Classificação de risco da pessoa idosa residente na área de abrangência da Equipe Vermelha do Centro de Saúde Cabana, do município de Belo Horizonte / MG

Abstract

Population ageing is a phenomenon expected in the present day. Therefore, it is necessary to know the profile of the elderly of the area covered by the health institution and, above all, to evaluate the degree of fragility of these. This study aimed to classify the risk and fragility of elderly propose one intervention project to improve the health of elderly frangible residents in the area of the Equipe Red of Cabana Health Center, in Belo Horizonte, Minas Gerais. This descriptive study is based on analysis of secondary data, in the period December 2012 and January 2013, from the "register of risk identification of elderly person" (Annex B). A total of 156 seniors was studied, of which 85 were classified as fragile (54.5%). Among all seniors it was observed a predominance of females (60%), age 60-69 years, low educational index, good vaccination coverage (91.7%) and hypertension and diabetes mellitus as most common pathologies. Between the fragile also prevailed the range 60 69 years and females (65.9%), as well as hypertension and diabetes, followed by osteoporosis and chronic obstructive pulmonary disease, as prevalent diseases. With regard to risk factors, to the fragile, 13.48% were elderly over 80 years; the urinary incontinence was 6.41%, fecal incontinence to 5.13%; the polifármacia accounted for 25.64%, the elderly people with more than five confirmed diseases responds to 1.28%, the elderly who have progressive oblivion to 10.26%, those who reported declines in the last six months the 8.33%; those who were admitted to hospital in the last six months correspond to 9.61%; the bedridden represented 3.20%, and the elderly who live alone represented 10.90%. No fragile elderly lived in asylum and 12.82% were dependent for activities of daily living. The intervention proposal considered as critical "lack of knowledge and qualified staff training for the integral care to the elderly", "Unpreparedness of the family to the basic care with the elderly" and "elderly people with polidrugs use". For each problem a specific project was proposed, with detailing target audience, where, when, actions, expected results, expected products, resources and evaluation. Thus, it is proposed to provide more qualified assistance in effecting an integral approach in the elderly's health to improve the quality of life, preserving the autonomy and independence.