Made available in DSpace on 2016-07-27T14:20:29Z (GMT). No. of bitstreams: 1 Savanah Borges Araujo Fleury.pdf: 1029037 bytes, checksum: 1b40e7cbbc77de5f46012aa65c865b35 (MD5) Previous issue date: 2014-08-19 / This dissertation has as the objective of study, the caretaker (mother or father) of children with the Down´s Syndrome. The main objective of this work is to understand the subjective sense which this caretaker (father or mother) develops concerning the buccal health of their child with the Down´s Syndrome and general health. The child Down´s Syndrome is seen within their biological, odontological and psychological limits. To understand the human development of such a person with the Down´s Syndrome, the dissertation applies to Vygotsky s Human Development Theory. For this author, the human development of a handicap child follows the same principles of a normal child, the only thing about the indirect ways. On the other hand, the caretaker will be analyzed while the senses of buccal health are developed with their interaction with the handicap child, together with a professional team, their family and society in general. The author who will be employed to accomplish such analysis will be Gonzalez Rey, who, for twenty years, has been constructing the subjective theory within the parameters of the Vygotskian historic cultural school, and which has one of its main pillar the subjective sense. The qualitative methodology has been used for such study, while a whole set of epistemological rules defend the constructive interpretative knowledge character. The instrument which was used to collect the data was the conversational system, of which,the thematic dialog is accomplished as a complement. The main conclusion of the work is that the caretaker of a child with the Down Syndrome, living with their child s syndrome, transformed or is transforming, their subjective feelings as to the buccal health to the child s general health. / Esta dissertação tem como objeto de estudo o cuidador (pai ou mãe) de crianças com Síndrome de Down. O objetivo principal do trabalho é compreender os sentidos subjetivos que este cuidador (pai ou mãe) gera em relação à saúde bucal de seu filho com Síndrome de Down e à saúde em geral. A criança com Síndrome de Down é vista em seus limites biológicos, odontológicos e psicológicos. Para compreender o desenvolvimento humano de tal sujeito com Síndrome de Down, a dissertação recorre à Teoria do Desenvolvimento Humano de Vygotski. Para este autor o desenvolvimento humano de uma criança especial segue os mesmos princípios que o de uma criança comum, só que a criança especial atinge seu desenvolvimento por caminhos indiretos. Por outro lado, o cuidador será analisado enquanto gera sentidos da saúde bucal em sua interação com a criança especial, com a equipe profissional, com sua família e sociedade em geral. O autor usado para se concretizar tal análise será González Rey, que há vinte anos, esta construindo a teoria da subjetividade dentro dos parâmetros da escola históricocultural vygotskiana, e que tem como um de seus pilares o sentido subjetivo. A metodologia usada para tal tipo de estudo é a qualitativa, enquanto um conjunto de regras epistemológicas que defende o caráter construtivo interpretativo do conhecimento. O instrumento utilizado para coleta de dados foi o dos sistemas conversacionais, nos quais o diálogo temático é realizado como complemento. A principal conclusão do trabalho é que a cuidadora da criança com Síndrome de Down, na vivência com a síndrome de seu filho, transformou e está transformando, seus sentidos subjetivos tanto da saúde bucal, quanto da saúde geral de sua criança.

