scholarly journals Assessment of functional capacity of the elderly associated with the risk for pressure ulcer

2012 ◽  
Vol 25 (spe1) ◽  
pp. 94-100 ◽  
Author(s):  
Elizabeth Souza Silva de Aguiar ◽  
Maria Júlia Guimarães Oliveira Soares ◽  
Maria Helena Larcher Caliri ◽  
Marta Mirian Lopes Costa ◽  
Simone Helena dos Santos Oliveira
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Pressure Ulcers ◽  
The Elderly ◽  
Functional Independence ◽  
Cognitive Status ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Physical Limitations

OBJECTIVE: To characterize the elderly with physical limitations; to assess functional capacity as it relates to physical mobility, cognitive status and level of functional independence in activities of daily living, and to relate functional capacity to the risk for pressure ulcers. METHODS: A quantitative cross-sectional approach, conducted in households in the city of João Pessoa (PB) with seniors who presented physical limitation. Fifty-one elderly were investigated in a two-stage cluster sampling design. RESULTS: There was evidence of impairments in functional capacity of the elderly aged 80 years or more, with more severe physical limitations, cognitive impairment and a higher level of dependency for activities. Significant differences were observed between the level of functional independence in performing activities of daily living and the risk of pressure ulcers. CONCLUSION: This study allowed for the identification of the elderly in functional decline and at risk for developing pressure ulcers, supporting the implementation of preventive actions at the household level.

scholarly journals Functional capacity and reported morbidities: a comparative analysis in the elderly

2017 ◽  
Vol 20 (3) ◽  
pp. 398-408 ◽  
Author(s):  
William César Gavasso ◽  
Vilma Beltrame
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Family Health ◽  
The Elderly ◽  
Gastrointestinal System ◽  
Elderly Persons ◽  
Santa Catarina ◽  
Cross Sectional ◽  
Percentage Difference

Abstract Objective: To evaluate the influence of chronic morbidities on the functional capacity of elderly persons living in the municipal region of Herval d’ Oeste, in the state of Santa Catarina, Brazil. Methods: An analytical cross-sectional study was carried out with a sample of 272 elderly people registered in the Family Health Strategy of the municipality of Herval d’ Oeste, Santa Catarina. A socio-demographic questionnaire, Katz’s Basic Activities of Daily Living Scale and Lawton’s Instrumental Activities of Daily Living Scale (IALD) were used as instruments to gather data. The socio-demographical variables were estimated in frequencies and percentages. The associations were analyzed through the chi-square test. Results: Significant statistical associations for dependence were only found in the IADL assessments. Hypertension and Diabetes Mellitus were not found to influence the dependence of the elderly. However, a greater number of elderly persons who reported pathologies of the gastrointestinal system were classified as dependent. While the number of morbidities did not influence dependence in IADL, there was a smaller percentage difference between dependent and independent individuals among those with more than three morbidities. Conclusion: No relationship was found between the number of morbidities and the functional and instrumental capacity of the elderly. However, diseases of the gastrointestinal system demonstrated an influence on the dependence of elderly persons of Herval d'Oeste, Santa Catarina.

scholarly journals Assessment of functional capacity in elderly residents of an outlying area in the hinterland of Bahia/Northeast Brazil

2010 ◽  
Vol 68 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Gilson de Vasconcelos Torres ◽  
Luciana Araújo dos Reis ◽  
Luana Araújo dos Reis
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Age Groups ◽  
The Elderly ◽  
Cross Sectional ◽  
Instrumental Activities ◽  
Significant Difference ◽  
The Difference ◽  
Outlying Area

OBJECTIVE: To assess the functional capacity and to determine the difference between the means of functional capacity (basic and instrumental activities of daily living) and the age groups of elderly residents in an outlying area in the hinterland of Bahia/Northeast of Brazil. METHOD: Analytical study with cross-sectional design and a sample of 150 elderly individuals enrolled in four Health Units in the municipality of Jequié, Bahia, Brazil. The instrument consisted of sociodemographic and health data, the Barthel Index and the Lawton scale. RESULTS: In all, 78.00% of the elderly were classified as dependent in the basic activities and 65.33% in the instrumental activities of daily living. Using the Kruskal-Wallis test, we found a statistically significant difference between the means of instrumental activities and the age groups (p=0.011). CONCLUSION: An elevated number of elderly were classified as dependent in terms of functional capacity and increased age is related to greater impairment in the execution of instrumental activities of daily living.

