Abstract
Abstract Objective: To evaluate the functional capacity, cognition and mood in three different care models for older adults. Method: A cross-sectional study conducted in 2014 with 140 older adults (37 institutionalized, 53 hospitalized and 50 outpatients). The MMSE, Clock Drawing Test (CDT), Activities of Daily Living Scale - ADLs (Katz, Lawton) and the Geriatric Depression Scale (GDS) were applied. Results: Of those institutionalized, the majority were totally dependent for ADLs and 100% presented cognitive decline. Of those hospitalized and the outpatients, the majority were independent for ADLs, with 62.3% and 48.0% presenting cognitive decline, respectively. The minority presented depressive symptoms. The results indicated that age was a predictor of cognitive decline and the likelihood of prevalence in hospitalized and outpatient older adults increased by 8.7% for each year of life. Conclusion: It is important to pay attention to the cognitive and functional performance of older adults with the aim of preventing their decline, which is so frequent in the public health services in Brazil.
Highlights
Population aging has been a reality for both developed and developing countries.[1]
The results indicated that age was a predictor of cognitive decline and the likelihood of prevalence in hospitalized and outpatient older adults increased by 8.7% for each year of life
The current literature indicates the multiple characteristics of older adults in institutional, hospital and outpatient settings, there is still a need to further explore knowledge, considering that these characteristics may vary according to the specificities of each context.the present study aimed to evaluate the functional capacity, cognition and mood of the older adults of three different older adult care models in São Carlos - SP, favoring the implementation and improvement of the planning of integrated health actions for these people
Summary
Population aging has been a reality for both developed and developing countries.[1]. The Brazilian age group pyramid has, for many years, evidenced the ascendancy of children and young people, showing a broad base and narrow top. It shows characteristics of balance between the age groups, with a tendency for the enlargement of the top. With the demographic transition, there is a change in the epidemiological landscape.[3] In this sense, it is important to highlight the high prevalence of chronic noncommunicable diseases, cognitive losses, sensorial decline and social isolation These factors may cause deterioration in the functional capacity of older adults, making them dependent on other people for their daily care.[4]
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