Navegando por Palavras-chave "Health of institutionalized elderly"

Agora exibindo 1 - 3 de 3
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Descrição da dinâmica de alimentação de idosas institucionalizadas
    (Sociedade Brasileira de Fonoaudiologia, 2010-01-01) Roque, Francelise Pivetta; Bomfim, Fernanda Maria Santana; Chiari, Brasilia Maria [UNIFESP]; Universidade Estadual de Ciências da Saúde de Alagoas Faculdade de Fonoaudiologia; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: To describe the feeding dynamics of institutionalized elderly women regarding the clinical aspects of deglutition, cognition, behavioral and environmental factors related to feeding. METHODS: It was carried out a prospective observational cross-sectional study of the feeding dynamics of 30 elderly women, residents at a long-stay nursing home. Some of the evaluated aspects were recorded by the observers at the time of feeding, and others by the analysis of the videotaped register of their mealtime. Data were descriptively presented and compared to literature findings. RESULTS: Mean age was 83.7 years. The most prevalent medical diagnoses were dementia and systemic arterial hypertension. Poor oral intake was observed in 73.3% of the subjects, as well as an average time of feeding of 10.1 minutes. Attitudinal alterations were observed in 16.7%, and behavioral alterations, in 40% of the elderly. The subjects showed inappropriate positioning in 46.7% of the meals. Assistance was required by 56,6% of the women: in 70.6% of the cases, it was provided, and in 66.6%, it was judged inadequate. Edentulism was verified in 44.4% of the elderly, of which 46.1% used total denture. Inadequacy of denture adaptation, conservation and hygiene status was predominant (83.4%). The prevalence of swallowing alterations was 23.3%, with predominance of the following alterations: food residue after deglutition, cough during feeding, and vocal alterations after deglutition. CONCLUSION: Environmental, cognitive and behavioral factors related to feeding were significantly present among the subjects of the study, putting deglutition at risk. Other specific deglutition difficulties were also identified. Managing these difficulties is important, in order to avoid health complications for elderly women.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Identification of fungi species in the onychomycosis of institutionalized elderly
    (Sociedade Brasileira de Dermatologia, 2013-06-01) Vasconcellos, Cidia; Pereira, Carolina Queiroz Moreira; Souza, Marta Cristina; Pelegrini, Andrea; Freitas, Roseli Santos; Takahashi, Juliana Possato; Universidade de São Paulo (USP); Institute of Medical Assistance to the State Public Server; University of the City of São Paulo; Universidade Federal de São Paulo (UNIFESP); Universidade Estadual Paulista (UNESP)
    BACKGROUND: Superficial fungal infections are caused by dermatophytes, yeasts or filamentous fungi. They are correlated to the etiologic agent, the level of integrity of the host immune response, the site of the lesion and also the injured tissue. OBJECTIVE: The purpose of this study is to isolate and to identify onychomycosis agents in institutionalized elderly (60 years old +). METHODS: The identification of the fungi relied upon the combined results of mycological examination, culture isolation and micro cultures observation under light microscopy from nail and interdigital scales, which were collected from 35 elderly with a clinical suspicion of onychomycosis and a control group (9 elderly with healthy interdigital space and nails). Both groups were institutionalized in two nursing homes in Sao Bernardo do Campo, SP, Brazil. RESULTS: The nail scrapings showed 51.40% positivity. Of these, dermatophytes were found in 44.40% isolates, 27.78% identified as Trichophyton rubrum and 5.56% each as Trichophyton tonsurans, Trichophyton mentagrophytes and Microsporum gypseum. The second more conspicuous group showed 38.89% yeasts: 16.67% Candida guilliermondii, 11.11% Candida parapsilosis, 5.56% Candida glabrata, and 5.56% Trichosporon asahii. A third group displayed 16.70% filamentous fungi, like Fusarium sp, Aspergillus sp and Neoscytalidium sp (5.56% each). The interdigital scrapings presented a positivity rate of 14.29%. The agents were coincident with the fungi that caused the onychomycosis. In the control group, Candida guilliermondii was found at interdigital space in one person. CONCLUSION: Employing a combination of those identification methods, we found no difference between the etiology of the institutionalized elderly onychomycosis from that reported in the literature for the general population.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Velhice, instituição e subjetividade
    (UNESP, 2008-03-01) Maia, Gabriela Felten Da; Londero, Susane; Henz, Alexandre de Oliveira [UNIFESP]; Universidade Federal de Santa Maria Centro de Ciências Sociais e Humanas Departamento de Psicologia; Universidade Federal de São Paulo (UNIFESP)
    This essay refers to the route achieved and to some theoretical-practical tools produced for a clinic with old people. The sharing of some concepts that permeate the boundaries between old age and suffering become a very important tool for this clinic, demanding other interventions facing the other ones traditionally achieved, mainly in situation of institutionalization. The proposition of a clinic with old people started from an interest related to this stage of life, more specifically, in relation to the presence of a moral discourse and ways of hegemonic subjectivation that qualify it as a rotten band of life.