Made available in DSpace on 2016-04-27T18:47:07Z (GMT). No. of bitstreams: 1 Marta Lucia Souto da Silva.pdf: 2127286 bytes, checksum: 6fa08a32591ad629b61443672e61d33a (MD5) Previous issue date: 2011-05-31 / This research on dependent elderly arises from a visible observation of the increasing number of elderly under chronic diseases and functional dependence, what results in the need of a caretaker assistance which, most of the times, a family member undertakes. This research aims at analyzing the representation of the family caretaker on the dependent elderly caring, using a qualitative approach methodology. The field research developed in a Basic Health Unit with the Family Health Strategy belonging to the Santa Marcelina Health Social Organization of the Eastern Small Region Guaianases. The study population consisted of 10 dependent elderly and their respective family caretakers. Through a questionnaire named "Knowing the dependent elderly and his/her caretaker", data of identification was collected and complemented with semi- structured interviews and the use of guided questions on caretaker representations. The analysis showed that 50% of the elderly had Cerebral Vascular Accident as the trigger for the need of a caretaker. It was evident that 90% were female caretakers, frequently his/her own daughters, and that difficulties are present concerning residence infrastructure to provide such assistance, what most of the times can even interfere negatively in the daily routine of the elderly and his/her caretaker. The conflicts among relatives regarding the caring attribution to the family members, could be also observed in the results reached, demonstrating the need for more and more qualified interventions from the Family Health Strategy / Esta pesquisa sobre o idoso dependente decorre da visível constatação do aumento do número de idosos portadores de doenças crônicas que encontramse em situação de dependência funcional, o que resulta na necessidade da assistência de um cuidador, muitas vezes assumida por um membro da família. O objetivo dessa pesquisa foi analisar as representações do cuidador familiar sobre o cuidar do idoso dependente, utilizando-se uma metodologia de abordagem qualitativa. A pesquisa de campo foi desenvolvida em uma Unidade Básica de Saúde com a Estratégia Saúde da Família, pertencente à Organização Social de Saúde Santa Marcelina da Micro Região Leste Guaianases. A população do estudo foi composta por 10 idosos dependentes e seus respectivos cuidadores familiares. Por meio da aplicação de questionário intitulado Conhecendo o idoso dependente e seu cuidador foram coletados dados de identificação complementados com a realização de entrevistas semiestruturadas e o uso de roteiro com questões sobre as representações dos cuidadores. As análises revelaram que 50% dos idosos tiveram o Acidente Vascular Encefálico como desencadeador da necessidade do cuidador. Ficou evidente que 90% eram cuidadoras, sendo a prevalência de filhas e que há dificuldades quanto à infra-estrutura do domicílio para atendimento, o que, muitas vezes, chega a prejudicar o dia a dia do idoso e do cuidador. Os conflitos entre os parentes referentes à atribuição do cuidar para os membros da família, também ficou exposto nos resultados alcançados, o que demonstra a necessidade de intervenções cada vez mais qualificadas da Estratégia Saúde da Família

Les gènes de la famille ING : « INhibitor of Growth » (ING1-5) jouent un rôle crucial dans l'inhibition de la prolifération cellulaire, en régulant notamment le cycle cellulaire, l'apoptose et la sénescence. De plus, plusieurs études (portant majoritairement sur ING1) montrent que ces gènes sont fréquemment perdus dans de nombreux cancers. Ils pourraient donc être impliqués dans l'émergence et le développement de tumeurs. Ainsi, l'objectif de mon projet de thèse était d'étudier le gène ING2, afin d'évaluer son intérêt en cancérogénèse. Nous avons tout d'abord montré que l'expression d'ING2 (ARN et protéique) est perdue dans plus de la moitié des cancers bronchiques non à petites cellules, confortant ainsi un rôle d'ING2 comme gène suppresseur de tumeurs. Par ailleurs, nous avons montré que l'inhibition de l'expression d'ING2 conduit à des défauts de réplication et à une forte augmentation de l'instabilité génomique, mettant ainsi en évidence pour la première fois qu'ING2 est un gène suppresseur de tumeurs de type « caretaker ». Ceci permet aussi pour la première fois d'expliquer comment l'inactivation des ING, observée dans les tumeurs, pourrait contribuer à la cancérogénèse. Enfin, nous avons mis en évidence le premier mécanisme de régulation post-traductionnelle d'ING2. En effet, ING2 peut être sumoylée, et cette sumoylation est nécessaire pour son association avec le complexe de régulation Sin3A/HDAC afin de cibler ce dernier au niveau des promoteurs de gènes pour réguler leur expression. Ces travaux ont donc contribué à démontrer l'intérêt d'ING2 en cancérogénèse et à mieux comprendre ses fonctions suppressives de tumeurs. De plus, ils ont permis d'ouvrir plusieurs voies d'investigation sur les fonctions et les mécanismes de régulation des protéines ING.

