Introduction: Alzheimer’s disease (AD) is a chronic degenerative disease that compromises the physical, mental and social integrity of the elderly, and therefore leads to an increasing dependence on care, and almost always linked to family dynamics and performed at home. Objectives: The main objective of this research is to analyze the daily lives of family caregivers of patients with AD. Methodology: The qualitative approach was used. Data were collected in the municipality of Tamandaré/PE, through semi-structured interviews with ten family caregivers of patients with Alzheimer’s disease. In addition to the interview, a structured questionnaire with closed-ended questions was applied, referring to the general and personal characteristics of each interviewee. For data analysis, the verbatim reports were fully transcribed, where relevant aspects were observed and organized into two categories: impact of diagnosis and challenges in caring. Results: The results showed that all coexistence and adaptation to this new reality modify the style and quality of life of those involved. The changes are significant and need to be understood and incorporated into the family routine. Negative emotional reactions involving impotence, fear and anger are common, besides a deep feeling of injustice. Conclusion: The study showed the need for assistance that includes all affected family members. The nurse should support and contribute to overcoming the difficulties faced from the moment of diagnosis to the most advanced stages of the disease.
Introduction: Metabolic Syndrome (MS) is a set of pathological and physiological changes, defined by pre-established parameters, such as dyslipidemia, central adiposity, arterial hypertension and diabetes. Objective: To identify the scientific production of associated cardiovascular risk factors in elderly patients with MS. Methodology: This is an integrative review of the literature obtained by searching scientific articles in the LILACS, MEDLINE, SCIELO and BDENF databases, by crossing the descriptors Metabolic X Syndrome, Aged and Risk Factors. Inclusion criteria were articles that had a summary available online, published in the period from 2013 to 2017, focusing on the proposed theme. Review articles, books, book chapters, opinion articles, editorials, dissertations, theses, programs and government reports were excluded, and 8 articles were selected. Results: The findings showed that the regular practice of physical activity associated with a diet rich in fruits, vegetables and whole grains contributes to the metabolic syndrome control. In addition to other important factors such as the diagnostic criteria that may vary according to the severity of MS. The criteria were established from some associations that work with the theme such as: National Cholesterol Education Program/Adults Treatment Panel – NCEP – ATP III (ATPIII) and International Diabetes Federtion (IDF), the first most used because it is not necessary to evaluate insulin resistance, thus making it more viable for the development of research. Conclusion: The study showed that there is a lack of knowledge regarding MS, since there are few organs that treat and study this problem, thus reflecting on the search for research on this topic, because the subject is little discussed, especially in the elderly.
Introduction Type 2 Diabetes Mellitus (DM2) is the form found in 90 to 95% of diabetes cases characterized by defects in the action and secretion of insulin and in the regulation of hepatic glucose production. Insulin resistance and functional defect of beta cells appear early in the preclinical phase of the disease. Obesity is the main risk factor for triggering this pathology, considering that, in these cases, insulin resistance is usually the consequence. From this perspective, Systematization of Nursing Assistance (SNA) is essential for the care of patients with a diagnosis of DM2, as it ensures the promotion of systematic and continuous assistance, thus constituting a basis for selection for care interventions. Objective To analyze the importance of Systematization of Nursing Assistance in health promotion for patients with Diabetes Mellitus Type 2. Methodology Descriptive study of the experience report type, conducted from the academic experience in supervised curricular internship, from the Adult and Elderly Health discipline in Primary Care, with home visits together with the Family Health Strategy Team in municipality of Recife – PE, in June 2019. Results With the practice of care planning from SNA, in DM2, it was possible to reach the following Nursing Process implementations: NANDA: Impaired skin integrity related to injury in the left lower limb evidenced by pain and loss of skin continuity after debridement. Nursing Outcomes Classification (NOC): Will have wound healing in a timely manner without complications. Nursing Interventions Classification (NIC): Check for general weakness associated with chronic disease. NANDA – Risk of falls related to visual impairment and difficulty walking. NOC – Verbalizes that understands the personal risk factors that contribute to the risk of falling. NIC – Assess the general health status of the individual, paying attention to factors that may compromise safety, including chronic disorders. Conclusions/Considerations: In this context,…
Introduction: Population aging is a phenomenon that occurs on a global scale in developed countries. This process is characterized by a constant increase in life expectancy ². Objectives: To analyze in the current literature aspects related to vulnerability to self-harm in the elderly, based on the sociodemographic profile and the relationship of psychic factors in order to point out effective means of prevention and prevention. Methodology: This is an integrative literature review through the materials indexed in the Virtual Health Library Databases: LILACS, MEDLINE and BDENF, and the descriptors: Suicide, Elderly, Population aging. Finding 52 articles, of which only selected 10. Being LILACS (07), MEDLINE (02) and BDENF (01), respective percentages: 70%, 20%, 10%. Considering inclusion criteria: full text, publications from 2014 to 2019, Portuguese language and meeting the research theme. Results: Regarding the profile of the victims; most of them are male, aged between 60 – 70 years old, brown in color, poorly educated and economically inactive, retirees or pensioners ³. Conclusion: The mobilization of people on the subject, including actions in education and health, prevention of reductions through harm reduction, along with approaches through social media that has had a positive impact on the decline of suicide cases in Brazil. It is important to break the taboos that permeate this theme. However, the result is the need for actions aimed at reaching the population in question aiming to outline intervention plans in crisis, including.
