BACKGROUND Concerns about using Instrumental Activities of Daily Living (IADLs) in national surveys come up frequently in geriatric and rehabilitation medicine due to high rates of non-performance for reasons other than health. We aim to evaluate the effect of different strategies of classifying "does not do" responses to IADL questions when estimating prevalence of IADL limitations in a nation...

AIM to identify the leisure activities performed in Long-Stay Institutions for the Elderly (LSIEs), registered in the city of Maringá-PR, Brazil, and to analyze the attitude of the elderly people toward leisure promoted by the institutions. METHOD this was a descriptive and transversal study with a quantitative approach, carried out with 97 elderly people, through the establishment of the soc...

BACKGROUND Accurately detecting markers of early functional decline (FD) are essential to support older people to successfully age in place; however, these markers are poorly understood. We tested the hypothesis that compromised mental quality of life after a minor health crisis could be an early predictor of FD. METHODS This longitudinal observational cohort study was conducted in the emerge...

INTRODUCTION The Hospital Admission Risk Profile (HARP) instrument is commonly used to assess risk of functional decline when older people are admitted to hospital. HARP has moderate diagnostic accuracy (65%) for downstream decreased scores in activities of daily living. This paper reports the diagnostic accuracy of HARP for downstream quality of life. It also tests whether adding other measure...

The present study is a report on the authors' experience working nurses in a randomized, blinded, phase III clinical trial, developed at Escola Nacional de Saúde Pública Sérgio Arouca/FIOCRUZ/RJ. This study describes the participation of nurses in the implementation of a clinical trial, highlighting their importance in this new field of work. The authors state the rigorous implementation of the...

BACKGROUND Health care experts, older people and carers were asked to weight 18 personal and social activities of daily living (ADLs) with regard to the importance of being able to perform them. RESULTS All groups agreed on the order of importance but experts gave greater weight to personal ADLs. We have used these results to produce a ratio scale.

BACKGROUND To determine if risk stratification followed by rapid geriatric screening in an emergency department (ED) reduced functional decline, ED reattendance and hospitalisation. METHOD This was a quasi-randomised controlled trial. Patients were randomised by the last digit of their national registration identity card (NRIC). Odd number controls received standard ED care; even number patie...

abstract the structural and functional changes of social and political systems have led to the establishment of different grounds in administrating urban affairs. the formation and role attribution to different actors of urban ground, including government, people, civil and legislation institutions, etc, have caused the development of counter and bilateral duties and tasks between the citizens ...

Human dynamics model consistent with our natural ability to perform different activities is put forward by first arguing limitations of the model suggested by Barabási (Nature, 435, 207-211, 2005). Humans are capable of performing different types of activities which fill the time available between daily routine basic activities of cleaning themselves, eating and sleeping. The range of activitie...