Selfcare and functionality of elderly people in residential care: a cross-sectional study

Authors

DOI:

https://doi.org/10.37914/riis.v7i3.415

Keywords:

self-care, rehabilitation nursing, mobility limitation, health of the elderly

Abstract

Background: residential facilities for the elderly have emerged as a response to the increase of people with some level of dependency as a result of ageing and functional decline. Objectives: characterize the level of dependence in terms of self-care and functionality of elderly people in residential facilities. Methodology: observational, descriptive, exploratory and cross-sectional study. Health status, self-care dependency, gait, balance and physical and recreational activity were assessed. Results: a total of 152 people were included, with multimorbidity and polymedication, moderate to high risk of falling, changes in balance when getting up and immediate standing. The most dependent self-care tasks were feeding, taking medication and grooming. Inability to walk and moderate to severe mobility problems were significant. Low level of physical activity. Conclusion: multimorbidity, polymedication and dependency require complex interventions. Rehabilitation can improve functional and self-care capabilities and mitigate the effects of ageing, which affect the autonomy. It is essential to change the care paradigm, favoring interventions centered on prevention, attenuation of functional decline, training and empowerment for self-care.

References

Chao, S. F., & Chen, Y. C. (2018). Environment patterns and mental health of older adults in long-term care facilities: the role of activity profiles. Aging & Mental Health, 23(10), 1–10. https://doi.org/10.1080/13607863.2018.1484889

Cunningham, C., O’ Sullivan, R., Caserotti, P., & Tully, M. A. (2020). Consequences of physical inactivity in older adults: a systematic review of reviews and meta‐analyses. Scandinavian Journal of Medicine & Science in Sports, 30(5), 816–827. https://doi.org/10.1111/sms.13616

Delara, M., Murray, L., Jafari, B., Bahji, A., Goodarzi, Z., Kirkham, J., Chowdhury, Z., & Seitz, D. P. (2022). Prevalence and factors associated with polypharmacy: a systematic review and meta-analysis. BMC Geriatrics, 22(1), 601. https://doi.org/10.1186/s12877-022-03279-x

Doumat, G., Daher, D., Itani, M., Abdouni, L., Khalil El Asmar, & Assaf, G. (2023). The effect of polypharmacy on healthcare services utilization in older adults with comorbidities: a retrospective cohort study. BMC Primary Care, 24(1). https://doi.org/10.1186/s12875-023-02070-0

Duque, H. (2009). O doente dependente no autocuidado: estudo sobre a avaliação e acção profissional dos enfermeiros [Dissertação de Mestrado em Enfermagem Avançada]. Instituto de Ciências da Saúde - Universidade Católica Portuguesa. https://ciencia.ucp.pt/pt/activities/o-doente-dependente-no-autocuidado-estudo-sobre-a-avalia%C3%A7%C3%A3o-e-ac%C3%A7

Goes, M., Lopes, M. J., Oliveira, H., Fonseca, C., & Marôco, J. (2020). A nursing care intervention model for elderly people to ascertain general profiles of functionality and self care needs. Scientific Reports, 10(1). https://doi.org/10.1038/s41598-020-58596-1

Fernandes, C., Coutinho, R., Clares, B., Neto, G., & De Freitas, M. (2020). Associação entre capacidade funcional e demandas de cuidados de idosos institucionalizados. Revista Enfermagem Atual in Derme, 93(31). https://doi.org/10.31011/reaid-2020-v.93-n.31-art.817

Haigh, E. A. P., Bogucki, O. E., Sigmon, S. T., & Blazer, D. G. (2018). Depression among older adults: a 20-year update on five common myths and misconceptions. The American Journal of Geriatric Psychiatry, 26(1), 107–122. https://doi.org/10.1016/j.jagp.2017.06.011

Imaginário, C., Rocha, M., Machado, P., Antunes, C., & Martins, T. (2019). Functional capacity and self‐care profiles of older people in senior care homes. Scandinavian Journal of Caring Sciences, 34(1), 69–77. https://doi.org/10.1111/scs.12706

Instituto Nacional de Estatística. (2023). Estatísticas demográficas – 2021. https://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_publicacoes&PUBLICACOESpub_boui=13932532&PUBLICACOESmodo=2

Jeon, Y., Tudball, J., & Nelson, K. (2019). How do residents of aged care homes perceive physical activity and functional independence? A qualitative study. Health & Social Care in the Community, 27(5). https://doi.org/10.1111/hsc.12777

Jivraj, S., Goodman, A., Pongiglione, B., & Ploubidis, G. B. (2020). Living longer but not necessarily healthier: the joint progress of health and mortality in the working-age population of England. Population Studies, 74(3), 1–16. https://doi.org/10.1080/00324728.2020.1767297

Liguori, G., Feito, Y., Fountaine, C., & Roy, B. (2022). ACSM’s guidelines for exercise testing and prescription (11th ed.). Wolters Kluwer.

Lourenço, M., Encarnação, P., Martins, T., Araújo, F., & Machado, P. (2021). Compromisso no autocuidado versus potencial para melhorar o autocuidado: explanação do juízo clínico do enfermeiro. Revista de Investigação & Inovação em Saúde, 4(2), 7–18. https://doi.org/10.37914/riis.v4i2.155

Ministério do trabalho, Solidariedade e Segurança Social. (2023). Carta social - Rede de serviços e equipamentos 2021. https://www.cartasocial.pt/documents/10182/13834/csocial2021.pdf/12f65226-8c2a-42ef-b8b3-dad731ecccaf

Petiz, E. (2002). A actividade física, equilíbrio e quedas. Um estudo em idosos institucionalizados [Tese de Mestrado não publicada]. Faculdade de Ciências do Desporto e de Educação Física da Universidade do Porto.

PORDATA. (2023). Índice de envelhecimento e outros indicadores de envelhecimento segundo os censos. https://prod2.pordata.pt/portugal/indice+de+envelhecimento+e+outros+indicadores+de+envelhecimento+segundo+os+censos-525-3739

Palladino, R., Pennino, F., Finbarr, M., Millett, C., & Triassi, M. (2019). Multimorbidity And Health Outcomes In Older Adults In Ten European Health Systems, 2006–15. Health Affairs, 38(4), 613–623. https://doi.org/10.1377/hlthaff.2018.05273

Rijken, M., Struckmann, V., van der Heide, I., Hujala, A., Barbabella, F., van Ginneken, E., Schellevis, F. & ICARE4EU Consortium. (2017). How to improve care for people with multimorbidity in Europe?. Copenhagem, Denmark: World Health Organization, Regional office for Europe. http://icare4eu.org/pdf/PB_23.pdf

Tan, J. D. L., Maneze, D., Montayre, J., Ramjan, L. M., Wang, D., & Salamonson, Y. (2023). Family visits and depression among residential aged care residents: An integrative review. International Journal of Nursing Studies, 146, 104568. https://doi.org/10.1016/j.ijnurstu.2023.104568

van Poelgeest, E. P., Pronk, A. C., Rhebergen, D., & van der Velde, N. (2021). Depression, antidepressants and fall risk: therapeutic dilemmas—a clinical review. European Geriatric Medicine, 12, 585–596. https://doi.org/10.1007/s41999-021-00475-7

World Health Organization. (2020). WHO Guidelines on Physical Activity and Sedentary Behavior. https://iris.who.int/bitstream/handle/10665/336656/9789240015128-eng.pdf?sequence=1

You, Y., Huang, L., Peng, X., Liao, L., Zhang, F., Feng, M., Chen, Y., Chang, H., Mo, B., & Liu, Y. (2023). An analysis of the influencing factors of depression in older adults under the home care model. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1191266

Published

30-12-2024

How to Cite

Azevedo, P., Costa, A., Correia, B., Andrade, I., Andrade, J., Oliveira, M., … Almeida, T. (2024). Selfcare and functionality of elderly people in residential care: a cross-sectional study. Journal of Health Research & Innovation, 7(3), 1–11. https://doi.org/10.37914/riis.v7i3.415

Most read articles by the same author(s)