Gerontologia

Site sobre gerontologia e estudos sobre o envelhecimento.

Symphonic Voices

Neste espaço estaremos conectando o visitante com a expressão do pensamento de diversos autores exposta em apresentações para palestras.

É um catálogo de apresentações em Power Point, PPS ou PDF que será regularmente ampliado com a inclusão de novos temas. Estaremos oferecendo a possibilidade de visualização  da apresentação na íntegra, e sempre que possível,o link de acesso ao site de origem. Entretanto alguns dos nossos materiais de arquivo mais antigos já perderam sua “denominação de origem” pois a fonte original não  se encontra mais na web, e nesse caso, estaremos disponibilizando apenas as aulas que identificam o seu autor.

Algumas apresentações estarão também em posts da home page e abertas à discussão nos arquivos da categoria “Symphonic Voices”, onde daremos mais links de acesso relacionados ao tema ou ao autor.

Esperamos iniciar uma sinfonia inacabada,  onde vozes e instrumentos dos mais diversos possam contribuir para evocar a todos mais uma melodia que conecte corações e mentes ao tema do envelhecimento, através do tempo-espaço virtual.

0540-021212

Epidemiologia da demência em países em desenvolvimento

Cleusa P. Ferri

Brasil – United Kingdom

Centre for Public mental Health Institute of Psychiatry King’s College, London

“…Estudos anteriores talvez tenham subestimado a prevalência

de demência em países em desenvolvimento…”

“…Demência é o maior contribuidor para as necessidades de cuidado…”

“…Os serviços de saúde não oferecem os cuidados

que este usuário necessita…”

Fonte: http://www.epi2008.com.br/apresentacoes/MESA_REDONDA_21_09_15H45_pdf/Cleusa%20Ferri.pdf

0356-020613

Physical activity and older adults: New opportunities

Dawn Skelton

United Kingdom

Professor of Ageing and Health – Glasgow Caledonian University

“…3 Dimensions of Human Frailty: TIME-DISEASE-DISUSE…”

“…It’s never too late to exercise…”

“…A 12 week high Intensity Strength Training programme in >90 yr olds

doubled their strength…”

Fonte: http://www.vidawellness.co.uk/network/seminar/pdf/AA2011DSkelton.pdf

0689-020813

A national strategy:

implementation of the French Alzheimer plan 2008-2012

Florence Lustman

France

Inspecteur Général des Finances

Vice Chair of the Foundation for Scientific Co-ordination of the Alzheimer Plan

“…The main challenges of the plan: 1- A commission chaired by Pr Ménard;

2- A financial effort on 5 years; 3- A new governance based on transparency…”

“…1,2 billion euros for medico-social support ; Supervisory committee every 4 month…”

“…125 research projects; 138 new researchers; Clinic epidemiology training for 614 doctors;

National epidemiologic data bank; …”

Fonte:

http://www.socialwork-socialpolicy.tcd.ie/livingwithdementia/assets/pdf/Florence_Lustman_DementiaStrategy_Conference.pdf

0468-021212

Is Sarcopenia an Aging Phenotype or an Effect

of Chronic Diseases?

Luigi Ferrucci

USA – Italy

Geriatrician and Epidemiologist – Chief of the Longitudinal Studies Section at NIA.

Director of the Baltimore Longitudinal Study on Aging.

Scientific Director of National Institute on Aging.

“…Multiple types of skeletal muscle atrophy

involve a common program of changes in gene expression…”

“…Endurance exercise rescues progeroid aging and induces systemic

mitochondrial rejuvenation in mtDNA mutator mice…”

Fonte: http://www.americangeriatrics.org/files/documents/annual_meeting/2011/handouts/thursday/sarcopenia/L_Ferrucci.pdf

0314-020911

LATEST RESEARCH IN ALZHEIMER’S DISEASE THERAPIES

Michael Woodward

Australia

Head of aged and residential care services at Austin Health;

Geriatrician in private practice at Donvale Rehabilitation Hospital;

Director of the memory clinic at the Austin.

“…AD as a continuum – a risk state…”

“…We need to see AD as a continuum, not a discrete sudden- onset illness…”

“…Prevention even more relevant (diet, depression, diabetes and control of vascular risk factors)…”

“…25 years after original tacrine report, we still only have 4 modestly effective symptomatic therapies…”

Fonte: http://www.alzheimers2011.com/downloads/presentations/Michael%20Woodward.ppt

0439-020513

Malnutrition and apropriate nutritional care

Cornel Christian Sieber

Germany

Chair Geriatric Medicine .

Friedrich-Alexander-University Erlangen – Nürnberg

“…Nutritional problems in elderly patients: largely unrecognized…”

“…Malnutrition / at risk in Europe is:

5% of the entire population ; 10% in those over 65 years; 15% in ages 75-80 living at home;

35-40% of all hospital admissions; up to 60% in care homes…”

“…Malnutrition increases need of care in all care situations…”

Fonte: http://www.european-nutrition.org/images/uploads/pdf_pdf_87.pdf

0455-020813

Sarcopenia & Nutrição

Virgílio Garcia Moreira

Brasil

Médico Geriatra

Professor dos Cursos de Pós-Graduação em Geriatria e Gerontologia Unati/UERJ & PUC-RJ.

