scholarly journals Condições de higiene bucal de idosos residentes em instituições geriátricas de pequeno porte em Porto Alegre

2021 ◽  
Vol 42 (2) ◽  
pp. 12-19
Author(s):  
Ana Lúcia Schaefer Ferreira de Mello ◽  
Dalva Maria Pereira Padilha

Following the population-aging phenomenon, the number and the demands for nursing homes is increasing. Generally, oral health condition of institutionalized elderly people is poor and the maintenance of good patterns of oral hygiene is a problem. The aim of this study is to describe the oral hygiene conditions of elderly people who live in small (< 20) nursing homes of Porto Alegre-RS and to establish the relationship with independents variables: sex, age, time of institutionalization and level of dependence of the residents and number of care givers and price charged by the institutions. Oral hygiene conditions were verified through dental and denture plaque index. The mean obtained to teeth plaque scores was 2.24 (Sillnes and Löe index) and on dentures was 7.14 (Ambjornsen index). The poor oral hygiene condition is prevalent on the examined population when analyzed the independent variables sex, age, time of institutionalization, price, and number of caregivers because it was not demonstrated statistical significance related to the presence or the quantity of plaque on teeth and dentures (p>0,05). The level of dependence was the variable that presented statistical signficant (p=0,024). Independent elders showed lower means of dental plaque when compared to the moderate dependent or dependent elders. It is concluded that oral hygiene condition of this institutionalized elderly people is poor and need multidisciplinary and interinstitutional actions to revert this frame of continued neglect.

2013 ◽  
pp. 183-192
Author(s):  
Francesco Rondoni ◽  
Giorgio Simonelli ◽  
Pietro Maria Lunghi ◽  
Francesco Rossetti ◽  
Luciano Bondi

Protein-energy malnutrition (PEM) is a common finding in hospitalized or institutionalized elderly people. In the literature, PEM is not mentioned as being related to individual ability of the patient to feed him or herself correctly. This study analyzed the 56 patients of a nursing home divided into two groups: self-sufficient and non self-sufficient regarding feeding. Levels of serum albumin, transferrin, prealbumin and hemoglobin (Hb) were examined and compared to body mass index (BMI) calculated with bioelectrical impedance analysis. Fifty-three percent of patients were self-sufficient, while 47% were not self-sufficient for feeding of which 83.3% were women and 16.7% men. Levels below the average range were 49.1% for lymphocyte count, 52.9% for serum albumin, 13.7% for serum transferrin and 52.9% for serum prealbumin. No significant differences were found in terms of patient age, while the mean values of the parameters examined in the two groups, self-sufficient and not, were lower in the patients who were not self-sufficient, even if statistical significance was not reached. Serum albumin was in inverse proportion to age (P<0.05) and 46.1% of individuals with low levels of transferrin also showed low levels of Hb. Anemia was in direct proportion (P<0.05) to age. Measurement of BMI showed values below 22.5 (cut off for risk for malnutrition) in 33.4% of the subjects examined. Of the three hematochemical parameters, analysis of a possible relationship with BMI showed only a significant and directly proportional correlation with prealbumin (P<0.05%). These data should be considered in the context of an epidemiological research study carried out in a conditioned and limited environment, where PEM, detected using hematochemical parameters, amounted to 50% of the patients, whereas BMI identified only approximately one-third of patients at risk of malnutrition. There were no statistically significant differences between men and women. Mean values of the surrogate hematochemical parameters were lower in patients non-self-sufficient for feeding, but the comparison does not reach significance due to the small sample size.


2006 ◽  
Vol 14 (6) ◽  
pp. 901-906 ◽  
Author(s):  
Luccas Melo de Souza ◽  
Eliane Pinheiro de Morais ◽  
Quenia Camille Martins Barth

This epidemiological and exploratory-descriptive study aimed to identify the socioeconomic and demographic features, as well as the health and disease condition of elderly people from a Family Health Program in Porto Alegre, Brazil, with the purpose of contributing to the planning of health actions for this population. Data from 98 elderly people were collected through a home survey by means of a semistructured instrument. The mean age of the interviewed subjects was 69.5. Sixty-one participants (62.2%) were women; 40 (40.8%) were married and 77 (78.6%) did not have remunerated work. Most men (64.9%) had a companion, against 26.2% of women with a partner. As to health, 80.6% reported suffering from some pathology, especially diseases of the circulatory system, reported by 55.1% of the interviewees. Although the collected data are in line with other studies, knowledge about them is important to adapt health actions by the Family Health Program team under study, in order to offer better care to these elderly people.


