Dissertation (Ph.D.)--University of South Florida, 2008. / Title from PDF of title page. Document formatted into pages; contains 134 pages. Includes vita. Includes bibliographical references.

Thesis (M.P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 2008. / Source: Masters Abstracts International, Volume: 46-05, page: 2672. Adviser: Wendell C. Taylor. Includes bibliographical references.

Titel: Sjuksköterskans erfarenhet av akut konfusion hos äldre i akutsjukvård – En kvalitativ intervjustudie. Bakgrund: Äldre som vårdas i akutsjukvård har en incidens mellan 11–51% att utveckla akut konfusion under vårdtiden. Tillståndet är förenat med en ökad sjuklighet och dödlighet hos äldre. Multifaktoriella orsaker ligger bakom att äldre drabbas. Akut konfusion är en klinisk diagnos, idag finns inga biomarkörer eller undersökningar som kan identifiera tillståndet. Akut konfusion kräver en tidig upptäckt, snabb utredning och ett medicinskt omhändertagande, god omvårdnad och en anpassad vårdmiljö för att patienten skall återhämta sig. Syfte: Att beskriva sjuksköterskans erfarenhet av att upptäcka, förebygga och vårda patienter med akut konfusion i akutsjukvård. Design: En kvalitativ intervjustudie med fem sjuksköterskor verksamma i geriatrisk akutsjukvård på två sjukhus i södra Sverige. Resultat: I resultatet framkom tre kategorier; strategier för att identifiera och bedöma tecken på akut konfusion, strategier och hinder för förebyggande insatser och god omvårdnad vid akut konfusion, förslag på förbättringar i vården av äldre med akut konfusion. Sjuksköterskan använde sig av observation, kommunikation och inhämtning av information från journal och anhöriga för att identifiera akut konfusion. En helhetssyn i omvårdnaden, kontinuitet i vårdkontakten, anpassning av vårdmiljön och anhörigas delaktighet var viktiga faktorer för att förebygga akut konfusion och ge god omvårdnad. Hindrande faktorer orsakades av brister i vårdmiljön, för lite resurser och tid samt bristande kunskap hos övrig vårdpersonal kring lämplig bemötande och förhållningssätt. Slutsats: Ett evidensbaserat screeninginstrument som identifierar olika konfusionstillstånd skulle underlätta bedömning och dokumentation för sjuksköterskor. En personcentrerad vård som bygger på att omvårdnaden planeras utifrån en helhetssyn och en kontinuitet i vårdkontakten samt att anhöriga görs mera delaktiga i vården förespråkas av sjuksköterskorna. Vårdmiljön skall anpassas, vara lugn och stödjande till sin utformning. Personal som arbetar med konfusoriska patienter behöver ha mer kunskap om lämpligt bemötandet och förhållningssätt för att underlätta patientens återhämtning. / Title: Nurses experience of acute confusion in elderly patients in acute emergency care- A qualitative interview study. Background: The elderly cared for in emergency care have an incidence between 11–51% to develop acute confusion during the care period. The condition is related to increased morbidity and mortality among the elderly. Multifactorial causes lie behind the elderly being affected. Acute confusion is a clinical diagnosis, at present there are not biomarkers or examinations that can identify the condition. Acute confusion requires early awareness, swift investigation, medical care and well adapted health care environment in order for the patient to recover. Purpose: To describe nurses experiences in detecting, preventing and caring for patients suffering from acute confusion in emergency care. Design: A qualitative interview with five nurses working within geriatric emergency care at two hospitals in the south of Sweden. Result: Three categories emerged in the result; strategies to identify and assess signs of acute confusion, strategies and hinders for preventative measures and good nursing upon acute confusion, and improvement proposals for the care of elderly suffering from acute confusion. Nurses used observation, communication, and gathering of information from medical records and relatives in order to identify acute confusion. A comprehensive view in care, continuity in contacts, adaption of health care environment and relatives engagement were important factors to prevent acute confusion and provide good nursing. Hindering factors were a result of shortcomings in the health care environment, insufficient resources and time, and lack of knowledge among other requisite staff regarding appropriate reception and approach. Conclusion: An evidence-based screening instrument which identifies various states of confusion would render assessment and documentation easier for nurses. Personal centered care built upon that such is planned based on a comprehensive view and continuity in contacts, and that relatives are more engaged in care, is advocated by the nurses. Health care environment shall be adapted, be calm and supportive in form. Staff that work with confused patients need more sufficient knowledge regarding appropriate reception and approach to render patient recovery easier.