Pesquisador do Laboratório de Pesquisa em Envelhecimento Humano – GeronLab.

“…35% Mulheres e 30% dos Homens acima de 50 anos ingerem

menos que 0,8g/Kg/dia de proteína…”

“…Inadequação muscular associado a perda da capacidade funcional e comorbidades…”

“…Aminoácidos Essenciais: Ação Sinérgica com o exercício…”

Fonte: http://www.almageriatria.info/pdf_files/mexico_2011/alumnos_3/02%20Sarcopenia%20y%20nutricion.pdf

0668-020813

Still caring – An innovative and responsible approach

Luisa Bartorelli

Italy

Geriatra – Direttore Centro Alzheimer

della Fondazione Roma –  Alzheimer Uniti Onlus

“…The plasticity and adaptive capacity of the brain permits a partial recovery of lost function

that has resulted from the disease. Exercise retards the functional decline…”

“…Adapting the environment to the existing capacities of the person

reduces behaviour disturbances…”

“…The integration of interventions, each with its specific impact, simultaneously stimulates

different areas of the brain…”

Fonte: http://www.alzheimer-europe.org/EN/Media/Files/7.-Conferences/2011-Warsaw/2011-Presentations/P2.4-Luisa-Bartorelli

0700-020813

Evaluation and Comparison of Four Different Care-Giving

Approaches and their Affect on Depression, Care Burden and General Health

of Dementa Care-Givers in Iran

Faraneh Farin

Iran

PR Coordinator at Iran Alzheimer Association

“…Caring for the patient with dementia has been described as one of the most demanding situations encountered. The precariousness of the state of health of family caregivers, both physical and

psychological, has been amply documented. Indeed, family caregivers

are now recognized as an at-risk group…”

Fonte: http://www.alz.co.uk/sites/default/files/conf2013/oc020.pdf

0568-020513

POLÍTICA Y LEGISLACIÓN SOBRE ENVEJECIMIENTO

Y VEJEZ EN COLOMBIA

Nidia Aristizábal-Vallejo

Colombia

Doctora em Psicologia del Envejecimiento – Profesora Titular – Directora Programa de Gerontología Universidad de San Buenaventura y El Bosque – Bogotá.

“….Colombia – La familia se empieza a debilitar como proveedora de bienestar. Más del 50% de los mayores de 60 años son pobres. El nivel educativo de las personas mayores es inferior a seis años de estudios formales, siendo menor el nivel en mujeres…”

“…Crear condiciones para el envejecimiento de la población, entendido como el derecho de toda la población a una vida digna, larga y saludable, reconociendo la trascendencia de la corresponsabilidad individual, familiar y social en este proceso…”

Fonte: http://www.cepal.org/celade/noticias/paginas/3/40183/nidiaaristizabal.pdf

0451-020813

Sarcopenia, older age, chronic disease and obesity

John Ward

Australia

Clinical Director and Geriatrician, Greater Newcastle Cluster,

Hunter New England LHD

“…Confluence of ageing, chronic disease, obesity

is one of the major public health challenges of 21st century…”

“…Obesity reduces physical activity; Diabetes and obesity cause sarcopenia;

Sarcopenia causes obesity and diabetes…”

Fonte: http://fallsnetwork.powmri.edu.au/wordpress/wp-content/uploads/2011/05/Ward-Sarcopenia-as-a-falls-risk.pdf

0471-020813

CARACTERÍSTICAS DAS ENFERMIDADES EM MEDICINA GERIÁTRICA:

AVALIAÇÃO GLOBAL DO IDOSO

Wilson Jacob Filho

Brasil

Professor titular de geriatria da Faculdade de Medicina da Universidade de São Paulo;

Diretor do Serviço de Geriatria do Hospital das Clínicas da Faculdade de Medicina

da Universidade de São Paulo;

Coordenador do Núcleo de Geriatria do Hospital Sírio-Libanês.

“…O envelhecimento reduz a capacidade de adaptação

às sobrecargas funcionais…

“…As doenças dos idosos

são raramente detectadas sem uma avaliação sistemática…”

“…Seria impossível que um só profissional reunisse todo o conhecimento e habilitação

necessárias para atender adequadamente às necessidades do idoso…”

Fonte: http://www.almageriatria.info/pdf_files/brasil/ponencias_1/WILSON%20JACOB.pdf

0521-020813

Social networks, health and wellbeing: Evidence from SAGE

Paul Kowal, et all.

