Affiliation:
1. Universidade do Estado do Rio de Janeiro, Brazil
2. Hospital Copa D’Or, Brazil
3. Hospital Placi Cuidados Extensivos, Brazil
Abstract
Justification and objective: The physiological changes that accompany human aging increase the risk of disease and care dependence. To meet the health needs of older adults, care must go beyond diagnosing specific diseases and assess the impact of these conditions on functional capacity. The concepts of intrinsic capacity and physical resilience aim to explain the trajectory of various health outcomes in older adults. The case presented below illustrates the positive impact of intrinsic capacity, together with external resources, on the prognosis of an older patient during a catastrophic health event. Case description: A 91-year-old widower was diagnosed with severe dehydration, delirium, pneumonia, and a grade IV pressure injury after lying in his home for 6 days. He remained hospitalized for 87 days and was discharged with almost complete recovery of his functional capacity. Discussion: The main point of this case is the positive health outcome experienced by a nonagenarian patient given the severity of the events. From the perspective of intrinsic capacity, he was functionally independent, had good sensory function, excellent cognition and vitality, and his psychological status was positive. He is currently progressing towards complete functional recovery.
Publisher
Sociedade Brasileira de Geriatria e Gerontologia
Reference9 articles.
1. World Health Organization. World report on ageing and health. Geneva: World Health Organization; 2015. Available from: https://www.who.int/publications/i/item/9789241565042. Accessed August 23, 2023.
2. World Health Organization. WHO remains firmly committed to the principles set out in the preamble to the Constitution. Available from: https://www.who.int/about/governance/constitution. Accessed August 23, 2023.
3. Whitson HE, Cohen HJ, Schmader KE, Morey MC, Kuchel G, Colon-Emeric CS. Physical resilience: not simply the opposite of frailty. J Am Geriatr Soc. 2018;66(8):1459-61. https://doi.org/ 10.1111/jgs.15233
4. Belloni G, Cesari M. Frailty and intrinsic capacity: two distinct but related constructs. Front Med (Lausanne). 2019;6:133. https://doi.org/10.3389/fmed.2019.00133
5. Integrated care for older people: Guidelines on Community-Level Interventions to Manage Declines in Intrinsic Capacity. Geneva: World Health Organization; 2017.