The study elucidates the relation of Tom Stoppard's play Rosencrantz and Guildenstern Are Dead to Hamlet on the one hand and to the Theatre of the Absurd on the other. The two plays chosen to represent the Theatre of the Absurd are Samuel Beckett1 s Waiting for Godot and Harold Pinter* s The Caretaker. Since Stoppard is admired as a master craftsman of language, the emphasis is on his use of language. The extent to which the use of the cliché characterizes the three absurd plays is examined. It is found that the language area covered by the term cliche is not clearly defined and that the term is not uniformly applied. The inquiry centres on finding features, such as repetition, music-hall passages and "ready-made" language, that could explain why the dialogue in the three plays might appear cliche-ridden and on comparing the three plays in respect of these features. 　 The study further draws parallels between Stoppard's play and Waiting for Godot in the use of various techniques, such as misunderstandings, anticlimax and afterthought. It is found that there is often a conscious adoption by Stoppard of Beckett's techniques. To clarify the relation of Stoppard's play to Hamlet various aspects of the two plays are studied. These aspects include changes introduced into stereotyped expressions, punning, the use of parody and the handling of two specific motives, madness and death. Parallels are found in spite of the fact that several centuries separate the two plays, not least in respect to style, technique and language. / digitalisering@umu

Syftet med uppsatsen har varit att undersöka hur anställda inom rättspsykiatrin ser på relationen mellan sig själva och vårdtagarna, samt att studera de olika aspekter som berör relationen i vårdandet, bland annat maktrelationen och vänskapsrelationen. Uppsatsen baseras på en kvalitativ studiemetod med semistrukturerade intervjuer. Nio stycken anställda vårdare (undersköterskor och skötare) från en avdelning inom rättspsykiatrin i Växjö deltar i studien. Resultatet visar att relationen mellan vårdare och vårdtagare är en viktig aspekt inom vården, och att relationen är basen inom vården för att kunna erbjuda bra vård till patienten. Intervjupersonerna menar att: En bra relation mellan vårdare och vårdtagare kännetecknas av att vårdaren ska kunna skapa förtroende, tillit i relationen, samt stödja och tillfredsställa patientens behov med hjälp av relationen. Studien belyser svårigheterna inom relationen mellan vårdare och vårdtagare samt de risker som kan förekomma. Resultatet visar även att en viss synlig och osynlig makt utövas; den makten är svår att definiera, personalen är delvis omedvetna om att de själva utövar makt dagligen. / The purposes of this essay are to examine how employees in a psychiatric ward experience the relationships between them and the caretakers, and to study the different aspects of relationships between them. For instance the power relation and the friend relation. The essay is based on a qualitative method with semi structured interviews from 9 employees, whom are nurses and caregivers at a ward in Växjö psychiatric institution.  The results from this study illuminate that the relationship between caregivers and caretakers is a vital aspect of the care itself. And that this relationship is the foundation for caregiver to be able to offer necessary care. A good relationship between caregiver and caretaker is characterized by the abilities of the caregiver to create trust and confidence in their relationship to the caretaker, as well as supporting and satisfying the caretakers’ needs by help of their relationship.  This study highlights the issues in the relationship between caregivers and caretakers as well as the risk that pertain to this relationship. The results indicate that certain power exertions overt and covert are factors in some relationships. These power exertion are, however, hard to define, the caregivers also seem partly unaware of them.

The purpose of this thesis is to examine the relationship between the elderly at a retirement home and their professional caretakers with focus on the perspective of the elderly. Chosen method, a qualitative interview analysis has been conducted to describe how the relationship affects the elderly in their everyday lives. The total amount of interviews were four. The relationship between the elderly and their professional caretakers has rarely been examined in previous research from an elder’s perspective. The results indicate that the elderly often are satisfied with the way the professional caretakers treat them. Factors that the elderly mentioned as problematic were that professional caretakers often acted stressed, and rushed through things which the elderly considered as problematic for their own well- being. Another feature was the asymmetric relationship with the professional caretakers which affected the elderly ́s belief in their own capability in managing their everyday lives. In cases where the elderly felt that the relationship was equal their capacity and their beliefs to their own capacity increased significantly which was an effect that was positive for the elderly ́s physical and mental health.