Introduction: Diabetes mellitus is characterized by chronic hyperglycemia with disturbances in carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action or both. Glucose and lipid metabolism are linked to each other. It is well known that dyslipidemia is considered a major risk factor for macrovascular complications in patients with type-2 diabetes mellitus. Recently, obesity-related metabolic syndrome has received widespread attention. The aim of the current study was to find out the correlation between HbA1c, lipid profile and BMI of elderly patients with type 2 Diabetes mellitus. Methods: A cross-sectional observational study was conducted in a sample consists of one hundred and sixty elderly patients with type 2 diabetes. Glycemic control, lipid profile, body mass index (BMI) were assessed. Results: There was a significant positive correlation between HbA1c and FBS with total cholesterol, LDL and triglycerides and a significant negative correlation with HDL. Also, there was a significant positive correlation between HbA1c and FBS with BMI. Conclusion: Increased levels of HbA1c, is associated with dyslipidemia and increased BMI.
In recent times, osteoporosis has taken epidemic proportions. It is a disorder that in time of industrialization and application of new technologies is starting to impact even the younger population. The use of modern devices in everyday life is resulting in a reduce level of human physical activity, consequently leading to inactive way of life and increase in number of people suffering from osteoporosis. Going beyond its educational character, this dissertation also has an aim to point out potential positive aspects of Tae Bo exercises on people with osteoporosis and potential positive effect on bone mass, lowering of FRAX score and better quality of life. The study included 92 patients with osteoporosis diagnosis, who at the beginning and at the end of the study carried out laboratory blood, urine, densitometry tests and filled out questionnaires of the ten-year risk of fracture (FRAX) and Quality Questionnaire QUALEFFO 31. The study was prospective, randomized controlled study conducted on a group of women between 55 and 65 years age during the period from 01.07.2018. to 01.07.2019. Research has shown that programs Tae Bo exercise can positively impact the greater bone mass and quality of life of people with osteoporosis. Considering the social and economic magnitude and the breath of osteoporosis as a global and widespread problem, the main contribution of this study was to find new ways in mitigating the effects.
Objective: To establish the effects of long-term use and preventive value of metformin in geriatric women with PCOS. Methods: A search of published review articles was carried out in sites such as NCBI, ScienceDirect, Elsevier, Springer, Wolters Kluwer, among others, using the key words: “polycystic ovary syndrome”, “PCOS”, “Polycystic ovary syndrome and metformin”, “effects of metformin and PCOS“,” insulin resistance and metformin “and” long-term sequelae of polycystic ovarian syndrome“. Results: We retrospectively analyzed data specific to the randomized clinical trial of Pedersen et al. 2017, to determine the impact that treatment had for twelve months with metformin in three specific variables: weight, total cholesterol and HDL. The study was conducted in 40 Caucasian women from 18 to 39 years of age, with a fixed dose of metformin (2 g / day for 12 months), who met the Rotterdam criteria for PCOS in their genetic variant MATE1 with SOP7. Conclusions: It was confirmed that the establishment of twelve-month treatment with metformin in the randomized clinical trial of Pedersen et al. 2017 had a significant effect on the three specific variables: weight, total cholesterol and HDL.
