International Congress 2018

Introduction: A Pierre Robin syndrome occupies an important space in front of the odontological field, especially for its peculiar characteristics determined by a series of anomalies. Objective: The main objective of the study is to present a literary review about the characteristics of the syndrome and its various possibilities of treatment. Methodology: The method used in the preparation of this work was the analysis of articles available in digital platforms, selection of contents related to the theme, obtaining a broader and interdisciplinary view of the syndrome. Results and Discussion: Although there is no specific treatment defined for the syndrome, it is possible through surgical methods or procedures (mandibular distraction, nasopharyngeal intubation, postural treatment, among others) to achieve a significant improvement in the patient’s quality of life when he is treated according to your individual needs. Conclusion: Therefore, in the Pierre Robin sequence, although there is no cure for the pathology, we conclude that with the appropriate treatments is possible to reduce some symptoms, so providing a better quality of life for the patient.

Introduction: Alzheimer’s disease is one of the most common chronic diseases of aging and caring for an elderly with this pathology causes a great deal of overload in the family. Objective: To analyze the overload of informal caregivers of elderly with Alzheimer’s disease. Methodology: Cross-sectional study approved by the Research Ethics Committee with Human Subjects (CAAE: 0178.0.236.000-11) and carried out at the Brazilian Alzheimer’s Association, in the section Pernambuco with 33 caregivers. The instruments used were: semi-structured sociodemographic questionnaire (caregiver and senior citizen ages, gender, degree of dependence of the elderly and degree of kinship among the participants) and Zarit Burden Interview Scale. These caregivers were divided into 4 groups, according to the degree of caregiver overload: mild, moderate, moderate to severe and severe. The Spearman correlation was used, considering p≤0.05. Results: Caregivers presented a mean age of 57.9 ± 12.2 years, while the elderly had 79.0 ± 8.1 years. 90.9% of the informal caregivers and 66.7% of the elderly were female. Regarding the degree of dependency of the elderly, 54.5% were considered totally dependent and, in relation to the classification by kinship, 63.6% were children. The moderate overload achieved a higher percentage, 39.4%, along with the moderate to severe overload level, 36.4%. When analyzing the degrees of overload with the age of the caregiver and the elderly, there was a positive correlation in the degrees of moderate to severe overload (rho = 0.734, p = 0.007). Discussion: The literature points out the predominance of the female gender in the elderly care and has been analyzing the caregiver’s overload by relating it to numerous factors. Conclusion: The present study demonstrates that the majority of informal caregivers are the daughters of the elderly with Alzheimer’s Disease. And the overload of care is directly related to the increase in the ages of…

Introduction: Changes in structures and systems of the human body through the process of senescence are responsible for frequent complaints in the elderly population, among which are those of dizziness, vertigo and imbalance. The aging of the vestibular, visual, somatosensory, musculoskeletal and central nervous systems mainly affects the postural control, being this of fundamental importance for the autonomy of these individuals. Vestibular rehabilitation aims to improve the overall balance, quality of life and spatial orientation of patients with dizziness. Objective: To verify the efficacy of vestibular rehabilitation in the treatment of elderly patients with symptoms of vestibular alterations. Methods: We conducted extensive research and selected articles published between 2012 and 2016, indexed in the databases SciELO, PubMed, MEDLINE and LILACS. The following keywords were selected in Portuguese: Speech Therapy, Elderly and Vestibular Rehabilitation. Results and discussion: Currently vestibular rehabilitation is increasingly being indicated in the treatment of vestibular dysfunction, as it is also being prescribed for individuals who present alterations related to balance and spatial orientation. The main peripheral vestibular disorders prevalent in the elderly are: Benign Paroxysmal Positional Vertigo; Menière’s syndrome; Vestibular neuritis and persistent perceptual postural dizziness (subjective chronic dizziness). The treatment of coexisting pathologies is also fundamentally important for the success of the therapy. Conclusion: Vestibular rehabilitation was shown to be an effective and viable alternative for vestibular symptomatology in the elderly. It is a satisfactory strategy to treat or minimize vestibular alterations, as well as improvement in anxiety, depression, static and dynamic balance and reduction of the quality of life and social interaction of this population. However, the practice of vestibular rehabilitation has not yet become routine in many speech-language rehabilitation services.

