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- Guidebook for professionals in the identification and signaling of domestic violence against the elderly in the family contextPublication . Novo, Rosa; Prada, Ana Raquel Russo; Fernandes, TeresaThis poster aims to disseminate the guidebook entitled "Violence against the elderly in the family context: support guide for professionals in the identification and signaling”. This resource was developed during the internship and supervision developed of the degree in Social Education at the School of Education of the Polytechnic Institute of Bragança in the Center for Support Victims of Domestic Violence in the District of Bragança (Núcleo de Apoio às Vítimas de Violência Doméstica do Distrito de Bragança). This guidebook, that emerges from the local needs of the northern and interior region of Portugal, accomplishes the following objectives: (i) to allow greater articulation of the networking involved in elderly prevention; (ii) to contribute to a self-reflection towards a better development of professional knowledge and skills for the identification and signaling of elderly victims of domestic violence, and (iii) to reaffirm the visibility of this form of victimization in the family context. The guidebook is composed of eleven chapters, subject through a rigorous peer-review process and based on scientific and empirical evidences on violence against the elderly. The proposed premises and guidelines intend that the intervention developed by professionals and organizations ensures the rights, the dignity and the safety of the elderly person.
- Violência contra a pessoa idosa no contexto familiar. Guia de apoio aos profissionais na identificação e sinalizaçãoPublication . Novo, Rosa; Prada, Ana Raquel Russo; Fernandes, Teresa; Cerqueira, VanessaEste guia que agora se apresenta com o título Violência contra a pessoa idosa no contexto familiar: guia de apoio aos profissionais na identificação e sinalização dirige-se a todos os técnicos que intervêm com a população idosa, e tem como finalidade a conjugação de sinergias dos organismos envolvidos na sua emergência e de todas as estruturas que, direta ou indiretamente, trabalham com a mesma no contexto familiar. Esta obra surgiu no âmbito do estágio de Licenciatura em Educação Social da Escola Superior de Educação do Instituto Politécnico de Bragança, sendo fruto da colaboração com o Núcleo de Atendimento às Vítimas de Violência Doméstica do Distrito de Bragança, no sentido de dar resposta às necessidades locais junto dos profissionais e parceiros intervenientes para o desenvolvimento de uma linguagem comum focada na construção partilhada da sinalização orientada para a dignidade e segurança da pessoa idosa. Após a identificação dos tópicos centrais que constituem âncoras para o pensar, fazer, documentar e sinalizar este fenómeno, a elaboração do guia assenta nos seguintes objetivos: (i) Permitir uma maior articulação do trabalho em rede; (ii) Contribuir para uma auto e hétero-reflexão, no sentido de um melhor desenvolvimento de conhecimentos e competências profissionais para a identificação e sinalização de casos de violência; e (iii) Reafirmar a visibilidade do problema da vitimização da pessoa idosa no contexto familiar. De forma pragmática, simples, objetiva, mas substantiva, nos onze capítulos que se apresentam, convidamos o leitor a abrir as portas e encontrar modos para se recriar de acordo com as pessoas idosas particulares e as especificidades dos seus contextos de vida. Não pretendemos uma revisão exaustiva em torno desta temática, mas um instrumento de consulta rápida, numa linguagem clara e transversal para todos os técnicos, preconizando premissas e orientações que os podem apoiar nas suas práticas profissionais. Esperamos que o conteúdo deste guia seja útil e enriquecedor uma vez que a identificação da violência na população idosa é uma responsabilidade ética de todos e de cada um.