Made available in DSpace on 2014-06-11T19:31:26Z (GMT). No. of bitstreams: 0 Previous issue date: 2007-12-03Bitstream added on 2014-06-13T19:01:41Z : No. of bitstreams: 1 henriques_c_dr_arafo.pdf: 419224 bytes, checksum: a0236b2c2b5a0123c7c1e076a5de995c (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O objetivo deste estudo foi avaliar a autopercepção e as condições de saúde bucal de pacientes maiores de 50 anos, residentes em Araraquara-SP, verificando o grau de reprodutibilidade dos indicadores empregados.O planejamento estatístico incluiu estimativa de prevalência, por ponto e por intervalo de 95% de confiança (IC95%), estimativa de concordância pela estatística kappa e testes de associação com nível de significância de 5%. Inicialmente, foi verificado, entre idosos, nível ruim de autopercepção, com associação não-significativa com doença periodontal (p=0,5133), cárie radicular (p=0,9636) e uso de prótese (p=0,3286). Posteriormente, entre 149 pacientes maiores de 50 anos, atendidos na FOAr- UNESP e no Centro Regional de Reabilitação de Saúde de Araraquara-SP, determinou-se a prevalência das principais doenças bucais. Observou-se que aproximadamente 61% (IC95%: 53% 69%) dos indivíduos apresentaram lesão de cárie radicular e cerca de 69% (IC95%: 62% 76%) doença periodontal. Adicionalmente, considerando-se os sextantes, o sextante definido pelos números dos dentes 33-43, obteve maior prevalência de doença periodontal (60,3%) e 22% dos pacientes apresentaram o sextante definido pelos números dos dentes 13-23 desdentado. Para avaliação da autopercepção utilizou-se o Geriatric Oral Health Assessment Index (GOHAI). A maioria dos entrevistados afirmou nunca ter sofrido limitações (físicas, psicológicas, dor ou desconforto) devido a seus dentes ou próteses. Observou-se que 71,8% relataram sempre estarem felizes com o aspecto de seus dentes ou prótese e 77,9% afirmaram sempre se preocupar ou ter cuidados com seus dentes, gengivas ou próteses. Entretanto, 25,7% apresentaram freqüentemente problemas mordendo ou mastigando alimentos como carne sólida ou maçã e para 30,9% dos indivíduos houve sensibilidade nos dentes ou gengivas ao contato com calor,... / The objective of this study was to evaluate the self perceived and the conditions of oral health of patients in aged 50 years and over, living in Araraquara-SP, checking the rate of reproducibility of indicators used.The statistic planning included prevalence rates by point and by 95% confidence interval had been calculated (CI 95%), estimation of agreement by kappa statistic and tests of association with significance level of 5%. Initially, it was found among the elderly, poor level of self perceived, with non-significant association with periodontal disease (p = 0.5133), root caries (p = 0.9636) and use of prosthesis (p = 0.3286). Later, between 149 patients older than 50 years, treatment in the Araraquara Dental School and in the Regional Center of Health of Araraquara- SP, were determinated the prevalence of the main oral diseases. Approximately 61% (CI95%: 53% 69%) of the individuals had presented lesion of root caries and about 69% (CI95%: 62% 76%) periodontal disease. Additionally, considering the sextants, the sextant defined for the numbers of teeth 33-43, presented the highest prevalence of periodontal disease (60.3%) and 22% of the pacients had the sextant defined for the numbers of teeth 13-23 toothless.In order to evaluate the perceived oral health, it was used the Geriatric Oral Health Assessment Index (GOHAI). The majority of the interviewed patients had no limitations (physical, psychological, pain or discomfort) caused by their teeth, gums or prosthesis. Additionally, 71.8% always were pleased or happy with the looks of their teeth, gums or prosthesis and 77.9% were always worried or concerned about the problems with their teeth, gums or prosthesis. However, 25.7% had trouble biting or chewing any kind of food, such as firm meat or apples and for 30.9% of the individuals had their teeth or gums sensitive to hot, cold or sweets...(Complete abstract click electronic access below)

