Abstract

Analisar a expressão e interpretação/compreensão verbal e seus mecanismos subjacentes (audição, equilíbrio corporal, voz e motricidade orofacial) de duas idosas com quadro clínico de demência - uma vivendo em ambiente familiar e outra em uma Instituição de Longa Permanência para Idosos. São apresentados os casos de duas idosas: uma mulher de 85 anos, com diagnóstico de Demência de Alzheimer, que reside com o marido e uma de suas filhas; e uma mulher de 90 anos, com diagnóstico de Demência Vascular, que reside em uma Instituição de Longa Permanência para Idosos. Realizou-se uma avaliação fonoaudiológica integrada, considerando a linguagem em seus múltiplos aspectos (audição, equilíbrio corporal, voz e motricidade orofacial), na qual foram observadas manifestações linguísticas que retratam menor produção verbal por parte da idosa institucionalizada. Os resultados obtidos por meio das avaliações de audição (acuidade e processamento), equilíbrio corporal, voz e motricidade orofacial revelaram características esperadas no processo de envelhecimento saudável. As condições orgânico-fisiológicas das idosas foram compatíveis com o processo natural de envelhecimento, enquanto que as linguístico-cognitivas se apresentaram mais comprometidas. O funcionamento da linguagem apresentou características similares - esperadas para o envelhecimento em processo demencial - em ambas as idosas, porém, a idosa institucionalizada apresentou manifestações linguístico-cognitivas mais comprometidas. Este estudo evidencia a conveniência da atuação fonoaudiológica no envelhecimento, sobretudo, com demência, tanto no contexto familiar quanto institucional.

Highlights

  • The second most common type of dementia is the Vascular Dementia[3] (VD), which is characterized by several secondary dementia syndromes to vascular compromises of the Central Nervous System (CNS), including pictures caused by brain damage, unique lesions in strategic places; incomplete states, chronic changes of cerebral circulation, extensive white matter lesions, amyloid angiopathy, and boards resulting from hemorrhagic Cerebral Vascular Accident, mainly aneurisms break of the frontal lobes[4]

  • Researcher: Do you participate in activities that have here at the shelter? IC: No Researcher: Neither of the groups? IC: No Researcher: Why don’t you participate? Don’t you like? IC: Researcher: Don’t you like to participate in activities with others housed? IC: No, but they do not invite me

  • To ensure the identity of the subject, the first name was replaced by another, which has similar characteristics, considering that both names have two possible pronunciations: the first, equal the spelling, from another language; and the second, brought to Portuguese language, transforming it into a more known name in this language

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Summary

Introduction

The dementia mainly affects the elderly and it is the leading cause of dependency and incapability in old age.The Alzheimer Dementia (AD) is the most common of the dementias and it is characterized by the degenerative process that affects the hippocampal formation, with a later compromise of cortical associative areas, and is related to diffuse neuronal injury and death, with pathological findings (1) Universidade Federal de Santa Maria, UFSM, Santa Maria, RS, Brasil.(2) Curso de Fonoaudiologia e Programa de Pós-Graduação em Distúrbios da Comunicação Humana na Universidade Federal de Santa Maria, UFSM, Santa Maria, RS, Brasil.Source of support: CAPES Conflict of interest: non-existent characterized by amyloid plaques and neurofibrillary tangles[1], having cortical atrophy and ventricular dilatation, conferred to the neural[2] loss.The second most common type of dementia is the Vascular Dementia[3] (VD), which is characterized by several secondary dementia syndromes to vascular compromises of the Central Nervous System (CNS), including pictures caused by brain damage, unique lesions in strategic places (injuries in thalamus, caudate nucleus, angular gyri and hippocampus); incomplete states, chronic changes of cerebral circulation (multiples infarcts), extensive white matter lesions (subcortical), amyloid angiopathy, and boards resulting from hemorrhagic Cerebral Vascular Accident, mainly aneurisms break of the frontal lobes[4].The design adopted in this study, the family is considered a living system, in constantRev. The Alzheimer Dementia (AD) is the most common of the dementias and it is characterized by the degenerative process that affects the hippocampal formation, with a later compromise of cortical associative areas, and is related to diffuse neuronal injury and death, with pathological findings (1) Universidade Federal de Santa Maria, UFSM, Santa Maria, RS, Brasil. The second most common type of dementia is the Vascular Dementia[3] (VD), which is characterized by several secondary dementia syndromes to vascular compromises of the Central Nervous System (CNS), including pictures caused by brain damage, unique lesions in strategic places (injuries in thalamus, caudate nucleus, angular gyri and hippocampus); incomplete states, chronic changes of cerebral circulation (multiples infarcts), extensive white matter lesions (subcortical), amyloid angiopathy, and boards resulting from hemorrhagic Cerebral Vascular Accident, mainly aneurisms break of the frontal lobes[4].

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