SENSTANTI VISUOMENĖ: KONKURENCINGUMO VEIKSNIAI IR PRIEMONĖS EUROPOJE SANTRAUKA Informacinėje visuomenėje demografinių procesų dinamika paspartino senstančios visuomenės procesą ir pakeitė visuomenės amžiaus struktūrą. Technologijų pažanga, globalizacija ir demografinis senėjimas keičia Europos visuomenę ir skatina politikos kūrėjus atsižvelgti į įvairius skirtingų kartų poreikius. Europoje, kurioje labai ryškios senėjimo tendencijos ypač jaučiami socialiniai ir ekonominiai pokyčiai: globalinės užimtumo, kompetencijos bei gebėjimų naudotis informacinėmis technologinėmis stoka, sveikatos, politinės ir bendruomeninio aktyvumo galimybės. Senstančios visuomenės augimas yra kompleksinė problema, kuri pasireiškia nacionaliniu, regioniniu, įmonių ir individualiu lygmeniu. Stiprinant senstančios visuomenės konkurencingumą ir socialinę sanglaudą, remiantis strategijomis kuriamos efektyvios priemonės siekiant kokybiško integravimo į socialinę bei ekonominę politiką. Tezė Europoje senstančios visuomenės problemos sukelia sudėtingus socialinius ir ekonominius pokyčius, kuriuos itin svarbu tikslingai įvertinti ir numatyti, kad būtų galima laiku imtis veiksmų, kurių tikslas – suformuoti naujas realijas, atitinkančias, senstančios visuomenės globaliojo konkurencingumo sampratas. / AGING SOCIETY: FACTORS AND MEANS OF COMPETITIVENESS IN EUROPE SUMMARY Dynamics of demographic processes in information society has accelerated the process of aging society and changed the structure for the age of society. The advancement of technologies, globalization and demographic aging change the European society and encourage the policy makers to regard the demands of different generations. Social and economic alterations are especially felt in Europe where there are very vivid aging tendencies: global employment, a lack of competence and ability to use information technologies, health, possibilities of political and communal activity. The growth of aging society is a complex problem which asserts in national, regional, enterprise and individual level. The effective measures are created by strengthening the competitiveness of aging society and social cohesion as well as referring to strategies in pursuance of integration to social and economic politics. Thesis Problems of aging society in Europe initiates complicated social and economy changes which must be thoroughly appraised and predicted in order to take timely measures aimed at formation of global competitiveness concepts for the aging society which fit to new reality.

It is not just about achieving an advanced age, but also how will the life in this period look like. Even in this time it is possible to influence the quality of life to a certain extent by positive thinking and own activity. This thesis aims to ascertain an impact of active making music to a quality of life in an advanced age. It is focused on life style, life events, family life, social contacts and value system of seniors, which actively make music. The thesis is based on qualitative research, in which a narrative and semi-controlled interview was taken in natural environment of the respondents. All interviews were recorded on a voice recorder with consent of every respondent. Complete interviews are saved in mp3 files on an enclosed CD. Written transcriptions of the interviews are attached as a further annex of this thesis. These were kept in colloquial form of the language for the sake of authenticity, however, due to its length were shortened. During interviews an observation of an exterior, behavior and expression of respondent and his surroundings took place. Gathered data were evaluated by means of analysis of individual cases, comparison of these cases along with simple enumeration method. As emerged from the research, active making music influences positively the quality of life in advanced age. It prevents social isolation, creates and consolidates friendly relations and dilutes inter-generation differences. It supports will and persistence. It helps the seniors keeping their mental freshness. Music enriches emotional life and gives the life a further dimension.

