scholarly journals O enfoque lúdico nas intervenções educativas em saúde bucal para idosos institucionalizados

2020 ◽  
Vol 11 (2) ◽  
pp. 189-197
Author(s):  
Lilian Lopes Barbosa ◽  
Rodrigo Furtado de Carvalho

Um dos grandes desafios globais de saúde é proporcionar à população idosa longevidade associada à qualidade de vida. A institucionalização tem sido uma alternativa importante para oferta de cuidados a idosos. No entanto, nesses espaços, os idosos apresentam maiores demandas odontológicas se comparados aos idosos não institucionalizados. Somado a isso, há o desenvolvimento de problemas psicológicos, como baixa autoestima, depressão e isolamento social. Diante deste contexto, a realização de atividades de educação e promoção em saúde é essencial e pode ter resultados importantes quando desenvolvidas com enfoque lúdico. Sendo assim, este artigo teve como objetivo apresentar um relato de experiência da aplicação de conceitos lúdicos em intervenções educativas com idosos institucionalizados. Foram utilizados alguns jogos que são rotineiros entre os idosos, como bingo, pescaria, jogo da memória, todos adaptados à temática saúde bucal. Por meio dessas atividades foi possível oferecer informação, melhorar a percepção dos idosos sobre autocuidado em saúde bucal, estimulando a higiene bucal independente. Além disso, o enfoque lúdico mostrou-se efetivo e com grande potencial de desenvolvimento. Palavras-chave: Envelhecimento; Qualidade de Vida; Promoção de Saúde; Ludoterapia The ludic focus on educational interventions in oral health for institutionalized elderly Abstract: One of the most challenging global health issues is providing longevity associated with quality of life for the elderly population. Institutionalization has been an important alternative to provide it, however, in those spaces, the elderly has greater dental care demands when compared to the non-institutionalized population. Therefore, there is the development of psychological problems such as low self-esteem, depression, and social isolation. In this context, carrying out education and health promotion activities is essential and can have important results when carried out using a ludic approach. This article aimed to present a report of the experience of applying ludic concepts educational interventions within institutionalized elderly. Some routine games were used with the elderly population, such as bingo, fishing, memory games, each one of them adapted to the theme of oral health. Through these activities, it was possible to offer information, improve the elderly's perception of oral health, and encourage independent oral hygiene. Besides, the ludic approach proved to be effective and with great development potential. Keywords: Aging; Life Quality; Health Promotion; Play Therapy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A James

Abstract Background Older people are representative of the vulnerable population. According to census 2011, the proportion of elderly in India is 8.6%. Owing to social transformation and evolving lifestyles, the number of old age homes is increasing rapidly with institutionalized elderly having poorer oral health status. This study was conducted to assess the situation among the sample of institutions meant for the elderly and to plan relevant intervention, policy development aligning with principles of health promotion to improve the oral health quality of life. Methods A mixed-method study was adopted after approval from the institutional ethical board. To plan an appropriate intervention, situation analysis was done by conducting in-depth interviews, administrating questionnaires and direct observation. The intervention was planned based on the data obtained by building healthy public policy by a memorandum of understanding (MoU) between institutions, distribution of oral hygiene aids, oral health education, and demonstration of oral hygiene techniques. Institutionalized elderly selected for intervention in an old age home were 82. At baseline, oral health quality of life was assessed using the Geriatric Oral Health Assessment Index (GOHAI). After 3 months follow-up, Paired t-tests were used to compare baseline and follow-up data. Results Qualitative data on thematic analysis revealed that administrators highlighted on fiscal, economic, administrative, personnel, ethical aspects of policy instrument and type of oral health care services to be provided. Quantitative results showed that mean and SD for the pre and post GOHAI score was 1.6 ± 0.41 and 3.06 ± 0.80 (P < 0.001) Conclusions Oral health promotion approach to address challenges and issues at the community level appears a more promising approach as it facilitates a systematic process and more comprehensive. Policy initiatives with stakeholders brought a sustainable improvement of oral health quality of life. Key messages Ottawa charter model oral health promotion based intervention with the coordination of stakeholders helps in improving functional ability and intrinsic capacity of institutionalized elderly. To improve the quality of life among institutionalized elderly there is a need for transformation of health systems away from disease based curative models to comprehensive health care models.


