04/Mar/2022
Hyoid displacement patterns in healthy swallowing
DOI: 10.31744/einstein_journal/2022AO6268
ABSTRACT Objective To describe the patterns of displacement of the hyoid bone in healthy individuals, considering their displacements during swallowing of different consistencies. Methods Two hundred one swallowing videofluoroscopy exams of 67 adult and elderly individuals without swallowing disorders were analyzed. Descriptive analysis was performed to identify and describe the patterns of displacement of the hyoid bone. Results Seven types of displacement of the hyoid bone were found: H1 (horizontal), H2 (short vertical and long horizontal), H3 (vertical and diagonal […]
Keywords: Aged; Deglutition/physiology; Hyoid bone/anatomy & histology; Hyoid bone/physiology; Videofluoroscopy
04/Mar/2022
Identification of Seniors at Risk: transcultural adaptation for Brazilian Portuguese
DOI: 10.31744/einstein_journal/2022AO5705
ABSTRACT Objective To perform cross-cultural adaptation of the Identification of Seniors at Risk tool. Methods This methodological study was based on the guidelines process proposed by Beaton, attending the stages of translation, back-translation, judgment by judges and content validation of the Identification of Seniors at Risk tool. The goal of this tool is to allow the identification of the elderly at risk for hospitalization, composed of six dichotomous questions (yes or no) related to functional decline, comorbidities, previous hospitalization (last […]
Keywords: Aged; Continuity of patient care; Hospitalization; Integrality in health; Risk management
13/Sep/2021
The use of an electronic medication organizer device with alarm to improve medication adherence of older adults with hypertension
einstein (São Paulo). 13/Sep/2021;19:eAO6011.
View Article13/Sep/2021
The use of an electronic medication organizer device with alarm to improve medication adherence of older adults with hypertension
DOI: 10.31744/einstein_journal/2021AO6011
ABSTRACT Objective: To examine whether the use of a monthly electronic medication organizer device equipped with an alarm clock, called Electronic System for Personal and Controlled Use of Medications (Supermed), improves medication adherence of older adults with hypertension. Methods: This is a quali-quantitative, prospective, before-and-after study performed with 32 older adult patients with diagnosis of hypertension, who were recruited at a Primary Care Unit in Brazil. Results: The main outcome measures were improvement of medication adherence and blood pressure control […]
Keywords: Aged; Drug utilization; Equipment and supplies; Patient safety; Reminder systems
26/Nov/2020
Association between health literacy and glycemic control in elderly patients with type 2 diabetes and modifying effect of social support
einstein (São Paulo). 26/Nov/2020;18:eAO5572.
View Article26/Nov/2020
Association between health literacy and glycemic control in elderly patients with type 2 diabetes and modifying effect of social support
DOI: 10.31744/einstein_journal/2020AO5572
ABSTRACT Objective: To investigate the association between inadequate functional health literacy, considering the Short Assessment of Health Literacy for Portuguese-speaking Adults, and glycemic control in elderly patients with type 2 diabetes, and to examine this association in low social support settings, according to Medical Outcomes Study . Methods: Cross-sectional study conducted at the diabetes referral center of a university hospital. Participants were recruited among type 2 diabetes patients aged 60 years or older, between May 2013 and November 2014. The […]
Keywords: Aged; Blood glucose; Diabetes mellitus, type 2; Health literacy; Health of the elderly
19/Nov/2020
Effects of treadmill training on gait of elders with Parkinson’s disease: a literature review
DOI: 10.31744/einstein_journal/2020RW5233
ABSTRACT Parkinson’s disease is the second most common neurodegenerative disorder in old age. Aging process for elders with Parkinson’s disease can induce gait disturbances with more functional disabilities than for elders without the disease. Treadmill training as a therapy has resulted in notable effects on the gait of patients with Parkinson’s disease and may be a resource for geriatric neurological rehabilitation. This review aimed to study the effects on gait after treadmill training in elderly patients with Parkinson’s disease. The […]
Keywords: Aged; Gait; Parkinson disease/rehabilitation
30/Oct/2020
Relationships between nursing diagnoses and the level of dependence in activities of daily living of elderly residents
DOI: 10.31744/einstein_journal/2020AO5445
ABSTRACT Objective: To identify and validate nursing diagnoses of elderly residents, and determine their relationship with the level of dependence in activities of daily living. Methods: One hundred thirty-five older adults were assessed using medical history and physical examination. Twelve validated gerontological instruments were administered to assess delirium, nutritional status, risk for falls, risk for pressure injury, dementia, cognitive losses, depression, and level of dependence in daily living and instrumental activities of daily living. Nursing diagnoses were identified and validated […]
Keywords: Aged; Geriatric nursing; Homes for the aged; Nursing diagnosis; Nursing processes
21/Oct/2020
Discriminative power of an adapted version of Nutritional Risk Screening 2002 applied to Brazilian older adults
einstein (São Paulo). 21/Oct/2020;18:eAO5309.