Healthy Ageing Programme is a concept which should have a significant influence on every resident in the countries where population median age has been quickly increasing. This topic of healthy ageing is the key issue of the given Master´s Diploma Thesis. At the present, our country is involved not only in several smaller-scale regional programmes focused on lives of seniors but also in the events of European importance. If we want to provide our seniors with a quality life in all aspects, it is necessary to encourage promoting Healthy Ageing Programme. The wide scope of activity is thus open, especially for nurses. The first objective develops the approach of seniors in the selected health-care facilities to healthy ageing. The second objective introduces the approach of a client before retirement age to the healthy ageing principles. Finally, the third objective specifies the role of general practice nurses in their support of clients before retirement age in their healthy ageing. Research questions included the following issues: the approach of a client at the age before retirement to the healthy ageing principles and the role of a general practice nurse and her support of the abovementioned clients. The given research also develops one hypothesis regarding the fact that personal objectives will change depending on barriers.Both qualitative and quantitative research was used in the given Diploma Thesis. An in-depth interview was conducted during the survey. Additional information was obtained on the basis of an opinion poll. Two research groups were used for the interview: the first one consisted of 11 respondents from the general practitioner´s outpation departments, the second research group consisted of 6 nurses working for the aforementioned departments. The total number of 150 respondents from the designated health-care facilities was selected for the survey during which they were answering the research questions. As a result, a large number of useful information was obtained. The clients' approach can be divided into several groups: leisure activities, education, workload, prevention and medical examinations, regimen, community nursing care, healthy ageing. The key roles of a nurse should take into consideration the following aspects: healthy ageing from the nurse´s point of view, prevention and geriatric nurse at the outpatient department, community nursing care, health support of the patients provided by a nurse. Information obtained from the interviews were interconnected and often corresponded with each other. Research questions are also followed by the given results. A nurse has a significant role in the area of education, provision of necessary information to the clients, promotion of prevention programmes informing the clients about the solution to their problems. The motivation of clients before retirement age is also crucial because it is at this age when people can influence their life, its length and quality. The survey also observes the general perception of people of an old age and changes in their point of view with age. The information collected from this survey may be also used in different studies in order to improve both quality of nursing care and motivation of the clients before their retirement.

Submitted by Alison Vanceto (alison-vanceto@hotmail.com) on 2017-05-11T13:02:44Z No. of bitstreams: 1 TeseCRpp.pdf: 3849521 bytes, checksum: 3d8a043d6e3436180b6e5cc6a1e316b5 (MD5) / Approved for entry into archive by Ronildo Prado (ronisp@ufscar.br) on 2017-05-18T20:18:34Z (GMT) No. of bitstreams: 1 TeseCRpp.pdf: 3849521 bytes, checksum: 3d8a043d6e3436180b6e5cc6a1e316b5 (MD5) / Approved for entry into archive by Ronildo Prado (ronisp@ufscar.br) on 2017-05-18T20:18:48Z (GMT) No. of bitstreams: 1 TeseCRpp.pdf: 3849521 bytes, checksum: 3d8a043d6e3436180b6e5cc6a1e316b5 (MD5) / Made available in DSpace on 2017-05-22T19:10:49Z (GMT). No. of bitstreams: 1 TeseCRpp.pdf: 3849521 bytes, checksum: 3d8a043d6e3436180b6e5cc6a1e316b5 (MD5) Previous issue date: 2016-10-31 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Social participation, besides being considered one of main goals of rehabilitation, is defined by scientific literature and some specific public policies for the elderly as one of the pillars to active aging. Nevertheless, few studies have investigated the social participation of Brazilian elderly population and its predictors. The objective of this present study was to identify the predictors of variation of the social participation of independent elderly enrolled in Family Health Strategies units in the municipality of Araras/SP. Besides investigating the dimensions of LIFE-H 3.1- Brazil and its reliability; to characterize the profile of the elderly population; to identify associations between socio-demographic, health conditions, perception of intergenerational solidarity and quality of life and to compare levels of social participation amongst elderly subgroups. A total of 175 elderly, registered in 10 Family Health Strategies of all regions of the city have participated in the present study. All data have been collected through identification form, containing social-demographic variables, from health, familiar intergenerational solidarity aspects, among parents and children, perception of quality of life, besides the following standardized instruments: Geriatric Depression Scale, Katz Scale, Mini Mental State Examination, and LIFE-H 3.1-Brasil which evaluates social participation. Data analysis has been descriptive, comparative, correlational e multivariate performed on SPSS v23.0. The evaluation of predictors of social participation was conducted by Linear Regression Analysis, taking into account the dimension of LIFE-H 3.1 previously extracted from Factor Analysis, namely: Personal Care, Community, Recreation and Communication, apart from global evaluation of social participation which involved these four dimensions (LIFE-H Total). The factorial analysis and