2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Nesreen Fathi Mahmoud ◽  
Huda Zahran ◽  
Sherif Abdelmonam

Abstract Background This study focuses on the self-perception of the voice in the elderly as assessed by the Voice-Related Quality of Life (V-RQOL) questionnaire. This work aimed to compare differences in the voice-related quality of life outcomes between (1) elderly with and without voice disorders, (2) female and male elderly with voice disorders, and (3) different types of voice disorders, and to explore the correlation between the V-RQOL and perceptual analysis done by the clinician. Forty-three dysphonic and 44 non-dysphonic elderly filled out the Voice-Related Quality of Life (V-RQOL) protocol that analyzes the impact of dysphonia on life quality. Vocal perceptual assessment of each subject with dysphonia was made by three voice therapists, followed by a flexible nasofibrolaryngoscope. Results A significant statistical difference was found between the means of total V-RQOL scores and its subdomains for each group (dysphonic and non-dysphonic). No significant differences were found between male and female elderly with dysphonia. The statistical analysis showed a significant correlation with the vocal assessment made by the clinicians and the V-RQOL self-assessment made by the subjects. Conclusions This study provides valuable information regarding the risk factors that contribute to vocal quality in the elderly population. Our results revealed that different types of voice disorders are common among the elderly population with significant negative effects on quality of life. It was observed that the poorest score on the V-RQOL was for functional voice disorders, followed by neoplastic lesions, whereas MAPLs had the best score on the V-RQOL.


Gerodontology ◽  
2011 ◽  
Vol 29 (2) ◽  
pp. e761-e767 ◽  
Author(s):  
Haviye Erverdi Nazliel ◽  
Nur Hersek ◽  
Murat Ozbek ◽  
Ergun Karaagaoglu

2019 ◽  
Vol 8 (4) ◽  
pp. 2008-2014

This research study focuses on the determination factors of elderly that still continue their work activities in the city of Palembang. The purpose of this study is to find out how the influence of Social Security, Education and Health on the decision of the elderly people to continue their work activities in Palembang. The method of data analysis in this study uses the binary logistic regression method in which all variables (independent and dependent) use 2 categories (binary). The results of the estimated data, it is known that the variable Social Security, Education and Health has a significant influence on the decision of the elderly people to continue their work activities in Palembang. Odds Ratio value of 0.046 means that the elderly population who have an elderly social security program have a probability of choosing not to work by 0.046 times when compared to the elderly population who does not have an elderly social security program. Odds Ratio value of 12.298 means that the elderly population completing tertiary education has a probability of choosing to continue working 12.298 times compared to the elderly population completing primary and secondary education. Odds Ratio value of 20.153 means that the elderly population who goes to the doctor/clinic for treatment at least once per 3 months has a chance of continuing to work 20,153 times compared to the elderly population who goes to the doctor/clinic for treatment more than once every 3 months. Nagelkerke's R-Square value is 0.524. This implies that 52.4% of the variation in the independent variable can explain the dependent variable, while the remaining 47.6% is explained by non-model factors or by other variables not examined.


Author(s):  
Duncan Robertson ◽  
Kenneth Rockwood ◽  
Paul Stolee

ABSTRACTA mental status questionnaire (MSQ) developed tor use in surveys of the non-institutionalized elderly has been validated against clinical assessment. The MSQ identities moderate and severe cognitive impairment in the elderly. However, using the suggested scoring subjects with mild impairment cannot be separated from normals.The test is short, acceptable and reproducible and rate for false-positives and false-negatives fall well within acceptable limits for use in estimating the prevalence of dementia in the non-institutionalized elderly population.


Proceedings ◽  
2018 ◽  
Vol 2 (18) ◽  
pp. 1198
Author(s):  
Naveira-Carro Eloy ◽  
Concheiro-Moscoso Patricia ◽  
Miranda-Duro MC

The progressive aging of the population [...]


2018 ◽  
Vol 21 (4) ◽  
pp. 389-396
Author(s):  
Natália Cristina Garcia Pinheiro ◽  
Yan Nogueira Leite de Freitas ◽  
Tamires Carneiro de Oliveira ◽  
Vinícius Carlos Duarte Holanda ◽  
Paulo Sérgio Silva Pessoa ◽  
...  

Abstract Objective: to suggest a composite indicator that identifies the oral health condition of institutionalized elderly persons. Method: an observational and cross-sectional study was performed. A total of 315 elderly persons were investigated in long-stay care facilities for the elderly in the city of Natal, Rio Grande do Norte, Brazil. Such individuals underwent an epidemiological evaluation of their oral health conditions, based on the DMFT index, CPI and the PAL (periodontal attachment loss) index. Factor analysis was used to identify a relatively small number of common factors by principal component analysis. Results: five oral health variables were included in factor analysis, and using the Kaiser criterion, which considers the percentage of variance explained by the factors, a single factor which together explained 79.7% of the total variance of the variables included in the analysis model was selected. This factor was analyzed and interpreted according to the dimension to which it related, and was entitled the factor of Dental Functionality. Conclusion: this factor generated an objective indicator to characterize the oral health of the elderly in long-term care facilities for the elderly of Natal, Rio Grande do Norte, and represents a parameter for studies of the oral health outcomes of this elderly population. It also revealed a change in the dental profile of this population with more teeth present in the mouth and a reduction in edentulism.


Author(s):  
Milene Oliveira de Freitas ◽  
Guadalupe Scarparo Haag

Resumo: A população idosa tem aumentado em âmbito mundial, particularmente no Rio Grande do Sul. Atualmente grande parte desses indivíduos precisa de algum tipo de ajuda para realizar tarefas simples do dia-a-dia. O presente estudo objetivou conhecer os senti mentos do idoso em relação à possibilidade de dependência física, identificando as atividades realizadas para evitá-la ou retardá-la. A pesquisa descritiva com enfoque qualitativo contou com a participação de 10 idosas frequentadoras do Programa Maior Idade, em São Leopoldo, que não possuíam dependência física e tinham mais de 68 anos de idade. Os dados foram coletados por meio de entrevista semi-estruturada e interpretados pela análise de conteúdo contido nas falas das pesquisadas. Os resultados mostraram que a possibilidade de dependência física acarreta sentimentos de frustração e inutilidade, levando ao afastamento do convívio social, enquanto que a independência leva a sensação de autonomia e satisfação pela vida. Atividade física, lazer e cuidados com a alimentação foram citados como responsáveis pela sensação de bem-estar e por evitar ou retardar a dependência física.Conclui-se que a dependência física gera diminuição na qualidade de vida do idoso e pode ser evitada ou reduzida através da adoção de um estilo de vida saudável. Palavras-chave: Idoso Fragilizado; Qualidade de Vida; Estilo de Vida. Abstract:  The elderly population has increased worldwide, particularly in Rio Grande do Sul. Nowadays most of the elderly need some help to do simple daily activities. This study aimed to know the old people's feelings about the perspective specially of physical dependency, identifying the activities accomplished to avoid it or postpone it. The descriptive research comprised a qualitative investigation with 10 seniors, that were 68 years old or older. They are users of the Maior Idade Program, in São Leopoldo. The collected data are analyzed in accordance with speeches in semi structured interviews. Physical activity, leisure and also nutritional care were cited as responsible for the sensation of welfare and avoid or postpone the physical dependency. The study concludes that physical dependency decreases the elderly life quality and it can be avoided or  postponed through adoption of a healthier life style. Key words: Frail Elderly; Quality of Life; Life Style.


Author(s):  
Marina Sousa Pinheiro Mota ◽  
Carine Moura Ferreira ◽  
Daniele Idalino Janebro ◽  
Ione Ramos de Queiroz ◽  
Maria Do Socorro Ramos de Queiroz

