Evaluación geriátrica y funcionamiento familiar en hogares de adultos mayores en el consultorio tres del Centro de Salud Santa Lucía 2018.

Abstract

Background: the integral geriatric evaluation is a multidimensional and interdisciplinary diagnostic process, aimed at explaining the medical, psychological and social problems, and especially, the functional capacities and geriatric conditions, to devel op an intervention plan that allows a preventive, therapeutic action, rehabilitation and monitoring, with the optimal use of resources in order to maintain or recover the autonomy and independence that may have been lost. Materials and Methods: Relational, transversal, prospective and analytical research in 120 adults over 65 years of age, 62 men and 58 women in the period from January to June 2018. Results: Older adults predominated in males (51.7 %), with ages ranging from 65 to 69 years (45.8%) and mestizos (96.7%), retired (44.2%). Prevale the marital status of married (45.0%) primary education level (61.7%). The majority of the families were classified as extensive (65.8%), medium (49.2%), bigenerational (80.8%). Family functioning (66.6) is functional. Absent cognitive impairment (63.3%), moderate depression (50.8%), risk of absent malnutrition (51.7%), acceptable social risk (44.2%), dependence level that needs some help (45%). Conclusions: family functioning can play a decisive role in the development of cognitive deterioration, depression, risk of malnutrition, social risk and dependence. An integral geriatric assessment and a diagnosis of the family functioning of the older adult are recommended in their first consultation in the health establishment or in their home, in order to identify risk factors that may aggravate their condition and thus maintain or recover autonomy independence that may have been lost.