Australia

Scientist at WHO Multi-Country Studies Unit

Senior Research Fellow at University of Newcastle Research Centre on Gender, Health and Ageing

World Health Organization Department of Health Statistics and Information Systems (HSI)

“…Is poor social network associated with higher

level of disability and poor quality of life in low-middle income countries?…”

“…What are the patterns of happiness and well-being

in low-middle income populations?…”

Fonte:  http://www.who.int/healthinfo/16_SocialNet_Kowal_Ng.pdf

0561-020813

IMPACTO EPIDEMIOLÓGICO DE LA COMORBILIDAD EN EL ADULTO MAYOR

Dr.B.Dagoberto Güílamo

República Dominicana

Medico Geriatra

“…Calidad de vida es un concepto subjetivo que cubre todos lós aspectos de la vida,

según ló experimenta el individuo…”

“…Recordemos que el término salud en Geriatría ES integral y quíntuple: Bio-Psico-Social, funcional y espiritual. Pero más que con La presencia o no de enfermedad, ló está con la posibilidad

de autonomia funcional o con el grado de dependencia…”

Fonte: http://www.almageriatria.info/pdf_files/col_07/alumnos_2/

Dagoberto%20Guilamo_Rep.%20Dominicana.%20IMPACTO%20EPIDEMIOLOGICO%201.pdf

0566-020813

Culture and Dementia. From Diversity to Partnership

Helen Chiu

China

Head, Department of Psychiatry The Chinese University of Hong Kong

Past President of International Psychogeriatric Association

“…Value system and Ageing – The issue of independence…”

“…In USA, emphasis on independence and individualism – In China, dependency,

reciprocity and obligation…”

“…Chinese culture may provide an easier transition to a dependent role in old age…”

“…The Hindu culture prepares for old age with the disengagement theory…”

“… In India – Dementia regarded as normal part of ageing not requiring medical care…”

Fonte:  http://silverinnings.com/docs/Health%20n%20Fitness/Alzheimer%20n%20Dementia/Culture%20and%20Dementia.pdf

0322-020813

Brain Reserve

Jean-Pierre Michel

Switzerland

Professor of Medicine, head of the geriatric ward – Geneva Medical School and University Hospitals.

President of the European Union Geriatric Society –EUGMS- 2010/2012

“ …BRAIN RESERVE Concept: The ability to tolerate the age-related changes and the disease-related pathology in the brain without developing clear clinical symptoms and signs…”

Fonte:  https://espace.cern.ch/Medical-service/Promotion%20of%20Optimum%20Brain%20Ageing/Alzheimer25_2_09_2.pdf

0267-020813

Age Invaders:

Social Physical Interaction For Elderly and Young

Khoo Eng Tat

Republic of Singapore

PhD Scholar , Keio-NUS CUTE Center, Mixed Reality Lab,

National University of Singapore

R&D Director at EON Reality Pte Ltd.,responsible for new technology

and product development

“…Novel family entertainment game

Interactive social-physical game

Intergenerational game play

Real time virtual online internet participation

Adjustable game parameters and balance game play between elderly and young…”

“…Age Invaders is a novel interactive intergeneration social-physical game which allows the elderly to play harmoniously together with children in the physical space while parents can participate in the game play in real time remotely in the virtual world through the internet.Traditional digital games are designed for the young where normally the player sits in front of a computer or game console.

Unlike standard computer games, Age Invaders brings the game play to a physical platform, and requires and encourages physical body movements rather than constraining the user in front of a computer for many hours. Age Invaders is specially designed for a harmonious game play between the elderly and young. Adjusting game properties automatically compensate for potential elderly disadvantages, for example slower reaction time and slow movement…”

Fonte: http://www.mixedreality.nus.edu.sg/MEDIA/ppt/AGE%20INVADERS%202007.ppt

0432-020813

EXPERIENCIAS EN FORMACIÓN Y CAPACITACIÓN

EN MATERIA DE ADULTO MAYOR EN CUBA

Alberto Ernesto Fernández Seco

Cuba

Jefe del Departamento de Adulto Mayor, Asistencia Social y Salud Mental

Ministerio de Salud Pública

“…LOS ESCENARIOS…”

“…Cambios en las necesidades de atención y en la distribución de los servicios.

La organización de los servicios ya no depende del concepto clásico de enfermedad.

Mayor complejidad en las soluciones com elevada demanda de acciones multidisciplinarias

Mayor tiempo de dedicación de los equipos de salud a las personas mayores…”

“…La mitad de los recursos humanos que atenderán los pacientes mayores

en los próximos 20 años,

ya fueron formados en los últimos 10 años…”

Fonte: http://www.eclac.cl/celade/noticias/paginas/5/45035/14albertofernandez.pdf

0663-020813

SOCIABLE – NEXT GENERATION COGNITIVE TRAINING

USING MULTI-TOUCH SURFACE COMPUTERS

Paraskevi Sakka

Greece

Athens Association of Alzheimer’s Disease and Related Disorders

Neurodegenerative Brain Diseases Department,

HYGEIA Hospital, Athens

“…It is increasingly recognized that nonpharmacological treatments for dementia should,

in best practice, be pursued early in conjunction with antidementia drugs.

Prevention strategies for Alzheimer’s disease include

mental stimulation activities…”

“…SOCIABLE is an ICT based programme aiming at:

Training and improving the cognitive functions of healthy elderly, elderly with MCI

and patients with mild AD;

Improving quality of life of both the elderly and their families…”

Fonte: http://www.alz.co.uk/sites/default/files/conf2013/oc065.pdf

0543-020612

Retrogenesis in Alzheimer’s disease.

