scholarly journals Disfagia em idosos institucionalizados

2018 ◽  
Vol 12 (8) ◽  
pp. 2180
Author(s):  
Divany Guedes Pereira Da Cunha ◽  
Émerson Soares Pontes ◽  
Renata Maria Mota Wanderley ◽  
Greicy Kelly Gouveia Dias Bittencourt ◽  
Giorvan Anderson Santos Alves ◽  
...  
Keyword(s):  
Elderly People ◽  
Speech Therapy ◽  
The Elderly ◽  
Feeding Strategies ◽  
Eligibility Criteria ◽  
Speech Language Pathologist ◽  
On Line ◽  
The Subject ◽  
Risk Of Aspiration

RESUMOObjetivo: analisar artigos relacionados à disfagia em idosos de instituição de longa permanência. Método: revisão integrativa realizada nas bases de dados da MEDLINE e LILACS, de abril a maio de 2017. Os critérios de elegibilidade foram textos na forma de artigos científicos originais disponíveis on-line, na íntegra, que abordassem a temática nos idiomas português ou inglês, publicados no período de 2007 a 2016. Resultados: foram selecionados seis estudos onde emergiram as categorias 1. Condições de alimentação e disfagia em idosos institucionalizados e 2. Relação entre disfagia e drogas psicotrópicas nessa população. Conclusão: os estudos mostraram que os idosos residentes em instituições de longa permanência têm risco para a disfagia e que os profissionais que atuam no cuidado ao idoso não têm conhecimento das estratégias de alimentação que minimizam o risco de aspiração. É importante ressaltar que apenas uma instituição possuía o profissional fonoaudiólogo e a importância desse profissional nas orientações com relação à alimentação. Descritores: Idosos, Disfagia, Instituição de longa permanência para idosos, Comunicação, Fonoaudiologia, Envelhecimento.ABSTRACT Objective: to analyze articles related to dysphagia in the elderly of long-term institutions. Method: integrative review carried out in the MEDLINE and LILACS databases, from April to May 2017. The eligibility criteria were texts in the form of original scientific articles available online, in full, that addressed the subject in Portuguese or English, published in the period from 2007 to 2016. Results: six studies were selected where the following categories emerged. 1. Feeding and dysphagia conditions in institutionalized elderly people and 2. Relationship between dysphagia and psychotropic drugs in this population. Conclusion: studies have shown that elderly people living in long-term institutions are at risk for dysphagia and that professionals who work in the care of the elderly are not aware of feeding strategies that minimize the risk of aspiration. It is important to emphasize that only one institution had the professional speech-language pathologist and the importance of this professional in the guidelines regarding food. Descriptors: Elderly; Dysphagia; Long-Term Institutions For The Elderly; Communication; Speech Therapy; Aging.  RESUMEN Objetivo: analizar artículos relacionados con disfagia en ancianos de institución de larga permanencia. Método: revisión integrativa realizada en las bases de datos de MEDLINE y LILACS, de abril a mayo de 2017. Los criterios de elegibilidad fueron textos en forma de documentos originales disponibles en línea en su totalidad, que se refirió al tema en Inglés o portugués, publicada 2007-2016. Resultados: se seleccionaron seis estudios, donde surgieron las categorías: 1 Condiciones de alimentación y disfagia en ancianos institucionalizados y 2. Relación entre disfagia y drogas psicotrópicas en esa población. Conclusión: los estudios mostraron que los ancianos residentes en instituciones de larga permanencia tienen riesgo para la disfagia y que los profesionales que actúan en el cuidado del anciano no tienen conocimiento de las estrategias de alimentación que minimizan el riesgo de aspiración. Es importante resaltar que sólo una institución poseía el profesional fonoaudiólogo y la importancia de este profesional en las orientaciones con relación a la alimentación. Descriptores: Anciano; Trastornos de Deglución; Hogares Para Ancianos; Comunicación; Fonoaudiología; Envejecimiento.

Status and Degree of Dysphagia in the Elderly-A Comparison Study of Long-Term Care Elderly People in an Outpatient Clinic

2003 ◽  
Vol 54 (4) ◽  
pp. 277-284 ◽  
Author(s):  
Masanori Komatsu ◽  
Kayoko Hirata ◽  
Idumi Mochimatsu ◽  
Kazuo Matsui ◽  
Hajime Hirose ◽  
...  
Keyword(s):  
Elderly People ◽  
Outpatient Clinic ◽  
Long Term Care ◽  
The Elderly ◽  
Comparison Study ◽  
Term Care

scholarly journals Rehabilitation of the afasic patient in speech therapy

2022 ◽  
Vol 3 (1) ◽  
Author(s):  
Rômulo Evandro Brito de Leão ◽  
Francisca Canindé Rosário da Silva Araújo ◽  
Lúcia Natsuko Sakai
Keyword(s):  
Speech Therapy ◽  
Written Language ◽  
Neurophysiological Mechanism ◽  
Her Family ◽  
Speech Language Pathologist ◽  
Final Sample ◽  
The Subject ◽  
Potential Impact ◽  
Therapeutic Behavior

