Ser cuidador de paciente com acidente vascular cerebral: histórias não contadas

The present study aimed to understand the experience of being a family caregiver of a patient with Cerebrovascular Accident (CVA). The relevance of the study is to prove existence of a large number of caregivers of incapacitated patients, due to the CVA and it is not an academic research object, according to the literature. It is a qualitative research, which the guiding principle is the oral history of life, according to the theoretical foundation and operating of Meihy. Therefore, the following steps were highlighted: the target community, composed of all family caregivers of CVA patients; the colony, composed by family caregivers of CVA patients assisted by Home Care Service (HCS) of the Hospital José Pedro Bezerra (HJPB), in the city of Natal/RN; the network was composed of six caregivers who met the criteria for inclusion, and as zero point the first volunteer group. The population was composed of all family caregivers of patients attended by the HCS, of the HJPB having been addressed through interviews. For the empirical research there was the consent of that institution and approval by the Ethics Committee in Research of the Federal University of Rio Grande do Norte as CAAE 24569413.0.0000.5537 and, above all, with the acquiescence of employees in participating in the investigation, signing an informed consent. Of the empirical material, five categories of analysis were identified: the sense of being a caregiver; what has changed in the life of the caregiver; the feelings emerge in the relationship of care; the distance from family and friends; difficulties faced by the caregiver. The results show that the caregiver's life goes through profound transformations within the family as well as in all spheres of life. For the caregivers, assuming the care of a relative with CVA means renunciation and donation, compromising sometimes the individual projects and the family as a whole. In addition, they point out the confrontation of difficulties within the the assistance and humanization in healthcare, information, physical and emotional overload, as well as financial problems. Despite all the adversities that compromise the caregiver's life, it was possible to identify attitudes of resilience among caregivers, making them their daily life less strenuous and with more lightness. It is expected, therefore, that this research can contribute to a better orientation of professionals with the caregivers

“Escritores da liberdade”: histórias reais de jovens que cumpriram medidas socioeducativas em meio aberto no município do Natal/RN

Such work aims to analyze aspects of the lives of adolescents, authors of Infraction, after completion of the Socio-Educational Measures in Half Open (Probation - LA and Services to the Community - PSC) in the city of Natal / RN in 2010. Thus, it become necessary to point out and consider the socio-historical determinations that permeate the lives of these young men, estimating the economic, social, political and historical aspects. We understand that these individuals experience numerous expressions of Social Issues, such as lack of opportunities, violence, unemployment, among others. In the reduction context of the State actions for the social, and investments negligible in public policies. Thus, the research aimed to identify such determinations in the lives of adolescents, young people today, and aimed to know these adolescents and analyze the family situation, socio-economic and political these, after completion of educational measures; and to evaluate the inclusion in school life and in the labor market. Therefore, we used as a methodological way the qualiquantitative research, using the procedure of 4 (four) semi-structured interviews, 9 (nine) analysis processes by configuring so documentary research, through the analysis of reports, processes and monitoring documents. The universe of analysis went adolescents who fulfilled socio-educational measures in liberty in the city of Natal / RN. The sample consisted of nine (9) young, that we follow during the mandatory curricular training, in the period of graduation in Social Work at the Federal University of Rio Grande do Norte, in 2010. The time frame of the research took place between 2010 - 2014. The results of this study indicate that the solution to problems of violence is not the reduction of criminal majority. It is necessary to take actions in ensuring rights and allow other living conditions to the children and adolescents, because, in fact, in the society there is a tendency to regression of rights. We learn that, despite all the difficulties, as: low education, access to the labor market, low income, among others, young people interviewed understand the Socio-Educational Measures such as a watershed in their lives, because, they do not practice more illicit acts, they seek a better life, they have dreams and plans for the future, and they continue writing their histories.

