2021 ◽  
Author(s):  
Wendi (Wan-Tien) Chang
Keyword(s):  
Baby Boomers ◽  
Social Life ◽  
Leisure Activities ◽  
Psychological Needs ◽  
Shopping Behavior ◽  
Depth Information ◽  
Structured Interviews ◽  
Work Related ◽  
Taiwanese Women ◽  
Female Baby

It remains unclear if mature consumers (particularly baby boomers) in Eastern countries have similar physiological, social and psychological needs when it comes to fashion shopping and consumption. The objectives of this study are: (1) to provide in-depth information regarding the attitudes of female baby boomers in Taiwan toward aging and clothing choice; (2) to understand how female baby boomers in Taiwan behave in different contexts (work-related, social and leisure activities) of clothing usage and consumption; and (3) to identify the differences between the Taiwanese boomers and Western boomers by comparing the current findings to previous research conducted in Western societies. Semi-structured interviews were conducted with 18 female participants aged from 47 to 59 years old. Although participants were experiencing physiological, social and psychological change during the aging process, the majority of the participants expressed the willingness to stay healthy and active in their social life. It is also evident that clothing selection and consumption were closely associated with individual’s profession, social status and daily activities. The sample of this study was limited to specific segment (middle to upper-class) which may not represent the diverse baby boomer populations in Taiwan. Nevertheless, this unique study should provide valuable information of aging population and clothing consumption in Taiwan to fashion practitioners, marketers and academia.

scholarly journals Losing and Regaining Grip: Depression and Everyday Life

SAGE Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 215824401882237 ◽  
Author(s):  
Vilma Hänninen ◽  
Jukka Valkonen
Keyword(s):  
Sick Leave ◽  
Everyday Life ◽  
Depressive Episode ◽  
Leisure Activities ◽  
Point Of View ◽  
Life Situation ◽  
Structured Interviews ◽  
Everyday Activities ◽  
Personal Accounts

Despite increased interest and research into personal accounts of depression, it has seldom been studied specifically from the point of view everyday life. Our aim is to highlight how depression progresses in relation to everyday activities, and to interpret the process using a theory of everyday life. Semi-structured interviews were conducted with 55 persons (31 women, 24 men) in their 40s who self-identified as having been depressed. Depression typically progressed as follows: It originated in a difficult life situation, which was coped with by trying to manage or by escaping to drinking. Eventually, it was not possible to carry out everyday duties. Seeking treatment and sick leave signified a disconnection from everyday obligations. Leisure activities as well as support from close people helped in coping, and gradually a new, more meaningful and enjoyable everyday life developed. Disconnection, rest, reflection, reorientation, and reorganization of life seemed to build a pathway out of depression. Thus, a depressive episode could be interpreted as a process in which the person first disengaged from the unreflected everyday and then reflectively re-engaged to it.

scholarly journals Inpatient Rehabilitation Outcomes in Patients With Stroke Aged 85 Years or Older

2016 ◽  
Vol 96 (9) ◽  
pp. 1381-1388 ◽  
Author(s):  
Suzanne R. O'Brien ◽  
Ying Xue
Keyword(s):  
Outcome Measures ◽  
Stroke Rehabilitation ◽  
Functional Independence Measure ◽  
Inpatient Rehabilitation ◽  
The United States ◽  
Functional Independence ◽  
Assessment Instrument ◽  
Age Group ◽  
Cross Sectional ◽  
Discharge Outcomes

Abstract Background In the United States, people 85 years of age or older have a growing number of strokes each year, and this age group is most at risk for disability. Inpatient rehabilitation facilities (IRFs) adhere closest to post-acute stroke rehabilitation guidelines and have the most desirable outcomes compared with skilled nursing facilities. As stroke is one of the leading causes of disability, knowledge of postrehabilitation outcomes is needed for this age group, although at present such information is limited. Objective The purpose of this study was to describe functional and discharge outcomes after IRF rehabilitation in people with stroke aged 85 years or older. Design A serial, cross-sectional design was used. Methods Inpatient Rehabilitation Facility–Patient Assessment Instrument data were analyzed beginning in 2002 for the first 5.5 years after implementation of the prospective payment system and included 71,652 cases. Discharge function, measured using the Functional Independence Measure (FIM), and community discharge were the discharge outcome measures. Sample description used frequencies and means. Generalized estimating equations (GEEs) with post hoc testing were used to analyze the annual trends for discharge FIM and community discharge by age group (85–89, 90–94, 95–99, and ≥100 years). Risk-adjusted linear and logistic GEE models, with control for cluster, were used to analyze the association between both outcome measures and age group. Results Over 5.5 years, mean discharge FIM scores decreased by 3.6 points, and mean achievement of community discharge decreased 5.5%. Approximately 54% of the sample achieved community discharge. Continuous and logistic GEEs revealed factors associated with discharge outcomes. Limitations Results obtained using an observational design should not be viewed as indicating causation. The lack of control for a caregiver may have altered results. Conclusions The very elderly people admitted to IRF stroke rehabilitation made functional gains, and most were able to return to the community.

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