Skip to main content

Aging and Functionality of the Institutionalized Elderly People of Alto Alentejo: Contributions to the Diagnosis of the Situation

  • Conference paper
  • First Online:
Gerontechnology III (IWoG 2020)

Abstract

The loss of functionality in aging process is a concern nowadays. We proposed to perform the diagnosis of the functionality of institutionalized elderly people in Portalegre city. We developed a quantitative, descriptive and transversal study with the application of three evaluation instruments (Elderly Nursing Core Set, Mini-Mental State Examination and Blessed Dementia Scale (BDS)). The sample consisted of 89 elderly people, with an average age of 86.6 years-old, most of them are female (71.9%), widowed (77,5%) and illiterate (51.7%). The average of years of institutionalization was 3.5. 45.3% showed cognitive deterioration, and 50% showed moderate to severe deficits on the BDS. It was also found that 7% of the older people had low weight and 79.4% were overweight. It was also found that 7% of them had low weight and 79.4% were overweight. 37% reported they have pain and more than 52% presented moderate to complete disability in daily life activities such as walking, washing, caring for body parts, excretion processes and dressing. However, less than 26% presented some deficiency in eating. Regarding environmental factors 88% of the elderly people reported having some kind of support from family and friends. We concluded that the sample presents functional deficits, including considered cognitive deficiencies, requiring intervention. Considering that the evaluation presented here was made before the pandemic period caused by Covid-19, it is important to re-evaluate this sample after the restrictions of social conviviality to assess the effect of the pandemic on functionality and rethink the model of care for the institutionalized elderly people.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Costa, S., Amaral, A., Rodrigues, T., Xavier, M., Chianca, I., Moreira, M., et al.: Funcionalidade em idosos: revisão integrativa da literatura. RIASE Rev Ibero-Americana Saúde e Envelhec 2(3), 941–953 (2017)

    Google Scholar 

  2. Paúl, C.: Envelhecimento activo e redes de suporte social. Sociol Rev da Fac Let da Univ do Porto 15, 275–287 (2005)

    Google Scholar 

  3. Fonseca, A., Medeiros, S.: Instrumentos de avaliação da funcionalidade em idosos validados para a população portuguesa. Psicol Saúde Doenças 20(3), 711–725 (2019)

    Article  Google Scholar 

  4. Fleg, T., Oliveira, M.: Avaliação da funcionalidade de idosos institucionalizados: relação entre a MIF e a ICF. CINERGIS 18(3), 190–195 (2017)

    Article  Google Scholar 

  5. Vilela, D., Busanello, K., Oliveira, S., Fréz, A., Riedi, C.: Correlação entre o estado geral de saúde e a capacidade funcional em idosos ativos. ConScientiae Saúde 3(12), 447–454 (2013)

    Article  Google Scholar 

  6. Rodrigues, R., Azeredo, Z., Mendes, I., Crespo, S., Silva, C.: Os muito idosos do concelho de Coimbra: avaliação da funcionalidade na área da saúde física. Rev Port Saúde Pública 34(2), 163–172 (2016)

    Article  Google Scholar 

  7. Moguel, E., Berrocal, J., Murillo, J.M., García-Alonso, J., Mendes, D., Fonseca, C., et al.: Enriched elderly virtual profiles by means of a multidimensional integrated assessment platform. Procedia Comput. Sci. [Internet] 138, 56–63 (2018). https://linkinghub.elsevier.com/retrieve/pii/S1877050918316405

  8. Orem, D.: Nursing: Concepts of Practice. 6th edn. Mosby, St. Louis (2001)

    Google Scholar 

  9. Mendes, D.J.M., Lopes, M.J., García-Alonso, J.M., Santos, J., Sousa, L.M.M.: Resilient software architecture platform for the individual care plan. In: Mendes, D., Fonseca, C., Lopes, M.J., Garcia-Alonso, J., Murillo, J.M., (eds.) Exploring the Role of ICTs in Healthy Aging, pp. 13–32 (2020). http://services.igi-global.com/resolvedoi/resolve.aspx?doi=10.4018/978-1-7998-1937-0.ch002

  10. Folstein, M.F., Folstein, S.E., McHugh, P.R.: Mini-mental state. J. Psychiatr. Res. 12(3), 189–198 (1975). https://linkinghub.elsevier.com/retrieve/pii/0022395675900266