“Escritores da liberdade”: histórias reais de jovens que cumpriram medidas socioeducativas em meio aberto no município do Natal/RN

Such work aims to analyze aspects of the lives of adolescents, authors of Infraction, after completion of the Socio-Educational Measures in Half Open (Probation - LA and Services to the Community - PSC) in the city of Natal / RN in 2010. Thus, it become necessary to point out and consider the socio-historical determinations that permeate the lives of these young men, estimating the economic, social, political and historical aspects. We understand that these individuals experience numerous expressions of Social Issues, such as lack of opportunities, violence, unemployment, among others. In the reduction context of the State actions for the social, and investments negligible in public policies. Thus, the research aimed to identify such determinations in the lives of adolescents, young people today, and aimed to know these adolescents and analyze the family situation, socio-economic and political these, after completion of educational measures; and to evaluate the inclusion in school life and in the labor market. Therefore, we used as a methodological way the qualiquantitative research, using the procedure of 4 (four) semi-structured interviews, 9 (nine) analysis processes by configuring so documentary research, through the analysis of reports, processes and monitoring documents. The universe of analysis went adolescents who fulfilled socio-educational measures in liberty in the city of Natal / RN. The sample consisted of nine (9) young, that we follow during the mandatory curricular training, in the period of graduation in Social Work at the Federal University of Rio Grande do Norte, in 2010. The time frame of the research took place between 2010 - 2014. The results of this study indicate that the solution to problems of violence is not the reduction of criminal majority. It is necessary to take actions in ensuring rights and allow other living conditions to the children and adolescents, because, in fact, in the society there is a tendency to regression of rights. We learn that, despite all the difficulties, as: low education, access to the labor market, low income, among others, young people interviewed understand the Socio-Educational Measures such as a watershed in their lives, because, they do not practice more illicit acts, they seek a better life, they have dreams and plans for the future, and they continue writing their histories.

Reverências à vida terrena e post-mortem (Caicó-RN, século XIX)

ARAÚJO, M. M. ; Olivia M. de Medeiros Neta ; FIGUEIREDO, Franselma. Reverências à vida terrena e post-mortem (Caicó-RN, século XIX). Revista HISTEDBR On-line, v. 33, p. 179-193, mar. 2009

A potencialidade do PROEJA: histórias dos estudantes evadidos do IFRS Câmpus Rio Grande

A presente investigação situa-se na área da integração da Educação Profissional com Educação Básica na Modalidade de Jovens e Adultos (PROEJA) e busca a compreensão das vivências dos estudantes do curso no Câmpus Rio Grande que integra o Instituto Federal de Educação, Ciência e Tecnologia do Rio Grande do Sul (IFRS-RG). Faz parte também dos objetivos identificar as contribuições do curso para a socialização desses estudantes e os significados atribuídos ao curso. Em função da elevada taxa de evasão, a pesquisa foi desenvolvida com estudantes que não concluíram o curso. A hermenêutica filosófica constitui-se na epistemologia que ancora teoricamente a abordagem metodológica. A Análise Textual Discursiva foi a metodologia qualitativa adotada para a análise do material empírico constituído centralmente pelas histórias contadas pelos estudantes. Eles contam sua passagem pelo PROEJA, desde o ingresso até a sua evasão. Foram produzidos dados quantitativos além de levantamentos para conhecer o contexto da trajetória escolar dos estudantes. Esses elementos subsidiaram a análise qualitativa das informações. Como resultados foram encontradas: uma taxa de evasão geral da ordem de 57%. Nos dois primeiros módulos ocorreu 87 % de toda a evasão do curso. Em todo o período de oferecimento do curso, ou seja sete anos, apenas três estudantes concluíram o mesmo. Pela análise qualitativa, emergiram cinco categorias que tratam: a) do ingresso no PROEJA e dos desencontros nesse processo; b) do estudante com suas peculiaridades, dificuldades e significados; c) do ser professor no PROEJA; d) do curso pelo viés da formação integrada; e) dos componentes constituintes da evasão. Como conclusões a pesquisa aponta para a inadequação do curso em seus diversos aspectos. Reforça que a construção curricular adaptada de um curso existente foi um equívoco. A formação dos professores e gestores promoveu a proposta de um curso repleto de contradições. Mesmo com todos os distanciamentos, o curso promoveu um ensino de qualidade na formação humana e por isso os estudantes desenvolveram sentimentos positivos quanto ao curso. Promoveu os estudantes a novas oportunidades na sua vida social, inclusive com ingresso na universidade. A tese geral aponta para a potencialidade do PROEJA do Câmpus Rio Grande, na transformação da realidade do sujeito, apesar do alto índice de evasão e da inadequação do curso.

