Institutionalized elderly: vulnerabilities and strategies to cope with Covid-19 in Brazil

Authors

  • Pricila Oliveira de Araújo State University of Feira de Santana https://orcid.org/0000-0002-7941-9263
  • Maria Yaná Guimarães Silva Freitas State University of Feira de Santana
  • Evanilda Souza de Santana Carvalho State University of Feira de Santana
  • Thaís Moreira Peixoto State University of Feira de Santana
  • Maria Lúcia Silva Servo State University of Feira de Santana
  • Laiane da Silva Santana Federal University of Bahia
  • Juliana Macêdo dos Santos Silva State University of Feira de Santana
  • Jenny Caroline Vieira Moura State University of Feira de Santana

DOI:

https://doi.org/10.17533/udea.iee.v39n1e07

Keywords:

oronavirus infections, institutionalization, elderly

Abstract

This article presents a systematized reflection and discussion around two guiding axes: the first discusses aging and vulnerabilities to biological, physical, cognitive, social and affective losses that require specific attention, as well as vulnerabilities to COVID-19 to which institutionalized elderly people are exposed; the second, we reflect on the adoption of restrictive and protective measures to prevent the spread of the virus, aiming to keep the elder health and mitigate the effects of the pandemic. The conclusion is that the pandemic has increased the many vulnerabilities to which institutionalized older people were already exposed, adding vulnerability to a new disease, such as COVID-19, due to its high lethality and comorbidity, aggravated by precariousness of long-term Brazilian institutions due to the negligence of public authorities, civil society, the management of the institution and the families of the patients. The post-pandemic scenario will require collective efforts to protect and ensure the survival of the elderly living in those residences.

|Abstract
= 1838 veces | PDF
= 970 veces| | HTML INGLES
= 59 veces| | HTML PORTUGUES
= 548 veces| | VIDEO
= 0 veces| | PMC
= 0 veces|

Downloads

Download data is not yet available.

Author Biographies

Pricila Oliveira de Araújo, State University of Feira de Santana

Nurse, Master. Email: poaraujos@gmail.com

Maria Yaná Guimarães Silva Freitas, State University of Feira de Santana

Nurse, Doctoral. Email: yana@uefs.br

Evanilda Souza de Santana Carvalho, State University of Feira de Santana

Nurse, Post-Doctoral. Email: evasscarvalho@yahoo.com.br

Thaís Moreira Peixoto, State University of Feira de Santana

Nurse, Master. Email: thaismorep@hotmail.com

Maria Lúcia Silva Servo, State University of Feira de Santana

Nurse, Doctoral. Email: mlsservo@uefs.br

Laiane da Silva Santana, Federal University of Bahia

Nurse, Master student. Email: laianesantana00@gmail.com

Juliana Macêdo dos Santos Silva, State University of Feira de Santana

Nursing student. Email: jully495.jm@gmail.com

Jenny Caroline Vieira Moura, State University of Feira de Santana

Nursing student Email: jennycvmoura@gmail.com

References

Medeiros EAS. Desafios para o enfrentamento da pandemia Covid-19 em hospitais universitários. Rev. Paul. Pediatr. 2020; 38:(e2020086).

Sociedade Brasileira de Geriatria e Gerontologia. Brasil ultrapassa 100 mil óbitos por Covid-19 Idosos são 75% das vítimas. 10 Aug 2020 [cited 30 Nov 2020]. Available from: https://sbgg.org.br/brasil-ultrapassa-100-mil-obitos-por-covid-19-idosos-sao-75-das-vitimas/.

Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Boletim epidemiológico especial. Doença pelo Coronavírus COVID-19. Brasilia (DF); 2020 [cited 30 Nov 2020]. Available from: https://www.gov.br/saude/pt-br/assuntos/boletins-epidemiologicos-1/set/boletim-epidemiologico-covid-30.pdf

Cavalcanti AD. Envelhecimento e institucionalização: uma revisão bibliográfica à luz da promoção da saúde. Rev. Kairos Gerontol. 2013; 16(4):159-74.

Agência Nacional de Vigilância Sanitária. Resolução - RDC no 283, de 26 de setembro de 2005. [cited 30 Nov 2020]. Available from: http://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2005/res0283_26_09_2005.html

Oliveira JM; Rozendo CA. Instituição de longa permanência para idosos: um lugar de cuidado para quem não tem opção? Rev. Bras. Enferm. 2014; 67(5):773-9.

