scholarly journals Compartilhando olhares sobre a terapia ocupacional em um centro de tratamento de queimados / Sharing views about occupational therapy at a burn treatment center

2018 ◽  
Vol 2 (2) ◽  
pp. 382-397
Author(s):  
Manuella Matos de Azevedo ◽  
Ivana Monique Corpes Castro
Keyword(s):  
Occupational Therapy ◽  
Multidisciplinary Team ◽  
Phenomenological Approach ◽  
Occupational Therapist ◽  
Treatment Center ◽  
Burn Treatment ◽  
Multiprofessional Team ◽  
Unified Health System ◽  
Professional Recognition ◽  
Qualitative Phenomenological

No Brasil, a Terapia Ocupacional sempre esteve ligada ao contexto hospitalar, e através dos tempos veio se consolidando como profissão da área da saúde que busca por meio do fazer humano o tratamento de diversas patologias com intuito principal de devolver a funcionalidade do indivíduo, porém, segue em busca de maior reconhecimento profissional. Por ainda estar em busca do seu valimento, este estudo intenta analisar as percepções acerca do terapeuta ocupacional na visão da equipe multidisciplinar. Esta pesquisa tem uma abordagem qualitativa fenomenológica do tipo descritiva exploratória, sendo desenvolvida com a equipe multiprofissional do Centro de Tratamento de Queimados do Hospital Metropolitano de Urgência e Emergência. Por meio das falas expostas percebe-se que, mesmo valorizado, pouco se entende do propósito do terapeuta ocupacional, porém, ainda foi evidenciado um olhar mais abrangente da prática deste profissional. Desta forma, refletiu-se sobre a necessidade de os terapeutas ocupacionais buscarem seu lugar junto a equipe do Sistema Único de Saúde, ressaltando sua importância no tratamento do queimado, e de se fazerem reconhecidos perante a equipe multidisciplinar. AbstractIn the Brazilian context Occupational Therapy is always linked to the hospital context, has been consolidating itself through the times as a profession in the health area that seeks return the individual's functionality but continues in search of greater professional recognition. Still searching of your validity, this study tries to analyze the perceptions about the occupational therapist in the view of the multidisciplinary team. This research has a qualitative phenomenological approach of the exploratory descriptive type, being developed with the multiprofessional team of the Centro de Tratamento de Queimados of the Hospital Metropolitano de Urgência e Emergência, Brasil. Through the spoken lines, it was perceived that, even when valued, little is known about the purpose of the occupational therapist, but a more comprehensive look has been evidenced than it is. However there is need for occupational therapists to seek their place with the minimum team of the Unified Health System, emphasizing its importance in the treatment of burnt and to make themselves recognized by the multidisciplinary team was reflected.Keywords: Hospitalization; Occupational therapy; Burn units.

scholarly journals Atuação do terapeuta ocupacional no NASF: reflexões sobre a prática/Occupational therapist at the NASF: reflections on practice

2019 ◽  
Vol 3 (4) ◽  
pp. 569-583
Author(s):  
Míriam De França Chagas ◽  
Magda Fernanda Lopes de Oliveira Andrade
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Family Health ◽  
Occupational Therapists ◽  
Structured Interview ◽  
Physical Structure ◽  
Occupational Therapist ◽  
Health Networks ◽  
Unified Health System ◽  
The Family

Em 2008, foi criado, pelo Ministério da Saúde, o Núcleo de Apoio à Saúde da Família (NASF), com o intuito de apoiar as equipes da Estratégia de Saúde da Família (ESF) nas redes de saúde e ampliar a ação da Atenção Básica da Saúde. O NASF é composto por uma equipe multidisciplinar e o terapeuta ocupacional é um dos integrantes desta equipe. O objetivo deste trabalho é o de conhecer a atuação dos terapeutas ocupacionais nos NASFs do município de Maceió, Alagoas, e suas reflexões sobre o trabalho desempenhado. Trata-se de uma pesquisa qualitativa, sendo a coleta de dados realizada por meio de entrevista semiestruturada. Como resultados, foram elencadas três categorias temáticas: A atuação do terapeuta ocupacional no NASF: ações e atividades efetuadas; Os principais obstáculos encontrados pelo terapeuta ocupacional no NASF e As ferramentas tecnológicas utilizadas para a realização do trabalho no NASF. A Terapia Ocupacional ainda é uma profissão que busca seu reconhecimento no NASF. Visitas domiciliares, salas de espera e atividades em grupo foram identificadas como ações desempenhadas pelos profissionais, apesar das dificuldades como falta de recursos materiais e de uma estrutura física melhor. Este estudo serviu para enfatizar a importância do trabalho do terapeuta ocupacional no serviço, bem como as dificuldades encontradas por eles, citando assim a falta de reconhecimento/conhecimento da profissão, recursos e espaço. Apesar das dificuldades mencionadas, os mesmos sempre buscam realizar um atendimento humanizado, preocupando-se com os usuários, minimizando os riscos e promovendo a saúde. AbstractIn 2008, the Family Health Support Center (NASF) was created by the Ministry of Health to support the Family Health Strategy (ESF) teams in health networks and expand the action of Primary Care of health. The NASF is composed of a multidisciplinary team and the occupational therapist is one of the members of this team. The objective of this work is to know the performance of occupational therapists in the NASFs of the city of Maceió-AL, and their reflections on the work performed. This is qualitative research, and the data collection is done through a semi-structured interview with occupational therapists of the NASFs in the municipality of Maceió-AL. As a result, three thematic categories were listed: The work of the occupational therapist in the NASF: actions and activities carried out; the main obstacles encountered by the occupational therapist in NASF; at technological tools used to perform work in the NASF. Occupational Therapy is still a profession that seeks recognition in the NASF. Home visits, waiting rooms and group activities were identified as actions performed by professionals, despite difficulties such as lack of material resources and a better physical structure. This study contributed to emphasize the practice of the work of the occupational therapist in the service, as well as the difficulties encountered to know: citing the lack of recognition/knowledge of the profession, resources and space. Despite the mentioned difficulties, they seek to perform a humanized care, reaffirming principles and guidelines of the Unified Health System - SUS, to minimize risks and promote health care. Keywords: Occupational Therapy, Primary Health Care, Family Health. Resumen En 2008, fue creado por el Ministerio de Salud, el Núcleo de Apoyo a la Salud de la Familia (NASF), con el propósito de apoyar a los equipos de la Estrategia de Salud de la Familia (ESF) en las redes de salud y ampliar la acción de la Atención Básica de la Salud. El NASF está compuesto por un equipo multidisciplinario y el terapeuta ocupacional es uno de los integrantes de este equipo. El objetivo de este trabajo es el de conocer la actuación de los terapeutas ocupacionales en los NASF del municipio de Maceió-AL, y sus reflexiones sobre el trabajo desempeñado. Se trata de una investigación cualitativa, siendo la recolección de datos realizada por medio de una entrevista semiestructurada con terapeutas ocupacionales de NASF en el municipio de Maceió-AL. Como resultados, se enumeraron tres categorías temáticas: La actuación del terapeuta ocupacional en el NASF: acciones y actividades efectuadas; los principales obstáculos encontrados por el terapeuta ocupacional en el NASF; las herramientas tecnológicas utilizadas para la realización del trabajo en el NASF. La Terapia Ocupacional sigue siendo una profesión que busca su reconocimiento en el NASF. Las visitas domiciliarias, salas de espera y actividades en grupo fueron identificadas como acciones realizadas por los profesionales, a pesar de las dificultades como falta de recursos materiales y de una estructura física mejor. Este estudio contribuido para enfatizar la práctica del terapeuta ocupacional en el servicio, así como las dificultades a saber:la falta de reconocimiento / conocimiento de la profesión, recursos y espacio. A pesar de las dificultades mencionadas, buscan realizar una atención humanizada, reafirmando los principios y lineamientos del Sistema Único de Salud - SUS, para minimizar los riesgos y promover la atención médica.Palabras clave: Terapia Ocupacional, Atención Primaria de Salud, Salud Familiar. 