Reverências à vida terrena e post-mortem (Caicó-RN, século XIX)

ARAÚJO, M. M. ; Olivia M. de Medeiros Neta ; FIGUEIREDO, Franselma. Reverências à vida terrena e post-mortem (Caicó-RN, século XIX). Revista HISTEDBR On-line, v. 33, p. 179-193, mar. 2009

Um mar de histórias num grupo de três anos

Relatório de estágio apresentado à Escola Superior de Educação de Paula Frassinetti para obtenção do grau de Mestre em Educação Pré-escolar

Gestores brasileiros e portugueses: Estrutura única de valores de sentido de vida?

Compreender o sentido da vida e os diferentes sentidos que os indivíduos atribuem a suas vidas são desafios que acompanham o ser humano desde os primórdios, auxiliando-o a lidar com perplexidades. Sentidos de vida podem ser considerados valores, uma vez que orientam a conduta humana, passíveis de aprendizado e compartilhamento. Este artigo teve como objetivo comparar a estrutura de valores relativos a sentido de vida de gestores brasileiros e portugueses. Teve como propósito, aprofundar a compreensão de semelhanças e diferenças entre gestores de duas culturas – brasileira e portuguesa – que possuem histórias imbricadas, no entanto, com identidades próprias. De natureza exploratório-descritiva, a pesquisa coletou dados mediante a aplicação da escala de valores de sentido de vida – VSV – a uma amostra de 187 gestores brasileiros e 71 portugueses, tendo os mesmos sido tratados mediante escalonamento multidimensional. Os resultados evidenciaram a existência de uma única estrutura de valores de sentidos de vida para ambas as amostras, no entanto há diferenças de nuances, quanto à composição das categorias nela contempladas, que foram interpretadas tendo em vista as peculiaridades de cada cultura. A estrutura encontrada caracterizou-se como radex, composta de dois círculos concêntricos onde, no externo, situou-se o valor de sentido de vida Evolução Espiritual, e no interno, uma estrutura polar bi-dimensional contemplando as demais categorias teoricamente previstas: Solidariedade Humana versus Auto-realização, Relacionamento com Pessoas Próximas versus Evolução Pessoal.

Projeto de intervenção para a melhoria da qualidade de vida de pacientes idosos com hipertensão arterial ESF Nova Esperança II

Tem sido observado um aumento da expectativa de vida em vários países e no Brasil os idosos já correspondem a 10,2% da população geral, foi observado mudanças no padrão de morbimortalidade com destaque para as doenças crônicas, sendo a hipertensão uma das doenças de alta prevalência entre os idosos e um aumento importante para o risco de doenças cardiovasculares. Qualidade de vida é uma noção eminentemente humana, estando aproximada ao grau de satisfação encontrado na vida em todas as áreas da vida humana de modo especial objetivando propiciar um individuo uma vida mais saudável e à própria estética existencial. Está relacionada aos elementos que a sociedade considera como padrão de conforto e bem-estar, variando com a época, os valores, os espaços e as diferentes histórias, com foco na promoção da saúde. Com o crescimento deste público, propomos a realização desta intervenção, visando contribuir para a melhora na qualidade de vida dos idosos hipertensos atendidos no ESFdo Distrito de Nova Esperança pertencente ao Município de Montes Claros, norte do Estado de Minas Gerais. Utilizamos questionário como forma de entrevista aos usuários para a realização do diagnóstico situacional, abordando questões referentes à qualidade de vida (QV) do indivíduo, o questionário SF 36 é formado por 36 questões que retratam desde o estado físico, psíquico, social, afetivo, familiar, intelectual e profissional, buscando entender o indivíduo em sua totalidade. Por meio da realização de uma ação global, realizamos ações como palestras, consultas e exames, ginásticas e orientações psicológicas, para incrementar o impacto da intervenção

Qualidade de vida em epilepsia e percepção de controle de crises

The individual affective-cognitive evaluations are important factors that control the way he feels the disease impact in his life. Then, the perception of seizure control is a more important factor to evaluate Quality of Life (QoL) than the illness characteristics, such as the severity, type, sickening period and seizure frequency. This study searched for the relationship among the subjective variables (perception of seizure control) and the illness characteristics to evaluate QoL. The sample consisted of 60 individuals with chronic epilepsy, aging 18 to 70 (M=37.05; SD=11.25), chosen at randon from the ambulatory of epilepsy - HC/UNICAMP, by the Questionnaire 65. The illness characteristics were not significant, except the seizures frequency, when associated to the impairment in QoL among controlled seizures and seizures with frequency higher than 10 per month (p=0.021). The perception of control was significantly associated to QoL (p=0.005).

