Abstract
Functional evaluation is one of the pillars of elderly home care for planning of interventions targeting the autonomy of this population. To verify Functional Independence Measure (FIM) in senior patients on a home care program. Retrospective quantitative study with elderly patients assisted by a home care service in the city of Curitiba, from August 2012 to December 2016. The following information was collected: gender, age, clinical diagnosis, and mean FIM scores at admission and discharge. Inclusion and exclusion criteria were met, descriptive statistics was used and, for association of variables, Wilcoxon’s and Spearman’s tests were applied. 1,614 patients were included, with predominance of women (n = 953; 59.53%), mean age of 78.7 ± 9.2 years, clinical diagnoses of diseases mostly affecting the central nervous system (CNS), the respiratory system, the joint and musculoskeletal system, and the circulatory system. The initial mean FIM was 50.56 points, while the final one was 55.36 points, with significant difference – Z = -5.09, p = 0.0001. Most seniors presented maximum to moderate dependence; however, a significant improvement in FIM after the health care provided in their homes was observed in patients with minimum dependence or modified independence.
Highlights
Data from the 2015 National Household Sample Survey revealed a figure of 29,374,000 senior individuals, which accounts for 14.3% of the overall population and is a greater proportion than that observed in 2010, when the rate was at 11.7%, and this process often unfolds without proper assistance for a healthy aging (Gratão et al, 2013; Macêdo, Cerchiari, Alvarenga, Faccenda, & Oliveira, 2012; Instituto Brasileiro de Geografia e Estatística [IBGE], 2015; United Nations, 2015)
Despite Public Policies developed in an attempt to ensure comprehensive elderly care, such as The Elderly Statute (Brasil, 2016) and, later, the National Policy for Elderly Health Care [Política Nacional de Saúde da Pessoa Idosa] (PNSPI), the literature has few reports aiming to quantify factors that hinder an active and healthy aging process and that evaluates the elderly’s functional impairment
There was a prevalence of diseases associated with the nervous system (45.47%), and this group included Cerebrovascular Accident (CVA), dementia, Parkinson’s disease and demyelinating diseases
Summary
Data from the 2015 National Household Sample Survey revealed a figure of 29,374,000 senior individuals, which accounts for 14.3% of the overall population and is a greater proportion than that observed in 2010, when the rate was at 11.7%, and this process often unfolds without proper assistance for a healthy aging (Gratão et al, 2013; Macêdo, Cerchiari, Alvarenga, Faccenda, & Oliveira, 2012; Instituto Brasileiro de Geografia e Estatística [IBGE], 2015; United Nations, 2015). Despite Public Policies developed in an attempt to ensure comprehensive elderly care, such as The Elderly Statute (Brasil, 2016) and, later, the National Policy for Elderly Health Care [Política Nacional de Saúde da Pessoa Idosa] (PNSPI), the literature has few reports aiming to quantify factors that hinder an active and healthy aging process and that evaluates the elderly’s functional impairment. Several instruments can be used in gerontologic practice, such as Functional Independence Measure (FIM), for instance, which comprehends motor, cognitive and social domains that are relevant in overall functionality evaluation (Riberto, Miyazaki, Filho, Sakamoto, & Batisttella, 2001; Barbetta & Assis, 2008; Hajek & König, 2016)
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