Lini EV, Portella MR, Doring M. Fatores associados à institucionalização de idosos: estudo caso-controle. Rev. Bras. Geriatr. Gerontol. 2016; 19(6):1004-14.

Brasil. Secretaria de Assuntos Estratégicos da Presidência da República. Comunicados do IPEA. Série Eixos de Desenvolvimento Brasileiro no93. Maio de 2011 [cited 30 Nov 2020]. Available from: https://www.ipea.gov.br/portal/images/stories/PDFs/comunicado/110524_comunicadoipea93.pdf

Alcântara AO, Camarano AA, Giacomin KC. Política nacional do idoso: velhas e novas questões. Rio de Janeiro: Ipea; 2016 [cited 30 Nov 2020]. Available from: https://www.ipea.gov.br/portal/images/stories/PDFs/livros/livros161006_livro_politica_nacional_idosos.PDF

Pereira DS, Nogueira JAD, Silva CAB. Qualidade de vida e situação de saúde de idosos: um estudo de base populacional no Sertão Central do Ceará. Rev. Bras. Geriatr. Gerontol. 2015; 18(4):893-908.

Duarte LMN. O processo de institucionalização dos idosos e as territorialidades: espaço como lugar? Estudios Interdisciplinares sobre o Envelhecimento. 2014; 19(1):201-17.

Gardner W, States D, Bagley N. The Coronavirus and the Risks to the Elderly in Long-Term Care. J. Aging. Soc. Policy. 2020; 32(4-5):310-15.

Utsumi M, Makimoto K, Quroshi N, Ashida N. Types of infectious outbreaks and their impact in elderly care facilities: a review of the literature. Age Ageing. 2010; 39(3):299-305.

Horta WA. Enfermagem: teoria, conceitos, princípios e processo. Rev. Esc. Enf. 1974; 5(1):7-15.

Yen MY, Schwartz J, King CC, Lee CM, Hsueh PR. Recommendations for protecting against and mitigating the COVID-19 pandemic in longterm care facilities. J. Microbiol. Immunolog. Infect. 2020; 53(3):447-53.

Lai CC, Wang JH, Ko WC, Yen MY, Lu MC, Lee CM, et al. COVID-19 in long-term care facilities: An upcoming threat that cannot be ignored. J. Microbiol. Immunolog. Infect. 2020; 53(3):444-6.

Iacobucci G. Covid-19: Lack of PPE in care homes is risking spread of virus, leaders warn. BMJ. 2020; 368:m1280.

World Health Organization. Infection prevention and control guidance for long-term care facilities in the context of COVID-19 interim guidance. Geneve: WHO; 2020 [cited 30 Nov 2020]. Available from: https://apps.who.int/iris/handle/10665/331508

Centers for Disease Control and Prevention [internet]. Preparing for COVID-19 in Nursing Homes. 2020 [cited 12 Sep 2020]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html

Oliver D, David Oliver. Let’s not forget care homes when covid-19 is over. BMJ. 2020; 369: m1629.

Etard JF, Vanhems P, Atlani-Duault L, Ecochard R. Potential lethal outbreak of coronavirus disease (COVID-19) among the elderly in retirement homes and long-term facilities. Euro Surveill. 2020; 25(15):2000448.

Kunz R, Minder M. COVID-19 pandemic: palliative care for elderly and frail patients at home and in residential and nursing homes. Swiss Med. Wkly. 2020; 150:w20235

Xiao Y, Torok ME. Taking the right measures to control COVID-19. Lancet Infect. Dis. 2020; 20(5):523-4.

Eghtesadi M. Breaking Social Isolation Amidst COVID‐19: A Viewpoint on Improving Access to Technology in Long‐Term Care Facilities. J. Am. Geriatr. Soc. 2020; 68(5):949-50.

Published

2021-03-04

How to Cite

de Araújo, P. O., Guimarães Silva Freitas, M. Y., Carvalho, E. S. de S., Peixoto, T. M., Silva Servo, M. L., Santana, L. da S., dos Santos Silva, J. M., & Vieira Moura, J. C. (2021). Institutionalized elderly: vulnerabilities and strategies to cope with Covid-19 in Brazil. Investigación Y Educación En Enfermería, 39(1). https://doi.org/10.17533/udea.iee.v39n1e07

Issue

Section

REFLECTION ARTICLES / ARTÍCULO DE REFLEXION / ARTIGO DE REFLEXÃO

Most read articles by the same author(s)