Questionário de qualidade de vida na epilepsia: resultados preliminares

Seizures happen for brief periods of time, but the feelings of anxiety and helplessness, adaptation to the restrictions impose by the life-style and variety of other problems affect more the quality of life in epilepsy. This study proposes a protocol that regards the objectives of a quality of life assessment in health and is applied to a population that attends a university hospital. It contains 65 items and assesses the psychosocial performance, physical limitation, cognitive aspects, perception of control, self-concept, as well as perception of health and quality of life. The results of reliability and validity are discussed.

Um novo índice de qualidade das águas para proteção da vida aquática aplicado ao Rio Atibaia, região de Campinas/Paulínia-SP

In this paper a water quality index is developed to subsidize management actions in the Atibaia River for upon protection of aquatic organisms. This index is composed of two measurable environmental parameters normaly, ammonia and dissolved oxygen, the latter representing the contribution of organic matter. Concentrations of these two variables were normalized on a scale from 0 to 100 and translated into statements of quality (excellent, good, regular, bad and very bad). The index was applied to three monitoring points in the Atibaia River and compared to other indices used by the State of São Paulo Environmental Agency (CETESB). The results showed that the degradation in this watershed follows the urban population density. The developed index is more restricted than the other ones routinely used to infer water quality.

Avaliação da qualidade de vida em pacientes idosos um ano após o tratamento cirúrgico de fraturas transtrocanterianas do fêmur

OBJECTIVE: Evaluate the impact that trochanteric hip fractures produce on life quality of elderly patients, treated surgically, during one year of monitoring. METHODS: Were selected 73 elderly with transtrochanteric femur fracture, aged equal or over than 65 years and of both sexes. All participants underwent a standardized questionnaire which obtained information on lifestyle habits, functionality, physical activity, ambulation and cognitive state. Were excluded patients who died, not walking, with neurological diseases and pathological fractures. RESULTS: The average age was 80.17 ± 7.2 years and 75% was female. When comparing the summation of activities of daily living (p = 0.04) and instrumental daily living (p = 0.004) obtained before and after fracture, the patients become more dependent after fracture. Activities of daily living that worsened after fracture were bathing (p = 0.04), toileting (p = 0.02) and dressing (p = 0.04). All instrumental activities of daily living showed a significant difference, with functional dependence after fracture, increased need for walking aid (p = 0.00002), aged (p = 0.01) and not doing housework (p = 0.01). The low score on the test Minimental was associated with a greater dependence to perform activities of daily living before (p = 0.00002) and after (p = 0.01) fracture. CONCLUSION: After a year, activities of daily living that depended on the lower limbs worsened significantly, all instrumental activities of daily living were significantly worse in more than 50% of patients and more than half of patients who walked without support lost this ability.

Prolongamento da amamentação após o primeiro ano de vida: argumentos das mães

This paper aims to identify and analyze the reasons pointed by mothers to prolong breastfeeding beyond the first year of the child s life. The study involved 40 mothers whose children were treated in the Preventive Program of Research and Dental Treatment Center for Special Patients - Dental School of Piracicaba - UNICAMP. The group consisted of mothers who prolonged the breastfeeding beyond the baby s first year of life. All mothers were surveyed by a researcher using a specific questionnaire. In order to avoid information loss, the interviews were taped, then transcripted. Results showed that the main cause of the extended breastfeeding was maternal pleasure. It was also observed that the mother and infant attachment favors prolonged breastfeeding occurrence. Further studies should be carried out for more accurate functional analyses of variable that lead to extend breastfeeding or to wean.