scholarly journals Avaliação do risco de quedas em idosos hospitalizados

2018 ◽  
Vol 12 (3) ◽  
pp. 812
Author(s):  
Renata Maia de Medeiros Falcão ◽  
Josilene De Melo Buriti Vasconcelos ◽  
Jacira Dos Santos Oliveira
Keyword(s):  
Elderly Patients ◽  
Teaching Hospital ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Research Committee ◽  
Cross Sectional ◽  
Hospitalized Elderly ◽  
Risk Of Falls ◽  
Patients At Risk ◽  
Quantitative Descriptive

RESUMOObjetivo: avaliar o risco de quedas dos pacientes idosos hospitalizados em um hospital público de ensino. Método: estudo quantitativo, descritivo, de corte transversal, que será desenvolvido com idosos hospitalizados nas unidades de internação Clínica, Cirúrgica e de Doenças Infectoparasitárias de um hospital público de ensino. Para a coleta de dados, serão utilizados um roteiro estruturado, para a obtenção das informações pessoais, sociais e o estado de saúde dos idosos hospitalizados, o Mini Exame do Estado Mental, para avaliar a função cognitiva, e a Morse Fall Scale, traduzida e adaptada de forma transcultural para a língua portuguesa, para a avaliação do risco de quedas. Os dados serão analisados apresentando as frequências absolutas e percentuais, razão de prevalência e seu respectivo intervalo de confiança para os fatores de estudo que possam influenciar no risco de quedas. O projeto de pesquisa foi aprovado pelo Comitê de Ética e Pesquisa da instituição sob o CAAE n.º 62128816.0.0000.5183. Resultados esperados: espera-se que os resultados venham auxiliar a equipe de Enfermagem a identificar os pacientes idosos com risco de quedas, priorizando aqueles com classificação de alto risco, pela aplicação da escala de Morse. Descritores: Enfermagem; Idosos; Acidentes por Quedas; Fatores de Risco; Hospitalização; Pacientes Internados. ABSTRACT Objective: to evaluate the risk of falls in hospitalized elderly patients in a public teaching hospital. Method: a quantitative, descriptive, cross - sectional study that will be developed with elderly patients hospitalized at the Clinical, Surgical and Infectious Diseases Hospitals of a Public Teaching Hospital. For the collection of data, a structured script will be used to obtain personal and social information and the health status of hospitalized elderly people, the Mini Mental State Examination, to evaluate cognitive function, and the Morse Fall Scale, translated and adapted in a cross-cultural to the Portuguese language, for the evaluation of the risk of falls. Data will be analyzed presenting absolute and percentage frequencies, prevalence ratio and their respective confidence interval for study factors that may influence the risk of falls. The research project was approved by the Ethics and Research Committee of the institution under CAAE No. 62128816.0.0000.5183. Expected results: it is expected that the results will help the Nursing team to identify elderly patients at risk of falls, prioritizing those with high risk classification, by applying the Morse scale. Descritores: Nursing; Elderly; Accidental Falls; Risk Factors; Hospitalization; Inpatients.                                                                                                             RESUMEN Objetivo: evaluar el riesgo de caídas de los pacientes ancianos hospitalizados en un hospital público de enseñanza. Método: el estudio cuantitativo, descriptivo, de corte transversal, que será desarrollado con ancianos hospitalizados en las unidades de internación Clínica, Quirúrgica y de Enfermedades Infectoparasitarias, de un hospital público de enseñanza. Para la recolección de datos, se utilizarán un guión estructurado para la obtención de las informaciones personales, sociales y el estado de salud de los ancianos hospitalizados, el Mine Examen del Estado Mental para evaluar la función cognitiva y la Morse Fall Scale, traducida y adaptada de forma transcultural al portugués, para evaluar el riesgo de caídas. Los datos serán analizados presentando las frecuencias absolutas y porcentuales, razón de prevalencia y su respectivo intervalo de confianza para los factores de estudio que puedan influenciar en el riesgo de caídas. El proyecto de investigación fue aprobado por el Comité de Ética e Investigación de la institución, bajo el CAAE: n. 62128816.0.0000.5183. Resultados esperados: se espera que los resultados vengan a auxiliar al equipo de Enfermería en la identificación de los pacientes ancianos con riesgo de caídas, priorizando aquellos con clasificación de alto riesgo, por la aplicación de la escala de Morse. Descritores: Enfermería; Anciano; Accidentes por Caídas; Factores de Riesgo; Hospitalización; Pacientes Internos.

P514: Prevalence of sarcopenia in hospitalized elderly patients in Turkey: a cross-sectional study

2014 ◽  
Vol 5 ◽  
pp. S245
Author(s):  
M. Yuruyen ◽  
H. Yavuzer ◽  
S. Yavuzer ◽  
M. Cengiz ◽  
N. Ozgur Yurttas ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospitalized Elderly ◽  
Hospitalized Elderly Patients

scholarly journals Dependência de cuidados de enfermagem de pessoas idosas hospitalizadas: estudo transversal

2016 ◽  
Vol 15 ◽  
pp. 591
Author(s):  
Fabiana Medeiros Brito ◽  
Maria das Graças Melo Fernandes
Keyword(s):  
Clinical Practice ◽  
Elderly Patients ◽  
Nursing Care ◽  
Demographic Variable ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Hospitalized Elderly ◽  
High Dependency ◽  
High Level

Aim: To verify the degree of dependency on nursing care on the part of hospitalized elderly inside a clinical practice unit by using the Perrocas’ System for Patient  Classification.  Methods:  a  cross  sectional  study,  undertaken  with  112  elderly patients  in  a  clinical  practice  unit  at  a  teaching  hospital  at  João  Pessoa/PB.  Results: It was observed that most elderly patients presented a high level of dependency on nursing care. A statistically significant association between high dependency levels and the socio-demographic  variable  of  previous  occupation  was  identified.  Conclusion:  the  empirical results obtained in this research are crucial to our understanding of the dependency of elderly  hospitalized  in  clinical  practice  units,  as  well  for  the  development  of  similar studies focusing on elucidating this dependency in order to help improve elderly patients’ quality of life.