scholarly journals Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study

2019 ◽  
Vol 32 (10) ◽  
pp. 654 ◽  
Author(s):  
Anamélia Oliveira ◽  
Paulo Nossa ◽  
Anabela Mota-Pinto
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Functional Decline ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Adult Day Care ◽  
Medication Usage ◽  
Cross Sectional ◽  
Care Support

Introduction: The aim of this study is to assess functional capacity and determine the factors associated with functional decline in the elderly in adult day care centres and home care support in the County of Coimbra, Portugal.Material and Methods: Cross-sectional study. A total of 115 participants of both genders, aged between 65 and 98, were enrolled in the home care support and adult day care system of the County of Coimbra, Portugal. Functional capacity was assessed using the Barthel index and the Lawton index. Another questionnaire gathered social, demographic and health status information.Results: The basic activities of daily living were significantly associated with age, cohabitation, medication usage, falls and multiple morbidity. Analysis of the study’s variables and the instrumental activities of daily living found significant associations between age, institutional affiliation, perceived health status, hospitalizations, medication usage, physical exercise, multiple morbidities, falls, and fall prevention.Discussion: The results demonstrate that no statistically observable differences were found between gender and functional dependence. A significant association between the Barthel index and cohabitation was also found. We should also highlight that this sample revealed the extremely important role of families in determining the protection of highly dependent older people. Likewise, a significant association was observed between instrumental activities of daily living and levels of physical activity in which greater independence was found in those seniors who practiced physical exercise three or more times per week.Conclusion: The results of this study allow us to identify factors that may be associated with the functional decline in the elderly. Useful evidence for the adoption of intervention strategies in the elderly population was added, focused on the prevention of functional decline and maintenance of the functional capacities of the elderly.

scholarly journals Relationship Between Activities of Daily Living and Depression in Older Adults

Salmand ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 200-211 ◽  
Author(s):  
Marzieh Mohamadzadeh ◽  
◽  
Vahid Rashedi ◽  
Mitra Hashemi ◽  
Vahidreza Borhaninejad ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Elderly People ◽  
Daily Living ◽  
Pearson Correlation ◽  
Depression Scale ◽  
The Elderly ◽  
Cluster Sampling ◽  
Early Assessment ◽  
Cross Sectional

Objectives: Physical disability to perform daily living activities is one of the major causes of depression in the elderly people. On the other hand, depression is associated with loss of interest in daily activities and lack of independence. The present study aimed to assess the relationship of depression with the ability to perform Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) in older adults in Iran. Methods & Materials: This cross-sectional study was performed on 148 elderly people aged ≥60 years who were selected by multi-stage cluster sampling method. Data were collected by using ADL, IADL, and 15-item Geriatric Depression Scale (GDS-15) questionnaires and were then presented by using descriptive statistics and analyzed by Chi-square test, Pearson correlation coefficient, and regression analysis. Results: Participants were 86 female (58.1%) and 62 male (41.9%); 109 (73.6%) aged 60-75 years, and the rest were older than 75 years; 71 (48%) had moderate or severe depression; 4(2.7%) and 61(41.2%) were dependent or in need of help performing ADL and IADL, respectively. Statistical analysis showed that depression has a significant negative correlation with ADL (r= -0.304, P<0.001) and IADL (r=-0.193, P>0.01); i.e. by increasing one of them, the depression decreases. Conclusion: The ability of the elderly people to perform ADL and IADL can be a good predictor of depression in them. With early assessment of their health and ability by health teams and family members, it is possible to prevent the development of their disability and depression.

scholarly journals Oral health conditions and activities of daily living in an elderly population in Brazil

2016 ◽  
Vol 19 (6) ◽  
pp. 917-929 ◽  
Author(s):  
Diviane Alves da Silva ◽  
◽  
Yan Nogueira Leite de Freitas ◽  
Tamires Carneiro de Oliveira ◽  
Romerito Lins da Silva ◽  
...  
Keyword(s):  
Oral Health ◽  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Previous History ◽  
Health Indicators ◽  
The Elderly ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Prosthesis Replacement

Abstract Objective: To analyze the relationship between the oral health status and functional capacity in performing basic activities of daily living of a population of elderly persons. Method: A cross-sectional population-based study with 441 individuals aged 60 years or over both genders was performed in the municipality of Macaíba, Rio Grande do Norte. From intraoral epidemiological examination, the degree of caries attacks (CPO-D index), periodontal condition (CPI and PIP indexes), the use and need for dental prosthesis and the presence of oral lesions were evaluated. Independence in Activities of Daily Living was used to evaluate functional capacity. Socioeconomic and demographic characteristics were surveyed using a structured questionnaire. Results: Oral health variables were subjected to factor analysis, which resulted in four indicators. There was no association between these indicators and the functional capacity of the elderly. Gender, age, presence of caregiver, dominant area of residence, time of last visit to the dentist, type of care sought during such visit and self-perception regarding prosthesis replacement were significantly associated with oral health indicators. Conclusion: Given the non-identification of the effect of functional capacity on the oral health of the elderly, the time of measurement of the events investigated should be considered. It is suggested that dependency among the elderly occurs at different times from when the consequences of oral problems are observed, considering the cumulative effects of a previous history of invasive dental care.

