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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Change history
25 June 2021
A correction has been published.
References
PORDATA - The Database of Contemporary Portugal. Ageing index. https://www.pordata.pt/en/Europe/Ageing+index-1609. Accessed 3 Mar 2019
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
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
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
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
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
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
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
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
World Health Organization: International Classification of Functioning, Disability and Health (ICF). https://www.who.int/classifications/icf/en/. Accessed 2 Mar 2018
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
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
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
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
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
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
ULSBA: Unidade Local de Saúde do Baixo Alentejo. http://www.ulsba.min-saude.pt/. Accessed 29 Jan 2019
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
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
WHO: International Classification of Functioning, Disability and Health (ICF). https://www.who.int/classifications/icf/en/. Accessed 15 July 2019
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
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
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
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
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
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
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
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this paper
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)