Care strategies that reduce

Behavioral and Psychological Symptoms in Dementia

Barry Reisberg

USA

Professor of Psychiatry Director, Fisher Alzheimer’s Disease Program Clinical Director,

Aging & Dementia Research Center Director, Clinical Core, NYU Alzheimer’s Disease Center

Center of Excellence on Brain Aging New York University School of Medicine

“…RETROGENESIS:

The process by which degenerative mechanisms reverse

the order of acquisition in normal development…” “…A new concept in Alzheimer’s disease

course and etiopathogenesis…”

“…COGNITION:

WE HYPOTHESIZED, that infant intelligence test measures

would be useful in assessing residual cognition…”

“…Despite these differences, the developmental age ( DA ) of the AD patient

can provide readily and universally appreciable

guidelines for AD care…”

Fonte: http://www.navarra.es/NR/rdonlyres/5CB1E6EB-F352-47B1-AE82-4CA073586C09/180103/PonenciaBarryReisberg.pdf

0547-020813

Sexuality in Long Term Care Homes – the Legal Issues

Judith Wahl

Canada

Executive Director at Advocacy Centre for the Elderly,

Toronto, Ontario

“…Long Term Care Homes are a “normal” environment, the “home” of persons who live there…”

“…Literature that is available focuses more on the rights of persons in psychiatric facilities or the rights

of persons with intellectual disabilities not on persons with dementia

who are likely to live in long term care homes…”

“…Family members cannot determine what capable consenting residents can or cannot do in way of sexual expression. Individuals make that decision for themselves…”

Fonte:  http://www.rgpc.ca/rgpc_resource_library/Sexuality%20in%20Long%20Term%20Care%20Homes%20-%20The%20Legal%20Issues.pdf

0544-021212

Redes sociais, afectos e pessoas idosas

António Manuel Fonseca

Portugal

Diretor da Faculdade de Educação e Psicologia da Universidade Católica Portuguesa – Porto.

Especialista em Psicologia do Desenvolvimento Humano

- Idade Adulta e Envelhecimento.

“…Os idosos terão as suas necessidades instrumentais satisfeitas se as redes forem dominadas por familiares, mas tendem a exprimir maior satisfação com a vida

se os amigos predominarem…”

“…Interacção com amigos está positivamente correlacionada

com o bem estar emocional…”

Fonte: http://www.apdh.pt/sites/apdh.pt/files/Redes%20sociaisafectosepessoasidosas.pdf

0580-020513

Modelos Asistenciales

Necesidades observadas:

base para el desarollo de un modelo assistencial

María del Carmen Garcia Peña

México

Jefe de la Unidad de Investigación Epidemiológica en Servicios de Salud

en el área de Envejecimiento del IMSS

PhD, Doctorado en Salud Pública y Envejecimiento por la Escuela de Higiene

y Medicina Tropical de la Universidad de Londres.

“…Meta final:

Que el adulto mayor permanezca funcional e independiente

en su entorno habitual;

Rehabilitar al adulto para devolverlo a su comunidad y al entorno familiar

o de residencia a largo plazo funcional e independiente…”

Fonte: http://www.geriatria.salud.gob.mx/descargas/10_mod_asis.pdf

0428-020813

Developing person-centred care

Bob Woods

Professor of Clinical Psychology with Older People, University of Wales Bangor

Co-Director of the Dementia Services Development Centre Wales

Director of the Centre for Social Policy Research and Development.

“…“In dementia many aspects of the psyche that had, for a long time, been individual and ‘internal’,

are again made over to the interpersonal milieu. Memory may have faded, but something of the past

is known; identity remains intact, because others hold it in place; thoughts may have disappeared,

but there are still interpersonal processes; feelings are expressed and meet a validating response;

and if there is a spirituality, it will most likely be of the kind that Buber describes,

where the divine is encountered in the depth of I thou relating.” …”

Fonte: http://www.groups.psychology.org.au/Assets/Files/conf05_pape_Woods2.pdf

0501-020613

Towards a new policy paradigm for a sustainable ageing society

Sung-Jae Choi

REPUBLIC of KOREA

Professor of Social Welfare at Seoul National University

Former Regional Chair of Asia/Oceania Region, IAGG

“…Perception of ageing society depicted as negative.

● The ageing society is becoming the one that people are afraid of and wish to avoid.

● The negative perception of ageing society is based on some unreasonable,

uncertain and unscientific assumptions.

● Traditional policy paradigm for the ageing society is not effective.

A new policy paradigm called “An Age- Integrated Social System Perspective” as suggested…”

Fonte: http://www.npfpc.gov.cn/special/20120704cchy/201207/W020120720453245026612.pdf

0695-020813

Velocidad de la Marcha en Ancianos¿ Es un marcador precoz de fragilidad?

Manuel Montero-Odasso

Canada – Argentina

Division of Geriatric Medicine at University of Western Ontario

Associate Scientific, Lawson Research Institute, London, On Canada


“…Fragilidad es uno de esos conceptos abstractos que no sabemos exactamente

como definirlo, pero que lo reconocemos cuando lo vemos…”

“… Porqué velocidad de la marcha?: Representa alto nivel evolutivo; Refleja varios sistemas;

Associada a eventos adversos…”

“…Hipótesis: Discapacidad en los miembros inferiores esta relacionada a la sarcopenia

siendo esta uma característica de la fragilidad física…”

“…Velocidad de marcha lenta es una manifestación preclínica de fragilidad física…”

Fonte: http://www.almageriatria.info/pdf_files/col_06/ponencias_4/Montero%201.pdf


0695-020813

Velocidad de la Marcha en Ancianos¿ Es un marcador precoz de fragilidad?