the internal consistency of the dimensions of LIFE-H 3.1-Brazil confirm the reliability of data and utilization of such instrument in independent elderly. The association among the variables contributed to identify the factors related to health and disease condition of such population, strengthening the influence of contextual factors in this life period. Main results revealed average variations of social participation due to different variables, with special highlight on marital status, schooling, city district where he/she lives, familiar intergenerational solidarity, comorbidities, presence if depressive symptomatology, cognitive ability, physical activities practicing and subjective perception of quality of living, which were confirmed in the correlation study. The variables which acted as predictors of global social participation (LIFE-H Total) were living in specific city districts, physical activities practicing number of diseases, cognitive ability, age, depressive symptomatology, subjective evaluation of quality of life and widowhood, in that order. The variables city district, physical activity practicing, cognitive ability and subjective evaluation of quality of living acted positively, whilst other variables acted negatively in the social participation variation. This study reveals the complexity and multidimensionality of elderly social participation and the influence of personal and environmental determining factors which, mostly, could be modifiable. It is argued that maximization of actions e programs destined mainly to elderly preventive health care along with investments in infrastructure, safety and implementation of services may be of great value to the feasibility of greater social participation of such population. The continuity of these studies is desirable for deeper theoretical and empirical understanding such theme, overall the qualiquantitative and longitudinal nature to the seizure of changes, tendencies and predictors of elderly social participation in different degrees of functionality and health condition. / A participação social, além de ser considerada um dos principais objetivos da reabilitação, é definida pela literatura científica e políticas públicas específicas para a população idosa como um dos pilares para o envelhecimento ativo. Entretanto, poucos estudos têm investigado a participação social da população idosa brasileira e seus preditores. O objetivo deste estudo foi identificar os preditores da variação da participação social de idosos independentes cadastrados em unidades de Estratégias de Saúde da Família (ESFs) do município de Araras/SP. Além de avaliar as dimensões do LIFE-H 3.1-Brasil e a sua fiabilidade; caracterizar o perfil da população; identificar associações entre as condições sociodemográficas, de saúde, percepção de solidariedade intergeracional e qualidade de vida e comparar níveis de participação social entre subgrupos de idosos. Participaram 175 idosos cadastrados em 10 ESFs de todas as regiões da cidade. Os dados foram coletados por meio de ficha de identificação contendo variáveis sociodemográficas, de saúde, aspectos da solidariedade intergeracional familiar entre pais e filhos e percepção de qualidade de vida, além dos seguintes instrumentos padronizados: Escala de Depressão Geriátrica, Escala de Katz, Mini Exame do Estado Mental e do LIFE-H 3.1-Brasil, que avalia a participação social. A análise dos dados foi descritiva, comparativa, correlacional e multivariada realizada no SPSS v23.0. A avaliação dos preditores da participação social foi conduzida pela Análise de Regressão Linear, considerando, as dimensões do LIFE-H 3.1 extraídas previamente da Análise Fatorial do instrumento, a saber: Cuidados Pessoais, Comunidade, Recreação e Comunicação, além da avaliação global da participação social que envolveu essas quatro dimensões (LIFE-H Total). A análise fatorial e da consistência interna das dimensões do LIFE-H 3.1-Brasil apontam para a fiabilidade dos dados e utilização do instrumento em idosos independentes. A associação entre as variáveis contribuiu para identificar fatores relacionados à condição de saúde e doença dessa população, reforçando a influência de fatores contextuais nessa fase da vida. Os principais resultados revelaram diferenças de médias de participação social em função de diferentes variáveis, com destaque para o estado civil, escolaridade, região da cidade onde mora, solidariedade intergeracional, comorbidades, presença de sintomatologia depressiva, capacidade cognitiva, prática de atividade física e percepção subjetiva de qualidade de vida, que foram confirmadas no estudo de correlação. As variáveis que atuaram como preditores da participação social global (LIFE-H Total) foram viver em determinadas regiões da cidade, prática de atividade física, número de doenças, capacidade cognitiva, idade, sintomatologia depressiva, avaliação subjetiva de qualidade de vida e viuvez, nessa ordem. As variáveis regiões da cidade, prática de atividade física, capacidade cognitiva e avaliação subjetiva de qualidade de vida agiram de forma positiva, enquanto que as outras variáveis atuaram negativamente na variação da participação social. Este estudo revela a complexidade e multidimensionalidade da participação social de idosos e a influência de determinantes pessoais e ambientais, que, em sua maioria, podem ser modificáveis. Discute-se que a maximização de ações e programas destinados ao cuidado, principalmente, de saúde do idoso de forma preventiva e de investimentos no território, como melhorias de infraestrutura, segurança e implementação de serviços podem ser de grande valia para a viabilidade de maior participação social desta população. Indica-se a continuidade de estudos para o aprofundamento teórico e empírico sobre o tema, sobretudo de natureza quali-quantitativa e longitudinais para apreensão das mudanças, tendências e preditores da participação social de idosos de diferentes graus de funcionalidade e condição de saúde.

