OBJECTIVE: This study had the objective of evaluating the structural and hygienic and sanitary conditions of Food and Nutrition Unities (FNUs) in Homes for the Aged (HAs) on the City of Salvador-Ba.
METHODS: For data collection was used the instrument adapted from the Check List of Good Manufacturing Practices of RDC number 275/02. The evaluated items were subdivided in 5 blocks and the LTEIs were classified according to assistance percentage of the investigated items.
RESULTS: From the 14 evaluated HAs, only one was classified in group 1, reaching adequacy in more than 75% of the analyzed items and the majority of institutions complied with less than 50% of the checklist items. Block 5 referring to Good Practices documentation had higher noncompliance value with 79.50%, followed by Block 3, of handlers, with 56.10%, evidencing the need to offer training in good practices. The absence of the professional nutritionist was identified in most of the HAs.
CONCLUSION: Most of the evaluated FNUs had inadequate structural and hygienic and sanitary aspects, which may influence the health and nutritional state of the elderly. It is needed to elaborate and validate an specific check-list for HAs.
Keywords: Checklist. Homes for the Aged. Food legislation
OBJECTIVE: The study objective was to assess the prevalence of urinary incontinence (UI) in the elderly population of Porto Alegre-RS, as well as its impact on quality of life of these individuals.
METHODOLOGY: The sample consisted of 401 individuals, with over 65 years of age, of both genders, resident for at least 12 months in the neighborhood. Data collection was performed by applying the International Continence Consultation on Questionnaire - Short Form (ICIQ-SF) during a home visit.
RESULTS: The prevalence of UI found in the population was 32.2%. Regarding gender, 37.9% of incontinent women showed up to 15.5% of men. The most prevalent types of UI were urgency (18%) and stress (16%). There is a significant association between the presence of UI and advancing age (r = 0.183, p <0.001), age and interference in daily life (r = 0.101, p = 0.044) and age and the decline in quality of life (r = 0.117, p = 0.02). The ICIQ-SF score demonstrated negative impact on quality of life of elderly patients with UI.
CONCLUSION: We observed a higher prevalence of UI among women in all age groups. The UI of urgency and stress were the most prevalent. The ICIQ-SF indicated significant negative interference of urinary incontinence on quality of life of the elderly, especially in the age group of 90 to 99 years old. The prevalence of UI interfered significantly in the frequency of losses, in the performance of daily activities and poorer quality of life of the aged.
Keywords: Elderly. Urinary Incontinence. Quality of life
OBJECTIVE: to verify prevalence of adherence to pharmacological treatment of hypertension in elderly patients.
METHODS: We assessed 504 volunteers (316 women) aged 70 ± 8 years (mean ± SD), with hypertension in a primary care unit. Home visits were made to the questionnaire and collecting their data. The questionnaire consists of 10 questions related to socio-demographic characteristics of volunteers and four other issues related to adherence to pharmacological treatment. After the questionnaire was generated based on Morisky (0 = High adherence, 1 and 2 = Average adherence; 3:04 = low adherence) score.
RESULTS: Of the 504 individuals evaluated 56.7% demonstrated adherence to pharmacological treatment of hypertension. Individuals over 10 years of hypertension are more adherent to treatment (p < 0.001), as well as women when compared to men (p = 0.04). Participation in educational campaigns did not affect adherence to treatment of hypertension (p = 024), just as the doctor accompanying the patient (p = 0.13).
CONCLUSION: Adherence to drug treatment for hypertension was not influenced by socioeconomic factors such as family income, education and occupation in this population.
Keywords: Hypertension.Drugs. Drug therapy. Medication adherence.
OBJECTIVE: Determining the profile of speech therapy of Parkinson's Disease patients and correlate them to the quality of life.
METHOD: A descriptive cross-sectional case studies and quantitative. We selected patients with a clinical diagnosis of Parkinson's Disease and likely used the following instruments: Mini-Mental State Examination, speech therapy evaluation and Parkinson's Disease Questionnaire.
RESULTS: The study included 12 participants (4 men and 8 women) with a mean age of 62.25 ± 10.28 years and with a mean time of diagnosis of Parkinson's Disease 5.2 ± 3.54 years. The disease stage, according to Hoehn and Yahr scale, ranged between 2 and 3. Participants had, on average, 23.83 ± 4.75 points on the Mini-Mental State Examination, with mean formal instruction of 4.25 ± 3.44 years. There was a change of maximum phonation time, breath, voice, smell, articulation and swallowing. The worst perception of quality of life participants was observed in the categories bodily discomfort, activity of daily living and mobility. The scores of these categories rise when increasing inability of the subject seen in the stage of the disease, as well as the categories of cognition, emotional well-being and communication. All participants with abnormal articulation in the speech evaluation scored in the category "communication".
CONCLUSION: The speech pathology, in this study, was highlighted in patients with Parkinson's disease involve aspects of voice, breathing, swallowing, smell and dysarthria which infer interference with quality of life. The trembling mandible, also presents possible effect on quality of life of patients with the disease, especially in communication.
Keywords: Parkinson's disease. Quality of life. Speech Therapy.
OBJECTIVE: Making icons as communications resource for filling in the daily physical activity for older adults, was the aim of this study.
METHODS: The sample was composed of 30 women who participated in a physical activity program. The method used was the recognition of 50 figures was scored and the number of hits. To provide efficient communication activities were chosen that showed longer behavior of the elderly as also the environment of physical activity. The criterion for selection of icons was the hitting ratio: > 0.80, figure approved; between 0.70 and 0.79, figure that needs modifications; < 0.70, figure that needs to be redone.
RESULTS: We found that five of the figures would have to be redone, and eight would need to be improved in relation to contrast and depth, the other (37 figures) achieved the expected proportion of correct> 0.8000.
CONCLUSIONS: The synthetic graphical shapes with large information content were partly responsible for the deviation in interpretation, but also the deterioration of normal vision caused by physiological changes of aging. The images have a size slightly enlarged and certain parts of the graphs were shown to lead to correct interpretation. It was observed that the icons become an effective communication tool that minimizes difficulties in understanding for the completion of daily physical activity for older adults.
Keywords: Communication. Motor activity. Daily physical activity. Evaluation. Older adults.
OBJECTIVE: To systematize and analyze the scientific evidence about urinary incontinence preventive forms in elderly women.
METHOD: The study was made until August/2013 through systematic review on Medline/Pubmed databases. The titles and abstracts of all articles identified with keywords prevention, urinary incontinence and elderly, that addressed preventive forms of urinary incontinence in elderly women were investigated.
RESULTS: 221 studies were identified in the research databases. Among these, eight were considered appropriate and used in the analysis of this review. Interventions addressed since wheels conversation, delivering educational brochures, videos, information obtained by a computer system, behavioral changes and exercises. Two studies highlighted the participants interest in obtaining information about urinary incontinence through discussions, pamphlets and videos. Four studies showed that bladder and pelvic floor muscles training sessions, from Kegel exercises, and adherence to behavioral modification group, with scheduled voiding intervals, were beneficial for urinary incontinence prevention. The sessions with information about prevention ranged from 60 minutes to accompaniments for 12 months and were conducted individual and collective way.
CONCLUSION: There is no definition of the most appropriate intervention to prevent urinary incontinence in elderly women. However, half of the studies state that the bladder and pelvic floor training sessions, in addition to behavior modification intervention were beneficial in preventing urinary incontinence.
Keywords: Prevention. Urinary incontinence. Aged.