A formação de cuidadores de idosos da saúde pública deve ser considerada, atualmente, questão de grande relevância, num pais em que expressiva parcela da população não conta com recursos para enfrentar despesas que surgem a partir do envelhecimento. Esta capacitação deve incluir não apenas conhecimentos específicos em relação a cuidados corporais, mas também preparo de caráter psicológico, que permita a instauração de vinculação suficientemente saudável entre cuidador e idoso. Neste contexto, a presente investigação visa estudar empiricamente o imaginário coletivo de cuidadores de idosos profissionais da saúde pública a respeito da pessoa idosa. Concebida e realizada a partir do uso do método psicanalítico, em todas as suas etapas, esta pesquisa articulou-se ao redor de uma entrevista com cuidadores, durante a qual o Procedimento de Desenhos-Estórias com Tema foi usado como recurso facilitador da comunicação emocional, bem como da consideração de experiências vivenciadas, no cotidiano institucional, em situações formais e informais, junto a idosos, cuidadores e da equipe, constituída por profissionais de várias formações. O conjunto do material emergente permitiu a elaboração de duas narrativas transferenciais, a partir das quais seis campos de sentido afetivo-emocional, ou inconscientes relativos, puderam ser criados/encontrados: cuidar enobrece a alma, cuidado com esse velho!, mas eu sou de confiança!, perdendo a autonomia, empobrecendo a convivência e vontade de viver(?). A condição de idoso frágil gera impactos emocionais e os cuidadores são sensíveis aos delicados aspectos que ligam a dimensão relacional inerente ao cuidado do idoso. Os seis campos criados/ encontrados indicam, de modo suficientemente preciso, quais são as principais questões psicológicas em processos de capacitação de cuidadores de idosos: apresentar-lhes a dramática de vida do idoso frágil e prepará-los para lidar com as delicadas interações que este tipo singular de intimidade certamente vai gerar / The training of caretakers for the elderly in public health must be considered, nowadays, a matter of great importance, in a country in which a considerable part of the population does not have the means to handle expenses that come with aging. This training must include not only specific knowledge on physical care, but also psychological preparation which allows for the creating of a bond strong and healthy enough between caretaker and elderly citizen. In such context, this investigation aims to study empirically the collective imaginary of professional public health caretakers of the elderly regarding older citizens. Conceived and executed using the psychoanalytic method, in all its steps, this research was organized based on an interview with the caretakers, during which the Drawing-Stories with Theme Procedure was used a facilitating resource for emotional communication, in discussing experiences lived, in the institutional daily happenings, in formal and informal situations, together with the elderly, caretakers and the staff, which is constituted by professionals from several backgrounds. The resulting material allowed for the creation of two transferential narratives, from which six affective-emotional or relative unconscious, fields could be created/derived: care-taking ennobles the soul, take care around that old man/woman!, but I\'m trustworthy!, losing autonomy, crippling relationships and will to live(?). The condition of frail elderly citizen impacts emotionally and caretakers are sensitive to the delicate aspects that connect the relationship dimension inherent to taking care of an older person. The six fields created/found indicate, in a sufficiently precise manner, which are the main psychological issues in the training process of caretakers for the elderly: presenting them the dramatic life of a frail elderly citizen and preparing them to deal with the delicate interactions this singular kind of intimacy will certainly bring

A formação de cuidadores de idosos da saúde pública deve ser considerada, atualmente, questão de grande relevância, num pais em que expressiva parcela da população não conta com recursos para enfrentar despesas que surgem a partir do envelhecimento. Esta capacitação deve incluir não apenas conhecimentos específicos em relação a cuidados corporais, mas também preparo de caráter psicológico, que permita a instauração de vinculação suficientemente saudável entre cuidador e idoso. Neste contexto, a presente investigação visa estudar empiricamente o imaginário coletivo de cuidadores de idosos profissionais da saúde pública a respeito da pessoa idosa. Concebida e realizada a partir do uso do método psicanalítico, em todas as suas etapas, esta pesquisa articulou-se ao redor de uma entrevista com cuidadores, durante a qual o Procedimento de Desenhos-Estórias com Tema foi usado como recurso facilitador da comunicação emocional, bem como da consideração