Made available in DSpace on 2014-06-11T19:33:00Z (GMT). No. of bitstreams: 0 Previous issue date: 2003Bitstream added on 2014-06-13T18:44:47Z : No. of bitstreams: 1 almeida_mel_dr_araca.pdf: 5518976 bytes, checksum: fe3472854cbbd3b7f0e664a249ade846 (MD5) / O envelhecimento populacional do país constitui-se em fato consumado e, embora tenha cada vez mais despertado o interesse de pesquisadores e profissionais da área socail e da saúde, ainda muito pouco tem sido feito em resposta a essa evidência. Os objetivos deste estudo foram investigar o significado do processo de envelhecimento e suas repercussões no corpo e, em particular, na boca dos idosos; e como os efeitos da assistência odontológica durante a vida repercutem na saúde bucal do idoso. A boca foi compreendida na expressão da bucalidade, conceito desenvolvido por Botazzo (2000) relativo à propriedade do bucal nas dimensões psíquica e cultural. Trata-se, pois, de compreender a boca nestas dimensões enquanto território corporal. a pesquisa pe de abordagem qualitativa de fundamentação fenomenológica, sendo os sujeitos entrevistados escolhidos intencionalmente. Foram selecionados cinco idosos residentes em Araçatuba/SP/Brasil. Utilizou-se entrevista semi-estruturada e diário de campo para coletar os dados. Para procedermos à análise dos dados, escolhemos a técnica de análise de conteúdo categorial. Os resultados mostraram que a dificuldade na mastigação e a perda da capacidade de saborear os alimentos foram citadas como problemas enfrentados pelos idosos. A ausência de dentes está intimamente ligada à insatisfação estética e é determinante para desencadear estímulos negativos na auto-estima dos indivíduos com repercussão nas relações sociais. A falta de entendimento das doenças que ocorrem na boca, como a cárie dentária e doença periodontal contribuem para a manutenção da crença que perda dentária esta relacionada ao envelhecimento. / The ageing of the Brazilian population as a whole is an incontestable fact, and although it has drawn the attention of researchers and professionals of health and social areas, very little has been done in response to this evidence. The aims of this study were to investigate the meaning of the ageing process and its repercussions in the body and, especially, in the mouth of the elderly; as well as how the effects of dental care during their lives affect the elderly's dental health. Mouth was understood in the expression of bucality, which is a concept that was developed by Botazzo (2000) and is related to oral features in the psychic and cultural dimensions. Therefore, this is about understanding the mouth through these dimensions while being corporal territory. This research has a qualitative approach of phenomenological basis, where the sample was intentionally decided. Five elderly people living in Araçatuba/SP/Brazil were selected. Recorded semi-structured interviews and report diary were used. To analyse the data collected, the technique of content analyses was chosen. The results showed that difficulty in chewing and loss of the ability of tasting food were mentioned as problems faced by the elderly. Teeth absence is closely related to aesthetics dissatisfaction and is a determinant fact to cause negative stimuli in the individuals' self-esteem with consequences in social relations. The lack of understanding about the diseases that happen in the mouth, as dental caries and periodontal disease, contribute for the maintenance of the false belief that tooth loss is related to ageing.