0215-020411

Exercise prescriptions for hospital, community

and residential aged care

Catherine Sherrington

Australia

Senior Research Fellowship

from the National Health Medical Research Council of Australia.

“… Balance and mobility are often poorer when a person is in hospital,

compared with their usual mobility…”

“…Common sense suggests that a number of falls prevention aspects

should be part of usual care on all wards…”

“…multifaceted programs including exercise prevent falls in sub-acute wards…”

Fonte:  http://fallsnetwork.powmri.edu.au/wordpress/wp-content/uploads/2010/03/Sherrington_exercise_guidelines-for-VC.pdf

0132-020613

Sexualidade no Envelhecimento

Ana Alexandra Carvalheira

Portugal

PhD in Psychology from the University of Salamanca

President of the Portuguese Society of Clinical Sexology

“…O MODELO DE SEXUALIDADE DOMINANTE: “modelo jovem” da sexualidade, Valorização social: Jovens e atraentes; “modelo” genitalizado; a exigência dos padrões de beleza.

“…“Um homem, inclusive um homem feio, mantém-se sexualmente elegível até ter uma idade avançada. É um parceiro aceitável para uma mulher jovem e atraente. As mulheres, tornam-se inelegíveis numa idade muito mais jovem. Assim, para a maior parte das mulheres, o envelhecimento

constitui um humilhante processo de desqualificação sexual.”…”

Fonte:  http://www.socialgest.pt/_dlds/APSexualidadenoenvelhecimento.pdf

0202-020611

Apathy – A Differential Diagnosis

Case Discussion – A Psychiatrist’s Perspective

David Mamo

Canada/Malta

Geriatric Mental Health Program – Centre for Addiction & Mental Health. University of Toronto.

Clinical Lead in the Development of Mental Health Services for the Elderly in Malta.

‘…Apathy – historically an ideal state in which the individual is unmoved

by earthly matters – primarily a amotivational state (abulia))

Anhedonia –  refers to the loss of interest or ability to

experience pleasure….”

‘…In the context of dementia, apathy occurs separately from depression

and is not a psychological reaction to illness…”

Fonte: http://www.baycrest.org/documents/Apathy_depression_incipient_dementia.pdf

0683-020813

NUEVOS O VIEJOS PARADIGMAS

DEL ENVEJECIMIENTO Y EL DESARROLLO SOCIAL

EN AMERICA LATINA Y EL CARIBE

Veronica Montes de Oca Zavala

México

Doctora en Ciencias Sociales con especialidad en Población. El Colegio de México.

Instituto de Investigaciones Sociales

“…Muchos países desarrollados hablan del envejecimiento como un proceso que experimentan

todas las poblaciones en su curso de vida, porque ellos han logrado proteger

a su población adulta mayor con un estado de bienestar.

En los países en desarrollo hemos hablado del envejecimiento haciendo visibles

las condiciones de pobreza, exclusión y vulnerabilidad de las primeras generaciones

que llegan a etapas de vejez avanzada. Esto es un gran mérito

Continuar con esta línea es un compromiso histórico, pero además es necesario plantearnos un reto mayor: estudiar el envejecimiento desde una perspectiva del curso de vida,

estudiando las diferentes etapas de la vida, las relaciones intergeneracionales,

pero también la estructura de oportunidades sociales de cada población…”

Fonte: http://www.senama.cl/filesapp/Veronica_Montes_Oca.pdf

0685-020813

Les Universités du Troisième Age :

le Présent et le Futur

François Vellas

France

Professeur déconomie internationale à l´Université Toulouse 1 Capitole

Président de l’”Association Internationale des Universités du Troisième Âge”-  l’AIUTA

“…L’Université du Troisième Age constitue une réponse au passage de l’activité à la retraite, en permettant de développer ses connaissances et sa formation académique à tous âges…”

“…Les U3A sont une réponse à ces deux préoccupations majeures :

•Assurer une formation tout au long de la vie afin de répondre à la soif légitime de connaissances et surtout d’adaptation de soi à son environnement ex : Informatique, Télématique, TIC

•Offrir un cadre d’accomplissement personnel sans obstacles de financement

(gratuité ou facilités financières) …”

Fonte: http://www.senama.cl/filesapp/Francois%20Vellas.pdf

0633-020813

Care of the Elderly: Can we do Better?

Samir K. Sinha

Canada

Geriatrician – Provincial Lead for Ontario’s Seniors Care Strategy

Mount Sinai Hospital’s Acute Care for Elders (ACE) Strategy.