- Professionals’ perception about the guidebook Violence against the elderly in the family contextPublication . Novo, Rosa; Prada, Ana Raquel Russo; Fernandes, TeresaThe guidebook entitled "Violence against the elderly in the family context: support guide for professionals in the identification and signaling” was developed during the internship and supervision developed of the degree in Social Education at the School of Education of the Polytechnic Institute of Bragança in collaboration with the Centre for Assistance to Victims of Domestic Violence in the District of Bragança. This guidebook accomplishes the following objectives: (i) to promote a greater articulation of networking; (ii) to contribute to self and hetero-reflection, in order to better develop professional knowledge and skills for the identification and reporting of violence cases, and (iii) to reaffirm the visibility of the victimization problem of the elderly in the family context. The guidebook is composed of eleven chapters, subject through a rigorous peer-review process and based on scientific and empirical evidences on violence against the elderly. This article has as main objective to analyze the results of the impact of the guidebook, among professionals, to deepen the "meanings" of it. Through the non-probabilistic sampling method, 104 professionals, who directly or indirectly intervene in the family context with the elderly in the district of Bragança, have participated in this study. The instrument used was an online survey drawn up for this purpose, implemented in 2017 after six months of the publication of the guidebook. The results show that, in general, the professionals value the guidebook published, both in terms of professional development and reinforcement of interinstitutional networks. It should also be noted that, only six months after the diffusion of this resource in the district, its impact was positively assessed, although 36,50% of the professionals had a neutral position towards improving their professional practice. However, it is convenient to point out that 56,70% of the surveyed consider this resource to be too theoretical in its organizational category, even though the authors have turned to simple, clear and accessible but substantive language. Another relevant fact worthy of special attention, including in future studies, is the fact that professionals have identified the own victims as an obstacle to the identification and reporting of abuse of elderly people, especially because of their denial, fear, guilt and dependency. The professionals seem to have an ‘outlook’ very focused on the victim, neglecting the contribution of other possible factors in breaking the silence pact that involves the dynamics of domestic violence towards elderly people.professionals.
- Effect of a mobilization and active exercise program on the range of motion of bedridden patients with disuse syndromePublication . Fernandes, Teresa; Mendes, Eugénia; Preto, Leonel; Novo, AndréDisuse syndrome is a disorder that is most often associated with acute or chronic disease complications. Despite disuse syndrome may affect all organs and systems, the impact of range of motion limitations caused by immobility on functional capacity to perform activities of daily living is often very severe. Mobilization and active exercise have beneficial effects that counteract the impact of immobility on the body. This study aims to assess the effect of a mobilization and active exercise program on the range of motion of bedridden patients with disuse syndrome. A quasi-experimental study was developed. The sample consisted of 26 persons that have been bedridden for more than six months at home. A mobilization and active exercise program was design, fitting patient individual needs and implemented 2 times/week for 2 months. Caregivers where trained to transfer the patient from bed to chair and to repeat active exercise every day. Data collection was performed before and after intervention, using the Barthel Index and a goniometer for range of motion evaluation. 26 participants, aged 77.19 ± 11.67 and bedridden for 18 months (18.73 ± 15.25) were enrolled, but only 24 completed the intervention program. There was a minimal difference in the sex distribution with 7.6% more women than men. Results showed a statistically significant increase on range of motion of the shoulder, elbow, wrist, hip and knee. There was statistical significance in plantar flexion but not on the dorsiflexion. Barthel Index score has increase significantly (28,65±21,28vs31,46±23,28; p=0,035) after the mobilization and active exercise program. A mobilization and active exercise program implemented regularly may contribute to improve range of motion of bedridden with disuse syndrome. Thus, based on these results, it is believed that the intervention of rehabilitation nurse was an added value, contributing to an increase in range of motion and independence of patients.
- Experience of a mobilization and active exercise program on the range of motion of bedridden patients with disuse syndromePublication . Fernandes, Teresa; Mendes, Eugénia; Preto, Leonel; Novo, AndréDisuse syndrome is a disorder that is most often associated with acute or chronic disease complications. Despite disuse syndrome may affect all organs and systems, the impact of range of motion limitations caused by immobility on functional capacity to perform activities of daily living is often very severe. Mobilization and active exercise have beneficial effects that counteract the impact of immobility on the body. Objective: This study aims to assess the effect of a mobilization and active exercise program on the range of motion of bedridden patients with disuse syndrome. Method: A quasi-experimental pre-post study was developed. The sample consisted of 26 persons that have been bedridden for more than six months at home. A mobilization and active exercise program was designed, fitting patients’ individual needs and implemented 2 times/ week for 2 months. Caregivers where trained to transfer the patient from bed to chair and to repeat active exercise every day. Data collection was performed before and after intervention, using the Barthel Index and a goniometer for range of motion evaluation. Results: 26 study participants, aged 77.19 ± 11.67 and bedridden for 18 months (18.73 ± 15.25) were enrolled, but only 24 completed the intervention program. There was a minimal difference in the sex distribution with 7.6% more women than men. The results showed a statistically significant increase on range of motion of the shoulder, elbow, wrist, hip and knee. There was statistical significance in plantar flexion but not on the dorsiflexion. Barthel Index score increased significantly (28.65±21.28vs31.46±23.28; p=0,035) after the mobilization and active exercise program. Conclusion: A mobilization and active exercise program implemented regularly may contribute to improve range of motion of bedridden patients with disuse syndrome.
