Este trabalho propõe uma reflexão sobre o brincar na vida da criança que apresenta uma problemática intelectual, emocional e social. Destaca a Terapia Ocupacional e a contextualiza em relação aos temas presentes nas pesquisas que envolvem criança e deficiência: reabilitação e inclusão social. Apresenta a revisão da literatura sobre a infância e o brincar e delimita o recorte da Terapia Ocupacional: o brincar no cotidiano. Utilizando os fundamentos teóricos de Donald D. Winnicott, parte-se do pressuposto que o brincar é universal e próprio da infância saudável. A deficiência é entendida como uma problemática apresentada pela criança, seja física, intelectual, emocional e/ou social; ou seja, como mais uma das condições que a levará a estabelecer o seu jeito singular de brincar e estar no mundo. O trabalho caracterizase como uma pesquisa empírica, qualitativa, desenvolvida por meio de estudo de caso. A coleta de dados foi realizada na Associação de Pais e Amigos dos Excepcionais de São Paulo (APAE de São Paulo) através de análise dos prontuários e de entrevistas com as mães. O tratamento dos dados foi realizado a partir da técnica de análise de conteúdo, segundo as proposições de Turato (2003). Foram entrevistadas três mães de três crianças que participaram do Programa Arte, Cultura e Esporte da APAE de São Paulo, mais conhecido como projeto PIPA. As falas das mães retrataram a vivência da infância das crianças: brincar, ter amigos, ir à escola, participar de festas e passeios. Observou-se que, das três crianças estudadas, duas encontraram espaços em que brincar e conviver com os pares foi possível, participando da escola, festas e passeios; entretanto, a outra criança ainda tinha apenas o PIPA como lugar possível para brincar, fazendo com que sua mãe continue em busca de um espaço / This work proposes a reflection about the playing experience to a child with intellectual, emotional and social problems. The study emphasizes the Occupational Therapy and contextualizes it in relation to themes of current researches involving children and disabilities: rehabilitation and social inclusion. Presenting a short revision of literature about childhood and play, this study gives the direction of Occupational Therapy intervention: the experience of playing in everyday life. Using the theoretical concepts of Donald D. Winnicott, it is understood that the act of playing is universal and characteristic of a healthy childhood. Disability is seen as a physical, intellectual, emotional and/or social problem presented by the child. It is seen as just one of the conditions that will establish their unique way of playing and being in the world. The investigation is an empirical and qualitative research, which uses the case study methodology. Data was collected at the Association of Parents and Friends of the Handicapped of São Paulo (APAE São Paulo) through examination of medical records and interviews with mothers. The data was analyzed through the technique of content analysis, according to the propositions of Turato (2003). Mothers of three children who took part in the Program Art, Culture and Sport of APAE, known as PIPA Project, were interviewed. They reported the childhood experiences of their children such as playing, making friends, going to school and parties. It was observed that two of the children have found spaces to play and socialize with peers, participating in school, parties and tours; however, one child had only the PIPA Project as a possible place to play, leading his mother to search for a new space

A Reforma Psiquiátrica é um processo de transformações que vem inquietando os profissionais da área da Saúde e alguns seguimentos da sociedade. Isto porque, as transformações paradigmáticas que estão ocorrendo no campo da saúde mental pressupõem a presença de profissionais com uma postura inovadora e criativa para desenvolverem no cotidiano práticas que concretizem a proposta de desinstitucionalização. No Paraná, continua sendo um desafio: para as universidades, o desafio é a formação de profissionais com uma concepção do novo paradigma que se comprometam com o processo; para os gestores, o entendimento do processo priorizando ações de assistência à saúde mental e, para os profissionais, a tenacidade em insistir na efetivação, apesar das adversidades. Na região oeste do Estado, a mobilização para implantar a reforma intensificou-se nos últimos cinco anos com o fechamento de um dos hospitais da região e a criação de novos dispositivos de atenção à saúde mental. Nesse contexto, os enfermeiros deparam-se com o desafio de refletir sobre seus conceitos e sua atuação profissional. O presente estudo buscou conhecer a concepção dos enfermeiros sobre o processo da Reforma Psiquiátrica e