“…The way in which cities and communities are currently designed, resourced, organised and delivered, often disadvantages older adults with chronic health issues…”

“…A community that recognizes the great diversity amongst older persons, promotes their inclusion and contributions in all areas of community life, respects their decisions and lifestyle choices,

and anticipates and responds flexibly to aging-related needs and preferences…”

Fonte: http://www.acelaw.ca/appimages/file/ACE%20Special%20Lecture%20June%2012_2012%20FINAL_495.pdf

0305-021212

Assistência Hospitalar ao Idoso no SUS: Dilemas e Desafios

Elisa Franco de Assis Costa

Brasil

Médica Geriatra- Coordenadora do Programa de Residência em Geriatria HUGO na Hospital de Urgências de Goiânia – HUGO

Membro da Câmara Técnica de Geriatria do Conselho Federal de Medicina.

“…Não seria aceitável que idosos frágeis sejam rejeitados pela instituições de saúde em nome de critérios econômicos (diminuição de gastos) nem que por experiências negativas prévias pretenda-se eliminar dos hospitais seu papel nos cuidados contínuos de pessoas com algum grau de dependência…”

“…Dado o atual perfil epidemiológico da população brasileira, com o predomínio de das doenças crônico-degenerativas, em que o conceito cura é substituído pelo de cuidado, torna-se imperiosa

a revisão do atual modelo assistencial…”

Fonte: http://portal.saude.gov.br/portal/arquivos/pdf/neidil_Assistencia_Hospitalar_ao_Idoso_no_sus.pdf

0593-020613

Bridging the gap in Good Dementia Care.

A question of leadership?

Dawn Brooker

United Kingdom

Director of the University of Worcester Association for Dementia Studies

Professor of Dementia Studies at University of Bradford 2001-2009

“…Person Centred Care are the processes by which we maintain

the Personhood of those who have dementia…..”

“…“It is conceivable that most of the advances that have been made in recent years might be obliterated, and that the state of affairs in 2010 might be as bad as it was in 1970, except that it would be varnished by eloquent mission statements, and masked by fine buildings and glossy brochures”…”

Fonte: http://www.videnscenterfordemens.dk/media/1046230/dawn%20brooker.pdf

0576-021212

PARTICIPATION OF OLDER PERSONS IN POLITICAL

AND PUBLIC LIFE

Alexandre Sidorenko

Russia – United Nations

Expert on national and international policy on ageing- United Nations Programme on Ageing

Chairman, 2013 National Conference on Ageing, Moscow.

Global Ambassador for HelpAge International.

“…Political Orientation: the content, intensity, and stability of the attachments

individuals have to political objects…”

“…Political participation: the ways in which individuals attempt to influence or take part

in governmental activity…”

“…Organizations of older persons provide an important means of enabling participation through advocacyand promotion of multigenerational interactions, particularly for older women,

who as individuals often remain voiceless. Furthermore, these groups can help

to harness the political influence of older persons and ensure that they can effectively participate

in decision‐making processes at all levels of government…”

Fonte: http://www.eclac.cl/celade/noticias/paginas/9/46199/18_ALEXANDRE_SIDORENKO.pdf

0692-020813

PERFIL SOCIODEMOGRÁFICO DE LA MUJER MAYOR

EN LAS DIFERENTES REGIONES DE EUROPA E IBEROAMÉRICA

Sandra Huenchuan

Chile

Especialista en Políticas Públicas y en Envejecimiento del Centro Latinoamericano (CELADE),

División de Población de la CEPAL

(Comisión Económica para América Latina y el Caribe)

“…Las mujeres mayores constituyen el mayor grupo demográfico que aun no se ha erigido

como uma categoría teórica de relevancia para las ciências sociales en general.

Se suele interpretar la vida de las mujeres mayores a partir de los paradigmas ya establecidos,

muchos de lós cuales pasan por alto las relaciones de edad: – Hombres en edad productiva – Mujeres en edad reproductiva…”

“…Las desigualdades de edad y género están vinculadas a la pobreza, y su mayor incidencia en las mujeres que entre sus pares masculinos no es accidental, sino multidimensional, por cuanto nace de las múltiples desigualdades que éstas sufren a lo largo de la vida.

• El género como variable estratificadora de la situación socioeconómica en la vejez

tiene su origen en la división sexual del trabajo.

• En todo el mundo, las mujeres de edad tienen más posibilidades

de vivir en la pobreza que los hombres…”

Fonte: http://www.riicotec.org/InterPresent2/groups/imserso/documents/binario/col2011_perfil.pdf

0410-020813

LONG TERM CARE in ITALY 2007

ECHO – European Confederation of Care-Home Organisations

“…The State fixes health services to be supplied ffree of charge to all citizens and

works out general social and health guidelines…”

“…Each Region utilizes different dependency evaluation scales. In some Regions all residents

in the same nursing home are considered equal; in some others each resident has his own evaluation…”

“…Who pays the rates: _ Hotel or social costs: are paid by residents or their relatives; if they are unwealthy, the municipalities pay, but not all municipalities do it for lack of financial resources; _ Health costs: are paid by Local health services, which are obliged for Constitutional imposition…”

Fonte: http://www.echo-eu.com/img/contents/analysis/2007-PPP-ECHO-Italy.pdf

0245-020613

Biomechanics of Elderly Gait

Edward Lemaire

Canada

Associate professor, PhD
Faculty of Medicine Institute for Rehabilitation Research and Development

