La salud y los cuidados: un análisis interseccional de género y vejeces a partir del trabajo realizado en CEPRAM (2022) / Health and care: an intersectional analysis of gender and old age from the work done at CEPRAM (2022)

INTRODUCCION: Nuestra región, y Argentina, se encuentra atravesando un momento de rápido envejecimiento demográfico. Se trata de un proceso contextualizado social e históricamente de representaciones, estereotipos y significados particulares. El presente trabajo tiene por objetivo describir y analizar las posibles articulaciones entre la perspectiva de salud integral, redes en salud y los cuidados a y entre personas adultas mayores a partir de la experiencia de trabajo en el CEPRAM (Centro de Promoción del Adulto Mayor) en el que las mujeres ocupan un rol central. MÉTODOS: Investigación cualitativa interaccionista con entrevistas sobre experiencias y significados. RESULTADOS: Refieren mejoras en su autoestima, flexibilidad, apertura y escucha como reconocimiento del otro/a. La cantidad y la calidad de cobertura en servicios de cuidados recae mayoritariamente sobre las familias y especialmente, sobre las mujeres y disidencias, perpetuando la desigualdad de género en la distribución de tareas, las condiciones en que se llega y transita la vejez. Ellas vieron este espacio como uno de cuidados, dando sustento a formas más integrales de entenderlos como eje de la salud. CONCLUSIONES: CEPRAM logró captar y solucionar necesidades ­socioafectivas­ de mujeres mayores, insatisfechas y no atendidas por el Estado. Promueve la autonomía relacional donde la participación y la construcción de redes basadas en los vínculos, fundamentales para su salud integral. Los entornos extrahospitalarios como oportunidad de acercamiento al sistema de salud, deben resolver necesidades de cuidado con perspectiva de envejecimiento saludable, fomentando la habilidad funcional, así como los atributos relacionados con el proceso diferenciado por género y salud que permiten a la persona ser y hacer (AU)

INTRODUCTION: Our region, and Argentina, is going through a period of rapid demographic aging. It is a socially and historically contextualized process of representations, stereotypes and particular meanings. The aim of this paper is to describe and analyze the possible articulations between the integral health perspective, health networks and care for and among older adults based on the experience of working in the CEPRAM (Center for the Promotion of Older Adults) in which women play a central role. METHODS: Qualitative interactionist research with interviews on experiences and meanings. RESULTS: They report improvements in their self-esteem, flexibility, openness and listening as recognition of the other. The quantity and quality of coverage in care services falls mostly on families and especially on women and dissidents, perpetuating gender inequality in the distribution of tasks, the conditions in which old age arrives and passes. Women saw this space as one of care, giving support to more comprehensive ways of understanding it as the axis of health. CONCLUSIONS: CEPRAM was able to capture and solve the social and emotional needs of older women, unsatisfied and unmet by the State. It promotes relational autonomy where participation and the construction of networks based on bonds are fundamental for their integral health. The out-of-hospital environments as an opportunity to approach the health system, should solve care needs with a healthy aging perspective, promoting functional ability, as well as the attributes related to the process differentiated by gender and health that allow the person to be and to do (AU)

Itinerário terapêutico de idosos vivendo com HIV/Aids: perspectivas da história oral / Therapeutic Itinerary of Elderly Living with HIV/Aids: Oral History Perspectives

Resumo Objetivo: Analisar o itinerário terapêutico de idosos vivendo com HIV em assistência num município do Oeste Catarinense. Metodologia: Estudo qualitativo com método história oral temática. A população foi composta por idosos que vivem há mais de cinco anos com HIV/Aids, assistidos em um Serviço de Atendimento Especializado. Foram realizados dois encontros para aproximação e três momentos de entrevistas em profundidade abordando questões relacionadas as trajetórias assistenciais dos sujeitos e sua relação com a doença. A análise de dados foi realizada por meio da análise temática de conteúdo. Resultados e Discussão: Os idosos tiveram seu diagnóstico em fase tardia o que mostra a dificuldade dos serviços de saúde em identificar precocemente o HIV na pessoa idosa. O tratamento foi centralizado na medicação com antirretrovirais, de maneira setorializada em serviço especializado e com equipe constituída por profissional médico, enfermeiro e farmacêutico. Também foi evidenciado baixo acesso a recursos não farmacológicos, como assistência psicoterapêutica. Considerações finais: A trajetória assistencial precisa ser qualificada na direção de garantir maior acesso as redes de saúde e as equipes interprofissionais para uma atenção à saúde integral que realize o diagnóstico precoce com vistas a reduzir os riscos de complicações e ofereça um cuidado integral e humanizado, que extrapole o uso de medicamentos.

