Occupational therapy with bedfast disabled: communitary actions based on problems identification
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Terapia Ocupacional da Universidade de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rto/article/view/13893 |
Resumo: | In the context of the brazilian health sector reform, the criticism on the institutionalization of the elderly, of those affected by cronical diseases and the disabled persons led to the formulation about the health care with the view on maintaining these people in their home and in their communities, therefore, particularly avoiding their hospitalization. The Program for the Bedfast, of the Vila Floresta Health Unit of the Conceição Hospital Group in Porto Alegre - RS, has been adopting these references and also implementing community actions - at home - for selected groups of patients. So, a study with the objective of identifying their problems has been developed, with the purpose of discussing it under the Occupational Therapy perspective. The data collection was held at homes, through structured interviews and also by the unsystematic observation done with the patients or their aide. The points approached were the health and life conditions of the disabled persons with emphasis being put on social-economical, environmental and psychosocial elements, as well as the difficulties on activity of daily living. The results have demonstrated that the group is primarily made of elderly people, with low autonomy and self-determination conditions, who are also in a situation of social isolation, facing risks to their mental and physical health. Therefore, it has been related that the action with these pacients requires the construction of the independent living as such while, at the same time, social interactions take place. The study shows that the objectives of the program need to be treated by a multidisciplinary team, that the informal resources of the home, neighborhood and community have to be activated and that the occupational therapist has to act in the direction of building spaces that permit the social interactions based on the respect for the differences. From this perspective, it is understood that the maintenance of the quality of life is strongly related to the way of acting with autonomy, even if with some necessary help, as well as with the effective participation on the family and community life. |
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Occupational therapy with bedfast disabled: communitary actions based on problems identificationTerapia ocupacional e pacientes acamados: ações comunitárias baseadas na identificação de problemasPacientes domiciliares^i1^spsicoloTerapia ocupacionalQualidade de vidaFatores socioeconômicosIdosoHomebound persons^i2^spsycholOccupational therapyQuality of lifeSocioeconomic factorsAgedIn the context of the brazilian health sector reform, the criticism on the institutionalization of the elderly, of those affected by cronical diseases and the disabled persons led to the formulation about the health care with the view on maintaining these people in their home and in their communities, therefore, particularly avoiding their hospitalization. The Program for the Bedfast, of the Vila Floresta Health Unit of the Conceição Hospital Group in Porto Alegre - RS, has been adopting these references and also implementing community actions - at home - for selected groups of patients. So, a study with the objective of identifying their problems has been developed, with the purpose of discussing it under the Occupational Therapy perspective. The data collection was held at homes, through structured interviews and also by the unsystematic observation done with the patients or their aide. The points approached were the health and life conditions of the disabled persons with emphasis being put on social-economical, environmental and psychosocial elements, as well as the difficulties on activity of daily living. The results have demonstrated that the group is primarily made of elderly people, with low autonomy and self-determination conditions, who are also in a situation of social isolation, facing risks to their mental and physical health. Therefore, it has been related that the action with these pacients requires the construction of the independent living as such while, at the same time, social interactions take place. The study shows that the objectives of the program need to be treated by a multidisciplinary team, that the informal resources of the home, neighborhood and community have to be activated and that the occupational therapist has to act in the direction of building spaces that permit the social interactions based on the respect for the differences. From this perspective, it is understood that the maintenance of the quality of life is strongly related to the way of acting with autonomy, even if with some necessary help, as well as with the effective participation on the family and community life.No contexto da reforma sanitária brasileira, críticas à institucionalização de idosos, portadores de doenças crônicas e pessoas com deficiencias remeteram à formulação de propostas de atenção visando a manutenção dessas pessoas em seu domicílio e sua comunidade, evitando, principalmente, a hospitalização. O Programa de Acamados da Unidade de Saúde Vila Floresta do Grupo Hospitalar Conceição, em Porto Alegre - RS vem adotando essas referências e desenvolvendo ações em domicílio para grupo de pacientes selecionados. Junto a este foi desenvolvido estudo com o objetivo de identificar sua problemática e discutí-la sob a perspectiva da Terapia Ocupacional no campo da saúde comunitária. A coleta de dados foi realizada em domicílio, através de entrevistas estruturadas e observação assistemática, junto aos pacientes ou seus cuidadores. Foram abordadas as condições de vida e saúde, enfatizando elementos sócio-econômicos, ambientais e psicossociais, bem como as dificuldades de ação encontradas por esses pacientes no âmbito cotidiano. Os resultados mostraram que o grupo constitui-se predominantemente por idosos, com baixa autonomia e de autodeterminação, bem como em situação de isolamento social e riscos à saúde física e emocional. Assim, discute-se que a ação junto aos pacientes acamados requer que se construam possibilidades dos sujeitos exercitarem-se enquanto tal, ao tempo em que realizam, de fato, trocas sociais. Discute-se a necessidade de que os objetivos do programa sejam tratados de forma articulada por equipe multidisciplinar, que os recursos informais do domicílio, vizinhança e comunidade sejam ativados, e