University of Ottawa

“… Over 23% of elderly Canadians have a mobility disability…”

“…over 1.7 million Canadian seniors with mobility disability by 2021…”

Fonte: http://www.ispo.ca/member/files/lemaire-gait.pdf

0417-020813

Envelhecimento no Brasil: Desafios e compromissos

Vicente de Paula Faleiros

Brasil

Docente da Universidade Católica de Brasilia

Doutor em Ciências Sociais pela Université de Montreal; pós-doutorado pela Université de Montreal

e pela Écoles des Hautes Études en Sciences Sociales, Paris

“…É fundamental uma desconstrução da categoria “velhice” como categoria homogênea,

valorizando-se a heterogeneidade e a diversidade social,

cultural, biológica e psicológica…”

Fonte: http://www2.pol.org.br/envelhecimento/docs/Vicente%20Faleiros%20-%20Envelhecimento%20no%20Brasil%20Desafios%20e%20compromisos.pdf

0082-020111

Erótica y envejecimiento

Ricardo Iacub

Argentina

Prof. Asociado a cargo de Psciología de la 3ra Edad y Vejez, Fac. de Psicología UBA

y Prof. Titular Psicología Evolutiva III, UMSA
Dr. en Psicología.

“…La Erótica: Es el modo en que una cultura representa al deseo,

el goce sensual y el amor, y los circunscribe en determinados espacios de significados.

Estos se encuentran influenciados por narrativas que se inscriben en discursos filosóficos, religiosos y literarios y por condicionamientos socioeconómicos que conforman políticas del deseo…”

“…Esta investigación se inscribe en la gerontología crítica y en los estudios culturales

ya que toma como eje de an álisis las historias de la erótica, presentando sus significados y las polí ticas que las sostienen, rastreados a través de fuentes directas en indirectas…”

Fonte: http://www.ageing.ox.ac.uk/system/files/IACUB.pdf

0613-020513

Perfil do Idoso Sujeito à Institucionalização

Darla Silvana Risson Ranna

Brasil

Economista – Mestre em Gerontologia Biomédica

Diretora Técnica da FACE Consultoria e Gestão em Saúde

Fonte: http://faceconsultoria.com.br/Uploads/PDF/199F32EA465B4CB77CCC3B51B6EDCB5F.pdf

0389-021212

ENVEJECIMIENTO ACTIVO

Víctor Manuel Mendoza Núñez

México

Director de la Facultad de Estudios Superiores Zaragoza, UNAM.

“…El envejecimiento activo es el proceso de optimización de las oportunidades de salud,

participación y seguridad con el fin de mejorar la calidad de vida a medida que las personas envejecen…”

“…El planteamiento del envejecimiento activo sustituye la planificación estratégica desde un planteamiento «basado en las necesidades» (que contempla a las personas mayores como objetivos pasivos) a outro «basado en los derechos»…”

Fonte: http://www.dif.gob.mx/adultosmayores/media/14.pdf

0492-020813

Innovative International Research in Elder Abuse

Bridget Penhale

United Kingdom

Reader in Mental Health of Older People at the University of East Anglia

Past Chair of the British Association of Social Worker’s Community Care Sub-Committee, and former Vice-Chair of Action on Elder Abuse

“…A vulnerable adult:

..is in need of community care services

by reason of mental or other disability, age or Illness

and:  ..is unable to take care of self, or protect  self

against significant harm or exploitation…”

“…Elder Abuse: overall context

• A Public Health and Human Rights Issue

• Need to promote positive attitudes of ageing…”

Fonte: http://www.eapu.com.au/Portals/0/WEAAD/WEAAD%202012/Penhale_Brisbane_0612.pdf

0452-020813

CULTURE CHANGE FOR THE AGING AND COMPANION ANIMALS

IN NURSING HOMES:

BENEFITS, RISKS, BARRIERS AND BEST PRACTICES

Carol Compas

Arkansas Foundation for Medical Care,

Office of Projects and Analysis

USA

Professor Josephine Gittler

University of Iowa

USA

“…Culture Change in Long-Term Care

The Eden Alternative: Ten Principles

2. “An Elder-centered community commits to creating a Human Habitat

where life revolves around close and continuing contact with plants, animals, and children.

It is these relationships that provide the young and old alike

with a pathway to a life worth living.” …”

Fonte: http://blogs.law.uiowa.edu/nhlp/wp-content/uploads/2011/12/NHLP-AnimalsinNursingHomes.pdf

0665-021213

A Cure for Alzheimer’s Disease by 2015? The case against…….

Howard Feldman

Canadá

Professor of Neurology Faculty of Medicine

University of British Columbia, Vancouver

“…The bad news about the disease……

No evidence that removing amyloid pathology benefits symptoms…”

“…If it is not Amyloid and Plaques it must be Tau and Tangles……

Another multibillion dollar investment............”