o seu cotidiano nesses serviços. Ao ser considerada a complexidade do momento, foram elencados dois objetivos: descrever a prática cotidiana dos enfermeiros nos serviços de assistência à saúde mental na região oeste do Estado do Paraná; relacionar e analisar a prática destes enfermeiros com as propostas da Reforma Psiquiátrica. Trata-se de uma pesquisa qualitativa com a estratégia metodológica do Discurso do Sujeito Coletivo. A investigação foi por meio de entrevista semi-estruturada, com treze enfermeiros, compreendendo a totalidade destes profissionais nos serviços de saúde mental da região no período de agosto de 2006 a janeiro de 2007. O conteúdo deu origem a 17 Discursos do Sujeito Coletivo, que apontaram para oito temas geradores de significações: qualidade de vida, envolvimento profissional/social, necessidade de mudanças na maneira de conduzir o processo, a estrutura da rede de atenção psicossocial, cuidado de enfermagem nos serviços de atenção psicossocial, a família e o processo terapêutico, recursos humanos na atenção psicossocial. Os discursos evidenciaram o acompanhamento crítico do processo da Reforma Psiquiátrica e convergiram com a idéia de que a proposta significa qualidade de vida para os pacientes. A prática cotidiana dos enfermeiros acontece essencialmente na sede do serviço e as ações desenvolvidas são: acolhimento, trabalho com grupos de pacientes e família, monitoramento de oficinas terapêuticas e orientações, sendo esta última a mais mencionada. Percebeu-se que, em concomitância com os esforços dos enfermeiros nas transformações dos serviços de saúde mental, ainda permeiam alguns argumentos próprios do modelo biomédico / The Psychiatric Reformation is a process of transformations that worries the professionals of the health area and some segments of the society. The paradigmatic transformations that are occurring in the field of the mental health, estimate the presence of professionals with an innovative and creative position to develop daily practical activities that will perform the proposal the service not to be institutionalized. In Paraná it continues being a challenge: for the universities, the challenge is the formation of professionals with a conception of the new paradigm who will compromise to the process; for the managers, the agreement of the process prioritizing action of assistance to Mental Health and, for the professionals, the tenacity in insisting in making it effective, even though the adversities. In West region of the state, the mobilization to implant the reform was intensified in the last five years with the closing down of one of the hospitals of the region and the creation of new devices of attention to the mental health. In this context the nurses came across to the challenge to reflect on their concepts and their professional performance. The present study searched to know the conception of the nurses on the process of the psychiatric reform and their daily activities in these services. Considering the complexity of the moment, two objectives had been listed: to describe practical daily activities of the nurses in the services of assistance to the mental health in the West Region of the State of Paraná; to relate and analyze the practical activities of these nurses with the proposals of the psychiatric reform. This is a qualitative research with the methodological strategy of the Speech of the Collective Subject. The research was through half-structuralized interview, with thirteen nurses, understanding the totality of these professionals in the services of mental health of the region, in the period of August of 2006 the January of 2007. The content gave to origin the 17 Speeches of the Collective Subject that led to eight generating subjects of meanings: quality of life, social professional envolvement/, necessity of changes in the way to lead the process, the structure of net of the psicossocial, well-taken care of attention of nursing in the services of psicossocial attention, the family and the therapeutical process, human resources in the psicossocial attention. The speeches had evidenced the critical accompaniment of the process of the psychiatric reform and had converged with the idea that the proposal means quality of life for the patients. Practical daily activities of the nurses happens essentially in the headquarters of the service and the developed actions are: the shelter, the work with groups of patients and family, monitoring of therapeutical workshops and orientations, being the last one the most mentioned one. It was realized that in concurrence with the efforts of the nurses in the transformations of the services of mental health, still some proper arguments of the biomedical model are kept