Folkhälsan har en positiv utveckling i Sverige, det innebär att fler lever ett längre liv. Statistik visar att det finns över två miljoner personer i Sverige som är 65 år eller äldre. Med stigande ålder ökar risken för sjukdom och funktionsnedsättning, det ger en ökad belastning på vård och omsorg, såväl inom landsting, primärvård och kommun. Idag är det kommunen som ansvarar för hemsjukvården. För att hemsjukvården ska vara patientsäker krävs att teamet runt den äldre patienten samverkar, att planering av vården sker efter bedömning och behov, samt att insatser följs upp och utvärderas. Det ställer krav på sjuksköterskans ledarskap att arbeta med äldre patienter med komplexa vårdbehov. Studier visar att sjuksköterskan känner en osäkerhet i sin roll som ledare trots att det finns få forskningsresultat som beskriver sjuksköterskans ledarskap i kommunens hemsjukvård. Syftet är att beskriva sjuksköterskans ledarskap i den kommunala hemsjukvården. Metoden är en litteraturstudie med kvalitativ ansats. Totalt har 13 kvalitativa och kvantitativa artiklar analyserats enligt en kvalitativ innehållsanalys. En huvudkategori formades; sjuksköterskans ansvar att leda komplex omvårdnad med fem underkategorier som presenteras under aktuell rubrik: Att ha kompetens som ledare; Att ha ansvar för omvårdnaden; Att ha förmåga att kommunicera; Att undervisa omvårdnadspersonal och Att handleda patienter och närstående. Mer forskning behövs om sjuksköterskans ledarskap i hemsjukvården för att säkerställa en god hemsjukvård i framtiden. / Public health has a positive development in Sweden, which means that more people live a longer life. Statistics show that at present there are over two million people in Sweden who are 65 years of age or older. With increasing age, the risk of disease and disability increases, it places an increased load on care, both in county councils, primary care and municipalities. Today, the municipality is responsible for the home care. In order for home care services to be patient-safe, the team around the elderly must work together and that care planning is carried out according to assessment and needs, and that measures are followed up and evaluated. It requires nursing leadership to work with the elderly with complex care needs. Studies show that the nurse feels uncertain in their role as leader despite the fact that there are few research findings describing the nurse's leadership in the municipality's home health care. The purpose is to describe the nurse's leadership in municipality's home care. The method is a literature study with qualitative approach. In total, thirteen qualitative and quantitative articles have been analyzed according to a qualitative content analysis. A main category was formed; nurse's responsibility to lead complex nursing with five sub-men, presented under the current heading: To have skills as a leader; To be responsible for nursing care; Being able to communicate; To teach nursing staff and to supervise patients and close relatives. More research is needed about the nurse's leadership in home care to ensure good home care in the future.

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No. of bitstreams: 1 DissMTae.pdf: 3212133 bytes, checksum: 559910207e16ae9f951170ad9acdf4ca (MD5) Previous issue date: 2015-07-03 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / The caregiver who has the responsibility to take care of their elderly family member can modify their routine, increasing their workload and being susceptible to the appearance of pain. Chronic pain can interfere with the cognitive process leading to memory deficits, reduced time response, concentration and attention. Thus, this study aimed to evaluate the association between chronic pain and cognition in elderly caregivers. It is a descriptive, exploratory, with a quantitative approach and crosssectional design research. The study was conducted in Sao Carlos, a town in the state of Sao Paulo, Brazil, with sixty-year-old people or older who provide care to another elderly in the house. The final sample included 320 elderly caregivers, divided into two groups: one group with chronic pain (n = 187) and a group with no pain (n = 133). The instruments used for data collection were: sociodemographic characterization, health and care, Multidimensional Scale Evaluation of Pain (EMADOR), Addenbrooke´s Cognitive Examination - Revised (ACE-R), Inventory for Evaluation of overload, Perceived Stress Scale and Geriatric Depression Scale. The median age of the population was 68 years old, with a predominance of females (76.2%) and family income of three Brazilian median salaries. Regarding education, 17.5% (n = 56) were illiterate, 63.5% (n = 203) had one to four years at school, 9.4% (n = 30) five to nine years and 9, 6 (n = 31) ten years or more years at