Resumen

FONTES, Ana Paula de Almeida; FERNANDES, Ana Alexandre; BOTELHO, Maria Amália  y  PAPOILA, Ana Luísa. Proposal of a Brief Core Set of Functioning Assessment in Post-Acute Geriatric Care. Port J Public Health [online]. 2017, vol.35, n.2, pp.101-113. ISSN 2504-3137.  https://doi.org/10.1159/000479755.

Objective: Developing a brief geriatric core set for the assessment/ intervention of functioning in the post-acute context of rehabilitative care. Materials and Methods: We developed an observational study of analytical and longitudinal type that allows to know the domains and variables with greater predictive and discriminative value regarding the evolution of the functioning of the health conditions observed. For the selection of the sample individuals aged 65 years or older were considered, who were hospitalized in Convalescence Units and Rehabilitation and Average Duration Units of the National Network of Integrated Continuous Care of the Algarve region. Results: The sample consisted of 451 individuals with an average age of 79.5 ± 7.5 years, of which 62.1% were women. Health conditions at higher frequencies as a cause of admission to the network were fractures of the upper extremity of the femur and stroke, which together amounted to 73.6% of cases. Of the 21 independent variables that were part of the explanatory models of functioning, it was possible to organize 28 categories: 5 Functions, 16 Activities/ Participation, and 7 Environmental Factors. Conclusions: The proposed Brief Geriatric Core Set for the postacute context of rehabilitation care focuses primarily on the category Activities/Participation as a component that materialized in a concrete way the interaction of the individual with the environment and real life. The function should be considered an essential variable of public health in being able to reproduce the weaknesses and limitations of individuals, but also facilitate structured allocation of equipments, services, and systems, promoting their participation.

Palabras clave : Aging; International Classification of Functioning; Disability and health; Geriatric ICF Core Set; Continuous care.

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