Lack of anticipated support for care for community-dwelling older adults

Objective: to identify the factors associated with lack of anticipated support for care for community-dwelling older adults. Method: this study presents comparison and logistic regression analyses of data from 671 individuals who took part of the multicentric study entitled "Frailty in older Brazilians" - a quantitative, epidemiologic and transversal investigation carried out between 2008 and 2009. Results: the subjective evaluation of anticipated support for care for community-dwelling older adults was a good indicator of risk for lack of anticipated support for care in women, older adults who live alone and those with poor self-rated health. Conclusion: it is necessary to reflect upon the formal support system currently available for older people in Brazil, considering that those who most frequently presented lack of anticipated support for care are an increasing population. The study also highlights the importance of using subjective methods for the evaluation of the adequacy of older adults' support network

Variáveis relacionadas à expectativa de suporte para o cuidado de idosos residentes na comunidade

OBJETIVO: comparar la expectativa de soporte para el cuidado, el arreglo en la residencia y variables relacionadas a la salud en función del género y edad en ancianos de la comunidad. MÉTODO: fueron utilizados datos de la Red de Investigación de "Fragilidad en Ancianos Brasileños" (Red FIBRA), muestra de Campinas (n=671) y realizados los análisis de descripción y comparación de los datos. RESULTADO: las mujeres se encuentran en condiciones sociodemográficas, de percepción de salud, de dependencia y de expectativa de soporte para el cuidado malas cuando comparadas a los hombres, y aquellas que tienen expectativa, esperan recibir ayuda de apenas una persona. La edad avanzada estuvo relacionada a menores porcentajes de incapacidad y la mayor parte de los ancianos evalúa su salud como buena o muy buena, independientemente de la edad, pero en las mujeres predomina el grupo de los que evalúan la propia salud como mala o muy mala. CONCLUSÍON: el presente estudio orienta al enfermero en la identificación de los ancianos en situación de riesgo por la falta de expectativa de soporte para el cuidado e indica la necesidad de realizar intervenciones que tengan por objetivo dar soporte a ese grupo.OBJETIVO: comparar a expectativa de suporte para o cuidado, arranjo de moradia e variáveis relacionadas à saúde em função do gênero e idade em idosos da comunidade. MÉTODO: foram utilizados dados da Rede de Pesquisa de "Fragilidade em Idosos Brasileiros" amostra de Campinas, SP (n=671), e realizadas análises de descrição e comparação dos dados. RESULTADO: as mulheres encontram-se em condições sociodemográficas, de percepção de saúde, dependência e expectativa de suporte para o cuidado ruins, quando comparadas aos homens, e aquelas que têm expectativa esperam receber ajuda de apenas uma pessoa. A idade avançada esteve relacionada a menores percentuais de incapacidade e a maior parte dos idosos avalia sua saúde como boa ou muito boa, independente da idade, enquanto no grupo de mulheres, como informado anteriormente, ocorre a predominância dos que avaliam a própria saúde como ruim ou muito ruim. CONCLUSÃO: o presente estudo direciona o enfermeiro na identificação dos idosos em situação de risco para a falta de expectativa de suporte para o cuidado e indica a necessidade de intervenções que visem dar suporte a esse grupo.OBJECTIVE: to compare the anticipated support for care, living arrangements and variables related to health as functions of gender and age in older adults in the community. METHOD: data was used from the Research network "Frailty in Brazilian Older Adults" (FIBRA network), sample for Campinas (n=671) analyses of data description and comparison were made. RESULT: compared to the men, the women are in worse socio-demographic conditions and have poorer perception of their health and dependency and lower expectations of support for care; those who have expectations anticipate receiving help from only one person. Advanced age was related to lower incapacity percentages and the majority of the older adults assess their health as good or very good, irrespective of their age, although the women predominate in the group composed of those who assess their own health as bad or very bad. CONCLUSION: this study guides the nurse in identifying older adults in situations of risk of lack of support for care and indicates the need for interventions aiming at giving support to this group