Psychosocial Occupational Therapy: From Myth and Misconception to Multidisciplinary Team Member

1992 ◽  
Vol 55 (12) ◽  
pp. 457-461 ◽  
Author(s):  
Joseph Busuttil
Keyword(s):  
Mental Disorders ◽  
Occupational Therapy ◽  
Multidisciplinary Team ◽  
Critical Appraisal ◽  
Team Member ◽  
Psychiatric Hospitals ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Community Facilities ◽  
Lengthy Process

Occupational therapists are now accepted and valued members of the multidisciplinary team in psychiatric hospitals and community facilities. The role and relevance of the occupational therapist is featured regularly in the treatment, management and rehabilitation sections of modern psychiatric textbooks. This position has not been lightly attained. It represents a lengthy process of incorporating the ancient origins of treatment of mental disorders through occupation, work, exercise, recreation and leisure, and transforming them into the present foundation of the profession. The article, which is intended as a descriptive development of the evolvement of the profession rather than providing a critical appraisal of occupational therapy, reviews this transition.

scholarly journals Vivendo a queimadura: relato de experiência e correlação com a literatura/Living the burn: experience report and correlation with literature

2019 ◽  
Vol 3 (3) ◽  
pp. 440-451
Author(s):  
Mariana Midori Sime ◽  
Camila Favero Fiorin ◽  
Teresinha Cid Constantinidis
Keyword(s):  
Occupational Therapy ◽  
Recovery Process ◽  
Well Being ◽  
Experience Report ◽  
Treatment Center ◽  
Burn Patients ◽  
Burn Treatment ◽  
As Stress ◽  
And Function ◽  
Anxiety Depression

