12 documents found, page 1 of 2

Frailty in the elderly: screening possibilities in Primary Health Care

ABSTRACT Objectives: to evaluate two instruments for screening frailty in the elderly in Primary Health Care. Methods: this is an observational, cross-sectional study, with a quantitative approach, with 396 elderly people. SPSS software helped to perform the statistical analyses. The study used the kappa coefficient and Spearman’s correlation. Results: the kappa coefficient between the Clinical-Functional Vulne...

Hypodermoclysis for correction of hyperosmolar dehydration and severe electroly...

<p>The treatment of dehydration and severe electrolyte disturbances using hypodermoclysis is usually contraindicated, but the level of evidence for its recommendation is based on expert opinion. This case report describes an older patient receiving palliative care who developed hyperosmolar dehydration with severe hypernatremia, acute kidney injury, and hyperkalemia. She was treated with hypodermoclysis using a...

Challenges of medical residency in geriatrics in Brazil during the COVID-19 pan...

The impact of intensive care admission criteria on elderly mortality

SUMMARY OBJECTIVE To review systematically the influence of admission criteria on the mortality of elderly patients under intensive therapy. METHODS We performed a search on the PUBMED and BIREME databases by using the MeSH and DeCS terms “intensive care units”, “patient admission”, and “aged” in Portuguese, English, and Spanish. Only prospective and retrospective cohort studies were included. We analyzed the s...

Frailty in older adults attending an outpatient geriatric clinic as measured by...

<p><b>BACKGROUND:</b> Existing instruments for the diagnosis of frailty are limited by their focus on mobility evaluation, failure to incorporate comorbidities, and dichotomous classification of patients as frail or non-frail, which hinders adequate identification of frail older adults. <br> <b>OBJECTIVE:</b> To evaluate the frailty profile of outpatients seen at a secondary geriatric care service in Belo Horiz...

Functional decline in the elderly with MCI: Cultural adaptation of the ADCS-ADL...

Summary Objective: Translate, transcultural adaptation and application to Brazilian Portuguese of the Alzheimer’s Disease Cooperative Study - Activities of Daily Living (ADCS-ADL) scale as a cognitive screening instrument. Method: We applied the back translation added with pretest and bilingual methods. The sample was composed by 95 elderly individuals and their caregivers. Thirty-two (32) participants were dia...

Advanced dementia in a sample of Brazilian elderly: Sociodemographic and morbid...

Summary Introduction: To investigate the sociodemographic and morbidity profile of advanced dementia patients and sociodemographic data of their primary caregivers. Method: Data was obtained from 67 elderly recruited for an observational prospective study, through interviews performed with primary caregivers. For statistical analysis, the Statistical Package for the Social Sciences (SPSS(r)) for Windowsr, versi...

What is the most appropriate route to feed elderly patients with advanced demen...

<p><b>INTRODUCTION:</b> Care of the elderly with dementia in advanced stages has important knowledge gaps, especially in those with oropharyngeal dysphagia in whom tube feeding, rather than oral feeding, is used as an alternative route. There are controversies about the systematic use of gastrostomy or enteral feeding to feed this population.<br> <b>OBJECTIVES:</b> To verify, through literature overview, the ef...

Evaluation of the brazilian public Alzheimer's disease treatment program in 2008

<p><b>INTRODUCTION:</b> The Healthcare Program for Alzheimer's Disease Carriers established in 2002 that anticholinesterasic drugs should be provided on a free basis in Brazil.<br> <b>OBJECTIVES:</b> To evaluate the estimates for the program coverage based on data regarding the delivery of anticholinesterasics in several regions and states of Brazil.<br> <b>METHODOLOGY:</b> It was estimated the number of elderl...

Critical appraisal of guidelines of SBGG for Residency Program in Geriatrics