Navegando por Palavras-chave "Activities Of Daily Living"
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- ItemSomente MetadadadosAssociations of blood pressure with functional and cognitive changes in patients with alzheimer's disease(Consel Brasil Oftalmologia, 2016) de Oliveira, Fabricio Ferreira [UNIFESP]; Chen, Elizabeth Suchi [UNIFESP]; Smith, Marilia Cardoso [UNIFESP]; Ferreira Bertolucci, Paulo Henrique [UNIFESP]Background: Midlife hypertension followed by late life hypotension resulting from neurodegeneration increases amyloidogenesis and tauopathy. Methods: Consecutive outpatients with late-onset Alzheimer's disease (AD) at various stages and their respective caregivers were assessed for score variations in 1 year of tests assessing caregiver burden, functionality and cognition according to blood pressure (BP) variations and APOE haplotypes, while also taking into account differential effects of angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, beta-blockers, calcium channel blockers, diuretics, or no antihypertensive medication on score changes. The diagnosis and treatment of arterial hypertension followed the JNC 7 report. Results: Variations in systolic BP (-11.76 +/- 17.1 mm Hg), diastolic BP (-4.92 +/- 10.3 mm Hg) and pulse pressure (-6.84 +/- 12.6 mm Hg) were significant after 1 year (n = 191;. < 0.01). For APOE4+ carriers, rises in systolic or diastolic BP improved Clinical Dementia Rating Scale Sum of Boxes scores (rho < 0.04), with marginally significant improvements in MiniMental State Examination scores resulting from risen systolic (rho = 0.069) or diastolic BP (. = 0.079), and in basic independence only regarding risen diastolic BP (rho = 0.055). APOE4-carriers resisted any functional or cognitive effects of BP variations. No differences were found regarding any antihypertensive class for variations in BP or any test scores, regardless of APOE haplotypes. Conclusions: Targeting mild BP elevations brings better functional and cognitive results for APOE4+ carriers with AD. (C) 2016 S. Karger AG, Basel
- ItemSomente MetadadadosDisability assessment scale for dementia – long version (DADL-BR)(Univ Sao Paulo, Escola De Enfermagem De Ribeirao Preto, 2016) Canon, Mariana Boaro Fernandez [UNIFESP]; Morgani de Almeida, Maria Helena; Novelli, Marcia Maria Pires Camargo [UNIFESP]Introduction: There are no functional assessment tools for elderly with dementia available in the literature that will assess all occupations. Objective: To develop a Long Version of Disability Assessment for Dementia Scale (DADL-Br), covering all occupations provided by the American Association of Occupational Therapy (AOTA) and the activities that compose them and evaluate its content validity. Method: With the permission of the original version main author (DAD), Isabelle Gelinas PhD, the new items of the Long Version (DADL-Br) were developed based on the classification proposed by AOTA for occupations, considering the gaps in the original instrument. We reviewed the Cultural and Conceptual Equivalence by the Expert Committee and Multidisciplinary Committee. The suggestions of the Committees were accepted and the process followed for the pre-test and author analysis. Results: The first version of the instrument received 10 new fields and 64 new items, which after seven reviews of Cultural Equivalence (average concordance 89.2%), six reviews of Conceptual Equivalence (average concordance 81.2%), tree pre-tests and analysis of the original version main author, has resulted in the development of five versions, addition of twelve items and exclusion of seven items, and the final version consists of 20 fields and 109 items, being 10 new fields and 69 new items. Conclusion: This process conferred the content validity of DADL-Br, which includes all occupations proposed by AOTA and can be a useful tool to evaluate the profile of occupational performance of elderly with dementia.
- ItemSomente MetadadadosRelação entre percepção do risco de quedas, capacidade funcional, dor e risco para quedas em idosos assistidos em um serviço de emergência(Universidade Federal de São Paulo (UNIFESP), 2020-11-26) Souza, Lidia Ferreira De [UNIFESP]; Okuno, Meiry Fernanda Pinto [UNIFESP]; Universidade Federal de São PauloIntroduction: During hospitalization, the older people, may experience loss of function, which may be due to the disease that determined the hospitalization, previous clinical conditions, submitted procedures, and poor adaptation of the health system to the demands of an aging and frailty population. Falls are among the main causes of death and the most frequent reason for seeking emergency medical services among people over 65 years of age. Objective: To verify the factors associated with risk, perception and knowledge of falls and pain in the older people in a Emergency Service. List the sociodemographic, economic and clinical variables and whether or not they have a caregiver. Method: Crosssectional study carried out with 197 older people in an emergency room setting. The following were applied: Falls Risk Awareness Questionnaire, Morse Falls Scale, numerical pain scale, Katz index and Lawton scale. Results: Individuals at high risk of falls were older and had higher family income. The illiterate older people had a higher percentage of total dependence and those who had completed elementary school had a higher percentage of independence. Those classified as independent had higher income than those totally dependent. The respondents divorced and without a caregiver had a higher score on the Lawton Scale. Elderly with systemic arterial hypertension, neoplasia and walking impairment had lower scores on the Lawton scale. The better the perception of fall risks by the elderly, the less independent they were for instrumental activities. Those at low risk for falls had less independence. Conclusion: The results demonstrate the importance of exploring the support network and including the caregiver in the planning of care for the older people during hospitalization, and also preparing him for post-discharge care, unveiling the contribution of the interprofessional team. These precautions should be directed to maintaining and/or mitigating the deterioration of functional capacity and preventing falls. In addition, they are useful to assist health professionals in planning actions that enhance the safety of the elderly, in addition to the importance of using not only the instrument that assesses the risk of falling and pain, but also the perception and knowledge of the elderly regarding the risk of falls.