Aphasias are considered to be neurological linguistic disorders in which the comprehension and/or expression of oral and/or written language is compromised, thus having a significant potential impact on the quality of life of an individual and his / her family. Although much studied in its neurophysiological mechanism, aphasia is not always discussed in terms of rehabilitation. Therefore, this article aims to discuss the scientific production in speech therapy on the rehabilitation of aphasia. For this purpose, an Integrative Review of Literature was carried out, covering the period from 2000 to 2021 on the Scielo and BVS data platforms of articles available in full and in the Portuguese language, using as a descriptor the unitermo "aphasia", in which the articles found were submitted to the relevance tests I and II, in which the final sample made only those that passed the established criteria. A total of 236 articles were found on the Scielo platform, with only 29 discussing rehabilitation and only 5 on speech therapy. In the BVS platform, 98.901 articles were found, but only 86 were discussing deaf aphasia and were available, none of which addressed speech therapy rehabilitation. The electronic search reached a total of 5 relevant articles that included the theme of speech and hearing rehabilitation to the aphasic patient, all of them being from the Scielo platform. Thus, scientific scarcity on the subject of aphasia becomes evident, and it is necessary to invest in production that encapsulate the therapeutic behavior of the speech-language pathologist.   As afasias são consideradas distúrbios linguísticos de cunho neurológico em que a compreensão e/ou expressão da linguagem oral e/ou escrita encontra-se comprometida, tendo desta maneira um potencial significativo de impacto na qualidade de vida de um indivíduo e sua família. Embora muito estudada em seu mecanismo neurofisiológico, as afasias nem sempre são discutidas sob o aspecto de reabilitação. Diante disso, este artigo objetiva discutir sobre a produção cientifica em fonoaudiologia sobre a reabilitação da afasia. Para tanto, foi realizada uma Revisão Integrativa da Literatura, contemplando o período de 2000 a 2021 nas plataformas de dados Scielo e BVS de artigos disponíveis na íntegra e no idioma em português, utilizando como descritor o unitermo “afasia”, em que os artigos encontrados foram submetidos aos testes de relevância I e II, em que fizeram a amostra final apenas aqueles que passaram pelos critérios estabelecidos. Foram encontrados na plataforma Scielo o total de 236 artigos, sendo que apenas 29 discutiam sobre reabilitação e apenas 5 sobre terapia fonoaudiológica. Na plataforma BVS foram encontrados 98.901 artigos, porém apenas 86 discutiam sobre afasia de fato e estavam disponíveis, sendo que nenhum abordava a reabilitação fonoaudiológica. A busca eletrônica alcançou o total de 5 artigos relevantes que contemplassem a temática de reabilitação fonoaudiológica ao paciente afásico, sendo todos da plataforma Scielo. Assim, torna-se evidente a escassez científica sobre o tema de afasia, sendo necessário investimentos para produção que embase a conduta terapêutica do profissional fonoaudiólogo.

scholarly journals Long-Term Effects of Statin Treatment in Elderly People: Extended Follow-Up of the PROspective Study of Pravastatin in the Elderly at Risk (PROSPER)

PLoS ONE ◽  
2013 ◽  
Vol 8 (9) ◽  
pp. e72642 ◽  
Author(s):  
Suzanne M. Lloyd ◽  
David J. Stott ◽  
Anton J. M. de Craen ◽  
Patricia M. Kearney ◽  
Naveed Sattar ◽  
...  
Keyword(s):  
At Risk ◽  
Prospective Study ◽  
Elderly People ◽  
The Elderly ◽  
Statin Treatment ◽  
Long Term Effects

A Multi-State Model of Disability for the United Kingdom: Implications for Future Need for Long-Term Care for the Elderly

2002 ◽  
Vol 8 (2) ◽  
pp. 341-393 ◽  
Author(s):  
B.D. Rickayzen ◽  
D.E.P. Walsh
Keyword(s):  
United Kingdom ◽  
Elderly People ◽  
Long Term Care ◽  
The Elderly ◽  
State Model ◽  
Rate Data ◽  
Term Care ◽  
Care For The Elderly ◽  
The United Kingdom

ABSTRACTThis paper develops a multiple state model to project the number of people with disabilities in the United Kingdom over the next 35 years, thereby identifying implications for demand for long-term care for the elderly in the future.The model requires three types of data: prevalence rate data, transition rate data and trends data. Recent trends in healthy life expectancy data are used to frame the assumptions made regarding changes in the disability rates of the U.K. population in the future.Although there will be a large increase in the number of elderly people in the U.K. over the next 35 years, the projections suggest that the implications for the number of elderly people requiring long-term care could be ameliorated by a reduction in the proportion of older people who are severely disabled.