RESUMO:Este estudo teve como objetivo traçar e avaliar o perfil das pessoas da terceira idade e desenvolver práticas educativas multidisciplinares que contribuam para melhorar a qualidade de vida. Tratou-se de uma pesquisa quantitativa realizada no município de Cabaceiras-PB e envolveu 41% da população com faixa etária de 60 anos. Participaram 176 idosos, a faixa etária predominante foi de 60 a 69 anos (n=93), o gênero feminino foi o mais freqüente, a maioria eram casados e moravam com a família e apenas 40 deles não tiveram oportunidade de estudar. Grande parte residia em casa própria e apenas 18 deles não estavam satisfeitos com o lugar onde moravam por falta de infra-estrutura da cidade; 98% da amostra era aposentada (n=172) e destes, 49 ainda exerciam alguma atividade, sendo a principal, do tipo laborativa. Dos participantes, 150 conseguiam desenvolver sozinhos suas atividades diárias, os que demonstraram insatisfação era devido a problemas de saúde. Com relação a perspectivas futuras, 130 revelaram ter ao menos algum projeto a ser realizado, no entanto, alguns deles estavam insatisfeitos com a velhice porque não conseguiam manter sua autonomia. Dos problemas de saúde, os mais frequentes foram hipertensão/cardiopatias, hipertensão/diabetes e doenças osteo-musculares. Mesmo apresentando certas limitações, 92% (n=162) revelaram ser felizes por manter relacionamento familiar e social afetivo. Em alguns casos, a falta de apoio pode resultar numa ruptura do seu projeto existencial, originando a perda do significado da vida. O importante é viver com qualidade conseguindo manter a autonomia e o bem estar.PALAVRAS-CHAVE: Envelhecimento. Idoso. Terceira idade. ABSTRACT: This study aimed to evaluate and draw up the elderly people profile and develop multidisciplinary educational practices that improve their life quality. It was a quantitative research conducted in Cabaceiras-PB town which involved 41% of the population aged about 60 years old. 176 elderly took part in the research, the predominant age group was 60 to 69 years old (n=93), female ones were the most frequent, most of the interviewed were married and lived with their family and only 40 of them had no opportunity of studying. Many of the elderly live in their own home and only 18 of them were not satisfied with the place where they lived because of the town lack of infrastructure; 98% of the sample was retired (n=172) and 49 of them still were not carrying out any activity; the most common one was the laborious. 150 of the participants could develop their own daily activities by themselves; the ones, who showed discontentment, did so, due to health problems. Regarding future prospects, 130 have revealed at least one project to carry out, however, some of them were dissatisfied with their aging because they could not keep their own autonomy. The most common health problems were hypertension/heart disease, hypertension/diabetes and osteo-muscular diseases. Even having some limitations, 92% (n=162) of the elderly proved to be happy by maintaining affective family and social relations. In some cases a lack of support may result in the ending of the elderly existential project, causing the loss of the life meaning. The important thing is to have a good life quality, managing to keep independency and well-being. KEYWORDS: Aging. Elderly. Third age.


2020 ◽  
Vol 3 (1) ◽  
pp. 47
Author(s):  
Abdul Gani Soulissa

The world’s elderly population is growing faster than other age groups. The World Health Organization states that in 2020, Indonesia’s elderly population will reach 11.34% of the total population, or around 28.8 million people. The increasing number of elderly people can be a challenge for clinicians due to the degenerative changes caused by chronic diseases, treatment of chronic diseases, systemic conditions, and oral health care accessibility. The purpose of this study was to analyze the factors that increase the risk of periodontal disease in the elderly. Over the last few years, a lot of research has focused on identifying the relationship between periodontal disease and systemic disease as well as the link between periodontal disease and aging. Increased age relates directly and proportionally with increased prevalence and severity of periodontal disease. Furthermore, an increase in age causes a decrease in motoric function and an increase in comorbidities and their treatments in the elderly. The aging process causes cementum surface irregularities, inhibition of osteoblast activity, and reduction in the number of fibroblasts. Loss of attachment and alveolar bone resorption was affected by frequent exposure to other risk factors. The risk factors that influence the development of periodontal disease in the elderly include systemic diseases, such as diabetes mellitus and osteoporosis, systemic conditions, such as obesity, metabolic syndrome, and stress, treatment of systemic diseases, and limited access to oral health care. Although the potential link between periodontal disease and systemic disease has been established, the extent of this relationship has not yet been clearly explained. Understanding the factors that influence periodontal disease in the elderly is important because it may provide a better understanding of the treatment. The multiple risk factors that cause periodontal disease in elderly patients require special attention involving multidisciplinary teams.


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