RELATIONSHIP OF POLYPHARMACY AND POLYPATHOLOGY WITH FALLS AMONG INSTITUTIONALIZED ELDERLY

Detalhes bibliográficos
Autor(a) principal: Reis,Karine Marques Costa dos
Data de Publicação: 2017
Outros Autores: Jesus,Cristine Alves Costa de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Texto & contexto enfermagem (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072017000200325
Resumo: ABSTRACT Objective: identify relationships of association between the risk of falls in institutionalized elderly people with polypharmacy and polypathy, as well as to outline the epidemiological profile of its casuistry. Method: a prospective obseracional study with 271 elderly residents in long-stay institutions in the Federal District (Brazil). The date were a actualized by inferencial statistics. Results: a monitoring of elderly confirmed the association between polypathology and falls (p: 0.0028), however, it did not follow the trend of other studies in identifying polypharmacy as a risk factor for falls (p: 0.141). Among the most prevalent comorbidities, changes in blood pressure levels (77.4%), followed by Diabetes Mellitus (27.37%), depression (17.7%) and dementia (46.8%) may be highlighted. The most identified drugs were antihypertensives (73.8%), sleep inducers (61.2%), diuretics (50.1%) and antidepressants (34.3%). Conclusion: multiple disabilities associated with chronic-degenerative diseases and the chronic use of medications may interfere with the incidence of falls, ratifying factors related to the diagnosis of risk for falls presented in the NANDA-I Taxonomy I. This contribution to the nurses’ diagnostic rationale ensures better evaluation of the elderly, ensuring a care plan focused on prevention and detection of risk conditions.
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spelling RELATIONSHIP OF POLYPHARMACY AND POLYPATHOLOGY WITH FALLS AMONG INSTITUTIONALIZED ELDERLYHealth of the elderlyUse of medicationsAccidental fallsNursing diagnosis.ABSTRACT Objective: identify relationships of association between the risk of falls in institutionalized elderly people with polypharmacy and polypathy, as well as to outline the epidemiological profile of its casuistry. Method: a prospective obseracional study with 271 elderly residents in long-stay institutions in the Federal District (Brazil). The date were a actualized by inferencial statistics. Results: a monitoring of elderly confirmed the association between polypathology and falls (p: 0.0028), however, it did not follow the trend of other studies in identifying polypharmacy as a risk factor for falls (p: 0.141). Among the most prevalent comorbidities, changes in blood pressure levels (77.4%), followed by Diabetes Mellitus (27.37%), depression (17.7%) and dementia (46.8%) may be highlighted. The most identified drugs were antihypertensives (73.8%), sleep inducers (61.2%), diuretics (50.1%) and antidepressants (34.3%). Conclusion: multiple disabilities associated with chronic-degenerative diseases and the chronic use of medications may interfere with the incidence of falls, ratifying factors related to the diagnosis of risk for falls presented in the NANDA-I Taxonomy I. This contribution to the nurses’ diagnostic rationale ensures better evaluation of the elderly, ensuring a care plan focused on prevention and detection of risk conditions.Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072017000200325Texto & Contexto - Enfermagem v.26 n.2 2017reponame:Texto & contexto enfermagem (Online)instname:Universidade Federal de Santa Catarina (UFSC)instacron:UFSC10.1590/0104-07072017003040015info:eu-repo/semantics/openAccessReis,Karine Marques Costa dosJesus,Cristine Alves Costa deeng2017-06-30T00:00:00Zoai:scielo:S0104-07072017000200325Revistahttp://www.scielo.br/tcePUBhttps://old.scielo.br/oai/scielo-oai.phptextoecontexto@nfr.ufsc.br1980-265X0104-0707opendoar:2017-06-30T00:00Texto & contexto enfermagem (Online) - Universidade Federal de Santa Catarina (UFSC)false
dc.title.none.fl_str_mv RELATIONSHIP OF POLYPHARMACY AND POLYPATHOLOGY WITH FALLS AMONG INSTITUTIONALIZED ELDERLY
title RELATIONSHIP OF POLYPHARMACY AND POLYPATHOLOGY WITH FALLS AMONG INSTITUTIONALIZED ELDERLY
spellingShingle RELATIONSHIP OF POLYPHARMACY AND POLYPATHOLOGY WITH FALLS AMONG INSTITUTIONALIZED ELDERLY
Reis,Karine Marques Costa dos
Health of the elderly
Use of medications
Accidental falls
Nursing diagnosis.