scholarly journals Prevalence of falls among elderly participants of a health promotion group and comparison of balance tests to detect risk of falls

2017 ◽  
Vol 30 (3) ◽  
pp. 519-525
Author(s):  
Vanessa Lobo Carvalho ◽  
Analita Alves Clementino ◽  
Edel Quinn Ferreira Ferro de Magalhães ◽  
Edlanne Morais Belo da Silva ◽  
Jussara Almeida de Oliveira Baggio
Keyword(s):  
Health Promotion ◽  
Elderly Patients ◽  
Public Health Problem ◽  
Berg Balance Scale ◽  
Cross Sectional Study ◽  
Mean Value ◽  
Timed Up And Go ◽  
Balance Test ◽  
Cross Sectional ◽  
Risk Of Falls

Abstract Introduction: Falls of elderly people are common, representing a serious public health problem. The use of appropriate instruments in the assessment of elderly patients supports the early detection of individuals under risk of falls and its prevention. Objective: To verify the incidence of falls in a group of elderly patients and detect which balance test is the most appropriate for the studied sample. Methods: Quantitative, cross-sectional study with an observational approach. A total of 30 elderly patients aged over 60 years old participating in a health promotion group were included in the sample. The participants were initially interviewed and subsequently assessed by means of the following instruments: Berg Balance Scale (BBS), Timed Up and Go test (TUG), and the Dynamic Gait Index (DGI). Results: The mean age of the participants was 69.30 ± 7.47 years; 90% were women and 46.7% of the individuals reported falls. The participants obtained a mean value of 10.2 ± 2.5 seconds in the TUG, 51.4 ± 2.6 in the BBS, and 18.6 ± 4.2 in the DGI. The sensitivity of the scales was 0.71 in the TUG, 0.50 in the DGI, and 0.42 in the BBS; specificity was 0.44 in the TUG, 0.32 in the DGI and 0.63 in the BBS. Conclusion: A high prevalence of falls was observed in the sample. In addition, the TUG was the most sensitive test to assess balance in the assessed sample. However, its use alone requires caution in this sample.

scholarly journals VALIDITY OF MALNUTRITION UNIVERSAL SCREENING TOOL (MUST) IN GERIATRIC PATIENTS: APPROPRIATE SCREENING TOOL IN HOSPITAL; MUST OR FULL-MNA?

2019 ◽  
pp. 1-6
Author(s):  
S. Hormozi ◽  
M. Alizadeh-Khoei ◽  
F. Sharifi ◽  
M. Chehrehgosha ◽  
R. Esmaeili ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Universal Screening ◽  
Geriatric Patients ◽  
Screening Tool ◽  
Hospital Setting ◽  
Cross Sectional Study ◽  
Anthropometric Measures ◽  
Cross Sectional ◽  
Hospitalized Elderly ◽  
Loss Of Appetite

Background: Since malnutrition of geriatric hospitalized patients has an impact on treatment and care management, the aim was to define the accuracy of Malnutrition Universal Screening Test (MUST) for malnutrition screening in the Iranian hospitalized elderly. Methods: In this cross-sectional study elderly 60 ≥ years (N= 192) were selected from two hospitals, anthropometric measures (BMI, MAC, and CC), laboratory test (Albumin), and nutrition tool (Full-MNA) applied and analyzed at P<0.05 level. Results: Elderly participants had a mean age of 68.86 ± 7.46 years and BMI 24.08± 4.64. Elderly patients (28%) lost their weight (>10%) in the last six months and loss of appetite observed in (33.4%) participants. In MUST tool rating, high-risk elderly patients for malnutrition were 33.3%. The AUC for MUST, according to Full-MNA was obtained 90.41%, with sensitivity 90.0% and specificity 73.25%. The MUST showed the strongest correlation with Full-MNA (r = -0.7) and BMI (r = - 0.51); but, the lowest correlation observed with Alb (r= -0.274). Most AUC was belonging to weight loss (0.96) and BMI (0.94). NConclusion: The MUST tool like full-MNA could diagnose malnutrition in geriatric patients in the hospital setting.

scholarly journals Nursing care mapping for patients at risk of falls in the Nursing Interventions Classification

2014 ◽  
Vol 48 (4) ◽  
pp. 632-640 ◽  
Author(s):  
Melissa de Freitas Luzia ◽  
Miriam de Abreu Almeida ◽  
Amália de Fátima Lucena
Keyword(s):  
At Risk ◽  
Nursing Care ◽  
Cross Sectional Study ◽  
Mapping Method ◽  
University Hospital ◽  
Nursing Interventions ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Risk Of Falls ◽  
Patients At Risk

Objective: Identifying the prescribed nursing care for hospitalized patients at risk of falls and comparing them with the interventions of the Nursing Interventions Classifications (NIC). Method: A cross-sectional study carried out in a university hospital in southern Brazil. It was a retrospective data collection in the nursing records system. The sample consisted of 174 adult patients admitted to medical and surgical units with the Nursing Diagnosis of Risk for falls. The prescribed care were compared with the NIC interventions by the cross-mapping method. Results: The most prevalent care were the following: keeping the bed rails, guiding patients/family regarding the risks and prevention of falls, keeping the bell within reach of patients, and maintaining patients’ belongings nearby, mapped in the interventions Environmental Management: safety and Fall Prevention. Conclusion: The treatment prescribed in clinical practice was corroborated by the NIC reference.


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