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- Occupational Therapy at home: Palliative Care ApproachPublication . Pedrosa, Vanda VarelaThe workshop The Occupational Therapy (OT) in the Palliative Care (PC). We hope it can contribute, in a valuable way to preserve independence, comfort and quality of life, effectively during illness and even death. Home, is the holistic and multiprofessional intersection of doing with the person, the caregivers, in their environment, the place where the OT can play a very relevant role in the place, facilitating the improvement of the quality of life especially when we speak of intervention in PC As been presented in 24th Annual Meeting 2018.
- Recensão Crítica Unidade Curricular Terapia Ocupacional III: cuidados paliativos e terapia ocupacionalPublication . Pedrosa, Vanda VarelaNeste sentido e no âmbito da Unidade Curricular Terapia Ocupacional III, do 3º ano do plano de estudos, do Curso de Licenciatura em Terapia Ocupacional é usada como estratégica a realização de uma recensão crítica com os estudantes, sobre temas abordados em sala de aula. A turma foi aquela que se encontrava no 3º ano, no ano letivo 2017/2018. Concretamente, e sobre a temática dos Cuidados Paliativos, deixa-se uma recensão construída em sala de aula, que serve de conteúdo pedagógico a estudantes de anos subsequentes, impactando no ensino e na aprendizagem com base no que é a evidência, o que resulta para determinado contexto, determinado assunto ou caso clínico.
- Teacher´s ClassRoom Management Program, One Portuguese Experience in the CommunityPublication . Pedrosa, V. VarelaThe Degree of Occupational Therapy (OT) of the Higher School of Health Sciences (ESElei) of the Polytechnic Institute of Leiria (IPLeiria) in Portugal, promotes the Gulbenkian Academies of Knowledge, sponsered by Calouste Gulbenkian Foundation. We aim to improve social and emotional skills in young children from 3 to 8 years old, building resilient children in ESSLei adjacent community, in Leiria and Porto de Mós field. We will invest and qualifying the teacher´s, those that everiday stengthens is classroom. The team will be formed by up to 14 elements, ESSlei teachers, elements from Porto de Mós & Leiria Autarchy, Private Social Solidarity Institutions from coverage área. This team will disseminate for free t he methodology, one theoreticalpractical model, divided in 84 hours (42 in classrom more 42 pratical in classrooms). In total they are 7 Workshops offered for free to public institutions. We aim to share results from implementationoctober 2018-March 2020. At the same time we are pleased to share a good & resilient practice. By now we already formed 33 educatores and reach directly near 1200 childrens, devolping resilience, problem solving, criativity, better communication. By the time of the conference, we will have more results, from a pratical methodology that is working nearly with Teachers, enhancing resilicence, strategies for enhancing soft skills, community resilience. The promotion of soft skills, in theory and with our pratical experience is the future of primary care & health promotion.
- Avaliação e intervenção em défices de desempenho ocupacional em mulheres com cancro da mamaPublication . Viegas, Cláudia Sofia; Martins, Joana Sofia Arêde Richa; Barosa, Sofia Lisete Carvalho; Jorge, Sara Isabel Barros; Pedrosa, Vanda Cristina Barrocas VarelaO Cancro da Mama (CM) é uma das neoplasias mais diagnosticadas nas mulheres e a segunda causa de morte por cancro. Anualmente, em Portugal, aproximadamente 1500 mulheres morrem com esta patologia e 4500 novos casos de CM engrossam as estatísticas. Estudos a nível mundial, elaborados em 2012, demonstram que Portugal e Espanha têm uma estimativa de incidência e mortalidade de CM semelhantes. Observa-se uma lacuna de informação sobre a atuação da Terapia Ocupacional (TO) em mulheres com CM a nível ibérico, desenvolveu-se um projeto internacional entre a ESSLei, Portugal, e Universidad de Burgos (UBU), Espanha. O projeto assenta numa metodologia descritiva e multicêntrica, com abordagem mista e desenho transversal, que pretende averiguar quais as alterações do Desempenho Ocupacional (DO) em 200 mulheres (100 portuguesas e 100 espanholas) com este diagnóstico há menos de quatro anos, e ausência de outra patologia associada. A recolha de dados concretiza-se através do questionário “Desenvolvimento de instrumento de avaliação das implicações no desempenho ocupacional em mulheres com cancro da mama”, originalmente desenvolvido pela UBU. Em conformidade com o que foi proposto, ficou a cargo da ESSLei a aplicação e análise de dados de 100 questionários preenchidos por mulheres portuguesas com os critérios supracitados, de diferentes pontos do país. Prevê-se que os questionários sejam aplicados até ao final do ano. De momento, temos três questionários preenchidos, averigua-se que a idade, tratamentos efetuados e tempo de diagnóstico é semelhante nas três participantes. Constata-se que, a nível de ocupações, têm mais dificuldades no Descanso e sono, Atividades de Vida Diária (AVD’s) e Atividades de Vida Diária Instrumentais (AVDI’s). Numa fase posterior, é esperado analisar os resultados obtidos no estudo português e estudo espanhol, com intuito de averiguar a presença de uma relação e construir de um instrumento de avaliação na temática para Terapeutas Ocupacionais.