title_short RELATIONSHIP OF POLYPHARMACY AND POLYPATHOLOGY WITH FALLS AMONG INSTITUTIONALIZED ELDERLY
title_full RELATIONSHIP OF POLYPHARMACY AND POLYPATHOLOGY WITH FALLS AMONG INSTITUTIONALIZED ELDERLY
title_fullStr RELATIONSHIP OF POLYPHARMACY AND POLYPATHOLOGY WITH FALLS AMONG INSTITUTIONALIZED ELDERLY
title_full_unstemmed RELATIONSHIP OF POLYPHARMACY AND POLYPATHOLOGY WITH FALLS AMONG INSTITUTIONALIZED ELDERLY
title_sort RELATIONSHIP OF POLYPHARMACY AND POLYPATHOLOGY WITH FALLS AMONG INSTITUTIONALIZED ELDERLY
author Reis,Karine Marques Costa dos
author_facet Reis,Karine Marques Costa dos
Jesus,Cristine Alves Costa de
author_role author
author2 Jesus,Cristine Alves Costa de
author2_role author
dc.contributor.author.fl_str_mv Reis,Karine Marques Costa dos
Jesus,Cristine Alves Costa de
dc.subject.por.fl_str_mv Health of the elderly
Use of medications
Accidental falls
Nursing diagnosis.
topic Health of the elderly
Use of medications
Accidental falls
Nursing diagnosis.
description ABSTRACT Objective: identify relationships of association between the risk of falls in institutionalized elderly people with polypharmacy and polypathy, as well as to outline the epidemiological profile of its casuistry. Method: a prospective obseracional study with 271 elderly residents in long-stay institutions in the Federal District (Brazil). The date were a actualized by inferencial statistics. Results: a monitoring of elderly confirmed the association between polypathology and falls (p: 0.0028), however, it did not follow the trend of other studies in identifying polypharmacy as a risk factor for falls (p: 0.141). Among the most prevalent comorbidities, changes in blood pressure levels (77.4%), followed by Diabetes Mellitus (27.37%), depression (17.7%) and dementia (46.8%) may be highlighted. The most identified drugs were antihypertensives (73.8%), sleep inducers (61.2%), diuretics (50.1%) and antidepressants (34.3%). Conclusion: multiple disabilities associated with chronic-degenerative diseases and the chronic use of medications may interfere with the incidence of falls, ratifying factors related to the diagnosis of risk for falls presented in the NANDA-I Taxonomy I. This contribution to the nurses’ diagnostic rationale ensures better evaluation of the elderly, ensuring a care plan focused on prevention and detection of risk conditions.
publishDate 2017
dc.date.none.fl_str_mv 2017-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072017000200325
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072017000200325
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0104-07072017003040015
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 Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem
publisher.none.fl_str_mv Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem
dc.source.none.fl_str_mv Texto & Contexto - Enfermagem v.26 n.2 2017
reponame:Texto & contexto enfermagem (Online)
instname:Universidade Federal de Santa Catarina (UFSC)
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instname_str Universidade Federal de Santa Catarina (UFSC)
instacron_str UFSC
institution UFSC
reponame_str Texto & contexto enfermagem (Online)
collection Texto & contexto enfermagem (Online)
repository.name.fl_str_mv Texto & contexto enfermagem (Online) - Universidade Federal de Santa Catarina (UFSC)
repository.mail.fl_str_mv textoecontexto@nfr.ufsc.br
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