Made available in DSpace on 2016-12-06T17:07:01Z (GMT). No. of bitstreams: 1 PAULO ADAO DE MEDEIROS - DISSERTACAO PARTES AUTORIZADAS.pdf: 1650541 bytes, checksum: 33403e226caa6bf5ff2073abf7dd2a66 (MD5) Previous issue date: 2014-07-11 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / There is a lack of studies, and mainly of assessment tools, that seek to approximate the active aging policy to the context of institutions for the long term care of the elderly (ILPIs). Given this, this exploratory research focused on the behavioral determinants of active aging aiming to analyze behavioral indicators for the evaluation of active aging in institutionalized elderly, according to the scientific evidence and experts perceptions. An extensive literature review on various literature sources was performed, including systematic reviews on the quality of life and instruments for evaluation of the institutionalized elderly. These literature reviews associated with researcher professional experience served as the basis for developing indicators that were organized in a semi-structured questionnaire which was sent for analysis to 17 experts in the field of Gerontology. A thematic content analysis was performed to analyze, understand and interpret the qualitative material resulting from the open questions of the questionnaire. The relevance of the indicators from the questionnaire was analyzed using a Content Validity Index (CVI). It was observed that there was no consensus among experts about this new construct. However some points became more evident, especially regarding inclusion, socialization, independence, stimulation and protection. Strategies to promote active aging are different in these institutions. Twenty six behavioral indicators for the environment of ILPIs were described: perform independently most of daily activities, consume adequate food with nutritional support, have self-care attitudes, choose own clothes to dress, adhere to healthy behaviors recommended by ILPIs professionals, feel protected and safe, participate in the community, keep their privacy in inspite of living in a collective environment, stabilish love and/or sexual relationships at the institution, in the case of feeling it is necessary, keep family contact inside and outside the institution, take care of their own room and objects, keep informed and interested about events which happen outside of the institution, communicate their opinion, establish friendships and affective relationships at the institution, administrate at least part of their own money, demonstrate interest to help other residents of the institution, have autonomy about controlling their time and routine, practice physical activities proposed by ILPIs, have appetite and interest for prepared and served food, brush the teeth or dental prosthesis daily, know about and have some control over their own health state and medication, amount of medication, perform leisure activities, read or be involved in educational activities, do voluntary tasks related to maintenance and organization of the ILPI. These indicators are related to the three pillars of active aging and can be used as a tool for health promotion. This study suggests new researches through focus groups with experts to enrich and improve the debate on this topic. There is a need for changes in the structure of ILPIs in such a way that active aging becomes feasible and effective for the institutionalized elderly. / Existe uma carência de estudos que buscam aproximar a Política do Envelhecimento Ativo (EA) do contexto das Instituições de Longa Permanência para Idosos (ILPIs). Diante disto, esta pesquisa exploratória focou-se nos determinantes comportamentais do envelhecimento ativo com o objetivo de analisar os indicadores comportamentais para a avaliação do envelhecimento ativo de residentes em ILPIs, segundo as evidências científicas e a percepção de especialistas. Para tanto, foi desenvolvida uma ampla revisão de literatura em diversas fontes bibliográficas, inclusive revisões sistemáticas sobre a qualidade de vida e instrumentos de avaliação construídos especificamente para residentes em ILPIs que juntamente com a experiência profissional do pesquisador serviram de base para elaboração de indicadores que foram organizados em forma de um questionário semi-estruturado e enviado para 17 especialistas da área da Gerontologia