Navegando por Palavras-chave "health of the elderly"
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- ItemAcesso aberto (Open Access)Cuidadores de idosos e o sistema único de saúde(Associação Brasileira de Enfermagem, 2003-06-01) Brêtas, Ana Cristina Passarella [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This research has the objective of proposing some reflections about the theme of people who take care of the elderly, taking as the theoretical, conceptual, and political reference the Brazilian public health system. It is broken down into four topics. First of all, I attempt to briefly discuss the interfaces of the theme Aging and Health with the purpose of laying a theoretical groundwork where this is proposed. Secondly, I try to present the Public Health System (SUS) as a scenario for the discussion on the issue of taking care of the elderly. Thirdly, I present some paradigms about this care as a human attitude and bring to the discussion the person who takes care of the elderly. Finally, I present some final considerations.
- ItemAcesso aberto (Open Access)Dizziness in community-dewelling older adults: a population-based study(Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, 2011-11-01) Moraes, Suzana Albuquerque de; Souza Soares, Wuber Jefferson de; Silva Rodrigues, Rosilene Andrade; Rezende Fett, Waleria Christiane; Ferriolli, Eduardo; Perracini, Monica Rodrigues [UNIFESP]; Univ Cidade Sao Paulo; Hlth Secretariat Mato Grosso State; Mato Grosso Fed Univ UFMT; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)Dizziness is a common complaint among older adults.Aim: To identify the prevalence of dizziness and its related factors in a sample of community-dwelling older adults.Methods: A prospective population-based study with a representative sample of older adults aged 65 years and over. A multidimensional questionnaire and a battery of measures were used for assessing physical function.Results: The prevalence of dizziness was 45%. Vertigo was found in 70.4% of older adults with dizziness and 43.8% of them referred vertigo crises along life. A significant association was found between dizziness and female gender (p=0.004), memory difficulties complaints (p=0.015), bad health perception (p=0.001), depression (p<0.0001), five or more comorbidities (p=0.021), self-reported fatigue (p<0.0001), recurrent falls (p=0.001), excessive sleepiness (p=0.003), fear of falling (p<0.0001), left leg unipedal stance (p=0.002) and Short Performance Physical Battery score (p=0.009).Conclusion: Dizziness is a common complaint among older adults and it is associated with limiting clinical conditions, such as depression, fatigue, excessive sleepiness and impaired memory. It is highlighted the association between dizziness and recurrent falls, fear of falling and lower performance in physical function tests, which can restrict independence. These data suggest the importance of a multifactorial approach to dizziness in older adults.
- ItemAcesso aberto (Open Access)Próteses auditivas e tempos de recuperação: estudo segundo status cognitivo(Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2013-04-01) Ghiringhelli, Rosângela [UNIFESP]; Iorio, Maria Cecilia Martinelli [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Studies have shown that elderly people with cognitive impairments benefit more from hearing aids with slower recovery times. OBJECTIVE: To study participation constraints and speech recognition in noise of elderly subjects equipped with hearing aids of different recovery times according to cognitive impairment status. METHOD: Fifty subjects aged between 60 and 80 years were followed for four months. They were divided at first in groups of individuals without (G1; n = 24) and with (G2; n = 26) cognitive impairment based on results of the Alzheimer's Disease Assessment Scale -Cognitive Sub-scale test. Half the members of each group received hearing aids with faster recovery times and half got slower recovery aids, thus forming four groups: two without cognitive impairment (faster recovery - G1F; slower recovery - G1S) and two suspected for cognitive impairment (faster recovery - G2F; slower recovery - G2S). All subjects were interviewed, submitted to basic audiological assessment, asked to answer the Hearing Handicap Inventory for the Elderly questionnaire, and tested for speech recognition in noise. ANOVA, McNemar's test, and the Chi-square test were applied. The significance level was set at 5%. RESULTS: There was significant improvement in participation constraint and speech recognition in noise with hearing aids alone. Sub-group G2F needed more favorable signal-to-noise ratios to recognize 50% of the speech in noise. CONCLUSION: Participation constraint and speech recognition in noise were improved regardless of recovery times or cognitive impairment status.