Introduction: In view of the inversion of the growth of the age pyramid in Brazil, where the increase in the elderly population has been highlighting, studies on this growing population and its specifications, such as incoordination in the act of swallowing food or saliva, are relevant. Functional, anatomical and physiological alterations resulting from senescence and associated pathologies directly interfere in swallowing, causing a damage. The swallowing deficit can lead to dysphagia, leading to malnutrition and dehydration in the elderly, due to a low caloric intake, food intake and even death. Since these aspects are impaired, it is necessary nutritional care and speech-language interventions on difficulties encountered at meals. Objective: To carry out a literature review through selected scientific articles about the importance of speech and hearing intervention in the elderly dysphagic. Methods: We conducted extensive research and selected articles published between 2013 and 2016, indexed in the SciELO, PubMed, MEDLINE and LILACS databases. The following keywords were selected in English: Dysphagia, Speech-Language Pathology, Elderly and Nutrition. Results: The elderly is prone to nutritional problems due to physiological and social factors, the occurrence of chronic disease, the use of various medications, feeding problems, chewing and swallowing, as well as changes in mobility with functional dependence. The swallowing impairment can result in dysphagia, since it is not alerted, the risk of aspiration is immense causing pneumonia and if untreated leading to death. The implantation of nutritional risk screening and risk of dysphagia specific for the elderly patient is extremely important aiming at the early diagnosis of nutritional status and deglutition so that there is adequate speech-language intervention. Conclusion: In this way, it is known the importance of the multiprofessional performance to result in the best quality of life for such population, giving nutritional support, as well as the speech-language rehabilitation in the…

Introduction: The fall event, when associated with Diabetes Mellitus in the elderly, is multifactorial, however, it can be triggered by the reduction of functional capacity, mainly of the lower limbs. Objective: To correlate the fall event and risk factors in diabetic elderly. Methodology: Cross-sectional and correlational study, approved by the Ethics Committee in Research with Human Subjects (CAAE: 0127.0.106.000-09) and composed of elderly diabetic patients accompanied by medical professionals in a nucleus of attention to the elderly of a Brazilian public university. The instruments used were: semi-structured questionnaire with clinical data (age, gender, body mass index (BMI) and number of falls), Timed Up & Go test (TUG) and Short Physical Performance Battery (SPPB). Statistical analysis used the Spearman correlation. Results: Diabetic elderly (70.37 ± 6.65 years) were matched according to gender and age (1: 1 ratio), two groups were selected for correlation analysis, one with 28 men and the other with 28 women. In the correlation between genders, of the variables age and BMI with number of falls, TUG and SPPB, only women presented correlations between age and number of falls (rho = 0.382, p = 0.045), TUG (rho = 0.529, p = 0.004 ) and SPPB (rho = -0.547, p = 0.003), as well as between BMI and TUG (rho = 0.532, p = 0.004). Discussion: These findings corroborate the current literature, demonstrating that the reduction of functional capacity during aging, when associated with the presence of chronic diseases, increases the risk of falls. Conclusion: As the age advances, the elderly diabetic women become more susceptible to falls than men, possibly due to reduced functional capacity of the lower limbs and gait speed. And overweight seems to influence the reduction of the pace of walking.

Medication-related issues are normal among home consideration patients who take numerous medications and have complex therapeutic narratives and medical issues. The objectives of home medicinal services administrations are to assist people with improving capacity and live with more noteworthy autonomy; to advance the customer’s ideal dimension of prosperity; and to help the patient to stay at home, evading hospitalization or admission to long haul care foundations. Home consideration is an arrangement of consideration given by gifted professionals to patients in their homes under the heading of a doctor. Home human services administrations incorporate nursing care; physical, word related, and discourse dialect treatment; and restorative social administrations. Doctors may allude patients for home social insurance administrations, or the administrations might be asked for by relatives or patients. The scope of home medicinal services benefits a patient can get at home is boundless. Contingent upon the individual patient’s circumstance, care can go from nursing care to particular restorative administrations, for example, research center workups. Basic judgments among home human services patients incorporate circulatory disease, heart disease, injury and poisoning, musculoskeletal and connective tissue disease and respiratory disease.