Skip to main content

How to Delineate the General Profiles of Functionality of Citizen’s Aged 65 Years and Old as a Function of Its Age

  • Conference paper
  • First Online:
Gerontechnology (IWoG 2019)
  • The original version of this chapter was revised: The affiliation information of the Author “Margarida Santos” has been corrected as “Escola de Medicina Tradicional Chinesa, Lisbon, Portugal”. The correction to this chapter is available at https://doi.org/10.1007/978-3-030-41494-8_36

Abstract

Objectives: A core set of International Classification of Functioning, Disability and Health codes was used, to ascertain the general profile of functionality as a function of biological and sociodemographic characteristics, notably the age of the citizens.

Methods: Data were collected by health professionals in the participants’ houses. The factorial validity of the construct was assessed by a confirmatory factor analysis. An ordinal regression model was built to identify the general profile of functionality as a function of age.

Results: It is expected that people under the age of 74 years will present no functional problems and that, after age 74, the most likely functionality problem will be a “MILD problem”.

Discussion: The functional profile of each elderly is interrelated with his or her sociodemographic context as well as with the overarching biological, cultural, and environmental characteristics of society. A progressive decrease in GPF occurs with age.

Conclusions: The evaluation of each person (even those with no perceived or incipient levels of functional impairment who are at risk of progressing to a more severe disability) about what are the factors that are related with this functional decline as people get older, allows identify the respective nursing interventions to be developed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 64.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Change history

  • 25 June 2021

    A correction has been published.

References

  1. PORDATA - The Database of Contemporary Portugal. Ageing index. https://www.pordata.pt/en/Europe/Ageing+index-1609. Accessed 3 Mar 2019

  2. INE - Statistics Portugal. Projections of resident population in Portugal 2015 and 2080. https://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_destaques&DESTAQUESdest_boui=277695619&DESTAQUESmodo=2&xlang=en. Accessed 16 Mar 2019

  3. Goes, M., Oliveira, H., Lopes, M.J.: Spatial analysis techniques applied to the characterization of elderly population for the planning of nursing care. RIASE - Revista Ibero-Americana de Salud Y Envejecimiento 2(3), 638–650 (2016). https://doi.org/10.24902/r.riase.2016.2(3).693

    Article  Google Scholar 

  4. INE - Statistics Portugal: Population´s density (No./km2) by Place of residence (at the date of Census 2011). from (INE): https://www.ine.pt/clientFiles/bsXhOiSE4Vgv-1t8J_8qFeVt_22967.xls. Accessed 25 Jan 2019

  5. INE - Statistics Portugal. Ageing ratio by place of residence, data reference period 2017. from (INE): https://www.ine.pt/clientFiles/ZABbysovUAa8_SgERrcmeKpY_23158.xls. Accessed 25 Jan 2019

  6. Gruneir, A., Silver, M.J., Rochon, P.A.: Review: emergency department use by older adults: a literature review on trends, appropriateness, and consequences of unmet health care needs. Med. Care Res. Rev. 68(2), 131–155 (2011). https://doi.org/10.1177/1077558710379422

    Article  PubMed  Google Scholar 

  7. Hsieh, V.C.-R., Hsieh, M.-L., Chiang, J.-H., Chien, A., Hsieh, M.-S.: Emergency department visits and disease burden attributable to ambulatory care sensitive conditions in elderly adults. Sci. Rep. 9(1), 3811 (2019). https://doi.org/10.1038/s41598-019-40206-4

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Health General Directorate: Health System Review - PORTUGAL (Final Report), April 2018. PHS - Portuguese Health System: https://www.sns.gov.pt/wp-content/uploads/2018/04/PortugalReviewReport_Printers_03April2018-2.pdf. Accessed 15 Jan 2019

  9. Lesende, I., Crespo, L., Manzanares, S., et al.: Functional decline and associated factors in patients with multimorbidity at 8 months of follow-up in primary care: the functionality in pluripathological patients (FUNCIPLUR) longitudinal descriptive study. BMJ Open 8(7), e022377 (2018). https://doi.org/10.1136/bmjopen-2018-022377

    Article  Google Scholar 

  10. World Health Organization: International Classification of Functioning, Disability and Health (ICF). https://www.who.int/classifications/icf/en/. Accessed 2 Mar 2018

  11. Farias, N., Buchalla, C.M.: A classificação internacional de funcionalidade, incapacidade e saúde da organização mundial da saúde: conceitos, usos e perspectivas. Revista Brasileira de Epidemiologia 8(2), 187–193 (2005). https://doi.org/10.1590/S1415-790X2005000200011

    Article  Google Scholar 

  12. Araujo, E.: Manual De Utilização da CIF Em Saúde Funcional: ANDREOLI (2011). ISBN 9788560416172. https://books.google.pt/books?id=pQO3uAAACAAJ. Accessed 2 Dezembro 2018

