The Oldest Old Multidimensional Assessment: The OARS/QAFMI Methodology

Wednesday, 24 July 2013

Rogério Clemente Rodrigues, RN, PhD1
Zaida Azeredo, PhD2
Luís Loureiro, PhD3
Silvia Silva, MSc, RN4
Sandrina Crespo, RN4
Cristiana Silva, RN5
(1)UCP Enfermagem de Saúde Pública, Familiar e Comunitária, Nursing School of Coimbra, Coimbra, Portugal
(2)University of Porto, Porto, Portugal
(3)UCP Enfermagem de Saúde Mental e Psiquiátrica, Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal
(4)UICISA-E, UICISA-E, Coimbra, Portugal
(5)UICISA-E, Coimbra, Portugal

Learning Objective 1: Identify the utility of the OARS/QAFMI for the comprehensive assessment of the functional status of elderly persons

Learning Objective 2: Understand the importance of data that assess functional status and elderly needs of services for a correct plan care at the Health Centers

Purpose: In a scenario of demographic transition with an increasingly aging population, the responses of health care and social services emerge as a social imperative. The project “The Oldest Old: Coimbra aging study” (PTDC/CS-SOC/114895/2009) assess an elderly population enrolled in Health Centers of Coimbra-Portugal.

Methods: Quantitative methodology applying the QAFMI/OARS (Questionário de Avaliação Funcional Multidimensional de Idosos/Older Americans Resources and Services). The sample consisted of individuals aged 75, or more, randomly selected and representative of Coimbra's elder residents, to achieve 10% of the population.

Results: Preliminary results showed that there is a decline in population over the different age groups, most evident in the decline of masculine elements. In the areas of the physical health, activities of daily living and economic resources there are significant differences between age groups classification. In the area of mental health, there is a significant difference classification between gender, with the female had tendentiously lower scores than the males with the same age. In the area of social resources, there is a significant difference classification between gender and age group.

Conclusion: All the work developed with OARS lead us to consider this instrument very useful to define the functional status of the elders and to plan older care services. Furthermore, the results of this project will play an important role in the decisions of the technicians at Health Centres and among health policy makers.