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Postural Balance in the Elderly with Mild Cognitive Impairment: Relationship to Accidental Falls

Open Journal of Therapy and Rehabilitation 2016年第2期4卷 67-75页

作者： Josélia Braz dos santos Ferreira selma petra chaves sá Rosimere Ferreira santana Ana Maria Domingos Juliana Peres da Costa Pereira Luciana Krauss Rezende The Antô nioPedro Hospital/UFF/Niterói The Miguel Pedro Municipal Hospital of Geriatrics and Gerontology (SMS) Rio de Janeiro Brazil The Aurora Afonso Costa Nursing school Fluminense Federal University (UFF) Niterói Brazil The AnaNeri Nursing school Federal University of Rio de Janeiro/UFRJ Rio de Janeiro Brazil The Estacio de sa University The Redentor College Rio de Janeiro Brazil The Aurora Afonso Costa Nursing school (UFF) Niterói Brazil

This study analyzed postural balance in the elderly with mild cognitive impairment and its relationship to accidental falls. A quantitative and quasi-experimental method was used in a sample of 43 elderlies between 64 and 88 years old, mostly females. Data collection was performed in two Basic Health Units in the city of Rio de Janeiro in 2014. The instruments used were the Mini-Mental state Examination (MMsE), Tinetti scale, Motor scale for the Elderly (EMTI) scale, and Elderly Falls Diary. The data were analyzed with the sAs statistical software version 9.3.1. The scales were applied before and after the psychomotor interventions. A significant difference was observed between the evaluating moments. Balance improvements were observed in all age groups, suggesting that all elderlies, regardless of age, showed satisfactory responses to the implemented psychomotor activities. The elderlies who fell more frequently were those between 60 and 69 years old. It is noteworthy that the age group with the lowest incidence of falls was that of elderlies between 70 and 79 years old. It was concluded that psychomotor activities are beneficial, regardless of age, proving their effectiveness when continued stimuli with cognitive and psychomotor activities are carried out.

关键词： Postural Balance Accidental Falls Elderlies Mild Cognitive Impairment

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The Impact of Alzheimer’s Disease on the Life of Family Caregivers: A Phenomenological View

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Open Journal of Nursing 2016年第4期6卷 333-341页

作者： Berta sheila souza Ribeiro Luciana Krauss Rezende selma petra chaves sa Wiliam César Alves Machado science of Health Care Aurora Afonso Costa Nursing School Fluminense Federal University Human Resources Management at the Anhanguera University Centre Niterói Brazil science of Health Care Graduate Program of the Aurora Afonso Costa Nursing school Fluminense Federal University Developmental Disorders at the Mackenzie Presbyterian University Niterói Brazil Nursing Federal University of Rio de Janeiro Department of Nursing Administration Fundamentals and of the Fluminense Federal University and the Science of Health Care Graduate Program (MACCS) and Nursing Graduate School (MPEA) Health Care for the Elderly in the UFF Nursing School Niterói Brazil Graduate Program in Health and Hospital space Technology PPGSTEH and Graduate Program Federal University of the State of Rio de Janeiro Rio de Janeiro Brazil

The objectives of this study are to describe the perception of caregivers about the process of caring for elders with Alzheimer’s disease, analyze the impact of the care process on the caregiver’s life from the biological and emotional aspects, and discuss the changes in the caregiver’s life in the light of Gestalt Therapy. This was a qualitative and descriptive study with a phenomenological analysis. The results showed that family caregivers are in a vulnerable situation because they are usually women who are also aging or are already elderly, who do not receive the necessary support to meet their needs. Because of the demands of providing care for Alzheimer’s patients, caregivers fail to consider their own issues and develop more mechanized ways of relating to their situation, using crystallization as a defense mechanism. stress and isolation can adversely affect the physical and mental health of caregivers.

关键词： Elderly Family Caregivers Alzheimer’s Disease Care

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The Application of scales in the Diagnosis of Perceived Needs in the Elderly with Mild Cognitive Impairment

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Open Journal of Nursing 2016年第8期6卷 573-581页

作者： Josélia Braz dos santos Ferreira selma petra chaves sa Luciana Krauss Rezende Rosana Moreira de sant’Anna Ana Maria Domingos Rosimere Ferreira santana University Hospital Antônio Pedro Universidade Federal Fluminense (UFF) Niterói Brazil Afonso Aurora Costa Nursing school Universidade Federal Fluminense (UFF) Niterói Brazil Ana Neri school of Nursing Universidade Federal do Rio de Janeiro (UFRJ) Rio de Janeiro Brazil

The study evaluated the use of the Mini-Mental state Examination scale (MMsE), Tinettiscale, and Motor scale for the Elderly (EMTI) toassist in the diagnosis of potential needs observed in elderlies with Mild Cognitive Impairment. This was aquasi-experimental research, conducted in a Basic Health Unit in thecityof Rio de Janeiro in 2014. The sample population consisted of 22 elderlies aged 64 to 88 years and 86.36% females. The sAs statistical software (version 9.3.1) and Kruskal-Wallis test were used at a 95% confidence interval and a significance level of 0.05 and demonstrated significant differences in the evaluations performed before and after the intervention. The detected diagnoses were: impaired memory, the risk of falls, and willingness to improved relationships, among others. The evaluations showed MMsE results that were suggestive of cognitive impairment in 22.73% of the elderlies;the Tinetti scale showed a high risk of falls in 31.82% of theelderlies;and EMTI with 88.36 points, which was equivalent to the normal low classification. The intervention took place through ten weekly activity sessions after the initial evaluations. In the second evaluation, the Tinetti showed 59.09% of the elderlies with a moderate risk of falls and the EMTI as the normal average classification with 90.32 points. It was concluded that the scales offered diagnostic possibilities, which allowed for the implementation of necessary interventions according to the detected problems.

关键词： Nursing Diagnosis Mild Cognitive Impairment sensory-Motor Performance Postural Balance Elderlies

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