de experiências vivenciadas, no cotidiano institucional, em situações formais e informais, junto a idosos, cuidadores e da equipe, constituída por profissionais de várias formações. O conjunto do material emergente permitiu a elaboração de duas narrativas transferenciais, a partir das quais seis campos de sentido afetivo-emocional, ou inconscientes relativos, puderam ser criados/encontrados: cuidar enobrece a alma, cuidado com esse velho!, mas eu sou de confiança!, perdendo a autonomia, empobrecendo a convivência e vontade de viver(?). A condição de idoso frágil gera impactos emocionais e os cuidadores são sensíveis aos delicados aspectos que ligam a dimensão relacional inerente ao cuidado do idoso. Os seis campos criados/ encontrados indicam, de modo suficientemente preciso, quais são as principais questões psicológicas em processos de capacitação de cuidadores de idosos: apresentar-lhes a dramática de vida do idoso frágil e prepará-los para lidar com as delicadas interações que este tipo singular de intimidade certamente vai gerar / The training of caretakers for the elderly in public health must be considered, nowadays, a matter of great importance, in a country in which a considerable part of the population does not have the means to handle expenses that come with aging. This training must include not only specific knowledge on physical care, but also psychological preparation which allows for the creating of a bond strong and healthy enough between caretaker and elderly citizen. In such context, this investigation aims to study empirically the collective imaginary of professional public health caretakers of the elderly regarding older citizens. Conceived and executed using the psychoanalytic method, in all its steps, this research was organized based on an interview with the caretakers, during which the Drawing-Stories with Theme Procedure was used a facilitating resource for emotional communication, in discussing experiences lived, in the institutional daily happenings, in formal and informal situations, together with the elderly, caretakers and the staff, which is constituted by professionals from several backgrounds. The resulting material allowed for the creation of two transferential narratives, from which six affective-emotional or relative unconscious, fields could be created/derived: care-taking ennobles the soul, take care around that old man/woman!, but I\'m trustworthy!, losing autonomy, crippling relationships and will to live(?). The condition of frail elderly citizen impacts emotionally and caretakers are sensitive to the delicate aspects that connect the relationship dimension inherent to taking care of an older person. The six fields created/found indicate, in a sufficiently precise manner, which are the main psychological issues in the training process of caretakers for the elderly: presenting them the dramatic life of a frail elderly citizen and preparing them to deal with the delicate interactions this singular kind of intimacy will certainly bring

Made available in DSpace on 2016-04-27T18:47:17Z (GMT). No. of bitstreams: 1 Francimar Felipa da Silva Costa.pdf: 1224855 bytes, checksum: 4a0ebf0e6de35ed4986b77f20331f4de (MD5) Previous issue date: 2015-05-26 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The caretaking responsibility of elderly people in need of palliative treatment at home has been increasingly assigned to their families, in which considering this scenario can experience moments of fragility; physical, social and financial problems with serious consequences to the caregiver health. The adopted methodology for this research is an exploratory-descriptive study, utilising an interdisciplinary qualitative perspective, which is based in the literacy and interpretation of an empiric dissertation of 10 voluntary caretakers, using semi-structured interview processes. The objective is to contribute with theories, based in Social Gerontology, in order to provide a better comprehension about the caretaker of the elderly in palliative care, the practical implications and effects that can affect the caretaker. The socio-demographic profile of the palliative caretakers was identified, as were the groupings, based specifically in the answers provided, such as; how to proceed in palliative care , performance limits and possibilities of performance improvement . These answers indicate us there can be no connection between everyday life events and public and social policies, being both necessarily in complementation of each other. The recommendation is to give the proper importance to the situation, implementing the use of specific public policies to help the caretaker, as it was specifically noted in some of the reports, allowing the improvement of their well being, the prevention of conflicts, stress, depression and furthermore the security necessary in some palliative care procedures. Moreover, it is also indispensable