scholarly journals Institutionalized elderly: vulnerabilities and strategies to cope with Covid-19 in Brazil

2021 ◽  
Vol 39 (1) ◽  
Author(s):  
Pricila Oliveira De Araújo ◽  
Maria Yaná Guimarães Silva Freitas ◽  
Evanilda Souza de Santana Carvalho ◽  
Thaís Moreira Peixoto ◽  
Maria Lúcia Silva Servo ◽  
...  
Keyword(s):  
Civil Society ◽  
The Elderly ◽  
New Disease ◽  
Public Authorities ◽  
Protective Measures ◽  
Institutionalized Elderly ◽  
The Many ◽  
Institutionalized Older People ◽  
Elderly Living

This article presents a systematized reflection and discussion around two guiding axes: the first discusses aging and vulnerabilities to biological, physical, cognitive, social and affective losses that require specific attention, as well as vulnerabilities to COVID-19 to which institutionalized elderly people are exposed; the second, we reflect on the adoption of restrictive and protective measures to prevent the spread of the virus, aiming to keep the elder health and mitigate the effects of the pandemic. The conclusion is that the pandemic has increased the many vulnerabilities to which institutionalized older people were already exposed, adding vulnerability to a new disease, such as COVID-19, due to its high lethality and comorbidity, aggravated by precariousness of long-term Brazilian institutions due to the negligence of public authorities, civil society, the management of the institution and the families of the patients. The post-pandemic scenario will require collective efforts to protect and ensure the survival of the elderly living in those residences.

Depressive Disorders among Elderly People in Long-Term Institutional Care

1993 ◽  
Vol 27 (3) ◽  
pp. 379-391 ◽  
Author(s):  
David Ames
Keyword(s):  
Physical Disability ◽  
Depressive Disorders ◽  
Long Term Care ◽  
Institutional Care ◽  
The Elderly ◽  
Pharmacological Treatments ◽  
Old People ◽  
Term Care ◽  
Elderly Living

Depressive disorders are common among old people in residential and nursing homes. Outside Australia the prevalence rate for depressive symptoms in homes ranges from 30–75% while that for depressive disorders defined by psychiatric diagnostic criteria is well over 20% in many nursing home studies. These rates are between two and twenty times higher than those found among the elderly living at home. Evidence from Australia indicates that a problem of similar magnitude exists here. While physical disability is strongly associated with depression in these populations, it is not the only factor likely to be responsible for the initiation and maintenance of depression among those in long-term care. There is an urgent need for studies which will better define likely aetiological and maintaining factors for depression in institutional populations, as well as controlled trials of both pharmacological treatments and environmental improvements. In addition, research is needed to establish whether depression is an independent risk factor for mortality among institutional residents.

Tuberculosis and the elderly living in long-term care facilities

1996 ◽  
Vol 17 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Margaret Leahy Hopkins ◽  
Lois Schoener
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Care Facilities ◽  
Elderly Living

scholarly journals Factors Associated With Leisure Participation Among the Elderly Living in Long-term Care Facilities

2010 ◽  
Vol 4 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Li Li ◽  
Hong-Jer Chang ◽  
Hung-I Yeh ◽  
Charles Jia-Yin Hou ◽  
Cheng-Ho Tsai ◽  
...  
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Leisure Participation ◽  
Factors Associated ◽  
Care Facilities ◽  
Elderly Living

Nutrition Risk Factors for Survival in the Elderly Living in Canadian Long-Term Care Facilities

2004 ◽  
Vol 52 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Johane P. Allard ◽  
Elaheh Aghdassi ◽  
Margaret Mcarthur ◽  
Allison Mcgeer ◽  
Andrew Simor ◽  
...  
Keyword(s):  
Risk Factors ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Nutrition Risk ◽  
Care Facilities ◽  
Risk Factors For Survival ◽  
Elderly Living

Iron deficiency is associated with increased risk for cardiovascular disease and all-cause mortality in the elderly living in long-term care facilities

