pessoa idosa na Atenção Primária à Saúde

Introdução: O envelhecimento da população mundial é uma conquista da humanidade, que também se mostra um dos maiores desafios, uma vez que ocasionará novos paradigmas e demandas políticas, sociais, econômicas e de saúde. Desse modo, torna-se essencial discutir os aspectos que envolvem a pessoa idosa e a Atenção Primária à Saúde (APS). Objetivo: Realizar uma análise bibliométrica da produção científica referente aos fatores relacionados com a pessoa idosa e a APS. Métodos: Trata-se de uma revisão bibliométrica que utilizou os termos “primary health care” AND “aged*” na base de dados Web of Science, entre os anos de 1945 e 2016. O estudo analisou os registros com base em revisão de literatura sobre a temática em questão com o auxílio do software HistCite. Resultados: Foram identificados 700 artigos em 313 periódicos, de 2.834 autores vinculados a 1.138 instituições de 61 países, o que totalizou 19.745 referências, com média de aproximadamente 28 referências por artigo. A revista Scandinavian Journal of Primary Health Care possui 4% dos textos e o International Journal of Geriatric Psychiatry, o maior fator de impacto. Os autores mais citados estão reunidos em apenas cinco universidades, com destaque para a Linkoping University, que detém 4% do total de publicações, e três países: Suécia, Brasil e Estados Unidos da América. O Brasil ocupa a primeira colocação, com 2% dos textos. Conclusões: Os estudos revelam aspectos importantes associados à pessoa idosa e à APS, como problemas de inobservância quanto aos cuidados de saúde para essa população, tanto por profissionais quanto pelos próprios idosos, apontando para a desumanização e consequente falta de priorização dessa faixa etária no âmbito da saúde. Com o envelhecimento das populações, é imprescindível que esse tema venha a ser priorizado, ampliando o debate sobre essa transição demográfica e suas consequências para toda a população e visando a alternativas que possam minimizar os impactos dela, bem como a novos paradigmas para produtos e serviços voltados para a população idosa. Isso especialmente na atenção primária, que é porta de entrada para todo o serviço de saúde e principal elo social entre o idoso e a qualidade de vida. Destaca-se ainda a necessidade de educação continuada dos profissionais e de aperfeiçoamento desse nível de atenção para o atendimento a essa população, quantitativamente cada vez maior.

511 - Examining the Impact of Individualized Music for Patients on A Geriatric Psychiatry Unit

Background:Clinicians are encouraged to use non-pharmacologic interventions first as part of the treatment of responsive behaviours due to mental health conditions. Music therapy is an example of such an intervention. In recent years, there has been an increased research focus on individualized music (IM) because it considers patient’s personal music preferences. However, the findings of whether IM listening is more beneficial than general music listening has been inconsistent.Objective:This study is to further compare the effects of IM and elevator (baseline) music listening on enjoyment behaviours of geriatric inpatients.Methods:Fifteen participants were recruited from a geriatric psychiatry unit in an acute tertiary mental health facility in British Columbia, Canada. Their mean age was 74 years and their mean MMSE was 18. Each participant attended two 30-minute music listening sessions. Each session included a 15-minute baseline music playlist and a 15-minute IM playlist. The sequence of the two playlists was counterbalanced for each participant across the two sessions. The IM playlists were created by interviewing each participant with a personalized music preference questionnaire. The baseline (elevator) playlist was simply consisted of instrumental, non-lyrical jazz and classical music and was the same for every participant. The enjoyment behaviors during the sessions for each participant were measured by the Enjoyment Behavioral Coding Scheme (EBCS), which was developed for this project based on previous literature and was shown to have a good inter rater reliability.Results:The average total scores of the EBCS across two sessions of IM and baseline music listening were calculated for each participant. Paired samples t-test was used to compare the scores. Though the mean total score of the EBCS for IM session was higher than that for the baseline session, the t-test showed the difference did not reach statistical significance.Conclusion:Participants appeared to enjoy both the IM and baseline music sessions equally.

Disability Assessment in Geriatric Psychiatry and Social Welfare Measures in Geropsychiatry in India

Background: Rising population of elder people and associated rise in health problems, frailty and disabilities have significant socioeconomic and health care implications. Mental health related disability contributes significantly in the global disability statistics and is an important health and quality of life indicator. Assessment of disabilities in elderly is essential part of routine evaluation, further it also helps the clinicians in identifying current functional status and choosing and monitoring therapeutic interventions and need for social welfare schemes. Methods: In order to understand the process of disability assessment in geriatric psychiatry and to gather information about social welfare schemes a literature review in Google Scholar and PubMed electronic database, and website of various ministries under Government of India was done, using developed key search terms for articles published up to February 2021. The identified eligible articles were reviewed for ideas and concepts, which were then integrated and categorized under broader themes. Finally, the broad categories were discussed briefly based on the above framework. Results: Review findings are summarized under the following headings: concept of ageing and disability, assessment of disability, process of certification, and social welfare schemes. Conclusions: The process of disability assessment comprises of comprehensive clinical evaluation, use of standardized rating instruments and disability certification wherever warranted or asked for. It is now being acknowledged worldwide by provisions of various social welfare benefits, that living with disability and increased care needs should be an integral part of definition of successful ageing.