Abstract
Abstract Objective: to identify scientific evidence regarding the care of frail older adults in the community, from the perspective of the older adults themselves. Method: a descriptive, integrative review study was performed. The search for articles was carried out in the Medline, Lilacs, Web of Science, Scopus and SciELO databases. The inclusion criteria were complete available articles; published between 2014 and 2019; written in Portuguese, English, Spanish or French; which had older adults as participants. Results: four categories of analysis emerged from the results: frailty from the perspective of frail older adults; priorities from the perspective of the older adults; the older adults’ perspectives on care by services; and interpersonal relationships in the care of frail older adults. The perception of the older adults has specific characteristics, has maintaining their independence as a focus of care, signals the need to maintain interpersonal relationships, improve communication, and for actions of health education and people-centered services. Conclusion: these points demand the attention of care providers and policy services to improve care delivery and provide actions that are welcomed by this public.
Highlights
The worldwide demographic phenomenon of population aging is a complex and heterogeneous process that, at an individual level, involves the interaction of multiple aspects[1], including the possibility of aging with or without frailty[2,3,4]
Care is a human condition that depends on the point of view of the individual receiving it[8,9] care models centered on acute treatment are inadequate for the frail older population, as they usually disregard the specific configurations of this phenomenon in the community, its support systems and the individual involved[3]
The terms were matched with the use of the Boolean operator “and”: frail elderly, standard of care, culturally competent care, care; elderly, care, frailty; older adults, care, frailty; frail older people, care; frailty, old, care
Summary
The worldwide demographic phenomenon of population aging is a complex and heterogeneous process that, at an individual level, involves the interaction of multiple aspects[1], including the possibility of aging with or without frailty[2,3,4]. Frail older adults make up the majority of those in need of formal, informal and health service care2.7. This syndrome is a public health concern, as it requires integrated care[2], and can be prevented and recoverable through appropriate interventions[5]. Care is a human condition that depends on the point of view of the individual receiving it[8,9] care models centered on acute treatment are inadequate for the frail older population, as they usually disregard the specific configurations of this phenomenon in the community, its support systems and the individual involved[3]
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