The effect of multicomponent exercise on functional capacity and frailty syndrome of frail older adult

ABSTRACT Objectives: To analyze and reflect on the potential applicability of the contribution of the physical resilience conceptual model of Whitson et al. in the care for older adults. Method: The present article of reflection was structured based on the consultation of articles and definition of inherent concepts, with analysis and reason of the potentialities of its application in geriatric nursing care. Results: Physical resilience is influenced by diverse stimuli. The identification of stressors and early intervention enable the delay of the functional capacity decline. In practice, the planning of interventions that depend on the innate capacity of older adults is of utmost importance. Conclusion: The trajectory outlined over a debilitating event is relevant to understand the factors that contribute to the development of frailty or pre-frailty conditions. This knowledge allows nurses to adjust their practice and contribute to the effectiveness of interventions and a better prevention of the frailty syndrome.

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A strengths-based palliative approach for the frail older adult living in residential aged care

Care of Older Adults ◽

10.1017/cbo9781107257122.015 ◽

2018 ◽

pp. 179-191

Author(s):

Deborah Parker

Keyword(s):

Older Adult ◽

Aged Care ◽

Residential Aged Care ◽

Palliative Approach ◽

Frail Older Adult

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Factors associated with frailty in older adults

Revista de Saúde Pública ◽

10.11606/s1518-8787.2018052000497 ◽

2018 ◽

Vol 52 ◽

pp. 74 ◽

Cited By ~ 7

Author(s):

Jack Roberto Silva Fhon ◽

Rosalina Aparecida Partezani Rodrigues ◽

Jair Lício Ferreira Santos ◽

Marina Aleixo Diniz ◽

Emanuella Barros dos Santos ◽

...

Keyword(s):

Older Adults ◽

Data Collection ◽

Functional Capacity ◽

Generalized Estimating Equations ◽

Estimating Equations ◽

Functional Independence ◽

Wilcoxon Test ◽

Frailty Syndrome ◽

Older Individuals ◽

Generalized Estimating

OBJECTIVE: To determine the demographic and health factors related to the frailty syndrome in older adults. METHODS: This is a longitudinal quantitative study carried out with 262 older adults aged 65 years and older, of both sexes, living at home. Data collection was carried out in Period 1 between October 2007 and February 2008, and in Period 2 between July and December 2013. For data collection, we used the sociodemographic profile instrument, the Edmonton Frail Scale, the Mini-Mental State Examination, the number of falls in the last 12 months, the number of self-reported diseases and used drugs, the Functional Independence Measure, and the Lawton and Brody Scale. We used descriptive statistics for data analysis, in the comparison of the means between periods, the nonparametric Wilcoxon test, and the method of Generalized Estimating Equations, which is considered an extension of the Generalized Linear Models with p ≤ 0.05. RESULTS: Of the 515 participants, 262 completed the follow-up, with a predominance of females, older individuals, and those who had no partner; there was an increase in frail older adults. In the Generalized Estimating Equations analysis, frailty score was related to sociodemographic (increase in age, no partner, and low education level) and health variables (more diseases, drugs, falls, and decrease in functional capacity). There was an association between the variables of age (older), marital status (no partner), and loss of functional capacity. CONCLUSIONS: Frailty syndrome was associated with increasing age, having no partner, and decreased functional capacity over time, and investments are required to prevent this syndrome and promote quality in aging.

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