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Publication
Estudo sobre os apoios prestados pelas Respostas Sociais aos Idosos com Doença de Alzheimer e outras Demências no Concelho de Bragança
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Estudo sobre os apoios prestados pelas Respostas Sociais aos Idosos com Doença de Alzheimer e outras Demências no Concelho de Bragança | 1.32 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Objetivos:
Perante o crescente número de idosos com demência em Portugal, nomeadamente na zona Norte, o presente estudo pretende conhecer as respostas sociais (RS) para a terceira idade (Lares, Centros de Dia e Serviços de Apoio Domiciliário), existentes no concelho de Bragança. Pretende-se traçar um perfil sociodemográfico dos idosos com demência clientes daquelas respostas, conhecer os serviços que elas prestam aos doentes e analisar as dificuldades sentidas pelos cuidadores formais e informais, bem como os apoios que lhe são prestados Adicionalmente, pretende-se avaliar o ambiente físico e condições arquitetónicas de segurança das RS Lar e Centro de Dia, e dos domicílios dos clientes do SAD.
Metodologia:
A partir do diagnóstico da Rede Social e da identificação das RS para idosos do concelho, solicitou-se aos Diretores-Técnicos das mesmas o preenchimento de um questionário. Foi ainda realizada uma entrevista semi-diretiva a um profissional de saúde de referência (neurologista) do Centro Hospitalar do Nordeste, no sentido de complementar o estudo com a informação privilegiada de quem acompanha regularmente, em consulta médica, a realidade de muitos idosos com demência residentes na área geográfica considerada.
Resultados:
Incluíram o presente estudo 37 RS. Os principais resultados apontam para uma escassez de serviços e atividades especializadas e adaptadas às necessidades dos idosos com demência; verificou-se, quer para os cuidadores formais, quer para os informais nas três tipologias de RS estudadas, a existência de uma maior preponderância de problemas físicos, psíquicos e relacionais (sobrecarga), sendo que os apoios para minimizar as dificuldades também revelaram ser escassos; do ambiente físico e arquitetónico das instituições e domicílios verificou-se a existência de reduzida segurança e escassa adaptação às necessidades do idoso com demência. Salienta-se o esforço dos profissionais na gestão organizacional em cumprir a legislação em vigor que regula as RS referenciadas.
Discussão:
Estes resultados apoiam a necessidade de uma reflexão sobre a adequação do tipo de cuidados prestados aos idosos com demência, e a existência de modelos assistenciais capazes de satisfazer as suas exigências, bem como de minimizar as dificuldades manifestadas pelos seus cuidadores (formais ou informais). Deve-se ainda atender à importância de repensar e ajustar o ambiente físico e arquitetónico das instituições e/ou domicílios, no sentido criar um ambiente de segurança para o idoso.
Goals: Considering the growing number of older people with dementia in Portugal, namely in the northern region, the present study aims to increase the available knowledge on the Social Responses for the Senior population (Nursing Homes, Day Care Centers and Home Support Services) in Bragança. It intends to outline a socio-demographic profile of their clients with dementia, to know if the services these institutions provide offer are specialized in dementia care, and to analyze the major difficulties and support both formal and informal caregivers have. Additionally, this thesis aims to evaluate the physical environment and architectural safety conditions of the considered Social Responses. Methodology: Based upon the Bragança’s Social Network Diagnosis and on the identification of the elderly Social Responses existent in the county, all these institutions’ Technical Directors were invited to participate in ours study. They were given a questionnaire including several queries about the institution. An interview to a healthcare professional (neurologist) form the Northern Hospital Center was also conducted with the intention of getting privileged information from a health professional that regularly provides medical assistance to dementia cases in this particular region. Results: 37 Social Responses were considered in this study. Main results indicate a shortage of specialized services and adapted activities to the needs of the demented elderly and their caregivers – among these, there was found a high prevalence of physical, psychological and relational problems. As for the physical environment and architecture of the institutions and households it was found a reduced existence of security and a shortage adaptation to the demented elderly needs. It is important to highlight the efforts found among the organizational management professionals in order to fulfill the legislation that regulates the Social Responses. Discussion: These results support the need to do a reflective thinking about the suitability of the types of care provided, and the existence of support models capable of satisfying the demands of the demented elderly, as well as minimize the difficulties felt by their formal and informal caregivers. Rethinking and adjusting the physical environment and architecture of the institutions and households towards to a safer environment is also to be considered.
Goals: Considering the growing number of older people with dementia in Portugal, namely in the northern region, the present study aims to increase the available knowledge on the Social Responses for the Senior population (Nursing Homes, Day Care Centers and Home Support Services) in Bragança. It intends to outline a socio-demographic profile of their clients with dementia, to know if the services these institutions provide offer are specialized in dementia care, and to analyze the major difficulties and support both formal and informal caregivers have. Additionally, this thesis aims to evaluate the physical environment and architectural safety conditions of the considered Social Responses. Methodology: Based upon the Bragança’s Social Network Diagnosis and on the identification of the elderly Social Responses existent in the county, all these institutions’ Technical Directors were invited to participate in ours study. They were given a questionnaire including several queries about the institution. An interview to a healthcare professional (neurologist) form the Northern Hospital Center was also conducted with the intention of getting privileged information from a health professional that regularly provides medical assistance to dementia cases in this particular region. Results: 37 Social Responses were considered in this study. Main results indicate a shortage of specialized services and adapted activities to the needs of the demented elderly and their caregivers – among these, there was found a high prevalence of physical, psychological and relational problems. As for the physical environment and architecture of the institutions and households it was found a reduced existence of security and a shortage adaptation to the demented elderly needs. It is important to highlight the efforts found among the organizational management professionals in order to fulfill the legislation that regulates the Social Responses. Discussion: These results support the need to do a reflective thinking about the suitability of the types of care provided, and the existence of support models capable of satisfying the demands of the demented elderly, as well as minimize the difficulties felt by their formal and informal caregivers. Rethinking and adjusting the physical environment and architecture of the institutions and households towards to a safer environment is also to be considered.
Description
Keywords
Demências Doença de Alzheimer Idosos Respostas Sociais Cuidadores Formais Cuidadores Informais