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In Latin America, the rates of institutionalization of older people range from 1% to 4%. Institutional care is no longer considered unacceptable for an older person but is seen as an alternative for families. The government-sponsored asilos, large institutions resembling the early English workhouses, have been converted into smaller facilities with professional staff from many disciplines. Other homes are operated by religious communities of immigrant origin. Figures for rates of institutionalization are not available in the countries of the former Eastern European bloc, because the authorities at the time did not allow publication of such information. Despite the fact that a vast literature exists on the quality of care in institutional settings, and that cases of. | Rev Bras Psiquiatr 2003 25 1 31-9 Elderly people s definition of quality of life A definiẹão dos idosos de qualidade de vida Flavio M F Xavier1 1 Marcos P T Ferrazb Norton Marcc Norma U Escosteguyc and Emílio H Moriguchia Geriatric neuropsychiatric ambulatory ANPEG of the Institute of Geriatrics and Gerontology of the Catholic University of the state of Rio Grande do Sul PUCRS . Collaborating Center for the Prevention of Pathologic Aging and Associated Chronic Degenerating Diseases of the WHO PAHO. Porto Alegre RS Brazil. bDepartment of Psychiatry of the Paulista Medical School Federal University of São Paulo. São Paulo SP Brazil. cDepartment of Psychiatry of the Medical School of the PUCRS. Porto Alegre RS Brazil Abstract Objectives Senescence for some elderly people is a phase of with development and satisfaction whereas for others is a negative stage of life. The determinants of a good quality of life in old age vary from person to person. The aims of this study were to identify 1 the prevalence of octogenarian people who evaluate their current life as being mainly characterized by a positive quality and 2 which were the domains that they identified as being the determinants of this positive quality. A same parallel study was conducted with subjects who evaluated senescence as a preponderantly negative experience. Methods A random and representative sample of 35 of the octogenarian people living residing in the community was selected among the dwellers of the city of Veranópolis state of Rio Grande do Sul. A semistructured questionnaire on quality of life quality was applied as well as the scale of depressive symptoms Geriatric Depression Scale GDS and the index of general health Cumulative Illness Rating Scale CIRS . Results Slightly more than half of the studied sample 57 defined their current quality of life with positive evaluations whereas 18 presented a negative evaluation of it. A group Of 25 defined their current lives as neutral or having both values .