  11. Blessed, G., Tomlinson, B.E., Roth, M.: Blessed-roth dementia scale (DS). Psychopharmacol. Bull. 24(4), 705–708 (1988). http://www.ncbi.nlm.nih.gov/pubmed/3249772

  12. Eastwood, M.R., Lautenschlaeger, E., Corbin, S.A.: Comparison of clinical methods for assessing dementia. J. Am. Geriatr. Soc. 31(6), 342–347 (1983). http://doi.wiley.com/10.1111/j.1532-5415.1983.tb05744.x

  13. Stern, Y., Mayeux, R., Sano, M., Hauser, W.A., Bush, T.: Predictors of disease course in patients with probable Alzheimer’s disease. Neurology 37(10), 1649–1649 (1987). http://www.neurology.org/cgi/doi/10.1212/WNL.37.10.1649

  14. Lopes, M.J., Fonseca, C.: The construction of the Elderly Nursing Core Set. J Aging Inov. 2(1), 121–131 (2013)

    Google Scholar 

  15. Fonseca, C., Lopes, M., Mendes, D., Parreira, P., Mónico, L., Marques, C.: Psychometric properties of the Elderly Nursing Core Set. In: García-Alonso, J., Fonseca, C., (eds.) Gerontechnology IWoG 2018 Communications in Computer and Information Science, pp. 143–53. Springer (2019). http://link.springer.com/10.1007/978-3-030-16028-9_13

  16. Goes, M., Lopes, M.J., Oliveira, H., Fonseca, C., Marôco, J.: A nursing care intervention model for elderly people to ascertain general profiles of functionality and self care needs. Sci. Rep. 10(1) (2020)

    Google Scholar 

  17. Fonseca, C.: Modelo de autocuidado para pessoas com 65 e mais anos de idade, necessidades de cuidados de enfermagem. Universidade de Lisboa (2014)

    Google Scholar 

  18. World Health Organization: World health statistics 2019: monitoring health for the SDGs, sustainable development goals. World Health Organization (2019). https://apps.who.int/iris/bitstream/handle/10665/324835/9789241565707-eng.pdf

  19. Direção-Geral da Saúde: Processo assistencial integrado da pré-obesidade no adulto. Direção-Geral da Saúde, Lisboa (2014)

    Google Scholar 

  20. Shebl, A.M., Hatata, E.S.Z., Boughdady, A.M., El-Sayed, S.M.: Prevalence and risk factors of obesity among elderly attending geriatric outpatient clinics in Mansoura City. J. Educ. Pract. 6(30), 136–147 (2015). http://search.ebscohost.com/login.aspx?direct=true&db=eric&AN=EJ1081347&site=ehost-live&scope=site

  21. Bacsu, J., Jeffery, B., Abonyi, S., Johnson, S., Novik, N., Martz, D., et al.: Healthy aging in place: perceptions of rural older adults. Educ. Gerontol. 40(5), 327–337 (2014). http://10.0.4.56/03601277.2013.802191

  22. Toot, S., Swinson, T., Devine, M., Challis, D., Orrell, M.: Causes of nursing home placement for older people with dementia: a systematic review and meta-analysis. Int. Psychogeriatrics 29(2), 195–208 (2017). https://www.cambridge.org/core/product/identifier/S1041610216001654/type/journal_article

  23. Prince, M., Prina, M., Guerchet, M.: World Alzheimer Report 2013: Journey of Caring-Analysis of Long-Term Care for Dementia, London (2015)

    Google Scholar 

  24. Alzheimer’s Society: Optimising treatment and care for people with behavioural and psychological symptoms of dementia: a best practice guide for health and social care professionals, London (2011)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Helena Arco .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Arco, H., Pedro, A., Pinho, L., Proença, A. (2021). Aging and Functionality of the Institutionalized Elderly People of Alto Alentejo: Contributions to the Diagnosis of the Situation. In: García-Alonso, J., Fonseca, C. (eds) Gerontechnology III. IWoG 2020. Lecture Notes in Bioengineering. Springer, Cham. https://doi.org/10.1007/978-3-030-72567-9_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-72567-9_24

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-72566-2

  • Online ISBN: 978-3-030-72567-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics