Instituições de longa permanência de idosos: um retrato da rede de apoio

Abstract

To describe the demographic profile of the elderly population and the demographic and epidemiological profile of theLSIEsresident population in the GVS XXIX area. To propose and analyze indicators for the qualification of the supporting and monitoring process of the LSIEs. To establish a monitoring spreadsheet of the LSIEs with new indicators. To identify the current challenges of LSIEs in the Network for the Care of the Elderly. Material and Methods: Cross-sectional study with a quantitative approach among 41 non-profit LSIEs. It was introduced a spreadsheet of indicators, containing variables related to: organization of LSIEs; demographic; supporting and care; human resources; diseases and aggravations; therapeutic interventions and control actions. Contingency tables were constructed with the calculation of indicators such as: incidence, prevalence of diseases and aggravations, mortality and reasons for monitoring. Results:A total of 17.6% of the general population was 60 years old or older; 49.2% of the municipalities in the area have LSIEs , with an average of 31.6 residents per institution. The installed capacity was 1402 vacancies and occupation rate 92.5%. The vacancy rate was 6.1/1000 elderly people; 78,6% of the residents were from the headquarters municipalities and 21,3% from other municipalities and nearby states; 70.3% were over 70 years old; 49.4% were women and 50.6% were men; 18.6% were classified as Dependent grade III; 14.6% had Alzheimer's. In the distribution of human resources; 63.1% were care professionals, in the proposed indicator 2.1 care professionals were identified for each elderly classified as grade III. From the complementary indicators to the Resolution of Anvisa Collegiate 283/05, the prevalence of 22.1% of falls, 1.9% of femur fracture, 55% of hypertension and 19.8% of diabetics were noticed. According to the control indicators, 5.1 health surveillance visits, 0.3 visits by the Public Prosecutor's Office, 0.6 visits by the senior’s advice and 12.1 visits by the Primary Care Department were performed annually per institution. Conclusions: The demographic transition and consequent aging of the population require a rethinking of the model of care for the elderly, with planning of public policies and intersectoral actions aimed at long term care both in the family environment and in Institutions for Long Term Care of the Elderly. This study, by describing the demographic and epidemiological profile of the general population and the elderly living in the region's long-stay institutions, contributes at spreading the dimension of the aging population from this region and to approach these institutions to other services and society. The improvement of the tool as well as the integrated monitoring process, have provided an important advance in the exercise and qualification of care to the elderly institutions. The tool established and evaluated was a practical device in the organization of working processes in the institutions. Based on the fragilities identified, a regional plan for permanent education will be implemented aiming at building the Network for the Care of the Elderly, encompassing the areas of Health, Social Care and Social Control.