View Article21/Oct/2020
Discriminative power of an adapted version of Nutritional Risk Screening 2002 applied to Brazilian older adults
DOI: 10.31744/einstein_journal/2020AO5309
ABSTRACT Objective: To investigate the discriminative power of Nutritional Risk Screening 2002. Methods: A cross sectional study involving one hundred participants aged ≥60 years. The original and adapted versions of Nutritional Risk Screening 2002 and the Mini Nutritional Assessment were used. Nutritional Risk Screening 2002 adaptation consisted of a lower age cutoff (60 years or older) for addition of one extra point to the final score. Results: Screening using Nutritional Risk Screening 2002 revealed higher nutritional risk among patients aged […]
Keywords: Aged; Malnutrition; Nutrition therapy; Nutritional assessment; Nutritional status
06/Aug/2020
Use of drugs for gastrointestinal disorders: evidence from National Survey on Access, Use and Promotion of Rational Use of Medicines
einstein (São Paulo). 06/Aug/2020;18:eAO5314.
View Article06/Aug/2020
Use of drugs for gastrointestinal disorders: evidence from National Survey on Access, Use and Promotion of Rational Use of Medicines
DOI: 10.31744/einstein_journal/2020AO5314
ABSTRACT Objective To estimate the prevalence of use of drugs to treat gastrointestinal disorders, according to demographic, socioeconomic, and health characteristics of the Brazilian population. Methods This is a population-based survey that interviewed individuals residing in cities of the five regions in Brazil. The study sample was composed of 32,348 individuals aged 20 or more years. The profile of use of drugs for gastrointestinal disorders was evaluated considering the variables sex, age, healthcare plan, region, and number of chronic diseases. […]
Keywords: Aged; Drug utilization; Gastrointestinal tract; Health policy; Health Surveys; Patient Medication Knowledge; Pharmaceutical services; Pharmacoepidemiology; Polypharmacy; Proton pump inhibitors
30/Mar/2020
Health profile of older adults assisted by the Elderly Caregiver Program of Health Care Network of the City of São Paulo
einstein (São Paulo). 30/Mar/2020;18:eAO5263.
View Article30/Mar/2020
Health profile of older adults assisted by the Elderly Caregiver Program of Health Care Network of the City of São Paulo
DOI: 10.31744/einstein_journal/2020AO5263
ABSTRACT Objective To assess the health profile of community-dwelling older adults, according to sex, assisted by the Elderly Caregiver Program of the City of São Paulo. Methods Secondary data of 535 older adults, assisted by ten Elderly Caregiver Program teams from the southern region of São Paulo, were collected from medical records and the Multidimensional Evaluation of Older People in Primary Care, after verifying the inclusion and exclusion criteria for the study and obtaining subjects’ consent. Results Older adults assisted […]
Keywords: Aged; Health profile; Health services for the aged; Healthcare models; Home care services; Home health aides
20/Dec/2019
Physicians’ behavior regarding non-acceptance of oral restriction (nil per os) by dysphagic patient with risk of laryngotracheal aspiration
DOI: 10.31744/einstein_journal/2020AO4952
ABSTRACT Objective: To define physician´s behavior in the face of a mentally capable elderly dysphagic patients at risk of pulmonary aspiration, who do not accept oral restriction. Methods: Observational, cross-sectional study, presenting a clinical case of an independent elderly with clinical complaints of dysphagia and laryngotracheal aspiration by flexible endoscopic evaluation of swallowing who rejected the proposal to restrict oral diet. A questionnaire about the patient’s decision-making process was used to assess whether the physician was sympathetic and justify their […]
Keywords: Aged; Bioethics; Deglutition disorders; Dysphagia; Personal autonomy