school. It was observed that the group with pain showed better level of education, with lower literacy rates when compared to the group without pain. In the group with chronic pain, 36.1% of the participants provide care for over 10 years and 26.9% spends 5-9 hours a day taking care of the elderly. In the group without pain, it was observed a lower percentage of participants who perform care for over 10 years. Caregivers with chronic pain had higher scores on overload scales, stress and depressive symptoms, with significant statistical difference between the groups. Regarding cognitive assessment, the elderly with chronic pain outperformed the elderly with no pain in all areas of the instrument ACE-R (Attention and orientation, memory, language, fluency and visuospatial skills). Regarding pain, 58.4% of seniors reported feeling pain for more than six months. The parts with the highest prevalence were the lumbar region (58.8%) and lower limbs (58.8%). There was a prevalence of moderate intensity (39.0%) and severe pain (38.6%). The descriptors listed by caregivers to represent pain were uncomfortable (92.5%), painful (87.1%) and sustained (73.7%). This study helped to identify the sociodemographic profile, health, care and characteristics of chronic pain of elderly caregivers attended at Public Health Units. It was not observed the association between chronic pain and worse cognitive performance, and caregivers with pain had better scores on the ACE-R than elderly people with no pain, showing a contrary result to the initial hypothesis, recommending the use of more specific instruments for future studies. / O cuidador ao incumbir-se da responsabilidade de prestar os cuidados ao seu familiar idoso pode modificar a rotina de vida, aumentando a sobrecarga de trabalho e ficando susceptível ao surgimento de dores. A dor crônica pode interferir no processo cognitivo ocasionando déficit de memória, redução do tempo de resposta, concentração e atenção. Sendo assim, esta pesquisa teve por objetivo avaliar a associação entre a dor crônica e a cognição em idosos cuidadores. Trata-se de uma pesquisa descritiva, exploratória, com abordagem quantitativa e delineamento transversal. O estudo foi desenvolvido no munícipio de São Carlos, com pessoas de sessenta anos ou mais, que realizavam o cuidado a outro idoso no domicilio. A amostra final contemplou 320 idosos cuidadores, alocados em dois grupos: um grupo com dor crônica (n=187) e um grupo com ausência de dor (n=133). Os instrumentos utilizados para a coleta de dados foram: Caracterização sociodemográfica, de saúde e de cuidado, Escala Multidimensional de Avaliação da Dor (EMADOR), Exame Cognitivo de Addenbrooke – Revisado (ACE-R), Inventário para Avaliação da Sobrecarga, Escala de Estresse Percebido e Escala de depressão Geriátrica. A mediana da idade da população foi de 68 anos, com predomínio do sexo feminino (76,2%) e renda familiar de 3 salários mínimos. Em relação à escolaridade 17,5% (n=56) eram analfabetos, 63,5% (n=203) tinham de um a quatro anos de estudo, 9,4% (n=30) cinco a nove anos e 9,6 (n=31) dez anos ou mais anos de estudo. Observou-se que o grupo com dor apresentou melhor nível de escolaridade, com menores taxas de analfabetismo quando comparado ao grupo sem dor. No grupo com dor crônica, 36,1% dos participantes realiza o cuidado há mais de 10 anos e 26,9% despende de 5 a 9 horas diárias voltadas ao idoso. No grupo sem dor observa um menor percentual de participantes que realizam o cuidado há mais de 10 anos. Os cuidadores com dor crônica apresentaram maiores pontuações nas escalas de sobrecarga, estresse e sintomas depressivos, com diferença significativamente estatística entre os grupos. Com relação à avaliação cognitiva, os idosos com dor crônica tiveram melhor desempenho que os idosos com ausência de dor, em todos os domínios do instrumento ACE-R (Atenção e orientação, memória, linguagem, fluência e habilidades viso-espaciais). Com relação a dor, 58,4% dos idosos relataram sentir dor há mais de seis meses. As localizações com maior prevalência foram a região lombar (58,8%) e os membros inferiores (58,8%). Observou-se a prevalência da intensidade moderada (39,0%) e intensa (38,6%). Os principais descritores elencados pelos cuidadores para representar a dor foram: desconfortável (92,5%), dolorosa (87,1%) e persistente (73,7%). O presente estudo permitiu conhecer o perfil sóciodemográfico, de saúde, cuidado e as características da dor crônica de idosos cuidadores atendidos nas Unidades de Saúde da Família. Não observou-se a associação entre dor crônica e o pior desempenho cognitivo, sendo que os cuidadores com dor tiveram melhor pontuação no ACE-R que os idosos com ausência de dor, resultado contrario a hipótese inicial, recomendando a utilização de instrumentos mais específicos em estudos futuros.