A queimadura provoca uma mudança abrupta na aparência do indivíduo e na função do seu corpo, levando-o à necessidade de vários cuidados por um longo período de tratamento. Durante e após a hospitalização surgem vários problemas emocionais, como estresse, ansiedade, depressão, medo, frustração, além do desconhecimento do processo de recuperação e cicatrização da pele, que afetam o desempenho dos papéis ocupacionais do sujeito. O presente trabalho relata a vivência da queimadura desde o centro de tratamento de queimados até a retomada das atividades, sob a ótica de quem vivenciou. Caracteriza-se como um estudo qualitativo e um relato de experiência, em que uma das pesquisadoras, estudante de um curso de graduação em terapia ocupacional, vivenciou e não apenas observou os fatos abordados. Como estudante de terapia ocupacional foram refletidas e discutidas possíveis intervenções deste profissional que podem contribuir no tratamento de pacientes queimados em todas as etapas da reabilitação. Tais intervenções são direcionadas aos desejos do sujeito e na diminuição do sofrimento no contexto hospitalar, na retomada das atividades do cotidiano, na reinserção deste na sociedade e nas suas redes de pertencimento, podendo possibilitar a este indivíduo um maior bem-estar. Ao fazer a correlação com a literatura pôde-se compreender que a terapia ocupacional junto ao tratamento de pacientes queimados tem um importante papel para a recuperação desse indivíduo. Além disso, espera-se que este trabalho possa colaborar com a produção de conhecimento da área, influenciando um melhor atendimento a esta população.AbstractThe burn causes an abrupt change in the individual’s appearance and function of his/her body, leading to the need of many cares for a long period of treatment. During and after hospitalization appear many emotional problems such as stress, anxiety, depression, fear, frustration, besides the unknown about the recovery process and healing of the skin, which affect the performance of the person’s occupational roles. This paper reports a burn experience since burn treatment center until the return of activities, from a perspective of who had lived it. It is characterized as a qualitative study and an experience report, which one of the researchers, and student of an undergraduate occupational therapy course, not only had lived, but also observed the facts covered. As an occupational therapy student, were reflected and discussed interventions of this professional that can help in the treatment of patients who suffered burn, in all stages of the rehabilitation. These interventions are directed by the wishes of the patient and to decrease of suffering in the hospital context, recovery of daily activities, reinsertion of the patient on the society and in their cycle of activities, making possible more well-being to this person. When correlating with the literature was possible to understand that the occupational therapy associated with the treatment of burn patients has an important role for the recovery of this patient. Besides that, it is expected that this work can contribute with the knowledge production, influencing a better service to this people.Key words: Burns, Occupational Therapy, Patients, Rehabilitation.ResumenLa quemadura provoca un cambio abrupto en la apariencia del individuo y en la función de su cuerpo, llevándolo a la necesidad de varios cuidados por un largo período de tratamiento. Durante y después de la hospitalización surgen varios problemas emocionales, como estrés, ansiedad, depresión, miedo, frustración, además del proceso de recuperación y cicatrización de la piel, que afectan el desempeño de los papeles ocupacionales del sujeto. El presente trabajo relata la vivencia de la quemadura desde el centro de tratamiento de quemados hasta la reanudación de las actividades, bajo la óptica de quien vivenció. Se caracteriza como un estudio cualitativo y un relato de experiencia, en el que una de las investigadoras, estudiante de un curso de graduación en terapia ocupacional, vivenció y no sólo observó los hechos abordados. Como estudiante de terapia ocupacional fueron reflejadas y discutidas posibles intervenciones de este profesional que pueden contribuir en el tratamiento de pacientes quemados en todas las etapas de la rehabilitación. Estas intervenciones se dirigen a los deseos del sujeto y en disminución del sufrimiento en el contexto hospitalario, en la reanudación de las actividades del cotidiano, en la reinserción de éste en la sociedad y en sus redes de pertenencia, pudiendo posibilitar a este individuo un mayor bienestar. Al hacer la correlación con la literatura se pudo comprender que la terapia ocupacional junto al tratamiento de pacientes quemados tiene un importante papel para la recuperación de ese individuo. Además, se espera que este trabajo pueda colaborar con la producción de conocimiento del área, influyendo en una mejor atención a esta población.Palabras clave: Quemaduras, Terapia Ocupacional, Pacientes, Rehabilitación.   

scholarly journals ‘Somebody stuck me in a bag of sand’: Lived experiences of the altered and uncomfortable body after stroke

2021 ◽  
pp. 026921552110007
Author(s):  
Hannah Stott ◽  
Mary Cramp ◽  
Stuart McClean ◽  
Ailie Turton
Keyword(s):  
Support Groups ◽  
Phenomenological Study ◽  
Community Support ◽  
Phenomenological Approach ◽  
The Body ◽  
Stroke Survivors ◽  
Post Stroke ◽  
Personal Perceptions ◽  
Psychological Sense ◽  
Qualitative Phenomenological

Objective: This study explored stroke survivors’ experiences of altered body perception, whether these perceptions cause discomfort, and the need for clinical interventions to improve comfort. Design: A qualitative phenomenological study. Setting: Participants’ homes. Participants: A purposive sample of 16 stroke survivors were recruited from community support groups. Participants (median: age 59; time post stroke >2 years), were at least six-months post-stroke, experiencing motor or sensory impairments and able to communicate verbally. Interventions: Semi-structured, face-to-face interviews were analysed using an interpretive phenomenological approach and presented thematically. Results: Four themes or experiences were identified: Participants described (1) a body that did not exist; (2) a body hindered by strange sensations and distorted perceptions; (3) an uncontrollable body; and (4) a body isolated from social and clinical support. Discomfort was apparent in a physical and psychological sense and body experiences were difficult to comprehend and communicate to healthcare staff. Participants wished for interventions to improve their comfort but were doubtful that such treatments existed. Conclusion: Indications are that altered body perceptions cause multifaceted physical and psychosocial discomfort for stroke survivors. Discussions with patients about their personal perceptions and experiences of the body may facilitate better understanding and management to improve comfort after stroke.