“…Conclusions: 12 Years to Achieve a Cure

Current approaches need widening

Multitargeted approach

Focus on prevention to delay onset is entirely justified

Development costs at present rate of success is unsustainable

Need for all out multinational collaboration with unprecedented engagement industry, academia,

regulatory and community…”

Fonte: http://www.alz.co.uk/sites/default/files/conf2013/pl16.pdf

0706-021213

FORMACIÓN Y CAPACITACIÓN DE RECURSOS HUMANOS

Silvia E. Gascón

Argentina

Directora de la Maestría en Gestión de Servicios de Gerontología. - Universidad Isalud

Miembro del Board de HelpAge International

Miembro del Consejo Consultivo Interamericano de la OPS.

“...Las políticas de formación de recursos humanos

no forman parte de la agenda de los gobiernos.

Prácticamente no existen oficinas públicas destinadas a planificar,

desarrollar, evaluar y acreditar este desarrollo.

Para el campo específico de la formación y capacitación de recursos humanos

en el ámbito gerontológico las lagunas son mayores....”

“ La Declaración de Brasilia

•Asistencia técnica en información, investigación y capacitación

sobre envejecimiento y políticas públicas. •Acceso a educación continuada y permanente.

•Formación de grado y posgrado en gerontología y gestión de servicios.

•Realizar estudios e investigaciones y trabajo en red...”

Fonte: http://www.eclac.cl/celade/noticias/paginas/5/45035/12Silviagascon.pdf

0661-021213

Successful Models for Nutrition Screening Of Older Adults

Heather Keller

Canadá

Professor in Kinesiology at the University of Waterloo.

Schlegel Research Chair in Nutrition and Aging

Schlegel-University of Waterloo Research Institute for Aging.

“Nutrition risk is prevalent and has negative outcomes

• Nutrition screening is a means for improving care – In hospitals – In community

• Screening programs have benefits beyond identifying risk

• Need to develop capacity for an ethical screening process- have the tools

• Nutri-eSCREEN provides a self-management model”

Fonte: http://www.tophc.ca/Documents/TOPHC%202012%20PPT/II.%2012.%20-%20Mon%20Apr%202%20-%20Simcoe%20Dufferin%20Room%20-%20Heather%20Keller%20-%20Successful%20Models%20for%20Nutrition.pdf

0751- 021213

Incapacidade Cognitiva I

Edgar Nunes de Moraes

Brasil

Professor da Faculdade de Medicina da UFMG

Coordenador do Núcleo de Geriatria e Gerontologia da UFMG

Coordenador do Centro de Referência do Idoso do HC-UFMG Coordenador do Programa

de Residência Médica em Geriatria do HC-UFMG.

“...Vamos?”

“ De dia papai ficava mais calmo, mas as confusões com o passar do tempo eram cada vez mais freqüentes. Passei a ter que trancar à chave o meu quarto quando saía porque ele passou a pegar objetos meus como, carteira e canetas e colocar no bolso do pijama ou dentro da cueca. Ficava muito irritado quando eu tentava recuperar meus pertences. Em outras ocasiões, batia na porta do meu quarto e com um movimento impaciente nas mãos falava: Vamos? Aí eu dizia: pra onde, pai? E ele completava cheio de razão: pegar o trem...

Momentos cruéis, especialmente pra minha mãe, foram os em que ele tirava toda a roupa (às vezes estava até frio) e não tinha Cristo que o fizesse vestir-se de novo. Se tentássemos, ele ficava violento e falava palavrões do mais baixo calão (logo ele que era tão polido e avesso a estas grosserias). Quando saudável, era detalhista com a aparência, se vestia de forma clássica, passava gel nos cabelos. Com a doença, se recusava a tomar banho e fazia uma bagunça no lavabo quando ia lavar o rosto. Um dia acordou de noite e fez xixi dentro do armário embutido de seu quarto. Mamãe sofria com isto...  ...”

Fonte: http://www.hc.ufmg.br/geriatria/anexos/Incapacidade%20cognitiva%20I%20.pdf

0707-021213

Autonomia y Derechos de las Personas Mayores

Luis Miguel Gutiérrez-Robledo

México

Director General del Instituto Nacional de Geriatría, México.

Miembro del Comité Asesor del International Association of Gerontology and Geriatrics.

Miembro fundador e integrante del Comité Directivo de la Academia Latinoamericana

de Medicina del Adulto Mayor (ALMA).

Desafíos

“…En el ámbito de los derechos y de los programas, favorecer un cambio que vaya de la protección n de las personas adultas mayores, a su reconocimiento, inclusión y empoderamiento. La legislación vigente refuerza el sentido de “protección”, antes que el “reconocimiento y fortalecimiento de los derechos”.

•En otros ámbitos, como los de dependencia o deterioro cognitivo, es necesaria una revisión

y actualización del marco jurídico.

•Asegurar la sustentabilidad de los programas.

•Mejorar la evaluación de las políticas públicas que tienen como objetivo la promoción de los derechos de las personas mayores…”

Fonte: http://www.eclac.cl/celade/noticias/paginas/5/45035/01Luis_Gutierrez.pdf

0704-021213

NECESIDADES DE ASISTENCIA INTEGRAL ESPECIALIZADA PARA EL ANCIANO

Dante Alberti

Chile

Jefe Unidad de Cuidados Geriátricos Agudos

del Hospital Metropolitano de Santiago.