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I Martín Lesende

Publications and source records attributed to I Martín Lesende.

8 recordsLinked to original sources
PubMed1998

[The health situation of the non-institutionalized elderly urban population of Castro Uridiales and the differentiating characteristics of those attending the health center frequently].

OBJECTIVES: Main: to describe the health situation of the urban non-institutionalised population of 75 or over in Castro Urdiales. Secondary. To analyse the differences in the over-user group. DESIGN: Descriptive, crossover. SETTING: Primary Care Health Centre. PATIENTS: People in the urban area aged 75 or over and with the following inclusion criteria: not institutionalised, who had been at least 6 months in the town, and for whom there was data for locating them. Over-users: people in the upper third of attendance (9 or more consultations per year). MEASUREMENTS AND MAIN RESULTS: A "Comprehensive Geriatric Assessment" was performed, cognitive state (Pfeiffer) and social assessment. The over-user group functioned better, had a better cognitive state and consumed more medication. CONCLUSIONS: The results coincided with other studies in most of the items analysed. It is important to be aware of the worse functional and cognitive condition of the group which attended the Health Centre least. Sub-groups of the elderly still need to be studied.

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PubMed1997

[The evaluative cycle of the process of an overall geriatric evaluation program at a health center].

OBJECTIVE: To improve the procedures in an Elderly Persons' Care programme. DESIGN: A complete evaluative cycle of the care process, with an analysis phase and a phase to implement corrective measures. SETTING: Primary care. Ortuella (Bizkaia) Health Centre. PATIENTS AND PARTICIPANTS: Data on the first 50% on the list of residents over 75 in Ortuella were analysed in this evaluation (n = 249). Residents in elderly people's homes, people passing through and who had recently moved were excluded. In the re-evaluation all those still to be evaluated were analysed once corrective measures had been implemented (n = 81). INTERVENTIONS: After analysis of the first phase, corrective measures were applied, and both the coverage and the correct performance of activities generated in the development of the programme were re-evaluated. MEASUREMENTS AND MAIN RESULTS: There was similar coverage (72.3 to 66.7%). There was improvement in registration (76.9 to 90.7%), long-treatment card (60 to 85.7%), medicines (42.9 to 75%) and nutritional habits (46.1 to 57.1%). Action taken on visual (93.1 to 75%) and hearing (76 to 71.4%) pathologies deteriorated. CONCLUSIONS: The programme's procedures improved with simple corrective measures (a session concerning proper recording of the history and how to follow the protocol; professionals who controlled registration and coverage). A proper record was important.

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PubMed1993

[The adaptation for a health centre of a functional screening process aimed at elderly people].

OBJECTIVE: To find out what the functional capacity of people aged 75 or over is and to adapt the screening questionnaire for further use. DESIGN: Descriptive crossover study. SETTING: Health Centre. PATIENTS AND OTHER PARTICIPANTS: People aged 75 or over registered at the Health Centre (HC). 78 people were chosen by systematic sampling. There were 18 losses. MEASUREMENTS AND MAIN RESULTS: A screening questionnaire was administered to make a clinical, functional and social assessment and record problems and performances. The average time taken per questionnaire was 28 minutes (SD 6.9). 76.7% completed it at the HC. There was a notably high percentage of problems detected (21.8%): 209 out of the 960 possible boxes for problems. Over 40% of these problems--with the exception of boxes for economic status and mobility--had previously either not been identified or were not treated. Hearing, sight and teeth were the most frequent complaints (33.3%, 51.6% and 51.6%, respectively) and were unidentified or untreated in 85%, 67.7% and 80.6% of cases. CONCLUSIONS: We consider that the systematic installation of this adapted screening method would be useful.

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