A Reforma Psiquiátrica é um processo de transformações que vem inquietando os profissionais da área da Saúde e alguns seguimentos da sociedade. Isto porque, as transformações paradigmáticas que estão ocorrendo no campo da saúde mental pressupõem a presença de profissionais com uma postura inovadora e criativa para desenvolverem no cotidiano práticas que concretizem a proposta de desinstitucionalização. No Paraná, continua sendo um desafio: para as universidades, o desafio é a formação de profissionais com uma concepção do novo paradigma que se comprometam com o processo; para os gestores, o entendimento do processo priorizando ações de assistência à saúde mental e, para os profissionais, a tenacidade em insistir na efetivação, apesar das adversidades. Na região oeste do Estado, a mobilização para implantar a reforma intensificou-se nos últimos cinco anos com o fechamento de um dos hospitais da região e a criação de novos dispositivos de atenção à saúde mental. Nesse contexto, os enfermeiros deparam-se com o desafio de refletir sobre seus conceitos e sua atuação profissional. O presente estudo buscou conhecer a concepção dos enfermeiros sobre o processo da Reforma Psiquiátrica e o seu cotidiano nesses serviços. Ao ser considerada a complexidade do momento, foram elencados dois objetivos: descrever a prática cotidiana dos enfermeiros nos serviços de assistência à saúde mental na região oeste do Estado do Paraná; relacionar e analisar a prática destes enfermeiros com as propostas da Reforma Psiquiátrica. Trata-se de uma pesquisa qualitativa com a estratégia metodológica do Discurso do Sujeito Coletivo. A investigação foi por meio de entrevista semi-estruturada, com treze enfermeiros, compreendendo a totalidade destes profissionais nos serviços de saúde mental da região no período de agosto de 2006 a janeiro de 2007. O conteúdo deu origem a 17 Discursos do Sujeito Coletivo, que apontaram para oito temas geradores de significações: qualidade de vida, envolvimento profissional/social, necessidade de mudanças na maneira de conduzir o processo, a estrutura da rede de atenção psicossocial, cuidado de enfermagem nos serviços de atenção psicossocial, a família e o processo terapêutico, recursos humanos na atenção psicossocial. Os discursos evidenciaram o acompanhamento crítico do processo da Reforma Psiquiátrica e convergiram com a idéia de que a proposta significa qualidade de vida para os pacientes. A prática cotidiana dos enfermeiros acontece essencialmente na sede do serviço e as ações desenvolvidas são: acolhimento, trabalho com grupos de pacientes e família, monitoramento de oficinas terapêuticas e orientações, sendo esta última a mais mencionada. Percebeu-se que, em concomitância com os esforços dos enfermeiros nas transformações dos serviços de saúde mental, ainda permeiam alguns argumentos próprios do modelo biomédico / The Psychiatric Reformation is a process of transformations that worries the professionals of the health area and some segments of the society. The paradigmatic transformations that are occurring in the field of the mental health, estimate the presence of professionals with an innovative and creative position to develop daily practical activities that will perform the proposal the service not to be institutionalized. In Paraná it continues being a challenge: for the universities, the challenge is the formation of professionals with a conception of the new paradigm who will compromise to the process; for the managers, the agreement of the process prioritizing action of assistance to Mental Health and, for the professionals, the tenacity in insisting in making it effective, even though the adversities. In West region of the state, the mobilization to implant the reform was intensified in the last five years with the closing down of one of the hospitals of the region and the creation of new devices of attention to the mental health. In this context the nurses came across to the challenge to reflect on their concepts and their professional performance. The present study searched to know the conception of the nurses on the process of the psychiatric reform and their daily activities in these services. Considering the complexity of the moment, two objectives had been listed: to describe practical daily activities of the nurses in the services of assistance to the mental health in the West Region of the State of Paraná; to relate and analyze the practical activities of these nurses with the proposals of the psychiatric reform. This is a qualitative research with the methodological strategy of the Speech of the Collective Subject. The research was through half-structuralized interview, with thirteen nurses, understanding the totality of these professionals in the services of mental