- Guide to support victims of domestic violencePublication . Novo, Rosa; Prada, Ana Raquel Russo; Fernandes, TeresaThis poster aims to disseminate the resource entitled “Guide to Support Victims of Domestic Violence”. This guide was designed to respond to the needs of all the professionals involved in providing care and intervention with victims of domestic violence in the district of Bragança, on the northern and interior region of Portugal. This resource was developed during the internship and supervision of the degree in Social Education at the School of Education of the Polytechnic Institute of Bragança in the Center for Support Victims of Domestic Violence in the District of Bragança (Núcleo de Apoio às Vítimas de Violência Doméstica do Distrito de Bragança). It is also worth mentioning that, for its implementation, it had support from diferent entities (PROPH, Quadro de Referência Estratégico Nacional, Governo da República Portuguesa, União Europeia-Fundo Social Europeu, Comisssão para a Cidadania e Igualdade de Género). Since 2012 until now, support professionals of the district of Bragança, provide this guide to the victims of domestic violence, in a culturally conscious and respectful manner, in accordance with ethical and professional principles. It should also be mentioned that this informative guide attemps to provide answers to the most common questions of the victims, in an easy-to-read style. That way, together with the support of specialized professionals in victim support, enables conscious decision-making of the victim, without trivializing the suffering involved and minimizing the risks associated
- Efeito de um programa de mobilização e exercício ativo sobre a amplitude articular em pessoas com síndrome de desusoPublication . Fernandes, Teresa; Mendes, EugéniaA síndrome de desuso é uma patologia que afeta mais a população idosa estando relacionado a maior parte das vezes com complicações de doença aguda ou crónica. As mobilizações e o exercício ativo têm efeitos benéficos que contrariam o impacto da imobilidade sobre o organismo Objetivo – O presente estudo pretende avaliar o efeito de um programa de mobilização e exercício ativo sobre a amplitude articular em pessoas com síndrome de desuso. Método – Desenvolveu-se um estudo quase-experimental. A amostra foi constituída por 26 pessoas acamados há mais de seis meses no domicílio. A colheita de dados foi feita através do Índice de Barthel e a avaliação das amplitudes das articulações foi realizada com recurso a um goniómetro no início e no fim do programa. A intervenção ocorreu entre os meses de agosto de 2014 e janeiro de 2015. Resultados - Integraram o estudo 26 pessoas, sendo que apenas 24 terminaram o programa de intervenção. Observou-se uma diferença mínima no género sendo que a percentagem de mulheres excede a de homens em 7.6%. No que diz respeito à idade evidencia-se que a média está situada nos 77 anos (77,19±11,67) e o tempo de alectoamento ronda os 18 meses (18,73±15,25). Verificaram-se resultados estatisticamente significativos nas articulações do ombro, cotovelo, punho, anca e joelho. No pé verificou-se significância estatística na flexão plantar, na flexão dorsal não obteve significância. A pontuação do Índice de Barthel aumentou significativamente (28,65±21,28vs31,46±23,28; p=0,035) após o programa de mobilização e exercício ativo. Conclusão – Concluiu-se que um programa de mobilizações articulares, implementado com regularidade, pode contribuir para a melhoria das amplitudes articulares das pessoas acamados com síndrome do desuso.