Browsing by Author "Sousa, Joana"
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- Active aging awareness and well-being among older adults in PortugalPublication . Costa, Andreia; Henriques, Joana; Alarcão, Violeta; Henriques, Adriana; Madeira, Teresa; Virgolino, Ana; Sousa, Joana; Feteira-Santos, Rodrigo; Arriaga, Miguel; Rocha, Jorge; Nogueira, PauloObjective: This study aims to assess the active aging awareness of older adults in mainland Portugal and their levels of overall well-being and to identify social and health-related factors. Methods: A cross-sectional study was conducted with a representative sample of 613 older adults, aged 65 or older, who participated in the PROKnos – Knowing Social Prescribing needs of the elderly study in Portugal. The questionnaire consisted of the Active Ageing Awareness Questionnaire and the World Health Organization – Five Well-Being Index, as well as sociodemographic, economic, and health status questions. Correlation coefficients, t-tests for independent samples, and one-way ANOVA were used to explore potential associations between variables. Results: The active aging awareness levels were significantly higher for women (p = 0.031), and those who were younger (p = 0.011), more educated (p < 0.001), had a better financial situation (p < 0.001), and had better health (p < 0.001). The same pattern was found for well-being, except in relation to gender, as men had higher levels (p = 0.016). These variables were found to be correlated. Discussion: Even though active aging is an important strategy to implement, it is indispensable to consider the perceptions and conditions that need to be in place before that. This study reveals that several social and health-related factors are associated with well-being and active aging awareness, as well as the differences between groups that exist in mainland Portugal in relation to that. This emphasizes how vital it is to address social inequalities in active aging efforts, which are not necessarily uncovered when only considering actual active aging measures.
- Delirium in the hospitalized patient: a Portuguese contextPublication . Silva, Rosa; Sousa, Joana; Neves, HugoIntroduction.– ‘‘Delirium’’, also known as Acute Confusion (AC), is associated to significant incidence rates and weak outcomes, with great impact in the patient. It is a complex syndrome frequently subdiagnosed by the interdisciplinary team. Due to such problems our purpose in this work is to: translate and validate to Portuguese a scale capable of diagnosing the syndrome; identify the frequency of patients and their characteristics in a university hospital; perform a patient’s follow-up one month after the evaluation of the ‘‘delirium’’ episode.
- Delirium in the hospitalized patient: a Portuguese contextPublication . Neves, Hugo; Sousa, Joana; Silva, Rosa
- Dependency in selfcare in the institutionalized elder: A descriptive studyPublication . Sousa, Joana; Silva, Rosa; Ferreira, Bruno; Neves, BrunoIntroduction.– Autonomy in the performance of daily living activities (DLA) are of extreme importance to the elder’s life. On pair with aging, the institutionalized elder, suffers a transition process from the changes of context from home to institution. This fact increases the elder’s dependency on self-care. By so, it is important to study the dependency degree in self-care in institutionalized elders, in order to rethink interventions to answer context changes and improve transition. Objective.– Identify the dependency degree in the institutionalized elder; explore the use of support products (SP) in self care and existance of structural barriers. Methods.– An exploratory-descriptive study, with a nonprobabilistic convinience sample was developed in two nursing homes. Instrument used was Hernâni’s Form (2009). Results.– In a total of 84 elders, averaging 87 years, with a minimum of 68 and maximum of 102 years, 45% widows, 17% analphabets, being the majority women (84%), 39% refered dependency of others as the motive for institutionalization. Bath self-care dependency was the highest self-care with dependency of the evaluated, with 79%presentedsomedegree of dependency. Eating self-careshowed the least degree of dependency (43%). Structural barriers found were steps with ramp, the SPs found were almost inexistence, being lateral support bars the most common. Conclusions.– The dependency degree of some self-cares lack interventions that target autonomy. As so, we consider that nurses should evaluate the elder’s potential for learning of new skills in order to reconstruct the process of autonomy, decreasing levels of dependency and increasing quality life.
- Elder's solitude assessment in a nursing home in PortugalPublication . Sousa, Joana; Silva, Rosa; Ferreira, Bruno; Neves, BrunoIntroduction.– With aging and loss of relatives, institutionalization is many times a resort to the elder. However, with families migrating to other countries to find work, associated to the increase in work time, decreases the number of visits to our institutionalized relative. With this solitude presents as a condition in the life of the elder. Although this fact is well known, the knowledge of the prevalence of this condition in nursing homes in Portugal is very low. In order to assess the reality in a nursing home, the Biopsicossocial Assessment Method was used.
- Estratégias do membro da família prestador de cuidados face às manifestações de confusão do seu familiarPublication . Sousa, Joana; Silva, Abel; Marques, PauloEstudo realizado com o objetivo de identificar as manifestações de Confusão Aguda (CA) que os doentes apresentam em casa, e as estratégias utilizadas pelo Membro da Família Prestador de Cuidados (MFPC) para lidar com essas manifestações. Face a essas intenções, utilizou-se uma estratégia metodológica em duas fases, uma primeira em ambiente hospitalar, recorrendose a uma abordagem quantitativa e uma segunda em casa, suportada na metodologia do estudo de caso. Para a identificação dos elementos da amostra, num primeiro momento foi aplicada a Neecham Confusion Scale (NCS) aos doentes internados numa instituição hospitalar, tendo-se averiguado, um mês após a alta, o destino dos que apresentaram Confusão Aguda (CA). Constatou-se, então, que apenas 17,3% dos doentes, regressaram a casa. Destes, após avaliação com a NCS, selecionaram-se aqueles que ainda mantinham confusão, para efetuar uma entrevista semiestruturada aos seus MFPC com o intuito de responder aos objetivos de estudo. Do discurso dos participantes emergiram três categorias relativas às manifestações de confusão: alterações psicomotoras; orientação e comportamento social inapropriado; e duas respeitantes às estratégias: estratégias não farmacológicas e estratégias farmacológicas. Além destas foi referenciada pelos MFPC, incapacidade de agir. São necessários outros estudos, em amostra maior, para uma melhor compreensão da problemática.
- The dimension of delirium in a continuing care unitPublication . Silva, Rosa; Ferreira, Bruno; Sousa, Joana; Neves, Hugo
- The institutionalized elder – cognitive and daily life activities profilePublication . Sousa, Joana; Silva, Rosa; Ferreira, BrunoIntroduction.– Population aging, associated with chronic degenerative diseases have revealed to be a public health problem. These changes, more specifically cognitive deficit, are a prevalent problem in the elder that tend to aggravate with institutionalization. Associated with higher life expectancy, the institutionalization tends to be for long term. In this context, a study was performed to explore the cognitive capacity of the elder, and association with ability to perform daily living activities (DLA).