A Case Control Study of the Risks for Institutionalization of Elderly People in Nova Scotia

1994 ◽  
Vol 13 (1) ◽  
pp. 104-117 ◽  
Author(s):  
Katherine Glazebrook ◽  
Kenneth Rockwood ◽  
Paul Stolee ◽  
John Fisk ◽  
J. M. Gray
Keyword(s):  
Nova Scotia ◽  
Elderly People ◽  
Functional Impairment ◽  
Long Term Care ◽  
Case Control Study ◽  
The Elderly ◽  
Case Control ◽  
Term Care ◽  
Control Study

ABSTRACTFew studies of the risks of institutionalization of the elderly have had fully specified models using multivariate analysis, and several studies have examined highly selected populations, making their generalizability uncertain. We set out to examine the risks of institutionalization in elderly people in Nova Scotia. A case-control study, executed as part of the Canadian Study of Health and Aging examined 108 incident institutional cases and 533 community-dwelling elderly controls, using a standardized assessment interview conducted by trained interviewers. Multiple logistic regression analysis showed that advancing age, presence of dementia, functional impairment, poor self-rated health, recent hospital admission, and absence of a caregiver were important risks for entry into long term care. Institutions providing long-term care for the elderly need to be able to look after populations with a high prevalence of dementia and functional impairment.

scholarly journals Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study

2019 ◽  
Author(s):  
Chia-Shan Wu ◽  
Jiin-Ru Rong
Keyword(s):  
Qualitative Study ◽  
Elderly People ◽  
Long Term Care ◽  
Care Facility ◽  
The Elderly ◽  
Living Environment ◽  
Theory Approach ◽  
Major Life ◽  
Term Care

Abstract Background Relocation to a long-term care (LTC) facility is a major life change for most elderly people. Following relocation, many elderly experience difficulties in adapting to changes in the living environment. Taiwan is increasingly becoming an "aging society” and the numbers of those who relocate from family residences to long-term residential care facilities have increased over years. However, in-depth evidence on the experiences of the elderly of their stay in LTC facilities in Taiwan is relatively sparse. This study aimed to explore the relocation experiences of the elderly to a LTC facility to inform policy and practice to address their needs effectively. Methods A qualitative study, using semi-structured in-depth interviews, was conducted to explore the experiences of 16 elderly people who have relocated to and lived in a LTC facility in Taiwan for up to a period of 12 months. All interviews were recorded, transcribed, and analyzed using grounded theory approach. Results Participants’ accounts reflected four interrelated key themes: wish to minimize the burden, but stay connected with the family; perceived barriers to adaptation; valuing tailored care; and acceptance and engagement. Each theme included interrelated subthemes that influenced one another and represented the different stages in the relocation journey. Most participants viewed relocation as a way of minimizing the burden of their care from family members, but desired to keep a close connection with family and friends. Participants recounted experiences of psychological resistance while making the decision to relocate. Fear of losing autonomy and the ability to perform self-care was a major reason for resistance to adapt. Provision of tailored care was accorded much value by the participants. The decision to accept the relocation and to adapt themselves to the new environment due to their needs for constant care was explicit in some accounts. Conclusions Relocation to LTC facility is a dynamic process in the first year of moving into the facility, and involves a range of emotions, feelings and experiences. Adaptation of the elderly into the LTC facility can be maximized if the relocation is well planned with provisions for individually tailored care and family involvement.

scholarly journals Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study

2020 ◽  
Author(s):  
Chia-Shan Wu ◽  
Jiin-Ru Rong
Keyword(s):  
Qualitative Study ◽  
Elderly People ◽  
Long Term Care ◽  
Care Facility ◽  
The Elderly ◽  
Living Environment ◽  
Theory Approach ◽  
Major Life ◽  
Term Care

Abstract Background Relocation to a long-term care (LTC) facility is a major life change for most elderly people. Following relocation, many elderly experience difficulties in adapting to changes in the living environment. Taiwan is increasingly becoming an "aging society” and the numbers of those who relocate from family residences to long-term residential care facilities have increased over years. However, in-depth evidence on the experiences of the elderly of their stay in LTC facilities in Taiwan is relatively sparse. This study aimed to explore the relocation experiences of the elderly to a LTC facility to inform policy and practice to address their needs effectively. Methods A qualitative study, using semi-structured in-depth interviews, was conducted to explore the experiences of 16 elderly people who have relocated to and lived in a LTC facility in Taiwan for up to a period of 12 months. All interviews were recorded, transcribed, and analyzed using grounded theory approach.Results Participants’ accounts reflected four interrelated key themes: wish to minimize the burden, but stay connected with the family; perceived barriers to adaptation; valuing tailored care; and acceptance and engagement. Each theme included interrelated subthemes that influenced one another and represented the different stages in the relocation journey. Most participants viewed relocation as a way of minimizing the burden of their care from family members, but desired to keep a close connection with family and friends. Participants recounted experiences of psychological resistance while making the decision to relocate. Fear of losing autonomy and the ability to perform self-care was a major reason for resistance to adapt. Provision of tailored care was accorded much value by the participants. The decision to accept the relocation and to adapt themselves to the new environment due to their needs for constant care was explicit in some accounts. Conclusions Relocation to LTC facility is a dynamic process in the first year of moving into the facility, and involves a range of emotions, feelings and experiences. Adaptation of the elderly into the LTC facility can be maximized if the relocation is well planned with provisions for individually tailored care and family involvement.