Nutrition ◽  
2013 ◽  
Vol 29 (5) ◽  
pp. 737-743 ◽  
Author(s):  
Hua-Shui Hsu ◽  
Chia-Ing Li ◽  
Chiu-Shong Liu ◽  
Cheng-Chieh Lin ◽  
Kuo-Chin Huang ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Iron Deficiency ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Increased Risk ◽  
Care Facilities ◽  
All Cause Mortality ◽  
Elderly Living

scholarly journals Taking stock of COVID-19 policy measures to protect Europe’s elderly living in long-term care facilities

2021 ◽  
pp. 146801812110137
Author(s):  
Lorraine Frisina Doetter ◽  
Benedikt Preuß ◽  
Heinz Rothgang
Keyword(s):  
General Population ◽  
Long Term Care ◽  
Term Care ◽  
Institutionalized Elderly ◽  
Residual Variation ◽  
Care Facilities ◽  
Policy Measures ◽  
The Impact ◽  
Elderly Living

The current COVID-19 pandemic has come to impact all areas of life involving the health, psycho-social and economic wellbeing of individuals, as well as all stages of life from childhood to old age. Particularly, the frail elderly have had to face the gravest consequences of the disease; while reporting measures tend to differ between countries making direct comparisons difficult, national statistics worldwide point to a disproportionate and staggering share of COVID-19 related mortality coming from residential long-term care facilities (LTCFs). Still, the severity of the impact on the institutionalized elderly has not been uniform across countries. In an effort to better understand the disparities in impact on Europe’s elderly living in LTCFs, we review data on mortality outcomes seen during the first wave of the pandemic (months March to June 2020). We then set out to understand the role played by the following two factors: (1) the infection rate in the general population and (2) member state adherence to policy recommendations put forth by the European Centre for Disease Prevention and Control (ECDC) targeting the LTC sector. Regarding the latter, we compare the content of national policy measures in six countries – Austria, Denmark, Germany, Ireland, Spain and Sweden – with those of the ECDC. Our findings establish that infection rates in the general population accounted for most of the variation in mortality among member states, however adherence to EU policy helped to explain the residual variation between cases. This suggests that in order to best protect the institutionalized elderly from infectious disease of this kind, countries need to adopt a two-pronged approach to developing measures: one that aims at reducing transmission within the general population and one that specifically targets LTCFs.

Outcome of the depressed elderly living in the community in Liverpool: a 5-year follow-up

1998 ◽  
Vol 28 (6) ◽  
pp. 1329-1337 ◽  
Author(s):  
V. K. SHARMA ◽  
J. R. M. COPELAND ◽  
M. E. DEWEY ◽  
D. LOWE ◽  
I. DAVIDSON
Keyword(s):  
Elderly Population ◽  
Depressive Disorders ◽  
The Elderly ◽  
Structured Interview ◽  
Depression Score ◽  
History Of ◽  
Elderly Living ◽  
Selection Of

Background. Comparatively little is known about the long-term natural history of depressive disorders in the elderly living in the community. This is a follow-up of a subsample of the Continuing Health in the Community study random sample of the elderly population living in Liverpool.Methods. The investigators followed up 120 cases of depression identified by a semi-structured interview schedule (GMS) for a period of 5 years. A similar number of other subjects defined as subcases of depression, other cases of mental illness and a random selection of non-cases were also included.Results. The 5-year outcome for the cases of depression was worse than the outcome of the non-cases (relative mortality risk of 2·1, 95% confidence interval 1·1 to 3·9). Thirty-four per cent of the cases of depression died and 28% had dropped out during the follow-up. Of the 46 cases of depression who had a complete follow-up, 22% recovered from their symptoms, 30% were found to be AGECAT cases at one of the three follow-up waves, 24% were AGECAT cases at two of the three follow-up waves and the remaining 24% were AGECAT cases at each follow-up wave. Fifteen per cent of the surviving cases of depression were organic cases at the follow-up. Their anxiety co-morbid state and depression score were identified as predictors of poor outcome.Conclusion. The findings of this study indicate that depressive disorders (most of which were untreated) found in the elderly community have a poor prognosis.

