Assessment of the home ecosystem of elderly people with Alzheimer's from the Holistic Ecosystem Health Indicator

Silomar Ilha, Daiane Porto Gautério-Abreu, Marta Regina Cezar-Vaz


The objective was to reflect on the use, by nurses, of the Holistic Ecosystem Health Indicator, in order to contribute to the health of the home Ecosystem and care for the elderly with Alzheimer's disease. It is a descriptive study, reflective analysis type, developed through the reading of scientific articles and book chapters selected in the discipline of Doctorate: Nursing Work / Health and Socio-Environmental Context, of the Graduate Program in Nursing, Federal University of Rio Grande. The Derivation Theory with methodological support and an Ecosystem approach was used as a theoretical framework for reflection. The results are presented through two axes: Presentation of the Holistic Health Indicator of the home ecosystem of elderly people with Alzheimer's disease; Contribution of the Holistic Ecosystem Health Indicator to the home ecosystem of elderly people with Alzheimer's disease. It is concluded that the use of the Holistic Ecosystem Health Indicator, by nurses, can be an important tool in the assessment of the home ecosystem of elderly people with Alzheimer's disease, with a view to finding indicators of instability. The indicators can contribute to the implementation of a care plan directed to the needs of the home ecosystem, as a complex unit.


Aged; Alzheimer disease; Ecosystem; Home Nursing; Nursing.


Aguilar, B. J. (1999). Applications of ecosystem health for the sustainability of managed systems in Costa Rica. Ecosystem Health, 5(1), 36-48.

Alzheimer’s Association. (2019). Alzheimer’s Disease Facts and Figures. Alzheimers Dement, 15(3), 321-387. Recuperado de

Barr, V. J., Robinson, S., Marin-Link, B., Underhill, L., Dotts, A., Ravensdade, D., & Salivaras, S. (2003). The expanded chronic care model: an integration of concepts and strategies from population health promotion and the chronic care Model. Healthcare Quarterly, 7(1), 73-82. Recuperado de DOI: 10.12927/hcq.2003.16763

Brasil. (2018) Ministério da Saúde. Agenda nacional de prioridades de pesquisa em saúde/Ministério da Saúde, Secretaria de Ciência, Tecnologia e Insumos Estratégicos, Departamento de Ciência e Tecnologia. 1. ed. Brasília: Editora do Ministério da Saúde. 26 p. Recuperado de pesquisa_ms.pdf

Brasil. (2013). Ministério da Saúde. Estatuto do Idoso, Ministério da Saúde - 3. ed., 2. reimpr. Brasília : Ministério da Saúde, 70 p. Recuperado de publicacoes/estatuto_idoso_3edicao.pdf

Brasil. (2006). Ministério de Saúde. Portaria n. 2528/GM, de 19 de outubro de 2006. Aprova a Política Nacional de Saúde da Pessoa Idosa. Brasília (DF): Ministério da Saúde. Recuperado de

Brussard, P. F., Reed, J. M., & Tracey, C. R. (1998). Ecosystem management: what is it really? Landscape and urban planning, 40(1-3), 9-20. Recuperado de

Carvalhais, M., & Sousa, L. (2013). Qualidade dos cuidados domiciliares em enfermagem a idosos dependentes. Saúde Soc, 22(1), 160-172. Recuperado de

Cassol, A. G., Soares, P. P., Silva, A. A., Fuzer, F. A. M., Ribeiro, A. C., Ilha, S., & Zamberlan, C. (2018). (Re)Organização familiar de pessoas idosas com a doença de Alzheimer na perspectiva da complexidade. Disciplinarum Scientia. Série: Ciências da Saúde, 19(1), 11-23. Recuperado de disciplinarumS/article/view/2425/2108

Frontier, S. (2001). Sistemas e ecossistemas: definições. In: Frontier. Os ecossistemas. Lisboa (PT): Instituto Piaget; 2001. p.13-30.