QUALITY OF LIFE AND COGNITION IN PATIENTS WITH PARKINSON\u27S DISEASE DURING THE COVID-19 PANDEMIC

Introduction: Restrictive isolation contributes to the containment of the virus, but it also has negative consequences for mental health. This study aimed to assess the quality of life, during the pandemic, in patients with Parkinson\u27s disease (PD), compare it with measures before the pandemic, and identify factors that may be associated with non-compliance with cognitive intervention activities. Methods: The PDQ-39 questionnaire was reapplied in a sample of PD patients previously followed up in rehabilitation program. In addition, a questionnaire to assess the follow-up of cognitive training activities was elaborated. Results: Twenty-two individuals with mean age of 62.72(7.49) years and a mean duration of the disease of 8.7(3.30) years participated in this study. There was a statistically significant difference in the total score of the PDQ-39(p=0.048), as well as in the mobility (p=0.038), stigma (p=0.035), social support(p=0.045), and cognition(p=0.026) dimensions. When analyzing the questionnaire, it was observed that most of the sample was able to follow the guidelines received during the cognitive training group (77.3%), mainly reading activities (41%), games (35%), and applications (35%). However, 77.3% reported worsening cognition, with attention (50%) and memory (34%) being highlighted, as well as sadness, discouragement, and indisposition (72%), anxiety (77.27%), and difficulty falling asleep (68%). A total of 86.36% perceived the need for professional support in mental health. Conclusion: This study showed the impact of the pandemic on individuals with PD, leading to a worse perception of quality of life and subjective complaints related to sleep disturbance, cognitive impairment, and neuropsychiatric symptoms (depression and anxiety)

Effects of Acute Recombinant Human TSH on Serum Ghrelin Levels

Recent findings showed the presence of a reciprocal relationship between thyroid hormones and ghrelin, although the exact mechanism is not known. Design: Our study is addressed to evaluate the effect of acute exogenous rhTSH administration on serum ghrelin levels in athyreotic patients on replacement l-thyroxine therapy. The study group included 50 patients (16 males and 34 females) submitted to total thyroidectomy and 131-iodine remnant ablation for differentiated thyroid cancer on l-thyroxine therapy. Mean age was 47.5 ± 16.5 years and mean BMI was 25.6 ± 5.01 kg/m2. rhTSH was administrated at the dosage of 0.9 mg i.m. once daily for two consecutive days. Blood samples were taken between 08.00 and 09.00 after a overnight fasting for measurement of TSH, FT3, FT4, and ghrelin before the first administration of rhTSH and for measurement of TSH and ghrelin 24, 48, 72, and 96 h after the first administration of rhTSH. Results: Mean ± SD values of basal TSH were 0.54 ± 0.77 μU/ml without significant difference between females and males. As expected, after rhTSH administration TSH concentrations increased at 24 and 48 h with peak TSH values ranging from 20.20 to 313 μU/ml (mean ± SD 98.4 ± 66.7 μU/ml). Mean ± SD values of basal ghrelin were 1085 ± 373 pg/ml without significant difference between males and females. After rhTSH administration ghrelin concentrations decreased significantly (p < 0.01) at 24 h (mean ± SD 934 ± 314 pg/ml p < 0.01) and returned to pre-treatment levels at 96 h. Conclusion: Our study demonstrates that acute exogenous TSH administration has a suppressive effect on ghrelin secretion independent from changes in thyroid status

J.D. Thompson’s Organizations in Action 50th anniversary: a reflection

At the 50th anniversary of James D. Thompson’s fundamental book, Organizations in Action, TAO Digital Library proposes a reflection on this great master’s legacy and the evolution of organizational studies. Twelve researchers, from different disciplinary fields, analyze both the texts utilized for teaching and the contribution of several important journals, particularly in recent decades. The outcome is an overall picture that may stimulate different, divergent evaluations and, even more importantly, desirable, deeper reflections

Associação entre transtornos do sono e níveis de fragilidade entre idosos

To analyze the association between nap frequency with frailty status, gender, age, education, family income and the five criteria of frailty. Methods: This is a cross-sectional study assessing 3,075 elderly who met the inclusion criteria. The sociodemographic characterization, cognitive status measures, frailty and nap status were performed. Data were analyzed using descriptive statistics and non-parametric tests for statistical inference. Results: Most elderly napped during the day (61.7%), with an average frequency of 5.9 days per week (SD=1.9). A significant association was found between nap frequency and the frailty dimension of "energy expenditure in physical activity". Conclusion: No significant association was found between nap frequency and selected sociodemographic variables and frailty status among the elderly, except for the criterion of frailty "energy expenditure in physical activity"272120125COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL DE NÍVEL SUPERIOR - CAPESSem informaçãoAnalisar a associação entre a frequência de cochilo com os níveis de fragilidade, gênero, idade, escolaridade, renda familiar e os cinco critérios de fragilidade. Métodos: Trata-se de um estudo transversal com avaliação de 3.075 idosos que atenderam aos critérios de inclusão. Foi realizada a caracterização sociodemográfica, as medidas de status cognitivo, de fragilidade e de cochilo. Os dados foram analisados por estatística descritiva, bem como testes não paramétricos para a estatística inferencial. Resultados: A maioria dos idosos cochilava durante o dia (61,7%), com uma frequência média de 5,9 dias por semana (DP=1,9). Associação significativa foi verificada entre a frequência de cochilo e o critério de fragilidade "gasto calórico em atividade física". Conclusão: Nenhuma associação significativa foi verificada entre a frequência de cochilo e as variáveis sociodemográficas selecionadas e os níveis de fragilidade entre idosos, com exceção para o critério de fragilidade "gasto calórico em atividade física