health of the region, in the period of August of 2006 the January of 2007. The content gave to origin the 17 Speeches of the Collective Subject that led to eight generating subjects of meanings: quality of life, social professional envolvement/, necessity of changes in the way to lead the process, the structure of net of the psicossocial, well-taken care of attention of nursing in the services of psicossocial attention, the family and the therapeutical process, human resources in the psicossocial attention. The speeches had evidenced the critical accompaniment of the process of the psychiatric reform and had converged with the idea that the proposal means quality of life for the patients. Practical daily activities of the nurses happens essentially in the headquarters of the service and the developed actions are: the shelter, the work with groups of patients and family, monitoring of therapeutical workshops and orientations, being the last one the most mentioned one. It was realized that in concurrence with the efforts of the nurses in the transformations of the services of mental health, still some proper arguments of the biomedical model are kept

Este trabalho propõe uma reflexão sobre o brincar na vida da criança que apresenta uma problemática intelectual, emocional e social. Destaca a Terapia Ocupacional e a contextualiza em relação aos temas presentes nas pesquisas que envolvem criança e deficiência: reabilitação e inclusão social. Apresenta a revisão da literatura sobre a infância e o brincar e delimita o recorte da Terapia Ocupacional: o brincar no cotidiano. Utilizando os fundamentos teóricos de Donald D. Winnicott, parte-se do pressuposto que o brincar é universal e próprio da infância saudável. A deficiência é entendida como uma problemática apresentada pela criança, seja física, intelectual, emocional e/ou social; ou seja, como mais uma das condições que a levará a estabelecer o seu jeito singular de brincar e estar no mundo. O trabalho caracterizase como uma pesquisa empírica, qualitativa, desenvolvida por meio de estudo de caso. A coleta de dados foi realizada na Associação de Pais e Amigos dos Excepcionais de São Paulo (APAE de São Paulo) através de análise dos prontuários e de entrevistas com as mães. O tratamento dos dados foi realizado a partir da técnica de análise de conteúdo, segundo as proposições de Turato (2003). Foram entrevistadas três mães de três crianças que participaram do Programa Arte, Cultura e Esporte da APAE de São Paulo, mais conhecido como projeto PIPA. As falas das mães retrataram a vivência da infância das crianças: brincar, ter amigos, ir à escola, participar de festas e passeios. Observou-se que, das três crianças estudadas, duas encontraram espaços em que brincar e conviver com os pares foi possível, participando da escola, festas e passeios; entretanto, a outra criança ainda tinha apenas o PIPA como lugar possível para brincar, fazendo com que sua mãe continue em busca de um espaço / This work proposes a reflection about the playing experience to a child with intellectual, emotional and social problems. The study emphasizes the Occupational Therapy and contextualizes it in relation to themes of current researches involving children and disabilities: rehabilitation and social inclusion. Presenting a short revision of literature about childhood and play, this study gives the direction of Occupational Therapy intervention: the experience of playing in everyday life. Using the theoretical concepts of Donald D. Winnicott, it is understood that the act of playing is universal and characteristic of a healthy childhood. Disability is seen as a physical, intellectual, emotional and/or social problem presented by the child. It is seen as just one of the conditions that will establish their unique way of playing and being in the world. The investigation is an empirical and qualitative research, which uses the case study methodology. Data was collected at the Association of Parents and Friends of the Handicapped of São Paulo (APAE São Paulo) through examination of medical records and interviews with mothers. The data was analyzed through the technique of content analysis, according to the propositions of Turato (2003). Mothers of three children who took part in the Program Art, Culture and Sport of APAE, known as PIPA Project, were interviewed. They reported the childhood experiences of their children such as playing, making friends, going to school and parties. It was observed that two of the children have found spaces to play and socialize with peers, participating in school, parties and tours; however, one child had only the PIPA Project as a possible place to play, leading his mother to search for a new space

No description available.