emitir seu parecer. Para analisar o material qualitativo resultante das questões abertas do questionário foi utilizada a análise de conteúdo temática. A relevância dos indicadores proveniente do questionário foi analisada pelo Índice de Validade de Conteúdo (IVC). Ao final foi evidenciado que não existe consenso entre os especialistas sobre esse novo constructo. Porém, alguns pontos tornam-se mais evidentes, principalmente no que diz respeito à inclusão, socialização, autonomia, estímulo e proteção e que as estratégias para promoção do EA nessas instituições são diferentes. Foram descritos 26 indicadores comportamentais para o ambiente das ILPIs, quais sejam: realizar a maioria das AVDs independentemente, possuir alimentação adequada através de serviço ou apoio nutricional, possuir autonomia para opinar sobre a confecção dos alimentos, possuir atitudes de auto-cuidado, escolher o que vestir, aderir a comportamentos saudáveis recomendados pelos profissionais da ILPI, sentir-se seguro e protegido, participar na comunidade, manter sua privacidade apesar do ambiente coletivo, participar da comunidade, manter sua privacidade apesar do ambiente coletivo, estabelecer relações amorosas e/ou sexuais no contexto institucional, caso ainda sinta essa necessidade, manter convívio familiar dentro e fora da instituição, zelar e cuidar do seu quarto e pertences, manter-se informado e interessado em acontecimentos do dia a dia fora da ILPI, ter e expressar sua opinião, estabelecer amizades e relações de afeto no contexto institucional, administrar pelo menos parte de seu dinheiro, interessar-se em auxiliar outros moradores da ILPI no que for possível, possuir autonomia sobre o controle do tempo e modificações na sua rotina, envolver-se em atividades físicas promovidas pela ILPI, apresentar apetite e interessar-se pelas refeições preparadas na ILPI, escovar os dentes ou a prótese diariamente, ter conhecimento e controle sobre o seu estado de saúde e as medicações que utiliza, menor quantidade de medicamentos utilizados, realizar atividades de lazer, possuir o hábito da leitura e/ou manter-se envolvido em atividades educacionais, envolver-se em trabalhos voluntários de manutenção e conservação da ILPI. Esses indicadores envolvem os três pilares do EA e podem ser utilizados como uma ferramenta de promoção de saúde. Sugerem-se novas pesquisas por meio de grupos focais com os especialistas para aprofundar o debate sobre essa temática. Evidencia-se que mudanças são necessárias na estrutura das ILPIs tornar o EA viável e efetivo também para o idoso residente no contexto institucional.

This diploma thesis deals with the analysis of plans, attitudes and opinions related to the retirement life of people in pre-retirement age. The role of preparing for life in retirement age is of increasing importance in locations with high proportion of people in pre-retirement age. These locations must be given the appropriate attention to minimize potential problem situations. In order to analyze the situation in a locality with a high proportion of older people, a quantitative survey was carried out at the Pokratice district of Litomerice. On the basis of the outputs of the survey, requirements and possible necessary changes in areas of development, transport services, accessibility of free time activities, health and social services are analyzed. In addition to the investigation itself, the work is based on other investigations carried out and other book and magazine sources, examples of good practice and strategical documents. The aim of the thesis is to analyze the current situation and propose necessary changes, which need to be implemented in order to minimize the problematic situations in connection with the retirement of a significant part of the inhabitants of the housing estates. Keywords Preparation for old age, regional planning, residence, active aging, quality of life in old age,...

Senior's volunteerism in the Czech Civil Society's background does not have clear contours so far. This thesis brings a clearer idea about senior's volunteerism in the Czech Republic. It outlines the possibilities for development of senior's voluneerism and better knowledge in Czech and foreign researche. The second part of the thesis shows the results of a qualitative research which was realized on the sample of volunteering seniors in the social services in Prague.

