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  • 1
    In: Revista Brasileira de Educação Médica, FapUNIFESP (SciELO), Vol. 47, No. 2 ( 2023)
    Abstract: Abstract: Introduction: Palliative care was recently included in the undergraduate medical curriculum in Brazil, but putting its teaching into practice represents a major challenge. Palliative care involves intimate contact with suffering and caring for issues that go beyond physical symptoms, aspects generally unfamiliar to medical students. Photovoice (PV) is a multifaceted tool that can support the teaching, research and extension trinomial. In its application as a pedagogical tool, students generally act as participants and the teacher as facilitator. Students are invited to take photographs (photo) and narrate these images (voice) ascribing meaning and interpretation within a context. Experience Report: A group of students was invited to produce a manuscript with the theme “Palliative care from the point of view of a third-year medical student”. The work was developed over 12 weekly meetings in the form of conversation circles that dealt with materials previously sent to students such as music, videos and texts. Each student produced an individual PV. Photovoices prepared by the students were spontaneously divided into three groups: family experiences of palliative care, professional experiences in practice scenarios and development of the theme in a more conceptual manner. Discussion: Despite the limitations and difficulties of the theme and the methodology used, the final balance of the experience was very positive, not only in relation to student learning, but also to the creation of a strong bond within the group, which expressed deep gratitude for the work developed over the course of the semester. Conclusion: In view of the nine PVs produced, as a result of each student’s individual reflection, it is clear that each member of the group was touched in a different way by the subject, even though all the reflections were presented collectively during our meetings. The production of a PV allowed the externalization of different views on the same subject in a personal and humanistic way, in other words, the perception of palliative care in the view of a third-year medical student.
    Type of Medium: Online Resource
    ISSN: 1981-5271 , 0100-5502
    Uniform Title: Photovoice as a tool for teaching and learning about palliative care
    Language: Portuguese , English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2023
    detail.hit.zdb_id: 2209937-2
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  • 2
    In: Ciência & Saúde Coletiva, FapUNIFESP (SciELO), Vol. 21, No. 11 ( 2016-11), p. 3557-3564
    Abstract: Abstract This study sought to investigate the association between the scores for quality of life (QoL) and self-esteem among the elderly in an urban community. A cross-sectional, quantitative and analytical household survey was conducted with 1,691 elderly persons resident in an urban area in a county in Minas Gerais state. The World Health Organization Quality of Life BREF (WHOQOL-BREF), the World Health Organization Quality of Life OLD (WHOQOL-OLD) questionnaires and the Rosenberg Self-Esteem Scale were used in this study. A descriptive statistical analysis and a linear regression model (p 〈 0.05) were conducted. The results revealed that the social relationships domain (71.19) and the topic of death and dying (74.30) had the highest mean scores among the elderly; while the lowest mean scores were the environment domain (60.39) and the topic of social participation (63.06). The self-esteem scores showed an average of 9.36 ± 4.09. Associations were evident for the lower scores of quality of life in all the WHOQOL-BREF domains and WHOQOL-OLD aspects (except death and dying) with lower levels of self-esteem (p 〈 0.001). The results provide data that contribute to a better understanding of the aspects that influence the QoL of the elderly due to reduced self-esteem, thus providing information for the development of health strategies.
    Type of Medium: Online Resource
    ISSN: 1413-8123
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2016
    detail.hit.zdb_id: 2078799-6
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  • 3
    In: Ciência & Saúde Coletiva, FapUNIFESP (SciELO), Vol. 24, No. 9 ( 2019-09), p. 3305-3313
    Abstract: Abstract This study aimed to verify the prevalence and socioeconomic and health factors associated with morbidity among community-dwelling elderly. This is an analytical and cross-sectional survey conducted in 2012 with 1,691 elderly from Uberaba-MG. A tool structured for socioeconomic data and self-reported morbidities was used along with the Abbreviated Geriatric Depression, Katz and Lawton-Brody scales. We proceeded to a descriptive analysis and linear regression (p 〈 0.05). A high percentage (88.3%) of elderly reported two or more morbidities, with higher prevalence for systemic arterial hypertension (61.9%) and back problems (48.6%). Female gender (β = 0.216; p 〈 0.001), functional disability in basic (β = 0.240; p 〈 0.001) and instrumental activities of daily living (β = 0.120; p 〈 0.001) and indicative of depression (β = 0.209; p 〈 0.001) were associated with the highest number of morbidities. The presence of two or more comorbidities and the association with socioeconomic and health variables show the need for monitoring and control actions of the factors that interfere in the elderly in this condition.