scholarly journals Occupational therapists’ experiences of enabling people to participate in sport

2020 ◽  
pp. 030802262097394
Author(s):  
Deborah Bullen ◽  
Channine Clarke
Keyword(s):  
Qualitative Study ◽  
Occupational Therapy ◽  
Thematic Analysis ◽  
Social Care ◽  
Occupational Therapists ◽  
Phenomenological Approach ◽  
Scope Of Practice ◽  
Local Populations ◽  
Care Services ◽  
Health And Social Care

Introduction In response to growing demands on health and social care services there is an emphasis on communities addressing the needs of local populations to improve lives and reduce inequalities. Occupational therapists are responding to these demands by expanding their scope of practice into innovative settings, such as working with refugees, the homeless and residents of nursing homes, and within sport and leisure environments. The benefits of sport are widely acknowledged, and this paper argues that occupational therapists could play a pivotal role in enabling people to participate. Method This qualitative study drew on a phenomenological approach and used interviews and thematic analysis to explore five occupational therapists’ experiences of enabling people to participate in sport. Findings Findings revealed that participants demonstrated the uniqueness of occupational therapy when enabling people to participate in sport and practised according to their professional philosophy. There were opportunities to reach wider communities and promote the value of occupational therapy by collaborating with organisations, but there were also challenges when working outside of traditional settings. Conclusion The study emphasises the unique skills occupational therapists can bring to this setting. It highlights opportunities to expand their practice, to forge new partnerships in sports and leisure environments, and to address the national inactivity crisis.

scholarly journals Patient functional independence and occupational therapist time-use in inpatient services: Patient demographic and clinical correlates

2021 ◽  
pp. 156918612110187
Author(s):  
Bianca E Summers ◽  
Kate E Laver ◽  
Rebecca J Nicks ◽  
Nadine E Andrew ◽  
Christopher J Barr ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Time Use ◽  
Health Care Expenditure ◽  
Functional Independence ◽  
Occupational Therapist ◽  
Sociodemographic Characteristics ◽  
Cross Sectional ◽  
Patient Demographics ◽  
Therapy Services ◽  
Multivariable Modelling

Introduction Health care expenditure has rapidly increased in Australia. Effective management of occupational therapy services is required to meet clinical demand. Improving our understanding of factors which influence occupational therapy service delivery is a vital step to manage workload distribution and optimise service efficiency. This study aims to examine the influence of patient sociodemographic characteristics, diagnosis and functional independence on the utilisation of occupational therapy resources in hospital inpatients over 18 years old. Methods Prospective, cross-sectional, observational cohort study of 4549 inpatients from three hospital sites in Melbourne, Australia. Data extracted from organisational databases and included in this study were: patient demographics, diagnosis, functional level assessed using the SMAF (Functional Autonomy Measurement System) and occupational therapy time-use. Data were analysed using univariable and multivariable modelling. Results Occupational therapy time-use was significantly associated with all variables included in analysis ( p < 0.05). For each variable the amount and direction of effect differed between hospital sites. The SMAF was the only variable consistently associated with occupational therapy time-use. Higher occupational therapy time-use was associated with lower functional independence (leading to a 3.5 min increase in median occupational therapy time for every unit decrease in SMAF score). Conclusions Management of resources within busy hospitals require knowledge of factors associated with occupational therapist time-use. This study identified that time-use could in part be predicted by functional independence, diagnosis and sociodemographic characteristics. Occupational therapy managers can use this information to support decision making while acknowledging other patient and therapist level factors also influence time-use.