  13. Lopes, M.J., Escoval, A., Pereira, D.G., Pereira, C.S., Carvalho, C., Fonseca, C.: Evaluation of elderly persons’ functionality and care needs. Revista Latino-Americana de Enfermagem. 21(spe), 52–60 (2013). https://doi.org/10.1590/s0104-11692013000700008

    Article  PubMed  Google Scholar 

  14. Lopes, M.: A relação enfermeiro-doente como intervenção terapêutica: Formasau (2006). ISBN 972–8485-6-X. https://www.sinaisvitais.pt/index.php/livraria/a-relacao-enfermeiro-doente-como-intervencao-terapeutica-detail. Accessed 14 Sept 2018

  15. Fonseca, C., Lopes, M., Mendes, D., Parreira, P., Mónico, L., Marques, C.: Psychometric properties of the elderly nursing core set. In: García-Alonso, J., Fonseca, C. (eds.) IWoG 2018. CCIS, vol. 1016, pp. 143–153. Springer, Cham (2019). https://doi.org/10.1007/978-3-030-16028-9_13. ISBN 978-3-030-16028-9

    Chapter  Google Scholar 

  16. Lopes, M., Fonseca, C.: The construction of the elderly nursing core set. J. Aging Inovation 2(1), 121–131 (2013). http://journalofagingandinnovation.org/wp-content/uploads/9-Nursing-elederly-core-set-.pdf

    Google Scholar 

  17. ULSBA: Unidade Local de Saúde do Baixo Alentejo. http://www.ulsba.min-saude.pt/. Accessed 29 Jan 2019

  18. Scheaffer, R., Mendenhall, M., Ott, R., Gerow, K.: Elementary Survey Sampling: Cengage Learning (2012). ISBN 978-0840053619. https://www.amazon.com/Elementary-Survey-Sampling-Richard-Scheaffer/dp/0840053614. Accessed 15 Dec 2018

  19. Marôco, J.: Análise de Equações Estruturais: Fundamentos teóricos, Software & Aplicações. 2nd ed: Report Number (2014). ISBN 978-989-96763-3-6. http://www.reportnumber.pt/aee/. Accessed 12 Aug 2018

  20. WHO: International Classification of Functioning, Disability and Health (ICF). https://www.who.int/classifications/icf/en/. Accessed 15 July 2019

  21. WHO: How to use the ICF A Practical Manual for using the International Classification of Functioning, Disability and Health (ICF). https://www.who.int/classifications/icf/en/. Accessed 15 July 2019

  22. Hair, J., Anderson, R., Tatham, R., Black, W.: Multivariate Data Analysis: Pearson Education Limited (2014). ISBN 978-0138132637 https://www.amazon.com/Multivariate-Data-Analysis-Joseph-Hair/dp/0138132631. Accessed 8 July 2018

  23. Fonseca, C., Lista, A., Lopes, M., et al.: Dependence in self-care with comorbidity, indicators of nursing care and contributions to an ontology of aging: systematic review of the literature. Paper presented at the 2018 13th Iberian Conference on Information Systems and Technologies (CISTI), 13–16 June 2018. http://dx.doi.org/10.23919/CISTI.2018.8399236

  24. Abalo, E.M., Mensah, C.M., Agyemang-Duah, W., et al.: Geographical differences in perceived health status among older adults in Ghana: do gender and educational status matter? Gerontol. Geriatr. Med. 4, 1–9 (2018). https://doi.org/10.1177/2333721418796663

    Article  Google Scholar 

  25. Davidson, P.M., DiGiacomo, M., McGrath, S.J.: The feminization of aging: how will this impact on health outcomes and services? Health Care Women Int. 32(12), 1031–1045 (2011). https://doi.org/10.1080/07399332.2011.610539

    Article  PubMed  Google Scholar 

  26. Kimberly, P.: Health Literacy: Improving Understanding of Discharge Instructions (9). Graduate Student Projects and Scholarship (9) (2017). https://digitalcommons.liberty.edu/nurse_grad_proj_schol/9. Accessed 14 Sept 2018

Download references

Acknowledgements

The authors acknowledge all the support given by all the health professional that collaborate during the data acquisition, especially when donning all the interviews to all the persons belonging to the sample, as well as the professional support given by primary health care teams of ULSBA (http://www.ulsba.min-saude.pt/).

Funding

This work was supported by 4IE project (0045-4IE-4-P) funded by the Interreg V-A España-Portugal (POCTEP) 2014-2020 program.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Henrique Oliveira .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Goes, M. et al. (2020). How to Delineate the General Profiles of Functionality of Citizen’s Aged 65 Years and Old as a Function of Its Age. In: García-Alonso, J., Fonseca, C. (eds) Gerontechnology. IWoG 2019. Communications in Computer and Information Science, vol 1185. Springer, Cham. https://doi.org/10.1007/978-3-030-41494-8_33

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-41494-8_33

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-41493-1

  • Online ISBN: 978-3-030-41494-8

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics