Helenice de Moura Scortegagna

O idoso institucionalizado: avaliação da capacidade funcional e aptidão física

This study analyzed the relationship between physical fitness and functional capacity in 78 residents of long-stay institutions for low-income elderly located in five regions of Brazil. The majority of the sample consisted of women, and mean age was 77.4 years (SD = 7.9). Physical fitness was assessed with the AAHPERD test, adjusted for institutionalized elderly. The Katz scale was used for functional capacity. The five components of physical fitness rated fair for flexibility, coordination, agility, and aerobic endurance and good for strength. The mean general physical fitness (GPF) index was fair. According to the findings, the greater the degree of dependency in institutionalized elderly, the lesser their strength and GPF level; meanwhile, better coordination and agility are associated with greater independence for performing activities of daily living. The results can contribute to appropriate physical exercise programs for maintenance and/or recovery of functionality.

Acoplamento estrutural das instituições de longa permanência para idosos com sistemas societais do entorno

Estudo em seis Instituicoes de Longa Permanencia para Idosos (ILPIs), destinadas a idosos de baixa renda, em tres regioes do pais, com o objetivo de analisar como o sistema organizacional interno das ILPIs mantinha acoplamento estrutural com sistemas do entorno. Os dados foram coletados por observacao e entrevista e a analise fundamentou- se nas concepcoes da Teoria Luhmanniana de Sistemas Sociais. Como resultado, as regras de pertencimento nao promoviam propostas assistenciais que contemplassem o estimulo a vida autonoma e exercicio da individualidade dos residentes. Os acoplamentos estruturais com o meio externo geravam ressonâncias negativas nas ILPIs, como ausencia de vinculo com as acoes programaticas do servico publico de atencao basica de saude, impossibilidade de manter equipe multiprofissional, de adequar totalmente a infraestrutura e de remover a distância dos familiares da rotina. Como ressonância positiva, havia a potecializacao da equipe pela presenca de estudantes e respectivos docentes.

The experience of spirituality among institutionalized elderly people

Objective: To identify the meanings attributed to the experience of spirituality when faced with life situations among elderly persons living in a long-term care facility. Method: A qualitative, exploratory and descriptive survey was carried out, based on interviews with eight elderly people living in a long-term care facility for the elderly in the state of Rio Grande do Sul, Brazil. Results: The content that emerged from the interviews underwent qualitative analysis for the extraction of units of significance and the elaboration of two thematic categories: Spirituality/religiosity as a direction of life and spirituality/religiosity as a meaning for life and a source of renewal, fulfilment and happiness. Conclusion: When describing the experience of spirituality as an important strategy for finding meaning in life, the elderly persons in this study revealed it to be a psychic and emotional support for coping with existential challenges. This knowledge allows professionals working in these institutions to invest in practices that incorporate spirituality as an element of the comprehensive care of the elderly. Palavras-chave: Envelhecimento. Instituição de Longa Permanência para Idosos. Espiritualidade. Religião e Ciência. http://dx.doi.org/10.1590/1981-22562018021.180011

Letramento funcional em saúde na perspectiva da Enfermagem Gerontológica: revisão integrativa da literatura

Objective: To perform an integrative review of literature on functional health literacy from the perspective of Gerontological Nursing. Method: a study was made of the MEDLINE, PubMed, LILACS, IBECS, BDENF and CidSaude databases, and studies published in Brazilian and international publications during the period of 2005-2014 were included. The studies were selected by main subject, such as education of patient, health literacy, schooling, the elderly, health education and self-care. Results: 58 studies were found, of which 33 were pre-selected, but only 17 composed the final sample, 15 of which were international and two of which were Brazilian. Conclusions: the results indicate an integration of knowledge of the assessment of functional health literacy

University professors and retirement: Experience of successful aging?

The objective of this study was to analyze perceptions and memories of a group of retired professors, regarding to professional career, retirement process and the everyday invent anew since the superannuation. The analyzed group belongs to the same professional group and has the same socioeconomic background. The approach of the research was qualitative and was developed by means of semi structured interviews with nine retired professors. Based on a topic guide and a field diary were possible to analyze and interpret the collected data. The most frequent identified subjects were: different perceptions of life and career; reconstruction of retired professors quotidian and life plans for post-retirement period. The narrative analysis showed that satisfaction with professional career, preparation for retirement and the existence of future projects are directly related to the perception of successful aging for the studied group.

The homes for the aged and its structural coupling with the surrounding social systems

Estudo em seis Instituicoes de Longa Permanencia para Idosos (ILPIs), destinadas a idosos de baixa renda, em tres regioes do pais, com o objetivo de analisar como o sistema organizacional interno das ILPIs mantinha acoplamento estrutural com sistemas do entorno. Os dados foram coletados por observacao e entrevista e a analise fundamentou- se nas concepcoes da Teoria Luhmanniana de Sistemas Sociais. Como resultado, as regras de pertencimento nao promoviam propostas assistenciais que contemplassem o estimulo a vida autonoma e exercicio da individualidade dos residentes. Os acoplamentos estruturais com o meio externo geravam ressonâncias negativas nas ILPIs, como ausencia de vinculo com as acoes programaticas do servico publico de atencao basica de saude, impossibilidade de manter equipe multiprofissional, de adequar totalmente a infraestrutura e de remover a distância dos familiares da rotina. Como ressonância positiva, havia a potecializacao da equipe pela presenca de estudantes e respectivos docentes.

Acoplamiento estructural de los hogares para ancianos con los sistemas sociales de su entorno

Estudo em seis Instituicoes de Longa Permanencia para Idosos (ILPIs), destinadas a idosos de baixa renda, em tres regioes do pais, com o objetivo de analisar como o sistema organizacional interno das ILPIs mantinha acoplamento estrutural com sistemas do entorno. Os dados foram coletados por observacao e entrevista e a analise fundamentou- se nas concepcoes da Teoria Luhmanniana de Sistemas Sociais. Como resultado, as regras de pertencimento nao promoviam propostas assistenciais que contemplassem o estimulo a vida autonoma e exercicio da individualidade dos residentes. Os acoplamentos estruturais com o meio externo geravam ressonâncias negativas nas ILPIs, como ausencia de vinculo com as acoes programaticas do servico publico de atencao basica de saude, impossibilidade de manter equipe multiprofissional, de adequar totalmente a infraestrutura e de remover a distância dos familiares da rotina. Como ressonância positiva, havia a potecializacao da equipe pela presenca de estudantes e respectivos docentes.