scholarly journals Long-term care of the elderly: Current status, policies and dilemmas

Stanovnistvo ◽  
2012 ◽  
Vol 50 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Gordana Matkovic
Keyword(s):  
Home Care ◽  
Elderly People ◽  
Long Term Care ◽  
The Elderly ◽  
Elderly Persons ◽  
Community Based ◽  
Term Care ◽  
Cash Benefits ◽  
The Government

In Serbia, the long-term care as a system does not actually exist. One part of the system is regulated through cash benefits, one part through institutional social care and community-based social services, and one part is just being established under the health care system. The linkages among these segments are not strong and there is insufficient awareness of the need to regard the different parts of the system as being interdependent and interconnected. According to the different surveys, home care is needed for the daily functioning of more than 80,000 elderly people, especially for around 27,000 of those who are completely immobile. More than 300 thousand elderly persons have indicated that they are in need of some type of self-care support. By tradition, elderly people in Serbia rely primarily on family support. Some are getting the state support as well. Research shows that 62 thousand elderly persons (5 percent) receive attendance allowance; 9,000 elderly are accommodated in institutions (0.7 percent), while 11.7 thousand (1 percent) persons received some type of support through home care community based services. In addition, in Belgrade there are also 2,000 elderly who are beneficiaries of medical and palliative care at home. The government expenditures for these purposes can be very roughly estimated at 0.55 percent of GDP, largely for cash benefits (0.37 percent). Considered over a medium and longer term, the government expenditures on longterm care in Serbia will inevitably increase significantly, primarily due to an increase in the number and share of elderly people and the increase in additional life years spent in ill health or in need of assistance. An increase in the expenditures will also be influenced by a change in the family models and the increasing number of elderly that will be living alone, as well as the diminishing possibilities for reliance on the closest family members, especially due to emigration flows both at local and national levels. Finally, it is important not to neglect the effect of emulating more developed countries, as well as the EU?s pressure to adequately respond to the needs of the elderly. Therefore, the state and society must promptly prepare a systematic, comprehensive, timely and fiscally responsible response. This response must recognize the capacities of all stakeholders, from family to state and non-state and match the capacities with the appropriate roles in the system of long-term care provision.

scholarly journals Factors associated with the institutionalization of the elderly: a case-control study

2016 ◽  
Vol 19 (6) ◽  
pp. 1004-1014 ◽  
Author(s):  
Ezequiel Vitório Lini ◽  
Marilene Rodrigues Portella ◽  
Marlene Doring
Keyword(s):  
Cognitive Impairment ◽  
Elderly People ◽  
Daily Living ◽  
Long Term Care ◽  
The Elderly ◽  
Case Control ◽  
Term Care ◽  
Factors Associated ◽  
Care Facilities

Abstract Objective: to identify the factors associated with the institutionalization of the elderly. Method: a case-control, population-based study was performed with 387 elderly people. The study considered cases of elderly people (n=191) living in long-term care facilities, and a control group (n=196) who lived in homes in urban areas of the city. Both groups were identified from the records of the Family Health Strategy and were randomly selected. Institutionalization was considered a dependent variable, and sociodemographics, clinical factors, functional status, and cognitive impairment were considered independent variables. Comparison between groups was analyzed using the Chi-squared and Pearson tests and the logistic regression model was used in adjusted analysis, with measurements of effect expressed as odds ratio with a 95% confidence interval. Variables with p≤0.20 were considered for entry in the multiple model. Results: variables that remained associated with institutionalization in multiple analysis were: not having a partner (OR=9.7), not having children (OR=4.0), presenting cognitive impairment (OR=11.4), and depending on others to perform basic activities of daily living (OR=10.9). Conclusion: cognitive impairment and dependency for basic activities of daily living were more strongly associated with institutionalization. Home care strategies and preventive actions for risk factors should be stimulated to delay the referral of elderly people to Long Term Care Facilities for the Elderly, and to develop strategies that allow the elderly to remain socially active.

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