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- Intervenção em adultos num centro de cuidados de saúde mental: projeto de educação clínicaPublication . Bartolomeu, Tânia; Francisco, Joana; Pinheira, VítorIntroduction: The peculiarities of each individual with mental disorders concerns a challenge to their intervention in group, however this might be the answer to a development of adaptive and social behavior. Objectives: Assess cognitive development, improvement of physical performance and group interaction, and progress of behavioral development and communication, in individuals with mental disorders who underwent the group intervention. Methods: Prior to the beginning of the sessions there was an initial evaluation of 6 institutionalized adults with Intellectual Disabilities, using three assessment instruments, including the Mini Mental State Examination (MMSE), Modified Physical Performance Test (MPPT) and Behavioral Observation Protocol (BOP). This data, allowed an awareness of the key needs to meet in the 20 intervention sessions performed. Subsequently, there was a similar final evaluation. Results: The results showed further progress in the behavioral field, with an average upgrading of the score in BOP of 26.33, followed by an average score increase 3.83 in MPPT and 2.83 in MMSE. Conclusions: The cognitive level developments centered on orientation, memory, and naming. The data given by MPPT relate to an increase of the speed the tasks are carried, and not the reach of new physical abilities. However, the most significant improvements were represented mainly in the ability of communication and understanding, which are reflected in the interaction of individuals in different situations, with different objects and people.
- Um projeto de educação clínica para pessoas com doença pulmonar obstrutiva crónica (DPOC)Publication . Caldeira, Carolina; Lourenço, Joana; Pinheira, Vítor; Rodrigues, Abel; Salvado, GonçaloIntroduction: The WHO estimates that COPD reaches 210 million people worldwide. Patients with COPD must have access to adequate information about their health condition, making the active participation in the management and treatment of their illness as possible. One project was developed in clinical education of the physiotherapy undergraduate course, to assess the impact of a home program. Objective: To evaluate the results of the intervention at home (educational approach). To enable the patient to deal with his health condition and make it autonomous in the control of COPD. Methods: A home program with 10 COPD patients was performed. The program was divided into 8 separate weekly sessions. The evaluation occurred before - and after the intervention (T0-T1). A form was applied to collect demographic and clinical data, the Modified British Medical Research Council Questionnaire, COPD Assessment Test and the London Chest ADL’s. Gas analyses were also carried out. The statistical analysis was performed using SPSS, using the comparison of means and the non-parametric Wilcoxon test. Results: The mean scores of the MMRC, CAT and LCADL decreased from. However, only significant differences in relation to MMRC (p=0.021) and LCADL (p=0.014). Regarding the data obtained by gas analysis the average SaO2, pO2 and FO2Hb increased from T0 to T1, but none was significant. Conclusions: After domiciliary intervention patients with COPD felt especially improvements in functional terms and symptomatology. The results from blood gas analysis, are not sufficient to conclude that the intervention have a metabolic level results.