Navegando por Palavras-chave "Emergency Service Hospital"

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    Relação 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 Paulo
    Introduction: 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.