Findings on the relationship between engagement in lifestyle and cognitive functioning are not consistent; some authors report that engagement in lifestyle predicts an individual's cognitive functioning; while other report that an individual's cognitive functioning predicts the type and level of engagement an individual participates in. The current study will use longitudinal data (N = 235) to investigate the bidirectional relationship between engagement (engaged lifestyle activities) and cognition (crystallized & fluid intelligence). Despite inconsistent findings it is proposed that cognitive functioning may be better understood when examining how stimulation of activity, need for cognition, and openness to experience affect engagement in an active lifestyle. As such the current study will investigate if stimulation of activity, need for cognition, and openness to experience moderate the relationship between engaged lifestyles and cognitive functioning. The results, limitations and implications are discussed.

During 2007 – 2015, a total of 2,359 tornado watches were issued by the Storm Prediction Center and 10,840 tornadoes were confirmed. The objective of the first part of this study analyzed the accuracy of tornado watches for the nine-year period of 2007 – 2015. In addition to accuracy, fatalities, lead times, valid watch times, and areas were calculated for each tornado watch. 58.80% of the tornado watches had at least one tornado inside the tornado watch and 27.43% had at least one tornado outside the tornado watch. Of the 10,840 tornadoes, 56.70% were inside a tornado watch, 9.69% were outside a tornado watch, and 33.62% occurred when there was no tornado watch in effect. The average valid time for a tornado watch was 6 hours and 50 minutes and the average lead time for a tornado was 2 hours and 8 minutes. The second objective utilized a survey to determine participant knowledge and better understand “watch severity response”. A majority of the survey respondents accurately identified the difference between a tornado watch and a tornado warning. Most of the respondents described their weather knowledge as ‘moderately knowledgeable,’ ‘very knowledgeable,’ or ‘slightly knowledgeable.’ TV meteorologists, the NWS, and weather apps are the most common sources for daily weather information and information regarding a tornado watch. 81.63% of the respondents correctly identified if they were under a tornado watch during 2016. As the severity of the watch or the length of the activity increased, the likelihood of the respondent continuing the activity decreased. 38.87%, 54.76%, and 79.18% of the respondents ‘probably would not’ or ‘definitely would not’ continue an activity, lasting any duration, during a severe thunderstorm watch, a tornado watch, or a PDS tornado watch, respectively. The final objective attempts to categorize simple economic response to various watch severity types. The percent of respondents who would not continue an activity, based on the severity of the watch, was applied to a variety of watches that occurred during 2016. The economic loss associated with a watch ranged from $498,332.15 – $107,126,919.19.

Previous studies have shown that activity loss in unaccompanied refugee children is common. During the asylum process, inactivity, uncertainty and anxiety disorders, which may occur after trauma, can result in passivity. Unaccompanied refugee children are, according to the UN, children and young people under 18 years of age who have fled from their home country without an accompanying parent or guardian. The purpose of this study was to describe different activities and their significance for unaccompanied refugee children. The method used was a literature review. Data collection was done through literature searches in different databases PubMed, CINAHL, Web of Science and Google Scholar and a manual search through reference lists. The search resulted in 18 relevant scientific articles, and was limited to articles that were no more than 11 years old and written in English or Swedish. The result from the analysis gave three main categories which are: 'Structure in everyday life gives a good feeling', 'Activities for pleasure can increase participation', 'School as support for finding new roles'. The result showed the importance of activities for unaccompanied refugee children, as they were perceived to have a positive impact on health and to give more energy and recovery. It also emerged that activities contributed to participation, balance and better health. The results showed the importance of activity for unaccompanied refugee children. Conclusions to be drawn from this study is to make the needed support visible for the refugee children in terms of activity training and that the creation of meaningful activities and that these may prevent or reduce loss of activity. Further research on activity needs  for unaccompanied refugee children is needed, to highlight and develop what occupational therapists  can contribute with in form of using the activity as a goal and means to facilitate the unaccompanied refugee children in their situation.