Ilha, S., Santos, S. S. C., Backes, D. S., Barros, E. J. L., Pelzer, M. T., & Costenaro, R. G. S. (2017). Complex educational and care (geron)technology for elderly individuals/families experiencing Alzheimer’s disease. Rev Bras Enferm, 70(4), 726-732. Recuperado de DOI:

Ilha, S., Backes, D. S., Backes, M. T. S., Pelzer, M. T., Lunardi, V. L., & Costenaro, R. G. S. (2015). Family (re)organization of elderly with Alzheimer: the professors perception based on its comple. Esc Anna Nery, 19(2), 331-337. Recuperado de

Lackey, R. T. (1998). Seven pillars of ecosystem management. Landscape and Urban Planning, 40 (1-3), 21-30. Recuperado de

Laustsen, G. (2006). Environment, Ecosystems, and Ecological Behavior – dialogue toward developing nursing ecological theory. Advances in Nursing Science. Jan, 29(1), 43-54. Recuperado de

Medeiros, D. V., Santos, W. N. D., Sousa, M. D. G. D. M., Silva, T. D. C. D. D., Silva, P. T. P., & Castro, S. D. F. F. D. (2016). Elderly’s perception on old age. J Nurs UFPE on line, 10(10), 3851-3859. Recuperado de revistaenfermagem/article/view/11452/13273

Muniz, E. A., Freitas, C. A. S. L., Oliveira, E. N., & Lacerda, M. R. (2017). Home care for the elderly in the family health strategy: perspectives on the care organization. J Nurs UFPE on line, 11(Supl.1), 296-302. Recuperado de /revistas/revistaenfermagem/article/view/11908/14390

Muñoz-Erickson, T., Loeser, M. R., Aguilar-Gonzalez, B., Van Riper III, C., & Cole, K. L. (2004). Identifying indicators of ecosystem health for a semiarid ecosystem: a conceptual approach. In: The Colorado Plateau: Cultural, Biological and Physical Research. University of Arizona Press, Tucson, Arizona, pp. 139-152.

Muñoz-Erickson, T. A., Aguilar-Gonzalez, B., & Sisk, T. D. (2007). Linking ecosystem health indicators and collaborative management: a systematic framework to evaluate ecological and social outcomes. Ecology and Society, 12(2), 6. Recuperado de

Plumb, J., Weinstein, L., Brawer, R., & Scott K. (2012). Community-based partnerships for improving chronic disease management. Primary care: clinics in office practice, 39(2), 433-447. Recuperado de HTTPS://DOI.ORG/10.1016/J.POP.2012.03.011

Rapport, A. B. D. J., Costanza, C. R., & McMichael, D. A. J. (1998). Assessing ecosystem health. Trends Ecol. Evol, 13(10), 397-402. Recuperado de

Tzoulas, K., Korpela, K., Venn, S., Yli-Pelkonen, V., Kazmierczak, A., Niemela, J., & James, P. (2007). Promoting ecosystem and human health in urban areas using Green Infrastructure: A literature review. Landscape and Urban Planning, 81(3), 167–178. Recuperado de

Vizzachi, B. A., Daspett, C., Cruz, M. G. S., & Horta, A. L. M. (2015). Family dynamics in face of Alzheimer’s in one of its members. Rev Esc Enferm USP, 49(6),933-938. Recuperado de doi:10.1590/S0080-623420150000600008

Walker, L. O., & Avant, K. C. (2010). Strategies for theory construction in nursing. 5.ed. United States of America: Pearson. 243p.

Wiegand, J., Raffaelli, D., James, C. R. S., & Piran, C. L. W. (2010). Assessment of temporal trends in ecosystem health using an holistic indicator. Journal of Environmental Management, 91(7), 1446-1455. Recuperado de

World Health Organization (WHO). (1998). City Health Profiles: A review of progress. World Health Organization, Reegional office for Europe; Sl. Recuperado de



  • There are currently no refbacks.

Base de Dados e Indexadores: Base, Diadorim,, DOI Crossref, Dialnet, Scholar Google, Redib, Doaj, Latindex, Portal de Periódicos CAPES

Research, Society and Development - ISSN 2525-3409

Licença Creative Commons
Este obra está licenciado com uma Licença Creative Commons Atribuição 4.0 Internacional

Rua Irmã Ivone Drumond, 200 - Distrito Industrial II, Itabira - MG, 35903-087 (Brasil)