Abstract Objective: To analyze the therapeutic itinerary of elderly people living with HIV assisted in a municipality in Western Santa Catarina. Methodology: Qualitative study with thematic oral history method. The population was consisted of elderly people who have been living with HIV/Aids for more than five years, assisted in a Specialized Care Service. Two meetings were held for approximation and three moments of in-depth interviews. Data analysis was performed through thematic content analysis. Results and Discussion: The elderly had their diagnosis at a late stage, use antiretrovirals in their therapeutic journey, they have the specialized service as the central treatment space and greater contact with the medical professional, nurse and pharmacist. Final considerations: The therapeutic itineraries were built in a way that diagnoses happen late, with treatment focused on medication, in a sectorized way and without a diverse interprofessional team.

Review on Development of Heart Rate and Respiratory Core Vital Characteristics Monitoring Technology / 中国医疗器械杂志

Life monitoring technology as the basis of health evaluation, in recent years, its related technology research also has new development, in which cardiopulmonary parameters are the core physiological indicators to measure the basic state of vital signs, the analysis of its monitoring technology is particularly important. In this study, the main means of life monitoring are analyzed, and the monitoring technology of cardiopulmonary parameters is the main focus. What is more, the research status and development of contact and non-contact cardiopulmonary monitoring technology at home and abroad were also considered. Lastly, this study will be combined with the radar wave vital signs monitoring technology, which has been achieved good results in the field of cardiopulmonary monitoring, in order to provide a reference for the long-term development of life monitoring field and the technology integration of intelligent pension, intelligent automobile and other related industries.

Risk Control of Old-age Care Institution under Coronavirus Disease 2019 Epidemic / 中国康复理论与实践

Coronavirus disease 2019 brought some risks to the current environment of old-age care institutions, the provision of integrated medical care and nursing services, and the psychology of the elderly. To prevent the risks faced by the suitable environment, it is necessary to carry out architectural planning and design, and transform the suitable environment, to achieve the goal of closed management; quarantine areas, clean areas, and polluted areas should be set up to ensure the quality of life. To prevent the risks related to the integration of medical care and nursing services, it is necessary to establish a long-term care insurance system, promote qualified old-age care institutions to become designated medical institutions, form a training and incentive mechanism for medical staff, and promote the development of internet medical care. To prevent the psychological risk of the elderly, it is necessary to pay attention to the psychological work to deal with the psychological crisis of the elderly. In addition, refined management is needed to avoid cross-infection.

Investigation on the cognition and needs of integrating old-age care with medical service among different population groups / 重庆医学

Objective To investigate the cognition and attitude toward integrating old-age care with medical services among the elderly,nurses from medical institutions and old-age care institution staffs,in order to provide references for developing implementation strategies of integrating old-age care with medical service.Methods The convenience sampling method was conducted,and 963 people.from 4 cities in Henan Province were enrolled in this survey from July to September 2016,including 599 elderly people,248 nurses from medical institutions and 166 old-age care institution staffs.All volunteers were investigated by using self-designed questionnaires.Results A total of 1 000 questionnaires were distributed,and 963 valid questionnaires were retrieved.The effective recovery rate was 96.3％.The cognition of integrating old-age care with medical service in all volunteers was low.There were differences in the needs of all nursing care services in the integrative old-age care and medical services,the needs of Chinese traditional medical care services were low.The highest demand of service capabilities was skills of coping urgent issues,while the lowest demand of service capabilities was education levels of care givers;the scores on evaluation of the two demands in the elderly were (4.803± 0.453) and (3.124± 1.246) points,those in the old-age care institution staffs were (4.819±0.468) and (2.698± 1.346) points,there was no statistically significant difference between the two groups (P＞0.05).Conclusion In the progress of promoting the integration of old-age care and medical services,it is necessary pay more attention on the promotion among non-urban elderly people,and improving living facilities as well as the quality of care services.Integrated management and hierarchical training for nursing professionals and old-age care institutions staffs should be carried out gradually.