[pt] Se desejarmos verdadeiramente viver bem para lá dos sessenta anos devemos avançar em termos de políticas públicas. A política pública, a partir da visão multicêntrica, é compreendida como intenção de solucionar um problema público, sendo o seu ator protagonista uma personalidade jurídica estatal ou não estatal. Logo, a formulação de políticas públicas não é exclusividade do Estado. Elas têm como foco a solução para problemas sociais complexos (ex. longevidade com qualidade) e, portanto, podem ser tratadas por todas as instâncias da sociedade. Partimos do pressuposto que o design dispõe de instrumental que pode auxiliar o setor público a solucionar problemas sociais complexos relacionados à longevidade. Este estudo se desenvolveu com o objetivo de identificar como o processo do design pode se constituir como meio para a elaboração de políticas públicas para a população com 60 anos e mais. O local de estudo é o Centro de Convivência da Terceira Idade (CAC - Barreiro) na cidade de Belo Horizonte. Metodologicamente, o estudo foi guiado pela pesquisa-ação somado ao processo de design participativo (cocriação) e suas ferramentas. Concluímos que o design, como campo do conhecimento de caráter social, vocação multidisciplinar, transdisciplinar e planejador de práticas intangíveis pode fornecer meios para aprimorar a formulação das políticas públicas de diferentes maneiras, tais como: (i) pela inclusão das pessoas afetadas pelo problema em todas as etapas do processo que são posicionadas como cocriadoras favorecendo a participação mais ativa; (ii) pela construção das habilidades em um público diverso favorecendo o potencial de cada um sem hierarquia; (iii) pela linguagem visual contribuindo para tornar o processo menos árduo e mais afetuoso; (iv) por ser um elo facilitador das interações para criar sistemas que contribuam para conexão entre os setores da sociedade; (v) pelo legado deixado nas instituições e nos participantes que devemos todos ser corresponsáveis. / [en] If we truly want to live well beyond sixties, we must move forward in terms of public policy. Public policy, based on the multicentric vision, is understood as an intention to solve public problems, and its protagonist actor is a state or nonstate legal personality. Therefore, the public policies formulation is not exclusive to the State. They focus on solving complex social problems (e.g. longevity with quality) and can therefore be addressed by all society levels. We start from the assumption that the design has instruments that can help the public sector to solve complex social problems related to the longevity. This study was developed with the objective of identifying how the design process can constitute a way for the elaboration of public policies for the population aged from 60 to over. The place of study is the Third Age of Living Center (TALC - Barreiro) in Belo Horizonte city. Methodologically, our study was guided by the action-research added to the process of participatory design (cocreation) and its tools. We conclude that the design as a field of social character knowledge, multidisciplinary, transdisciplinary vocation and intangible planner can provide forms to improve public policies formulation in different ways, such: (i) Including the people affected by the problem in all stages of the process who are positioned as co-creators favoring more active participation; (ii) Through the construction of skills in a diverse audience favoring the potential of each without hierarchy; (iii) Through the visual language contributing to make the process less arduous and more affectionate; (iv) As a facilitator of interactions to create systems that contribute to the connection between the sectors of society; (v) Through the legacy left in the institutions and participants that we must all be co-responsible.

Introdução: O centro dia é uma alternativa promissora de atenção integral ao idoso que se baseia na promoção da saúde, na prevenção de agravos, na recuperação e na reabilitação e que possibilita aos idosos a oportunidade para vivenciar um envelhecimento ativo. Objetivos: Identificar as atividades de promoção da saúde e prevenção de agravos, desenvolvidas em centros dia para idosos, nas dimensões saúde, participação, segurança e educação; e validar o conteúdo dessas atividades, para subsidiar a avaliação da qualidade da atenção ao idoso em centros dia. Método: Estudo metodológico, conduzido em três fases: identificação das atividades de atenção aos idosos desenvolvidas em centros dia; seleção e descrição das atividades, referentes à promoção da saúde e à prevenção de agravos, de acordo com as dimensões saúde, participação, segurança e educação; e validação de conteúdo das atividades, realizada por nove especialistas. O índice de consenso estabelecido correspondeu a 80% e as atividades foram validadas segundo os atributos relevância, clareza, pertinência e simplicidade. O período de coleta de dados da primeira e da segunda fase ocorreu de outubro a dezembro de 2013; e o da terceira fase, de setembro a novembro de 2014. Resultados: Oito atividades foram validadas pelos juízes e duas foram incluídas, conforme sugestões dos especialistas. Na dimensão saúde, as atividades foram: capacidade funcional e