que o terapeuta ocupacional atue no sentido de construir espaços que possibilitem trocas sociais baseadas no respeito às diferenças. Dessa perspectiva, entende-se que a manutenção da qualidade de vida está estreitamente relacionada ao agir com autonomia, ainda que com as ajudas necessárias, bem como com a participação efetiva na vida familiar e comunitária.Universidade de São Paulo. Faculdade de Medicina2002-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rto/article/view/1389310.11606/issn.2238-6149.v13i1p37-43Revista de Terapia Ocupacional da Universidade de São Paulo; Vol. 13 Núm. 1 (2002); 37-43Revista de Terapia Ocupacional da Universidade de São Paulo; Vol. 13 No. 1 (2002); 37-43Revista de Terapia Ocupacional da Universidade de São Paulo; v. 13 n. 1 (2002); 37-432238-61491415-9104reponame:Revista de Terapia Ocupacional da Universidade de São Pauloinstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rto/article/view/13893/15711Siegmann, ChristianePinheiro, Clori AraújoAlmeida, Marta Carvalho deinfo:eu-repo/semantics/openAccess2017-02-14T19:12:58Zoai:revistas.usp.br:article/13893Revistahttp://www.revistas.usp.br/rtoPUBhttps://www.revistas.usp.br/rto/oai||revto@usp.br2238-61491415-9104opendoar:2017-02-14T19:12:58Revista de Terapia Ocupacional da Universidade de São Paulo - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Occupational therapy with bedfast disabled: communitary actions based on problems identification Terapia ocupacional e pacientes acamados: ações comunitárias baseadas na identificação de problemas |
title |
Occupational therapy with bedfast disabled: communitary actions based on problems identification |
spellingShingle |
Occupational therapy with bedfast disabled: communitary actions based on problems identification Siegmann, Christiane Pacientes domiciliares^i1^spsicolo Terapia ocupacional Qualidade de vida Fatores socioeconômicos Idoso Homebound persons^i2^spsychol Occupational therapy Quality of life Socioeconomic factors Aged |
title_short |
Occupational therapy with bedfast disabled: communitary actions based on problems identification |
title_full |
Occupational therapy with bedfast disabled: communitary actions based on problems identification |
title_fullStr |
Occupational therapy with bedfast disabled: communitary actions based on problems identification |
title_full_unstemmed |
Occupational therapy with bedfast disabled: communitary actions based on problems identification |
title_sort |
Occupational therapy with bedfast disabled: communitary actions based on problems identification |
author |
Siegmann, Christiane |
author_facet |
Siegmann, Christiane Pinheiro, Clori Araújo Almeida, Marta Carvalho de |
author_role |
author |
author2 |
Pinheiro, Clori Araújo Almeida, Marta Carvalho de |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Siegmann, Christiane Pinheiro, Clori Araújo Almeida, Marta Carvalho de |
dc.subject.por.fl_str_mv |
Pacientes domiciliares^i1^spsicolo Terapia ocupacional Qualidade de vida Fatores socioeconômicos Idoso Homebound persons^i2^spsychol Occupational therapy Quality of life Socioeconomic factors Aged |
topic |
Pacientes domiciliares^i1^spsicolo Terapia ocupacional Qualidade de vida Fatores socioeconômicos Idoso Homebound persons^i2^spsychol Occupational therapy Quality of life Socioeconomic factors Aged |
description |
In the context of the brazilian health sector reform, the criticism on the institutionalization of the elderly, of those affected by cronical diseases and the disabled persons led to the formulation about the health care with the view on maintaining these people in their home and in their communities, therefore, particularly avoiding their hospitalization. The Program for the Bedfast, of the Vila Floresta Health Unit of the Conceição Hospital Group in Porto Alegre - RS, has been adopting these references and also implementing community actions - at home - for selected groups of patients. So, a study with the objective of identifying their problems has been developed, with the purpose of discussing it under the Occupational Therapy perspective. The data collection was held at homes, through structured interviews and also by the unsystematic observation done with the patients or their aide. The points approached were the health and life conditions of the disabled persons with emphasis being put on social-economical, environmental and psychosocial elements, as well as the difficulties on activity of daily living. The results have demonstrated that the group is primarily made of elderly people, with low autonomy and self-determination conditions, who are also in a situation of social isolation, facing risks to their mental and physical health. Therefore, it has been related that the action with these pacients requires the construction of the independent living as such while, at the same time, social interactions take place. The study shows that the objectives of the program need to be treated by a multidisciplinary team, that the informal resources of the home, neighborhood and community have to be activated and that the occupational therapist has to act in the direction of building spaces that permit the social interactions based on the respect for the differences. From this perspective, it is understood that the maintenance of the quality of life is strongly related to the way of acting with autonomy, even if with some necessary help, as well as with the effective participation on the family and community life. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rto/article/view/13893 10.11606/issn.2238-6149.v13i1p37-43 |
url |
https://www.revistas.usp.br/rto/article/view/13893 |
identifier_str_mv |
10.11606/issn.2238-6149.v13i1p37-43 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rto/article/view/13893/15711 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Revista de Terapia Ocupacional da Universidade de São Paulo; Vol. 13 Núm. 1 (2002); 37-43 Revista de Terapia Ocupacional da Universidade de São Paulo; Vol. 13 No. 1 (2002); 37-43 Revista de Terapia Ocupacional da Universidade de São Paulo; v. 13 n. 1 (2002); 37-43 2238-6149 1415-9104 reponame:Revista de Terapia Ocupacional da Universidade de São Paulo instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Terapia Ocupacional da Universidade de São Paulo |
collection |
Revista de Terapia Ocupacional da Universidade de São Paulo |
repository.name.fl_str_mv |
Revista de Terapia Ocupacional da Universidade de São Paulo - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revto@usp.br |
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1798042668548227072 |