Crazy Lady is an early old woman and needs care / Dona Doida está envelhecendo e precisa de cuidados / Crazy Lady es una anciana y necesita cuidados

"Old Age is a way of feeling cold that assaults me/ and a certain acidity": that's the beginning of a poem of Adélia Prado, in which she deals with the thematic of aging, old age and the care that is necessary in this phase of life. In opposition to the initial impression that these stanzas transmit to us, the perspective of Adélia Prado on this entire poem and on the other poems that we'll discuss in this article, is the concern for the elderly, for instrumental practices of care, and for the bio-political, humanitarian and democratic conditions that may optimize the elderly life in our society. Adélia Prado has an illusio about the inexorable of old age and we will discuss this illusio. We will also discuss dispositions towards care that are evoked in her poems. These care practices may alleviate the "natural" physical, psychosocial deconstructions that old age might bring to all of us. In this work we deal with conceptual elements from Simone de Beauvoir, Leonardo Boff, Pierre Bourdieu and others.

"Old Age es una forma de sentimiento frío que asaults me / and a cierto accidencia": que es el comienzo de la poem de Adelia Prado, en cuyo caso, con el temblor del enveje, la edad y el cuidado que es necesario en Esta fase de la vida. En contraste con la impresión inicial que estas transcripciones transmiten, la perspectiva de Adelina Prado en este pozo y sobre los demás poemas que vamos a discutir en este artículo, es el referente a los ancianos, a las prácticas instrumentales, Para la bio-política, las reglas y las condiciones establecidas para optimizar la vida de la vida en nuestra sociedad. Adélia Prado ha an ilusio sobre el inexorable de edad antigua y nosotros vamos a discutir esta ilusión. También se discutirán las disposiciones de cuidado que se evocan en los poemas. Las costosas costumbres pueden aligerar el "natural" físico, psicocial deconstrucciones que la edad actúe para todos. En este trabajo se trata de conceptos conceptuales de Simone de Beauvoir, Leonardo Boff, Pierre Bourdieu y otros.

"A velhice é uma forma de sentir frio que me assalta/ e uma certa acidez": esse é o começo de um poema de Adélia Prado, no qual se trata da temática do envelhecimento, da velhice e do cuidado que é necessário nessa fase da vida. Em oposição à impressão inicial que essas estrofes nos transmitem, a perspectiva de Adélia Prado, neste poema inteiro, e sobre os outros poemas que abordaremos neste artigo, é a preocupação com a pessoa idosa, as práticas instrumentais de cuidado, as condições biopolíticas humanitárias e democráticas que podem otimizar a vida de idosos em nossa sociedade. Adélia Prado está inserida na illusio sobre a inexorabilidade da velhice e trataremos disso. Discutiremos também os dispositivos de cuidados que são evocados em seus poemas. Essas práticas de cuidado podem aliviar as desconstruções físicas e psicossociais "naturais" que a velhice pode trazer a todos nós. Neste estudo, trabalharemos com elementos conceituais de Simone de Beauvoir, Leonardo Boff, Pierre Bourdieu e outros.

Investigation on the Mental Health Status of Urban Community Empty Nesters and Its Countermeasure Analysis / 中国医学伦理学

Objective:To investigate the urban community empty nesters' mental health status in Xi'an,analyze the causes,and thus to recommend some countermeasures.Methods:The general situation questionnaire,the Symptom Checklist 90 (SCL-90),the Social Support Rating Scale (SSRS) and the Memorial University of Newfoundland Scale of Happiness were used to investigate the mental health status of urban community empty nesters.A total of 280 old men have been investigated,of which 150 were empty nesters (research group) but 130 were not (control group).Results:There was no statistically significant difference in gender,age,education background between the two groups (P ＞ 0.05).As for SCL-90,the average scores of somatization,interpersonal relationship,depression,anxiety,and horror in the research group were significantly higher than the control group (P ＜ 0.05),while there was no significant difference in other factors (P ＞ 0.05).The scores of SSRS,objective support,subjective support,and exploitation degree of support in the research group were all significantly lower than the control group (P ＜ 0.05).The subjective well-being was significantly lower in the research group than the control group (P ＜ 0.01).Conclusion:In Xi'an,the overall mental health of community empty nester is at a low level.It suggests perfect the old-age care system in our country,appeal to social organizations to give full play in supporting role,strengthen psychological intervention of community health service center,strengthen the construction of ethics and filial piety culture,deepen the consciousness of family in order to improve the empty nesters' mental health.