Prevalence of paranoid symptomatology in the elderly and relationship to organic brain factors

2011 ◽  
Vol 26 (S2) ◽  
pp. 853-853
Author(s):  
M. Serrano Díaz de Otálora ◽  
J. Gómez-Arnau Ramírez ◽  
R. Martínez de Velasco ◽  
P. Artieda Urrutia
Keyword(s):  
Cognitive Impairment ◽  
Black People ◽  
The Elderly ◽  
Delusional Disorder ◽  
Psychotic Symptoms ◽  
Medical Conditions ◽  
Paranoid Symptoms ◽  
Organic Brain ◽  
The Many

IntroductionPsychotic diseases in the elderly are underdiagnosed due to the limited use of medical resources. Advanced age makes psychoses of any cause less pure and differentiated, since old age adds a cognitive-impairment component to the basal psychotic defect.ObjectivesWe intend to estimate the prevalence of paranoid symptoms in older patients, and to study the many medical conditions associated with psychosis.MethodsWe conducted a literature review and we have performed a review of several clinical trials.ResultsWe found 12.1% of paranoid symptoms in the elderly with cognitive impairment. In absence of this factor, we found a prevalence of 14.1% for suspicion tendencies, 6.9% for paranoid thoughts and 5.5% for evident delusions. These figures were significantly higher in old black people.We present a table of the main medical conditions that can produce psychotic symptoms. Some cases of apparently typical delusional disorder can appear as a long-term complication of some of these diseases. If organic factors are subtle and long lasting, the clinical may reproduce a fairly typical delusional disorder and may respond to treatment with neuroleptic drugs.ConclusionsIt seems possible that organic brain factors are more common that we believe, becoming essential a comprehensive study of the old psychotic patient. We should pay more attention to psychotic symptoms in elderly patients and avoid conclusions based on cross-evaluations. Diagnosis will be defined by evolution in most of the cases.

scholarly journals Impacts of social distancing triggered by COVID-19 in the elderly residents from Long-Term Care Institutions of Brazil

2020 ◽  
Vol 9 (10) ◽  
pp. e6119108737
Author(s):  
Emília Pio da Silva ◽  
Simone Caldas Tavares Mafra ◽  
Francely de Castro e Sousa ◽  
Nicholas Joseph Mayers ◽  
Marli do Carmo Cupertino
Keyword(s):  
Elderly People ◽  
Long Term Care ◽  
Negative Impact ◽  
Well Being ◽  
The Elderly ◽  
Technical Note ◽  
Term Care ◽  
Institutionalized Elderly ◽  
Social Distancing

Introduction: The Coronavirus disease (COVID-19) has a high lethality rate among the elderly people, who are more vulnerable to novel diseases, especially those kept in Long Term Care Institutions for the Elderly (LTCIs). Objective: To describe and discuss how the current social isolation imposed by the pandemic has impacted the senior citizens residing in Brazilian LTCIs. Methodology: Primary research was carried out employing the PubMed and SciELO databases, using the keywords “Coronavirus infection” and “Institutionalized elderly health” and with the keywords “COVID-19" and “Institutionalized elderly” and their respective correlatives in English to search for articles published until September 2020. Results and Discussion: Five Scientific Articles, one Research Note, one Epidemiological Bulletin, and one Technical Note were organized in a table to display their findings. Additionally, other applicable data was collated directly from the hands-on experience of one of the authors, who undertook preceptorship for Physiotherapy interns at a Brazilian LTCI. These institutions can possibly potentiate the propagation and dissemination of this viral disease, therefore, the presently enforced prophylactic strategies, (e.g. social distancing), are essential to help maintain the well-being of the population, even if this may be a detriment to their quality of life. Conclusion: The limitations imposed on social interactions by the pandemic have a negative impact on the cognitive and physical aspects of the elderly people at the LTCIs, who already experience conditions of exclusion and isolation.

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