The impact of intrinsic capacity and physical resilience on health outcomes: a case report
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 functionalcapacity. The concepts...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Brazilian Society of Geriatrics and Gerontology
2024-01-01
|
Series: | Geriatrics, Gerontology and Aging |
Subjects: | |
Online Access: | https://ggaging.com/details/1814/en-US/the-impact-of-intrinsic-capacity-and-physical-resilience-on-health-outcomes--a-case-report |
_version_ | 1797348980552630272 |
---|---|
author | Mariangela Perez Bruno Goulart Flávia Lopes Fonseca Roberto Alves Lourenço |
author_facet | Mariangela Perez Bruno Goulart Flávia Lopes Fonseca Roberto Alves Lourenço |
author_sort | Mariangela Perez |
collection | DOAJ |
description | 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 functionalcapacity. 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. |
first_indexed | 2024-03-08T12:14:07Z |
format | Article |
id | doaj.art-a979c10692d9471081e54d251518505f |
institution | Directory Open Access Journal |
issn | 2447-2123 |
language | English |
last_indexed | 2024-03-08T12:14:07Z |
publishDate | 2024-01-01 |
publisher | Brazilian Society of Geriatrics and Gerontology |
record_format | Article |
series | Geriatrics, Gerontology and Aging |
spelling | doaj.art-a979c10692d9471081e54d251518505f2024-01-22T16:41:42ZengBrazilian Society of Geriatrics and GerontologyGeriatrics, Gerontology and Aging2447-21232024-01-01171410.53886/gga.e0000070_ENThe impact of intrinsic capacity and physical resilience on health outcomes: a case reportMariangela Perez0https://orcid.org/0000-0002-6160-9843Bruno Goulart1https://orcid.org/0009-0003-2660-2894Flávia Lopes Fonseca2https://orcid.org/0000-0002-6188-5354Roberto Alves Lourenço3https://orcid.org/0000-0003-0838-1285Laboratório de Pesquisa em Envelhecimento Humano, Departamento de Medicina Interna,Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro - Rio de Janeiro (RJ),Brazil.Departamento de Clínica Médica, Hospital Copa D'Or, Rio de Janeiro - Rio de Janeiro (RJ),Brazil.Núcleo de NavegaÇão do Cuidado, Hospital Placi Cuidados Extensivos - Rio de Janeiro (RJ),Brazil.Laboratório de Pesquisa em Envelhecimento Humano, Departamento de Medicina Interna,Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro - Rio de Janeiro (RJ),Brazil.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 functionalcapacity. 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.https://ggaging.com/details/1814/en-US/the-impact-of-intrinsic-capacity-and-physical-resilience-on-health-outcomes--a-case-reportaginghospitalizationprognosiscase report |
spellingShingle | Mariangela Perez Bruno Goulart Flávia Lopes Fonseca Roberto Alves Lourenço The impact of intrinsic capacity and physical resilience on health outcomes: a case report Geriatrics, Gerontology and Aging aging hospitalization prognosis case report |
title | The impact of intrinsic capacity and physical resilience on health outcomes: a case report |
title_full | The impact of intrinsic capacity and physical resilience on health outcomes: a case report |
title_fullStr | The impact of intrinsic capacity and physical resilience on health outcomes: a case report |
title_full_unstemmed | The impact of intrinsic capacity and physical resilience on health outcomes: a case report |
title_short | The impact of intrinsic capacity and physical resilience on health outcomes: a case report |
title_sort | impact of intrinsic capacity and physical resilience on health outcomes a case report |
topic | aging hospitalization prognosis case report |
url | https://ggaging.com/details/1814/en-US/the-impact-of-intrinsic-capacity-and-physical-resilience-on-health-outcomes--a-case-report |
work_keys_str_mv | AT mariangelaperez theimpactofintrinsiccapacityandphysicalresilienceonhealthoutcomesacasereport AT brunogoulart theimpactofintrinsiccapacityandphysicalresilienceonhealthoutcomesacasereport AT flavialopesfonseca theimpactofintrinsiccapacityandphysicalresilienceonhealthoutcomesacasereport AT robertoalveslourenco theimpactofintrinsiccapacityandphysicalresilienceonhealthoutcomesacasereport AT mariangelaperez impactofintrinsiccapacityandphysicalresilienceonhealthoutcomesacasereport AT brunogoulart impactofintrinsiccapacityandphysicalresilienceonhealthoutcomesacasereport AT flavialopesfonseca impactofintrinsiccapacityandphysicalresilienceonhealthoutcomesacasereport AT robertoalveslourenco impactofintrinsiccapacityandphysicalresilienceonhealthoutcomesacasereport |