102 resultados para spousal caregivers


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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Saúde Coletiva - FMB

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Pós-graduação em Saúde Coletiva - FMB

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Children learn very early which groups are stigmatized and how they should be treated. They learn formally and informally, by listening and watching people and the world around them. The construction of children's representations about disabilities starts with access to information on the subject, which may come from their caregivers, media, school etc. This work is part of a monograph that examined the effects of an educational program involving strategies for non-disabled children on conceptions and attitudes concerning mental disability. This paper refers to the initial characterization of these children and their access to information on disability, and to identifying previous access, source and memory of such information. The study included 40 children from two classrooms of the first grade of a public school in Marília, SP. The children were interviewed using an individual semi structured questionnaire. Many children said they did not have access to information on the subject. Among those who had previous access to the information, the television was the most frequent source of information, and characteristics of the deficiencies, relations with diseases and encouragement of solidarity were among the contents reminded by them. The data emphasize the need for the media to expand concerns with the content presented to the public, for parents and teachers to become more involved with the issue, seeking to be informed and revise their own conceptions, in order to transform the subject into something that is part of daily school and family environment.

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Present research investigated how morality has been developed from kinder garten through care relationships established between the nursery assistants, caregivers calls, and children aged 0-2 years old in order to identify if there the action of caring expressions of generosity, considered one of the virtues that are the genesis of human morality, as well as to analyze the conceptions of these nursery assistants about care as a possibility for the moral development of children. The research was based on theoretical studies of Jean Piaget (1932), a pioneer in psychological research on the development of moral judgment in children, and others who own research in the field of moral psychology related to the educational context as well as the care relationship with morality in order to support the research. The results show that the understanding of care in early child hood education is still superficial and based on concepts related to welfare, including caring in a limited way, just as an action aimed at the physical integrity of children. Unable to note concerns and moral development of children, taking care as a support. We hope this research instigate reflections on the importance of care in day care and their contributions to the moral awakening the children they serve

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The aim of the present study was to analyze the impact suffered by 40 people when discovering that one of their family members was diagnosed with cancer, to analyze their coping strategies and expectations towards the patient’s illness and future. The study made use of the Coping Strategies Inventory by Folkman and Lazarus. Results show that most of the patients’ caregivers are their married children, with an average age of 45.7 (dp=12.67), and gainfully employed. These family members reported the negative impact of the diagnosis, with the predominant feelings of sadness and fear of loss, even though they had a positive perspective about the future, expecting the patient’s recovery. As to the functional coping strategies, the most used were the resolution of problems, followed by social support; the least used was positive revaluation. As to the dysfunctional strategies, the most used ones were escape and avoidance and the least used was taking the responsibility for the illness. Conclusions are that despite suffering with the negative impact of the disease, the family members are optimistic about the patient’s future and seek to use strategies that solve the problem effectively, without blaming themselves for the patient’s illness.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Introduction: The responsibility of giving care to patients with Alzheimer’s disease (AD) may result in health changes in the older caregiver. It is important to explore the factors which influence the presence of care burden and to create strategies to face this condition. In this context, the aims of present study were to investigate the relationships between psychoneuroimmunological parameters and determine the predictors to burden in older caregivers of patients with AD. Material and methods: A total of 30 AD older caregivers participating in the «Cognitive and Functional Kinesiotherapy Program in Elderly with Alzheimer’s disease«(PRO-CDA)», de Rio Claro, SP-Brazil, were submitted to an assessment protocol to evaluate the psychoneuroimmunological parameters. A descriptive statistical analysis, Pearson correlation and multiple linear regressions were performed.

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Autologous hematopoietic stem cell transplantation is a conduct used to treat some hematologic diseases and to consolidate the treatment of others. In the field of nursing, the few published scientific studies on nursing care and early hospital discharge of transplant patients are deficient. Knowledge about the diseases treated using hematopoietic stem cell transplantation, providing guidance to patients and caregivers and patient monitoring are important nursing activities in this process. Guidance may contribute to long-term goals through patients' short-term needs. To analyze the results of early hospital discharge on the treatment of patients submitted to autologous transplantation and the influence of nursing care on this conduct. A retrospective, quantitative, descriptive and transversal study was conducted. The hospital records of 112 consecutive patients submitted to autologous transplantation in the period from January to December 2009 were revisited. Of these, 12 patients, who remained in hospital for more than ten days after transplantation, were excluded from the study. The medical records of 100 patients with a median age of 48.5 years (19-69 years) were analyzed. All patients were mobilized and hematopoietic stem cells were collected by leukapheresis. The most common conditioning regimes were BU12Mel100 and BEAM 400. Toxicity during conditioning was easily managed in the outpatient clinic. Gastrointestinal toxicity, mostly Grades I and II, was seen in 69% of the patients, 62% of patients had diarrhea, 61% of the patients had nausea and vomiting and 58% had Grade I and II mucositis. Ten patients required hospitalization due to the conditioning regimen. Febrile neutropenia was seen in 58% of patients. Two patients died before Day +60 due to infections, one with aplasia. The median times to granulocyte and platelet engraftment were 12 days and 15 days, respectively, with median red blood cell and platelet transfusions until discharge of three and four units, respectively. Twenty-three patients required rehospitalization before being discharged from the outpatient clinic. The median time to granulocyte engraftment was 12 days and during the aplasia phase few patients were hospitalized or suffered infections. The toxicity of the conditioning was the leading cause of rehospitalization. The nursing staff participated by providing guidance to patients and during the mobilization, transplant and outpatient follow-up phases, thus helping to successfully manage toxicity.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Nowadays the studies of different methodologies to interfere in the growing and spread of serious infections and systemic status in institutionalized patients those kept on intensive therapy units are relevant to understanding these complex systems and bring benefits to several health areas, particularly public health. In this study, it was analyzed the clinical and microbiological data from patients hospitalized in intensive therapy units. The interaction between patients and caregivers was modeled and analyzed using dynamic system model and complex network theory, identifying outbreaks values of microorganisms of Enterobacteriaceae Family.