Made available in DSpace on 2015-05-08T14:47:39Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 786059 bytes, checksum: 696cee169fe283038e2175729f8edae6 (MD5) Previous issue date: 2014-02-28 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Introduction: A change in the profile of aids has been happening, demonstrating a new characterization of the disease, where the elderly becomes part of vulnerable groups . This phenomenon may be associated with noncompliance of condom use, difficulty in early medical diagnosis, lack of access to information specific to this population; taboos about sexuality in this age group and the denial of the risk of infection. Evidence of gaps in knowledge of the elderly in relation to aids encourages the development of researches based in Socials Representations Theory, which seeks to identify the problem from the perspective of the individual as an important theoretical approach in the implementation and effectiveness of practices health. Objectives: To understand the social representations of vulnerability to HIV/Aids constructed by elderly people living with and without the disease and explore the differentiation of these representations between these different groups of elderly. Methodology: This is a descriptive exploratory study involving 26 patients of both sexes, were divided into two groups , between May and August 2013, in two institutions in João Pessoa. A semistructured interview was used to collect data. The database was processed by Iramutec software version 0.6 and sociodemographic data in SPSS 19.0. Results: There was a prevalence of elderly (73.1%), retired (92.3%) and Catholics (73.1%). Five classes emerged from the textual analysis. Despite knowledge about the disease, the elderly associated transmission of the virus to vulnerable group of young, poor, gays, not realizing vulnerable and their representations of aids are carried by negative images and prejudices. Final considerations: It is expected that these results can provide a basis for the implementation of specific actions for this population, since there is a significant increase in disease among the elderly and they do not see themselves vulnerable to HIV/Aids . / Introdução: Uma mudança no perfil da aids vem acontecendo, demonstrando uma nova caracterização da doença, onde o idoso passa a fazer parte dos grupos vulneráveis. Este fenômeno pode estar associado à não aderência da utilização do preservativo; dificuldade no diagnóstico médico precoce; falta de acesso a informações específicas para essa população; aos tabus sobre sexualidade nessa faixa etária e à negação do risco de infecção. A evidência de lacunas no conhecimento dos idosos em relação à aids estimula a realização de pesquisas baseadas na Teoria das Representações Sociais, que busca identificar a problemática a partir da ótica do próprio indivíduo, constituindo um aporte teórico importante utilizado na implantação e efetividade das práticas de saúde Objetivos: conhecer as representações sociais sobre a vulnerabilidade ao HIV/Aids construídas por idosos que vivem com e sem a doença e explorar a diferenciação dessas representações entre esses grupos distintos de idosos. Metodologia: trata-se de um estudo exploratório-descritivo, realizado com 26 idosos de ambos os sexos, divididos em dois grupos, entre maio e agosto de 2013, em duas instituições em João Pessoa. Uma entrevista semiestruturada foi utilizada para a coleta dos dados. O banco de dados foi processado pelo software Iramutec versão 0.6 e os dados sociodemográficos no SPSS 19.0. Resultados: houve uma prevalência de idosas (73,1%), aposentados (92,3%) e de religião católica (73,1%). Cinco classes emergiram da análise textual. Apesar do conhecimento sobre a doença, os idosos associam a transmissão do vírus aos grupos vulneráveis de jovens, pobres e gays, não se percebendo vulneráveis, e suas representações sobre a aids são carreadas por imagens negativas e preconceitos. Considerações Finais: espera-se que tais resultados possam fornecer subsídios para implantação de ações específicas para essa população, já que existe um aumento significativo da doença entre os idosos e eles não se veem vulneráveis ao HIV/Aids.

