Modelo de educação baseada em evidências: um apoio a tomada de decisão multiprofissional em fragilidade do idoso

Abstract

Introduction: The rapid demographic expansion worldwide is showing the arrival of senescence is accompanied by a series of organic changes, having faced situations of fragility, changes in physical, psychological and social aspects. Among the elderly, the pathological vulnerability of the aging process and the fragility syndrome, result in a decline of the physiological groups with the catastrophes in the life of the elderly. Objectives: To identify as vulnerabilities and weaknesses associated with the patients who enter the emergency service of a public hospital. Method: Cross-sectional analytical research performed with 154 elderly patients admitted to a public emergency unit. An analysis of the fragility of the Tilburg Frailty Indicator (TFI) was developed through a semi-structured script in which they were correlated as physical and sociodemographic vulnerabilities. Results: Signs of fragility and risk of weakness were cited in 72% of the sample with a mean of 6.22 in the Tilburg Frailty Indicator. It has a dependency class for activities of daily living and fragility (RP 2.41 - CI 2.08-2.78). Developed products: Original scientific article with the results of the research to the magazine of new scientific version Qualis A1, under the protocol RLAE-2019-3564. Elaborated a training course for health professionals, in the process of registering at the National Library, protocol 2019RJ_6695 , addressing the main indicators of vulnerability and frailties of the elderly of the research, focusing on clinical decision making and support for diagnosis in the elderly served in the local hospital network . Conclusions: a research on an indicator of fragility indicators, or a risk of reduction, which contributed to the identification of fragility indicators, and a prevention or reduction of the adverse consequences of fragility in the elderly.