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Comparison between ability and performance: a study on the functionality of dependent elderly individuals.

Flávia Nunes Machado, Adriana Nunes Machado1, Sônia Maria Soares2

  • 1Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São PauloSP, Brazil.

Revista Latino-Americana De Enfermagem
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Summary
This summary is machine-generated.

Dependent elderly individuals in geriatric care show a significant gap between their ability and actual performance in daily activities. This study highlights the need for tailored interventions to bridge this performance-ability divide.

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Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Elderly individuals in geriatric healthcare centers often experience functional decline.
  • Assessing the discrepancy between ability and performance in daily living is crucial for effective care planning.

Purpose of the Study:

  • To compare the ability versus performance in Basic Activities of Daily Living (BADL) among dependent elderly individuals in a geriatric healthcare setting.
  • To evaluate the utility of the International Classification of Functionality, Disability and Health (ICF) framework in assessing functional status.

Main Methods:

  • A cross-sectional, observational study with a quantitative approach was conducted.
  • The Functional Independence Measure (FIM) was administered to 109 elderly individuals.
  • Data triangulation, including patient/caregiver reports, medical records, and objective assessments, ensured reliability.

Main Results:

  • The study included 109 elderly individuals (mean age 81.0±7.1 years), with a predominance of women.
  • A statistically significant difference (p<0.05) was observed between the ability and performance in most daily tasks among dependent individuals.
  • Sixty individuals were classified as dependent in BADL according to the ICF.

Conclusions:

  • The International Classification of Functionality, Disability and Health (ICF) provides a valuable semi-quantitative framework for objective comparisons of functional ability and performance.
  • A notable disparity exists between the assessed ability and actual performance in BADL for dependent elderly individuals in geriatric care.
  • Findings underscore the need for interventions addressing the performance-ability gap to improve functional independence in this population.