Thurlow House Child Abuse Assessment Programme: Residential Family Evaluation1

1988 ◽  
Vol 51 (4) ◽  
pp. 116-119 ◽  
Author(s):  
Nick Irving ◽  
Alan Carr ◽  
George Gawlinski ◽  
Dermot McDonnell
Keyword(s):  
Child Abuse ◽  
Occupational Therapy ◽  
Occupational Therapist ◽  
Health District ◽  
Family Assessment ◽  
The West ◽  
Abused Children ◽  
Physically Abused ◽  
Assessment Programme ◽  
Physically Abused Children

This paper describes the contribution of an occupational therapist to a comprehensive assessment programme for families with physically abused children. Initially, a brief outline of the entire programme is set out. In the light of this, an approach to residential family assessment, pioneered by occupational therapy in the West Norfolk and Wisbech health district, is described in detail.

scholarly journals Use and Significance of Nursing Diagnosis in Hospital Emergencies: A Phenomenological Approach

2021 ◽  
Vol 18 (18) ◽  
pp. 9786
Author(s):  
Jose Miguel Cachón-Pérez ◽  
Purificación Gonzalez-Villanueva ◽  
Marta Rodriguez-Garcia ◽  
Oscar Oliva-Fernandez ◽  
Esther Garcia-Garcia ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Phenomenological Study ◽  
Phenomenological Approach ◽  
Hospital Emergency ◽  
Emergency Nurses ◽  
Nursing Diagnosis ◽  
Nursing Organizations ◽  
Field Notes ◽  
Qualitative Phenomenological ◽  
Hospital Emergency Departments

Background: Professional nursing organizations recommend the use of nursing diagnosis to enhance and facilitate the standardization of care and the development of a common language used by nursing practitioners. In the clinical reality of hospital emergency departments, however, its use is controversial. The objectives of the research are (a) to explore the use of nursing diagnosis in hospital emergency departments, and (b) to describe the meaning of nursing diagnosis for hospital emergency nurses. Methods: A qualitative phenomenological study was conducted. A purposeful sampling and snowball technique were used. Data were collected using in-depth interviews, researchers’ field notes, and documental analysis. An inductive analysis based on Giorgi´s proposal was used to identify significant emerging themes from interviews and field notes. Seventeen participants with a mean age of 40 were recruited. Results: Three themes were identified. The results showed how the use of nursing diagnosis in hospital emergency departments depends on nurses to apply a working methodology in their practice, along with other dimensions such as the characteristics of emergency care, the type of health problems, and the complexity of care. Conclusions: The use of standardized language in emergency departments is complex due to the overcrowded nature of care in these settings.

scholarly journals Peran Identifikasi Tokoh Wayang dalam Pembentukan Identitas Diri

2017 ◽  
Vol 44 (2) ◽  
pp. 97
Author(s):  
Subandi
Keyword(s):  
Data Analysis ◽  
Identity Formation ◽  
Human Development ◽  
Group Discussion ◽  
Phenomenological Approach ◽  
Phenomenological Method ◽  
Self Image ◽  
Depth Interview ◽  
Interview Methods ◽  
Qualitative Phenomenological

One of the tasks of human development is to discover its identity. There are many ways a person can find that identity. One of them is through the identification of the idol figure. This study aims to understand the process of identity formation through the identification of shadow puppet figures in the context of Javanese culture. A qualitative phenomenological approach was used to understand the process retrospectively. Three main participants were involved in the study. The process of collecting data was done through in-depth interview methods to both the main participants and their significant others. FGD (focused group discussion) is also conducted to explore participants' understanding of their process of identity formation. Data analysis was done by phenomenological method. This study found three main themes, namely interested in shadow puppet figures, matching self-image with puppet characters, and the use of feeling as a bridge between self and the puppet. This study concluded that shadow puppets can be used as a means to find identity among their fans.

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