Chronic disease profile, health utilization and self-reported financial situation of older people in rural South Africa
Background: Chronic diseases are more prevalent among older people. These illnesses require seeking continuous medical services which oftentimes have spill-over effects on the financial situation of individuals and households. Objective: To describe the chronic disease profile, health utilization and self-reported financial situation of older people in a rural population. Methods: Cross-sectional data from South Africa Wellbeing and Older People Study (WOPS)-wave 2 was utilized for this study. The survey included 519 respondents and was carried out between April 2013 and August 2013. Descriptive statistics was used to report respondents’ socio-economic characteristics, chronic disease profile, health utilization patterns, hospitalizations and access to medical and non-medical financial aid. Chi square test was conducted to examine the factors associated with chronic diseases and self-reported financial situation at 5% level of confidence. Results: The mean age of respondents was 62 years. Of the respondents, 259 (50%) had hypertension and 122 (24%) had arthritis, twenty-two (4%) had stroke, 43 (8%) had diabetes, 25 (5%) hade asthma, 10 (2%) had heart disease and 6 (1%) had cancer. Following the experience of a health problem, 119 (46.67%) adopted self-medication and 36 (14.12%) consulted traditional healer. Four hundred and fifty-four (97.63%) respondents received no financial aid for buying drugs and paid out-of-pocket. Also, 452 (97.41%) had no access to financial aid to pay for hospital bills. Risk factors like tobacco use (χ2 =6.77, p=0.009) and alcohol consumption (χ2 = 8.90, p= 0.003) were also associated with hypertension. Also, being hospitalized in the last 1 year (χ2 = 8.15, p=0.017) was associated with whether households’ financial condition got better, remained the same or got worse. Having chronic disease (χ2 = 7.68, p= 0.022) was similarly significantly associated with self-reported financial situation. Conclusions: The burden of chronic disease was high among older persons in this study. The study provided evidence…
Better satisfaction with life is associated with normal immune profile (CD4/CD8 ratio) – and dependent on the successful aging status – in older Brazilian individuals
Introduction: The immune system is an important determinant of longevity and has also contributed to the way individuals feel as they reach older ages. The inverted CD4/CD8 ratio is a parameter of the immune risk phenotype, and its prevalence increases with age. Association between immunological function, cognition and mood has been supported by studies with clinical and aging populations. Objective: We explored the relationship between the CD4/CD8 ratio and life satisfaction in a small sample of elderly people from Southern Brazil with good general health. Method: The sample consisted of 44 elderly individuals, who participated in an aging study in Southern Brazil (the PALA Study), and accepted to continue in the investigation collecting additional blood sample for the CD4/CD8 analysis. From this sample, 52% (N = 23) presented successful aging according to Rowe and Kahn’s criteria. No participant was HIV positive or presented any autoimmune diseases. A questionnaire was applied for sociodemographic and clinical data, lifestyle, and occupational activity. Cognitive function, basic and instrumental activities of daily living, and depressive symptoms were evaluated with specific instruments. Life satisfaction was evaluated with the Life Satisfaction Scale from Diener et al. (1985). Results: Forty-two individuals (95%) showed CD4/CD8 ratio>1. CD4/CD8 ratio correlated significantly with life satisfaction (rho = -0.35) and with age (rho = -0.42) for the whole sample and among the successful aging sub-group only. Conclusion: This is an exploratory analysis with a small sample of elderly participants from a cohort started in 1996 in Southern Brazil (the PALA study). Their level of satisfaction with life was high, and correlated significantly, and inversely, with the CD4/CD8 ratio. It was also dependent on the successful aging status.
Introduction: Population aging has increased over the years and directly affecting the health system. Latin America is considered to be a region where good information about dementia is lacking. Objective: The objective of this study was to evaluate the cognitive profile of the elderly with complaints of memory impairment. Method: The study was performed with patients who were being followed up at a public hospital in Recife – PE. Data were collected through the CERAD neuropsychological battery. Results and Discussion: 42 elderly people were evaluated in the first half of 2018, of which 13 were men and 29 were women with a mean age of 74.12 years. The majority, 74.36%, did not present scores compatible with GDS depression and MMSE was normal in 69.05% of the elderly; 66.67% presented alterations in the design of the clock and the majority presented alterations in the evocations of immediate and late words and also in the recognition of words. The CDR scores for 34.15% were compatible with mild dementia and moderate dementia classified 24.39% by CDR. Conclusions: Measures to diagnose the cognitive profile in the elderly are fundamental for the elderly to have a good quality of life and qualified treatment from health professionals.