fragilidade, alimentação e nutrição, higiene e conforto, medicamentos de uso contínuo e manejo e estímulo cognitivo; na dimensão participação, as atividades socioculturais, acolhimento e monitoramento e apoio espiritual/religioso; na segurança, as atividades corresponderam a acessibilidade e controle dos fatores de risco para queda; e na dimensão educação, as atividades educativas. No total, foram avaliados 82 itens, dos quais 100% alcançaram o consenso estabelecido no atributo relevância; 91,4% na clareza; 97,5% na pertinência; e 92,6% na simplicidade. Apenas nove itens não atingiram o consenso proposto, dentre os quais, oito obtiveram consenso muito próximo ao estimado, 77%, e somente um obteve consenso de 66% e foi excluído, conforme sugestões dos especialistas. A maior parte das sugestões dos juízes deu-se em relação à clareza e à simplicidade das descrições. A avaliação dos especialistas possibilitou a construção do Guia de Atividades de Atenção ao Idoso, Desenvolvidas em Centros Dia, na Perspectiva do Envelhecimento Ativo. Conclusões: O estudo permitiu sistematizar as atividades a serem desenvolvidas em centros dia, no âmbito do cuidado. O Guia poderá subsidiar a avaliação dos centros dia, por parte dos gestores e dos profissionais que atuam nesses cenários, para promover a melhoraria da qualidade do serviço prestado. / Introduction: The day-care center is a promising alternative for the integral attention for elderlies. It develops the promotion of health, prevention of health dangers, recovery, and rehabilitation, aimed at an active aging for the elderly. Objectives: Identify activities for the health promotion and health danger prevention developed in a day-care center for elderly by promoting health, participation, safety and education; validate the content of such activities, in order to provide subsidies and assessment of services provided in a day-care center for the elderly. Method: Methodological study was carried out in three phases: identification of care activities for elderly developed in day-care centers; selection and description of activities concerning health promotion and health danger prevention, according to health, participation, safety and education principles; validation of activities content carried out by nine specialists. The established consensus rate was at 80%, and activities were assessed based on relevance, clearness, pertinence and simplicity. The data collection period for the first and second phases was between October and December 2013, and between September and November 2014 for the third phase. Results: The jury assessed eight activities, and specialists suggested to include two activities. They are classified as follows: concerning health: functional capacity and weakness, food and nutrition, hygiene and comfort, drugs of continuous use and handling and cognitive stimulation; concerning participation: the socio-cultural activities, acceptance and monitoring and spiritual/religious support; concerning safety:assessment and control of risk factor for falls; concerning education: educational activities. In the end, 82 items were assessed. 100% of them were considered relevant; 91.4% were considered clear; 97.5% were considered pertinent; and 92.6% were considered simple. Only nine items have not achieved the proposed consensus. Eight out of them were close to the proposed consensus rate at 77% and only one, with 66%, was excluded, according to specialists\' orientations. The major part of jurys suggestions were related to clearness and simplicity of descriptions. The jurys assessment enabled the elaboration of the Elderly Attention Activities Guide, which are carried out in day-care centers, aiming at the active aging. Conclusions: The study organized the activities to be developed in day-care centers in relation to care. The Guide can support the administrators and professionals to assessing the day-care centers, and, therefore, improving the quality of provided service.

This work focuses on the themes of old age, ageing and dementia. It seeks to explore how people who are caring for a loved one with dementia construct their ideas about the illness and how their experience of caring translates into their ideas about old age and ageing. These themes are discussed against the background of the third age, active ageing and the social imagination of the fourth age as conceived by Gilleard and Higgs. The thesis shows how the respondents form their ideas about their own old age in the context of third age culture, what aspects of old age they consider most important, and conversely what constitutes for them an image of a bad old age. At the same time, this thesis captures the respondents' experience of caring for their parent and how they construct ideas about this illness on the basis of this experience. The specific aspects of the disease of dementia are discussed in the context of key elements of the social imaginary of the fourth age and its most debated concepts, including the concept of personhood. The problematic aspects of the disease are reflected in the experience of caring for a loved one with dementia, and reflected in the fear of the disease in terms of their impact on the relationship with the parent, the nature and need for care.