    Type of Medium: Online Resource
    ISSN: 1678-4561 , 1413-8123
    Language: Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2019
    detail.hit.zdb_id: 2078799-6
    SSG: 7,36
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  • 4
    Online Resource
    Online Resource
    FapUNIFESP (SciELO) ; 2015
    In:  Revista Latino-Americana de Enfermagem Vol. 23, No. 6 ( 2015-12), p. 1121-1129
    In: Revista Latino-Americana de Enfermagem, FapUNIFESP (SciELO), Vol. 23, No. 6 ( 2015-12), p. 1121-1129
    Abstract: Objetivos: identificar a prevalência de fragilidade entre idosos internados em um Hospital de Clínicas e verificar a associação das características socioeconômicas e clínicas com o estado de fragilidade. Método: estudo observacional, analítico e transversal, conduzido com 255 idosos hospitalizados. Utilizaram-se: instrumento estruturado para os dados socioeconômicos e clínicos e fenótipo de fragilidade de Fried. Realizou-se análise estatística descritiva e bivariada, por meio dos testes quiquadrado e ANOVA One-way (p 〈 0,05). Resultados: a prevalência de fragilidade correspondeu a 26,3%, enquanto a pré-fragilidade representou 53,3%. Constatou-se maior proporção de idosos frágeis com 80 anos ou mais (p=0,004), viúvos (p=0,035) e com maior média de dias de internação (p=0,006). Conclusão: idosos internados apresentaram elevados percentuais dos estados de fragilidade associados às variáveis socioeconômicas e tempo de internação. A identificação das condições de saúde relacionadas à pré-fragilidade e fragilidade pode favorecer o planejamento e implementação da assistência ao idoso neste contexto.
    Type of Medium: Online Resource
    ISSN: 0104-1169
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2015
    detail.hit.zdb_id: 2105698-5
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  • 5
    In: Sao Paulo Medical Journal, FapUNIFESP (SciELO), Vol. 136, No. 1 ( 2018-02), p. 10-19
    Type of Medium: Online Resource
    ISSN: 1806-9460 , 1516-3180
    Language: English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2018
    detail.hit.zdb_id: 2031087-0
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  • 6
    Online Resource
    Online Resource
    FapUNIFESP (SciELO) ; 2016
    In:  Brazilian Journal of Kinanthropometry and Human Performance Vol. 18, No. 5 ( 2016-12-20), p. 499-
    In: Brazilian Journal of Kinanthropometry and Human Performance, FapUNIFESP (SciELO), Vol. 18, No. 5 ( 2016-12-20), p. 499-
    Abstract: DOI: http://dx.doi.org/10.5007/1980-0037.2016v18n5p499 Population aging may cause impaired functional abilities in the elderly population, with increased rates of functional disability. Early detection of functional disability makes it possible to postpone possible complications and helps with health action planning. The objective of this study was to investigate the factors associated with functional disability in urban elderly. We conducted an analytical and cross-sectional household survey with 1,691 urban elderly individuals in Uberaba (MG), Brazil, in 2012. The questionnaire included socioeconomic and clinical information. We used the following instruments to assessed the participants: Abbreviated Geriatric Depression Scale, Katz Index, and Lawton and Brody Scale. We performed a descriptive bivariate analysis and used a logistic regression model (p 〈 0.05). The prevalence of functional disability in basic activities of daily living was 21.2%; whereas the prevalence of functional disability in instrumental activities of daily living was 65.9%. The following factors were associated with functional disability in basic and instrumental activities of daily living, respectively: age of 80 years old and older [(OR= 2.18; p 〈 0.001), (OR=3.30, p 〈 0.001)]; larger number of self-reported diseases [(OR=1.24, p 〈 0.001), (OR=1.12; p 〈 0.001)]; and symptoms of depression [(OR=1.49; p 〈 0.003), (OR = 1.75, p 〈 0.001)]; whereas no schooling (OR=1.88; p 〈 0.001) was related to functional disability in instrumental activities of daily living. We found significant impairment of functional status, especially in instrumental activities of daily living and in association with socioeconomic and health variables; those aspects support the implementation of actions aimed at monitoring and controlling the factors that interfere with the functional ability of the elderly.
    Type of Medium: Online Resource
    ISSN: 1980-0037 , 1415-8426
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2016
    detail.hit.zdb_id: 2274287-6
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