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Abstract(s)
O envelhecimento progressivo da população idosa, com aumento de prevalência de doenças crónicas, está associado a um aumento da prevalência de deterioração funcional, dependência, admissões hospitalares, e maior morbilidade e mortalidade. É nosso objetivo sinalizar a estrutura da avaliação geriátrica global integrada e a demonstração da sua eficiência na prática clinica. A avaliação geriátrica global integrada (AGGI) constitui desejavelmente uma prática multidimensional, sistemática, de caracterização do estado clínico, nutricional, funcional, qualidade de vida e aspectos sociais em pessoas idosas. A equipa de profissionais que a elaboram deverá ser multiprofissional de acordo com a diversidade de competências necessárias para uma avaliação que, a nível hospitalar, será efetuada na admissão e na alta do doente. Recomenda-se que seja protocolada em todas as instituições, que haja um registo único, onde todos os profissionais possam colocar as suas observações, constituindo uma forma eficiente de informação entre os intervenientes profissionais, os seus pares e os doentes e suas redes de apoio. A utilização de questionários de risco validados constitui uma mais valia na deteção de risco ou de situações já alteradas mas subnotificadas e no planeamento da sua intervenção. Após a realização da AGGI, deverá ser delineada e registada uma estratégia de intervenção, com o estabelecimento de objetivos a curto e a longo prazo, a serem monitorizados e ajustados, de acordo com a necessidade. A evidência científica tem demonstrado que a prática da AGGI constitui um método eficaz na redução da morbilidade e mortalidade em indivíduos idosos.
ABSTRACT - The progressive aging of the elderly population and the increasing prevalence of chronic diseases are associated with an increased prevalence of functional impairment, dependency, hospital admissions, and with a higher morbidity and mortality. Our goals are to signal the structure of global integrated geriatric assessment and demonstrate is effectiveness in clinical practice. The comprehensive geriatric assessment (CGGA) is desirably a multidimensional practice, systematic characterization of the clinical condition, nutritional, functional, quality of life and social functioning in older people. A team of professionals who develop the CGGA must be in accordance with the multi diversity of skills required for an assessment that, at hospital, will be performed at admission and at discharge of the patient. It is recommended to be filed in all institutions, there is a single record, where all employees can put their comments, providing an efficient form of information among stakeholders professionals, relatives of the patients and patients and their support social networks. The use of validated questionnaires risk is an added value in detecting risk situations or changed but underreported situations and planning of the professional intervention. After the CGGA is complete, should be delineated and recorded an intervention strategy, establishing goals for the short and long term, to be monitored and adjusted according to needs. Scientific evidence has shown that the practice of CGA is an effective method in reducing morbidity and mortality in elderly individuals.
ABSTRACT - The progressive aging of the elderly population and the increasing prevalence of chronic diseases are associated with an increased prevalence of functional impairment, dependency, hospital admissions, and with a higher morbidity and mortality. Our goals are to signal the structure of global integrated geriatric assessment and demonstrate is effectiveness in clinical practice. The comprehensive geriatric assessment (CGGA) is desirably a multidimensional practice, systematic characterization of the clinical condition, nutritional, functional, quality of life and social functioning in older people. A team of professionals who develop the CGGA must be in accordance with the multi diversity of skills required for an assessment that, at hospital, will be performed at admission and at discharge of the patient. It is recommended to be filed in all institutions, there is a single record, where all employees can put their comments, providing an efficient form of information among stakeholders professionals, relatives of the patients and patients and their support social networks. The use of validated questionnaires risk is an added value in detecting risk situations or changed but underreported situations and planning of the professional intervention. After the CGGA is complete, should be delineated and recorded an intervention strategy, establishing goals for the short and long term, to be monitored and adjusted according to needs. Scientific evidence has shown that the practice of CGA is an effective method in reducing morbidity and mortality in elderly individuals.
Description
Keywords
Idoso Avaliação geriátrica global integrada AGGI Envelhecimento Elderly Comprehensive geriatric assessment CGA Aging
Citation
Cebola M, Botelho A. Avaliação geriátrica global integrada: perspetiva de atuação na prática clínica. Revista APNEP. 2013;VII(1):24-6.