Care complexity in hospitalized elderly according to cognitive performance

Detalhes bibliográficos
Autor(a) principal: Silva,Henrique Salmazo da
Data de Publicação: 2019
Outros Autores: Gutierrez,Beatriz Aparecida Ozello
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Enfermagem (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000800134
Resumo: ABSTRACT Objective: to investigate possible differences in care complexity, functional performance and biopsychosocial and health system aspects among hospitalized elderly with or without cognitive decline. Method: quantitative, cross-sectional and analytical study in which was used the INTERMED method and cognitive and functional screening scales. We investigated 384 elderly patients admitted to a medical and surgical clinic of a University Hospital located in São Paulo/SP. Results: cognitive decline was present in 40.1% of the sample, most of them were longer-lived elderly individuals with less schooling and income, more dependent in activities of daily living and had greater vulnerability in different domains of INTERMED. After adjustments, the elderly with cognitive decline presented greater vulnerability in the psychological domain. Conclusion: the relationship between cognitive decline and psychological vulnerability highlights the need to adopt long-term care based on involvement of the family, health team and different services, thereby maximizing the quality of care.
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spelling Care complexity in hospitalized elderly according to cognitive performanceElderlyCognitive DeclineBehavioral SymptomsComprehensive Health CareHospitalABSTRACT Objective: to investigate possible differences in care complexity, functional performance and biopsychosocial and health system aspects among hospitalized elderly with or without cognitive decline. Method: quantitative, cross-sectional and analytical study in which was used the INTERMED method and cognitive and functional screening scales. We investigated 384 elderly patients admitted to a medical and surgical clinic of a University Hospital located in São Paulo/SP. Results: cognitive decline was present in 40.1% of the sample, most of them were longer-lived elderly individuals with less schooling and income, more dependent in activities of daily living and had greater vulnerability in different domains of INTERMED. After adjustments, the elderly with cognitive decline presented greater vulnerability in the psychological domain. Conclusion: the relationship between cognitive decline and psychological vulnerability highlights the need to adopt long-term care based on involvement of the family, health team and different services, thereby maximizing the quality of care.Associação Brasileira de Enfermagem2019-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000800134Revista Brasileira de Enfermagem v.72 suppl.2 2019reponame:Revista Brasileira de Enfermagem (Online)instname:Associação Brasileira de Enfermagem (ABEN)instacron:ABEN10.1590/0034-7167-2018-0357info:eu-repo/semantics/openAccessSilva,Henrique Salmazo daGutierrez,Beatriz Aparecida Ozelloeng2019-12-03T00:00:00Zoai:scielo:S0034-71672019000800134Revistahttp://www.scielo.br/rebenhttps://old.scielo.br/oai/scielo-oai.phpreben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br1984-04460034-7167opendoar:2019-12-03T00:00Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN)false
dc.title.none.fl_str_mv Care complexity in hospitalized elderly according to cognitive performance
title Care complexity in hospitalized elderly according to cognitive performance
spellingShingle Care complexity in hospitalized elderly according to cognitive performance
Silva,Henrique Salmazo da
Elderly
Cognitive Decline
Behavioral Symptoms
Comprehensive Health Care
Hospital
title_short Care complexity in hospitalized elderly according to cognitive performance
title_full Care complexity in hospitalized elderly according to cognitive performance
title_fullStr Care complexity in hospitalized elderly according to cognitive performance
title_full_unstemmed Care complexity in hospitalized elderly according to cognitive performance
title_sort Care complexity in hospitalized elderly according to cognitive performance
author Silva,Henrique Salmazo da
author_facet Silva,Henrique Salmazo da
Gutierrez,Beatriz Aparecida Ozello
author_role author
author2 Gutierrez,Beatriz Aparecida Ozello
author2_role author
dc.contributor.author.fl_str_mv Silva,Henrique Salmazo da
Gutierrez,Beatriz Aparecida Ozello
dc.subject.por.fl_str_mv Elderly
Cognitive Decline
Behavioral Symptoms
Comprehensive Health Care
Hospital
topic Elderly
Cognitive Decline
Behavioral Symptoms
Comprehensive Health Care
Hospital
description ABSTRACT Objective: to investigate possible differences in care complexity, functional performance and biopsychosocial and health system aspects among hospitalized elderly with or without cognitive decline. Method: quantitative, cross-sectional and analytical study in which was used the INTERMED method and cognitive and functional screening scales. We investigated 384 elderly patients admitted to a medical and surgical clinic of a University Hospital located in São Paulo/SP. Results: cognitive decline was present in 40.1% of the sample, most of them were longer-lived elderly individuals with less schooling and income, more dependent in activities of daily living and had greater vulnerability in different domains of INTERMED. After adjustments, the elderly with cognitive decline presented greater vulnerability in the psychological domain. Conclusion: the relationship between cognitive decline and psychological vulnerability highlights the need to adopt long-term care based on involvement of the family, health team and different services, thereby maximizing the quality of care.
publishDate 2019
dc.date.none.fl_str_mv 2019-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000800134
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000800134
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0034-7167-2018-0357
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Brasileira de Enfermagem
publisher.none.fl_str_mv Associação Brasileira de Enfermagem
dc.source.none.fl_str_mv Revista Brasileira de Enfermagem v.72 suppl.2 2019
reponame:Revista Brasileira de Enfermagem (Online)
instname:Associação Brasileira de Enfermagem (ABEN)
instacron:ABEN
instname_str Associação Brasileira de Enfermagem (ABEN)
instacron_str ABEN
institution ABEN
reponame_str Revista Brasileira de Enfermagem (Online)
collection Revista Brasileira de Enfermagem (Online)
repository.name.fl_str_mv Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN)
repository.mail.fl_str_mv reben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br
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