the total support of the family and the articulation in a social network, either formal or informal, contributing to a less arduous day-to-day life of the caretaker, as well as a more comfortable end of life for the elderly, alleviating pain and suffering / O ato de cuidar de idosos em cuidados paliativos, em domicílio, atualmente, é responsabilidade cada vez mais atribuída às famílias que, nesse cenário, podem vivenciar contextos de fragilidades, subjetiva, física, social e financeira, com implicações sérias, senão amargas, para a saúde do seu cuidador. A metodologia adotada nesta pesquisa é a de estudo exploratório-descritivo, em perspectiva qualitativa e abordagem interdisciplinar que, pautada na literatura e na interpretação de um empírico trazido pelos discursos de 10 cuidadores voluntários em entrevistas semiestruturadas, objetiva contribuir, sob o enfoque da Gerontologia Social, com subsídios teóricos para uma melhor compreensão sobre como procede o cuidador familiar de idoso em cuidado paliativo, e quais as implicações das práticas e efeitos que o impactam. Foi identificado o perfil sociodemográfico do cuidador familiar em situação paliativa, assim como categorias temáticas advindas de suas respostas especialmente a como procede nos cuidados paliativos , seus limites de atuação e possibilidades de melhoria em sua performance . Essas respostas nos fazem ver que não pode haver cisão entre acontecimentos da vida cotidiana e políticas público-sociais, sendo ambos necessariamente complementares; insiste-se, pois, sobre a importância de serem postas em ação as políticas públicas de cuidados específicos ao cuidador familiar em situação paliativa, a partir de suas demandas em vários registros, a fim de permitir-lhe a melhoria de seu bem-estar, a prevenção de conflitos, do estresse e depressão, além da segurança necessária para os procedimentos de cuidados paliativos. Ratifica-se ainda o imprescindível apoio da família e da articulação a uma rede social, formal ou informal, contribuindo para tornar menos árduo o dia a dia do cuidador, assim como mais confortável o do idoso em final de vida, escapando da dor e do sofrimento

This diploma thesis provides an insight into the issue of public guardianship in the Czech Republic from the point of view of public guardians, who in practice have to face a lot of problems in connection with the new legislation. The work is divided into several parts. The theoretical part consists of nine subchapters which define the basic concepts used in guardianship, mentioned in the Act No. 89/2012 Coll., The Civil Code, which deal with the basic principles and history of guardianship, the development of legal regulation of the guardianship institute and the legislative framework of guardianship. It also provides more detailed information on the Institute of Limitation of Authenticity and Guardianship, a public guardian, and the last subchapter focuses on enumerating the mental disorders that a public guardian may encounter with their clients. The empirical part defines objectives, methods of research and own results, which are illustrated and described in tables, discussion and in the final summary. The main objective of the work was to map the activities of public guardians in relation to persons with limited authority, the partial aims were to find out how the public guardians were looking at legislative changes in the area of limiting the authority and to identify the risk areas associated with the limitation of the authority. These research objectives have been addressed: In what areas are the public guardians working in relation to persons with limited authority? What experience does a public guardian have with the absence of information on the limitation of the person's authenticity in the ID? What are the precautionary measures in relation to persons with limited authority from the point of view of public guardians? The diploma thesis was processed by the method of qualitative research using the semi-structured interview technique and the open coding method was used to evaluate the data. The research group consisted of seven social workers who work on municipalities in the South Bohemian Region and act as a public guardian. The research survey highlighted the complexity, importance and necessity of the work of the public guardian and the problems associated with it, where there is a lack of specific legislation and a more detailed methodology in this area. The research also shows that public guardians do not always have good experience with the new legislation, especially the lack of evidence of the limitation of the authenticity of the caretaker's identity card is a problem in practice, and the new institute of supportive measures is not used too much. This diploma thesis could serve as a comprehensive information material for the general public as well as for the members of the public caregiver in the municipalities.