2014 ◽  
Vol 124 (2) ◽  
pp. 66-69
Author(s):  
Katarzyna Kamińska-Pikiewicz ◽  
Teresa Bachanek ◽  
Marlena Madejczyk ◽  
Dariusz Samborski ◽  
Agnieszka Sochaczewska-Dolecka

Abstract Introduction. Oral health largely depends on proper hygiene, which in elderly people is not different from generally accepted standards, however, must be adjusted to specific conditions in oral cavities of the elderly. Aim. The aim of the study was the assessment of oral hygiene habits in people over the age of 65 residing in Lublin Nursing Homes and in family homes basing on questionnaire survey. Material and methods. The study was conducted among 240 people over the age of 65: 117 residents of the four Lublin Nursing Homes (group I) and 123 seniors living in their own homes in Lublin (group II). Assessment of the oral hygiene habits was conducted basing on the questionnaire survey concerning the frequency of tooth brushing, type of toothpaste, the use of additional oral aids as well as the frequency of toothbrush replacement. Results. Questionnaire survey revealed that seniors residing in Nursing Homes who had their own teeth most frequently brushed them once daily e.g. 37.25%, whereas the surveyed who lived in their family homes twice daily – 47.67%. In both groups the people who brushed their teeth used fluoride toothpastes. Additional oral hygiene aids were used by 31.71% of the surveyed living with their families. Both, the residents of Nursing Homes and those who lived with their families most frequently reported replacing their toothbrushes at least every 3 months. Conclusions. Nursing Homes residents essentially more frequently revealed considerable neglect and irregularities in oral hygiene in comparison to seniors living with their families. Population of elderly people, especially residents of nursing homes, should be provided with complex dental care.


2021 ◽  
Vol 2021 ◽  
pp. 1-15
Author(s):  
Daniel Flores-Martin ◽  
Javier Rojo ◽  
Enrique Moguel ◽  
Javier Berrocal ◽  
Juan M. Murillo

The rate of world population aging is increasing. This situation directly affects all countries socially and economically, increasing their compromise and effort to improve the living conditions of this sector of society. In environments with large influxes of elderly people, such as nursing homes, the use of technology has shown promise in improving their quality of life. The use of smart devices allows people to automate everyday tasks and learn from them to predict future actions. Additionally, smartphones capture a wealth of information that allows to adapt to nearby actuators according to people’s preferences and even detects anomalies in their behaviour. Current works are proposing new frameworks to detect these behaviours and act accordingly. However, these works are not focused on managing multidevice environments where sensor and smartphone data are considered to automate environments with elderly people or to learn from them. Also, most of these works require a permanent Internet connection, so the full benefit of smart devices is not completely achieved. In this work, we present an architecture that takes the data from sensors and smartphones in order to adapt the behaviour of the actuators of the environment. In addition, it uses this data to learn from the environment to predict actions or to extrapolate the actions that should be executed according to similar behaviours. The architecture is implemented through a use case based on a nursing home located in a rural area. Thanks to this work, the quality of life of the elderly is improved in a simple, affordable, and transparent way for them.


Author(s):  
Natalia Moya Rodrigues Pereira ◽  
Marcel Jean Pierre Massè Araya ◽  
Eduardo Federigui Baisi Chagas ◽  
Marcos Eduardo Scheicher

Introduction: Older adults living in Nursing Homes are a complex population, with a high prevalence of dependency in activities of daily living, multimorbidity, polypharmacy, and reduced mobility and poor balance when compared with community-dwelling elderly. Objectives: The aim of this study was to investigate if the postural balance of institutionalized elderly is influenced by the length of institutionalization, age, number of medications, number of falls, body mass index (BMI) and cognitive status. Methods: 98 elderly people living in the three Nursing Homes were evaluated and 45 were included. Were considered the following variables: ages over 60 years old; length of institutionalization, falls in the previous year, anthropometric measurements (height and weight) and cognitive status. The balance was evaluated by Berg Balance Scale (BBS) and by the Short Physical Performance Battery (SPPB). Results: Of all the variables evaluated, only number of medication and BMI had a negative correlation with scores of BBS and SPPB. In the regression analysis, the significant effect of the number of medications on the SPPB and BERG scores was confirmed. Conclusion: Elderly people living in nursing homes have a poor postural balance and the number of medications and BMI contribute significantly to this.


2006 ◽  
Vol 76 (6) ◽  
pp. 359-366 ◽  
Author(s):  
Rodríguez-Rodríguez ◽  
Ortega ◽  
López-Sobaler ◽  
Aparicio ◽  
Bermejo ◽  
...  

This study investigated the relationship between the intake of antioxidant nutrients and the suffering of cataracts in 177 institutionalized elderly people (61 men and 116 women) aged ≥ 65 years. Dietary intake was monitored for 7 consecutive days using a "precise individual weighing" method. Subjects, who during their earlier years were exposed by their work to sunlight, had a greater risk of suffering cataracts (OR = 3.2; Cl: 1.1–9.3, P < 0.05) than those who worked indoors. A relationship was found between increased vitamin C intake and a reduced prevalence of cataracts (i.e., when comparing those above P95 for vitamin C intake with those below P5; (OR = 0.08; Cl: 0.01–0.75, P 0.05). Among subjects with cataracts, 12.1% had vitamin C intakes of < 61 mg/day (P10) and only 2.2% had intakes of > 183 mg/day (P95) (p < 0.01). Subjects who consumed > 3290 μg/day (P95) of lutein were less likely to have cataracts (OR = 0.086; Cl: 0.007–1.084; p < 0.05) than those whose consumption was < 256 μg/day (P5). In men, high intakes of zeaxanthin seemed to provide a protective effect against the problem (OR = 0.96; Cl: 0.91–0.99; p < 0.05). The results suggest an association exists between exposure to sunlight and the development of cataracts, and that vitamin C, lutein, and zeaxanthin offer some protection against this disorder.


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