SPIRITUAL TRANSCENDENCE AND COGNITIVE DECLINE: Impacts on the Functional Autonomy of Older Adults

Impactos na autonomia funcional dos idosos

Abstract

Global population aging, driven by demographic transition and increased longevity, is projected that the population aged 60 years and older will reach 22% by 2050, totaling approximately 2 billion people. In Brazil, this phenomenon is occurring rapidly, with the older adult population already exceeding 37 million individuals. This scenario imposes significant challenges on healthcare systems due to the higher prevalence of chronic diseases and the decline in functional and cognitive reserves. Objective: To analyze the association between spiritual transcendence and functional autonomy in older adults with cognitive decline, with the aim of understanding how spiritual support may mitigate psychosocial impacts and contribute to integrative care practices. Methodology: This is a qualitative and descriptive study conducted through an integrative literature review. This method allows for the search, critical evaluation, and synthesis of available evidence on the subject, and is particularly suitable for investigating complex phenomena involving subjective and clinical dimensions, such as spirituality and functionality in aging. Results: Evidence demonstrates that higher levels of spirituality are associated with reduced symptoms of anxiety and depression, in addition to promoting psychological well-being. It is concluded that a clinical gap exists in the integration of spiritual care into neuropsychological rehabilitation protocols, making it imperative to adopt holistic care strategies that ensure the dignity and biopsychosocial integrity of older adults.