scholarly journals Rehabilitation Nursing Program for Elderly Functional Independence

2020 ◽  
pp. 102-114
Author(s):  
Rogério Ferrinho Ferreira ◽  
Luís Amador Ribeiro ◽  
César João Fonseca
Keyword(s):  
Activities Of Daily Living ◽  
Elderly People ◽  
Daily Living ◽  
Intervention Program ◽  
The Elderly ◽  
Functional Independence ◽  
Nursing Program ◽  
Functional Fitness ◽  
Cross Sectional ◽  
Quantitative Descriptive

To identify the gains in elderly functional independence through the implementation of the rehabilitation nursing program, a pilot study involving the quantitative, descriptive, and cross-sectional case study methodology was applied to an accidental sample of elderly people, with only two persons having completed the previously defined intervention program. The Rikli and Jones functional fitness test for older adults exercises, such as a rehabilitation nursing exercise program and the Barthel scale, were used to measure the functional independence of the elderly in the performance of activities of daily living. From the implementation of the rehabilitation nursing program to the elderly who concluded it in its entirety, the results show global gains in the functional aptitude program and an improvement in functional independence with gains in most activities of daily living. An improvement in the functional independence of elderly people who participated in the rehabilitation nursing program involving the functional fitness exercises of Rikli and Jones was verified.

Prevalence and risk factors for attempted suicide in the elderly: a cross-sectional study in Shanghai, China

2016 ◽  
Vol 29 (5) ◽  
pp. 709-715 ◽  
Author(s):  
Wei Zhang ◽  
Hansheng Ding ◽  
Peng Su ◽  
Qin Xu ◽  
Lixia Du ◽  
...  
Keyword(s):  
Risk Factors ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Attempted Suicide ◽  
The Elderly ◽  
Bivariate Analysis ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Increased Risk

ABSTRACTBackground:Previous studies have thoroughly investigated the prevalence and risk factors for completed suicide. In marked contrast is the lack of a better understanding of attempted suicide in the elderly. The aim of this study was to estimate the prevalence of attempted suicide in the elderly and examine the associated factors.Methods:Using a multi-stage cluster sampling approach, a cross-sectional survey of 8,399 elderly house-dwelling residents was conducted in Shanghai, China.Results:The two-week prevalence of attempted suicide in the elderly was 0.75%. In the bivariate analysis, having no caregivers, depressive, anxiety, sad, fear, obsessive-compulsive and anger symptom, and lower scores on the Barthel Index of Activities of Daily Living and the Lawton Instrumental Activities of Daily Living Scale were significantly associated with an increased risk of attempted suicide in the elderly. In the multivariate analysis, sad and fear symptoms were significantly and independently associated with a higher risk of attempted suicide in the elderly.Conclusion:The two-week prevalence of attempted suicide in the elderly is relatively high when compared with the annualized or lifetime prevalence reported in China and foreign settings. Elderly individuals with certain mental symptoms should be targeted for suicide prevention and provided with timely mental health support.

scholarly journals Factors associated with functional impairment of elderly patients in the emergency departments

2015 ◽  
Vol 13 (2) ◽  
pp. 209-214 ◽  
Author(s):  
Maria Carolina Barbosa Teixeira Lopes ◽  
Julieth Santana Silva Lage ◽  
Cássia Regina Vancini-Campanharo ◽  
Meiry Fernanda Pinto Okuno ◽  
Ruth Ester Assayag Batista
Keyword(s):  
Emergency Department ◽  
Elderly Patients ◽  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Functional Impairment ◽  
Daily Living ◽  
The Elderly ◽  
Ratio Test ◽  
Cross Sectional ◽  
Instrumental Activities

ABSTRACT Objective: To assess the functional capacity of elderly patients in the emergency department as to Basic and Instrumental Activities of Daily Living. Methods: A cross-sectional study of 200 elderly patients admitted to the emergency department of a teaching hospital in São Paulo (SP), Brazil. The functional capacity of the elderly was assessed by the Katz index and Lawton & Brody scale. Statistical analyses were performed using analysis of variance, Bonferroni correction, χ2 test, or the likelihood ratio test. Results: Most seniors were independent (65%), and the degree of dependence was related to age, female gender, being single and widowed, and presence of cerebrovascular disease and dementia. The more dependent elderly for Instrumental Activities of Daily Living had increased dependence for Basic Activities. Conclusion: We emphasize the importance of assessing the functional capacity of the elderly in the emergency department as it provides data for the nursing care in order to minimize or to avoid their functional impairment.

