Abstract
Introduction: With the aging of the population, the demand for Homes for the Aged (HFAs) grows. Objective: To analyze resources and population of HFAs and to check the fulfillment of the criteria from the national regulations. Methods: Descriptive quantitative study including 11 philanthropic HFAs in the state of Rio Grande do Sul, Brazil. Data was collected through a questionnaire applied to the responsible for the facility. Results: The study comprised 318 workers and 522 elders. HFAs presented: some accommodations without private bathrooms (100%); external area and administrative office (72.7%); cafeteria and support room (54.5%); ecumenical room (36.4%); rooms with more than four beds (45.5%). The prevailing reasons for admission were brought by family member (69.2%); social vulnerability (36.4%). Death was the main reason for leaving the facility. The average age of elders was 76.8 years, 58.4% were women. The dependence grade was I for 31.1%; II for 33.9%; and III for 35%. Leisure and cultural activities occurred in 72.7% of HFAs. In 27.3% there were records of visits. Only 9.1% had cooperation from families. Available human resources were nurses (72.7%); physicians and nursing assistants (63.3%); physical therapists (45.5%); psychologists (36.4%); caregivers (27.3%); occupational therapists (9.1%). In 63.3% of facilities, workers carried out mixed activities. The costs were covered by retirement pensions, partnerships, and donations. The main obstacles were financial resources or dependence on donations and rigorous health surveillance or compliance with standards. Conclusion: The HFAs partially fulfill the national criteria, impairing the quality of care provided to elders.
Highlights
With the aging of the population, the demand for Homes for the Aged (HFAs) grows
Home for the Aged (HFA) presented: some accommodations without private bathrooms (100%); external area and administrative office (72.7%); cafeteria and support room (54.5%); ecumenical room (36.4%); rooms with more than four beds (45.5%)
This study aimed to know the philanthropic HFAs of the 4th health region in the state of Rio Grande do Sul, Brazil, their human resources and the population served, and to verify the fulfillment of the criteria established by RDC 283/2005
Summary
With the aging of the population, the demand for Homes for the Aged (HFAs) grows. Objective: To analyze resources and population of HFAs and to check the fulfillment of the criteria from the national regulations. The high rates of population aging are explained by demographic changes in Brazil and in the world, mainly the fall in birth rates, mortality, fertility, and the reduction of infectious and parasitic diseases[4]. From these transformations, there is a new epidemiological profile of the population, which started to live longer, with a considerable number of people aged 60 years or more[3]. In response to the increase in life expectancy and the reduction in the availability of family resources for the care of the elderly, the demand for Homes for the Aged (HFAs)[1] increased. HFAs operate practically with maximum capacity and, according to the forecast, in the ten years, an increase of between 100% and
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