Orientador: Suzely Adas Saliba Moimaz / Banca: Íris do Céu Clara Costa / Banca: Maria Ercília de Araújo / Banca: Wilson Roberto Poi / Banca: Alício Rosalino Garcia / Resumo: O envelhecimento populacional do país constitui-se em fato consumado e, embora tenha cada vez mais despertado o interesse de pesquisadores e profissionais da área socail e da saúde, ainda muito pouco tem sido feito em resposta a essa evidência. Os objetivos deste estudo foram investigar o significado do processo de envelhecimento e suas repercussões no corpo e, em particular, na boca dos idosos; e como os efeitos da assistência odontológica durante a vida repercutem na saúde bucal do idoso. A boca foi compreendida na expressão da bucalidade, conceito desenvolvido por Botazzo (2000) relativo à propriedade do bucal nas dimensões psíquica e cultural. Trata-se, pois, de compreender a boca nestas dimensões enquanto território corporal. a pesquisa pe de abordagem qualitativa de fundamentação fenomenológica, sendo os sujeitos entrevistados escolhidos intencionalmente. Foram selecionados cinco idosos residentes em Araçatuba/SP/Brasil. Utilizou-se entrevista semi-estruturada e diário de campo para coletar os dados. Para procedermos à análise dos dados, escolhemos a técnica de análise de conteúdo categorial. Os resultados mostraram que a dificuldade na mastigação e a perda da capacidade de saborear os alimentos foram citadas como problemas enfrentados pelos idosos. A ausência de dentes está intimamente ligada à insatisfação estética e é determinante para desencadear estímulos negativos na auto-estima dos indivíduos com repercussão nas relações sociais. A falta de entendimento das doenças que ocorrem na boca, como a cárie dentária e doença periodontal contribuem para a manutenção da crença que perda dentária esta relacionada ao envelhecimento. / Abstract: The ageing of the Brazilian population as a whole is an incontestable fact, and although it has drawn the attention of researchers and professionals of health and social areas, very little has been done in response to this evidence. The aims of this study were to investigate the meaning of the ageing process and its repercussions in the body and, especially, in the mouth of the elderly; as well as how the effects of dental care during their lives affect the elderly's dental health. Mouth was understood in the expression of bucality, which is a concept that was developed by Botazzo (2000) and is related to oral features in the psychic and cultural dimensions. Therefore, this is about understanding the mouth through these dimensions while being corporal territory. This research has a qualitative approach of phenomenological basis, where the sample was intentionally decided. Five elderly people living in Araçatuba/SP/Brazil were selected. Recorded semi-structured interviews and report diary were used. To analyse the data collected, the technique of content analyses was chosen. The results showed that difficulty in chewing and loss of the ability of tasting food were mentioned as problems faced by the elderly. Teeth absence is closely related to aesthetics dissatisfaction and is a determinant fact to cause negative stimuli in the individuals' self-esteem with consequences in social relations. The lack of understanding about the diseases that happen in the mouth, as dental caries and periodontal disease, contribute for the maintenance of the false belief that tooth loss is related to ageing. / Doutor

Possibilities of prevention reflecting geriatric principles: Functional status and depressivity in old age Hana Vaňková, MD Abstract Background: Given the population ageing in Europe and in the Czech Republic, strategies aiming to prevent functional decline in older age are of great importance. Depression in old age increases functional decline and is also associated with increased morbidity, mortality and deterioration of quality of life (Anstey et al., 2007; Karakaya et al., 2009). Therefore, there is a need for a comprehensive intervention addressing both functional status and depressive symptoms. Methods: Using comprehensive geriatric assessment, the relationship between functional status and depressive symptoms was examined in 308 residents of long-term care facilities (RCFs) in the Czech Republic. Depressive symptoms were measured using the 15-item Geriatric Depression Scale. An additional randomized control trial (RCT) evaluated the effect of a dance-based therapy on depressive symptoms in 162 institutionalized older adults with average age over 80 years. Results: A multiple regression analyses adjusted for sociodemographic factors and for taking antidepressants found that cognitive function and functional limitation by pain were most strongly associated with depressive symptoms. The ability to...