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Gestor de Caso
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Gestor de caso | 2.03 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
Objetivos: Este estudo tem como objetivo analisar o papel da Gestão de Caso na intervenção
em Gerontologia Social e identificar as suas potencialidades e constrangimentos.
Método: Trata-se de um estudo transversal com uma metodologia quantitativa, incidindo sobre
332 pessoas idosas residentes em bairros sociais do concelho do Porto. Aplicou-se um protocolo
de recolha de informação para a avaliação dos respondentes, visando averiguar prioritariamente
o risco de isolamento social.
Resultados: Dos 332 idosos inquiridos, surgiram 62 casos de intervenção (n=35 UF Lordelo
do Ouro e Massarelos, n=27 na Freguesia do Bonfim). Os dados revelam que 33.5% (n=108)
encontra-se em risco de isolamento. Quando relacionamos este risco de isolamento com o índice
de Barthel, verifica-se que 57.1% apresenta entre moderada a total dependência; com o índice
de Lawton, verifica-se que 38.5% apresenta severa dependência; com o Teste de Declínio
Cognitivo, 46% apresenta comprometimento nesta área; com a Escala de Depressão Geriátrica,
50% dos idosos isolados apresentam sintomatologia depressiva. Os dados sugerem que os
idosos que vivem isolados, sem contactos frequentes com familiares, amigos e o facto de não
terem alguém em quem confiar, experienciarem o sentimento de solidão, terem mais
dificuldades ao nível da realização das tarefas básicas e/ou instrumentais, apresentam
comprometimento cognitivo e maior propensão para o aparecimento de sintomatologia
depressiva. O facto de avaliarem de forma negativa a sua saúde parece não ter influência no
risco de isolamento.
Discussão: Este estudo demonstra a importância de considerar a formalização da figura de
Gestor de Caso e criação de um protocolo de avaliação multidimensional e de intervenção,
conducente a uma intervenção mais ajustada e coordenada, numa lógica de eficácia e eficiência.
Objectives: This study aims to analyze the role of Case Management in the intervention in Social Gerontology and to identify its potentialities and constraints. Method: This is a cross-sectional study with a quantitative methodology, focusing on 332 elderly people living in social districts in the municipality of Porto. Was applied a protocol of information gathering for the assessment of participants, as a priority to ascertain the risk of social isolation. Results: Of the 332 elderly people surveyed, 62 cases of intervention emerged (n = 35 UF Lordelo do Ouro and Massarelos, n = 27 in the parish of Bonfim). Data reveal that 33.5% (n = 108) are at risk of isolation. When we relate this risk of isolation with: the Barthel index shows that 57.1% has moderate to total dependence; with the Lawton index, 38.5% are severely dependent; with the cognitive decline test, 46% are impaired in this area; with the Geriatric Depression Scale, 50% of the elderly have depressive symptoms. Data obtained suggest that elderly who live isolated, without frequent contacts with family members, friends and the fact that they do not have someone to trust, experience the feeling of loneliness, have more difficulties in performing basic and / or instrumental tasks, present cognitive commitment and greater propensity for the appearance of depressive symptoms. The fact that they assess their health negatively does not seem to have any influence on the risk of isolation. Discussion: This study demonstrates the importance of considering the formalization of the figure of the Case Manager and creation of a multidimensional assessment and intervention protocol, leading to a more adjusted and coordinated intervention, in a logic of effectiveness and efficiency.
Objectives: This study aims to analyze the role of Case Management in the intervention in Social Gerontology and to identify its potentialities and constraints. Method: This is a cross-sectional study with a quantitative methodology, focusing on 332 elderly people living in social districts in the municipality of Porto. Was applied a protocol of information gathering for the assessment of participants, as a priority to ascertain the risk of social isolation. Results: Of the 332 elderly people surveyed, 62 cases of intervention emerged (n = 35 UF Lordelo do Ouro and Massarelos, n = 27 in the parish of Bonfim). Data reveal that 33.5% (n = 108) are at risk of isolation. When we relate this risk of isolation with: the Barthel index shows that 57.1% has moderate to total dependence; with the Lawton index, 38.5% are severely dependent; with the cognitive decline test, 46% are impaired in this area; with the Geriatric Depression Scale, 50% of the elderly have depressive symptoms. Data obtained suggest that elderly who live isolated, without frequent contacts with family members, friends and the fact that they do not have someone to trust, experience the feeling of loneliness, have more difficulties in performing basic and / or instrumental tasks, present cognitive commitment and greater propensity for the appearance of depressive symptoms. The fact that they assess their health negatively does not seem to have any influence on the risk of isolation. Discussion: This study demonstrates the importance of considering the formalization of the figure of the Case Manager and creation of a multidimensional assessment and intervention protocol, leading to a more adjusted and coordinated intervention, in a logic of effectiveness and efficiency.
Description
Keywords
Gestão de Caso Isolamento social Idosos