- The Acting of Occupational Therapy in Community, Early ChildhoodPublication . Pedrosa, V. VarelaThe child and the family with special needs and doubts need to be monitored, supervised, given greater attention, to develop skills and abilities, and greater autonomy. The importance of Occupational Therapy (OT) inserted in a team in the context of early intervention in childhood and school is already recognized and studied, but still few, when it is reflected on the intervention in the community. The purpose of the compilation is to reflect on the follow-up practices of OT in the Primary Health Care, in early childhood. The reading of the data reports, in the middle of the hours of an OT in the Primary Health Care, 17 hours. The results are numerical / descriptive, have a non-experimental, retrospective, longitudinal nature, between March 2005 and March 2016. The service does not have a validated information system, the data were taken from excel sheets. A total of 253 different children / young people, with at least 1 h or more of care, between 0 months and 18 years, 74.3% between 1 month and 6 years of age and 25.7% among the 7 and 12 years old included, 58.1% of the male gender and 41.9% of the female gender. Requests came from the community, with the family also signaling. The children were mostly referred at early ages, due to Communication and Relationship Disturbance, and difficulties in Social Interaction with no known etiology. It indispensable the OT follow up in the Primary Health Care. In the community, is a great necessity to families and children.
- IDEIAS DE UM WORKSHOP de Terapia Ocupacional em Cuidados PaliativosPublication . Pedrosa, Vanda VarelaA Partilha de uma boa prática com estudantes para além de ser isso mesmo, é também incentivar junto de futuros profissionais que boas práticas de atuação devem e podem ser conduzidas junto da comunidade local e internacional, tanto com Terapeutas Ocupacionais como com outros Profissionais de Saúde
- Patient Safety in Primary Health Care, Case Study of Cartaxo PrimaryCare Health CenterPublication . Pedrosa, V.; Fernandes, A.Worldwide we should achieve more efficient, clinically more effective and safer health care organizations, specially those in Primary Care (PC), where knowledge is less. For greater Patient Safety (PS) in PC Organizations, professionals are the key to ensure safety, with the involvement from Patient & Family. The goal is understand what Professionals Health Center Cartaxo Know and consequently incorporate PS in professional activity.
- Patient Safety in Primary CarePublication . Pedrosa, Vanda VarelaIntroduction: Patient safety and the development of quality safety processes have been gaining prominence in business management in the public and political sector, particularly in Europe, after the Quality and Safety in European Hospitals project was driven by the support of the Lisbon strategy agenda. Scientific research has also followed this trend. However, the study of patient safety management and methods is still scarce. Objectives: Resorting to Cartaxo Health Centre, the research contributes to the analysis of the proposition that there is not only a lack of knowledge of the professionals who directly contact the patient about the patients safety in primary health care, but also that the methods used in practice are very intuitive and individualised by the absence of formal and institutional coordinated orientation. Methodology: Using a qualitative methodology and the case study method, a semi-structured interview was conducted with 40 health professionals—among doctors, nurses, and technicians—who contacted patients, in order to know what they know and consequently incorporate about patient safety. Results: We confirmed several discrepancies between functional units. It was clarified that in the domicile the knowledge is scarcer. Conclusion: We have delimited factors that do not ensure a reliable environment and culture, to improve with a training plan and institutional coordination that supports notification. The complexity of the context impacts on the nature and dimension of adverse events due to stress, workload and organization. A Taxonomy of Adverse Events was constructed and its path from the source to the solution was mapped. It´s our intention to share this Taxonomy with the professionals, with a strong expectation that will improve Quality and Safety in Portuguese Primary Care.
- Patient Safety in Primary CarePublication . Pedrosa, VPatient safety and the development of quality safety processes have been gaining prominence in business management in the public and political sector, particularly in Europe, after the Quality and Safety in European Hospitals project was driven by the support of the Lisbon strategy agenda. Scientific research has also followed this trend. However, the study of patient safety management and methods is still scarce.We have delimited factors that do not ensure a reliable environment and culture, to improve with a training plan and institutional coordination that supports notification. The complexity of the context impacts on the nature and dimension of adverse events due to stress, workload and organization. A Taxonomy of Adverse Events was constructed and its path from the source to the solution was mapped. It's our intention to share this Taxonomy with the professionals, with a strong expectation that will improve Quality and Safety in Portuguese Primary Care.
- A Equitação com Fins Terapêuticos, um Estudo de Caso perspetiva da Terapia OcupacionalPublication . Pedrosa, Vanda VarelaO seguinte manual pedagógico é um complemento às aulas práticas e teórico práticas de Terapia Assistida por Animas-A Equitação com Fins Terapêuticos. No âmbito da Unidade Curricular Terapia Assistida por Animais, é pelo segundo ano letivo solicitado aos estudantes dos cursos de Licenciatura em Terapia Ocupacional, Erasmus e outros cursos da Escola Superior de Saúde de Leiria, a abordagem da Equitação com Fins Terapêuticos a uma situação prática e real. Para isso, é dado ao estudante um caso, o caso IM (fictício) que em seguida se descreve. O caso foi analisado a partir de descrições fictícias e de vídeos cedidos pela docente. Em seguida introduz-se o que é solicitado e o que os estudantes devem fazer. Este trabalho é desenvolvido ao longo da unidade curricular, desenvolvida no segundo semestre, do segundo ano do curso de Licenciatura em Terapia Ocupacional. Foi dinamizado no ano letivo 2018/2019 e será novamente adoptado no ano letivo 2019/2020.