scholarly journals Analysis of the functional capacity of elderly residents of communities with a rapid population aging rate

2016 ◽  
Vol 19 (4) ◽  
pp. 643-652 ◽  
Author(s):  
Evelise Moraes Berlezi ◽  
Ana Maria Farias ◽  
Fernanda Dallazen ◽  
Karla Renata Oliveira ◽  
Ana Paula Pillatt ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Successful Aging ◽  
Daily Living ◽  
Population Aging ◽  
The Elderly ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Aging Rate ◽  
Probabilistic Study

Abstract Introduction: The elderly population has risen sharply in Brazil, increasing the need for a health policy focused on health promotion and disease prevention. Attention should also be focused on functional capacity because of the personal and family suffering caused by dependency, as well as the increased demand placed on public services. Objective: To check the health and functional capacity of elderly residents in a small town with a high population aging rate. Methods: A cross-sectional, analytical and non-probabilistic study was performed of 528 elderly persons aged ≥60 years, of both genders, who were evaluated in their home environment. The variables of interest were general health and functional capacity, assessed by the adapted Katz and Lawton and Brody scales. Data analysis was carried out using descriptive and analytical statistical tools. To assess the association between variables the chi-squared test was used, accepting the hypothesis of dependency of variables with p=0.05. Results: The mean age was 72.24±9.33 years. Functional capacity assessment identified that most of the elderly persons carried out activities of daily living (ADLs) and instrumental activities of daily living (IADL) independently; with percentages of 90% and 83.7%, respectively. A statistically significant association was observed (p=0.001) between reports of falls and functional capacity levels. Conclusion: The results show that the elderly of this municipality are mostly independent in performing their daily tasks, representing successful aging.

scholarly journals Faktor yang Berhubungan dengan Beban Keluarga dalam Merawat Aktifitas Sehari-hari pada Lansia

2017 ◽  
Vol 4 (3) ◽  
pp. 117
Author(s):  
Rizky Erwanto
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Sampling Technique ◽  
The Elderly ◽  
Daily Activities ◽  
Bivariate Analysis ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
The Family ◽  
Burden Of Caring

<p><em>Treatment of elderly needs to be considered properly, the elderly who have difficulty in performing daily activities at home, such as toileting, eating, dressing, </em><em>bathing</em><em> and </em><em>transferring</em><em>. Issues relating to the elderly lead to dependence on others. Elderly dependency ratio can be classified in decreasing independence</em><em>. Elderly needs family to </em><em>perform</em><em> their</em><em> activities of daily living independently</em><em>. Caring for the E</em><em>lderly</em><em> </em><em>may have an impact on family in the form of expenses incurred for the elderly require continuous assistance</em><em>. This research aim was to identify </em><em>several factors related to the family burden of caring for the elderly in the treatment daily activities.</em><em> </em><em>The study </em><em>design used</em><em> cross sectional method. The sampling method </em><em>used</em><em> cluster sampling technique. Respondents that family members caring for the elderly totaling 98 respondents. The study was conducted in July 2015. </em><em> B</em><em>ivariate test used chi-square test.</em><em> </em><em>Based on bivariate analysis between knowledge </em><em>and</em><em> family expenses 0</em><em>.</em><em>002</em><em>. </em><em>Socioeconomic relations that includes education, employment, and income with the burden of the family, education was obtained p</em><em>-</em><em>value 0.039, 0.017 jobs, and income 0.0</em><em>. </em><em>The relationship between long care for the elderly load was obtained p-</em><em>v</em><em>alue </em><em>0.</em><em>024. There </em><em>were</em><em> a significant relationship between the knowledge of the family, economic s</em><em>o</em><em>sial</em><em> of the family and</em><em> </em><em>long of care</em><em> for the elderly with the burden of caring for elderly relatives. Families should aim to increase knowledge about the care activities of daily living in the elderly with a lot of reading and find out about the care activities of daily living in the elderly through mass media. </em><em>Cadres</em><em> should increase the knowledge about the knowledge of the care activities of daily living by means of training and counseling held in the clinic so in practice cadres received extensive insight maintenance activities of daily living in the elderly and families teach the elderly</em><em>.</em></p>

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