Paralelamente à transição demográfica, a prevalência do trauma em idosos tem aumentado de forma significativa nos últimos anos. O trauma, não raras vezes está associado à seqüelas, incapacidades, deficiências e mesmo à diminuição da capacidade funcional, representando um prejuízo na qualidade de vida das vítimas e suas famílias devido à perda da autonomia e independência, tornando–se uma importante questão social , econômica e de saúde. Deste modo, o presente estudo teve como objetivo geral, avaliar a independência funcional de idosos vítimas de fratura, na admissão hospitalar, alta e um mês após o regresso ao domicílio e verificar suas relações com as variáveis sociais e de saúde. Participaram do estudo 34 idosos com idade média de 75,47 anos, hospitalizados na Unidade de Trauma-Geriatria ou Pronto Socorro do Instituto de Ortopedia e Traumatologia da Faculdade de Medicina da USP, vítimas de fratura. Os dados foram coletados pela pesquisadora por meio de entrevistas para a caracterização biodemográfica e pela aplicação da Medida de Independência Funcional (MIF). A aplicação da MIF se deu em três momentos: até 48 horas após a internação, na alta hospitalar e após um mês do regresso do idoso ao domicílio, desta vez por meio de contato telefônico. Da totalidade, 82,4% dos idosos se declararam brancos, 52,9% eram do sexo feminino, apenas 11,8% referiram prática regular de atividade física. Quanto ao trauma: a fratura de fêmur predominou representando 67,6% das fraturas, sendo 53% fraturas transtrocanterianas e 39% do colo de fêmur. A queda no ambiente doméstico foi o principal mecanismo de trauma. O tempo médio de permanência hospitalar foi de 15,47 dias. A modalidade de tratamento empregada foi essencialmente cirúrgica com destaque para o DHS (parafuso dinâmico de quadril) e as artroplastias parciais e totais de quadril. Quanto à independência funcional: houve um aumento considerável nas médias dos valores da MIF motor e total no momento da alta, comparado à admissão; em contrapartida houve uma diminuição dos valores médios da MIF total um mês após regresso ao domicílio. Observou-se que a incapacidade funcional aumentou com a idade e uma significativa associação entre maiores comprometimentos funcionais e maiores dias de internação. A presença contínua de acompanhante constituiu-se em um fator protetor contra o declínio funcional. O hipotireoidismo, a demência e a depressão foram associados à menores scores da MIF motora. O presente estudo aponta ainda para o fato de que a maioria dos idosos voltou para a comunidade com necessidade de alguma forma de assistência para os cuidados pessoais, mobilidade e locomoção, acentuando assim a importância do papel da família / With the demographic transition, the prevalence of trauma in aged have increased considerably at the ultimate years. The trauma, is often related to , injuries, impairments, deficiencies , and also to the decrease of the functional capacity, representing a damage in the victims’ quality of life and their families due to the loss of the autonomy and independence, becoming an important social, economic and health question. Thus this study had as main objective to evaluate the functional independence of the aged victims of fractures, at admission, discharge and after one month from the regress to home and verify the relation with social and health questions. 34 aged about 75,47 years old took part of the study, they were inpatient of the Trauma- Geriatric or Emergency room of the Orthopedic and Traumatologyc Institute of the University of São Paulo’s Medicine School, all aged were victims of fracture. Data were collected by the researcher by means of and interview intending a biodemographic characterization and by the application of the Functional Independence Measure (FIM). The application of the FIM occurred in three times: until 48 hours after the admission, at the discharge and after one month from the regress to home this time by a telephone contact.82,4% of the aged declared theirselves as Caucasian, 52,9% were female, only 11,8% refered regular practice of physical activity. Related to the trauma: the femur fracture prevailed representing 67,6% of the fractures, 53% were transtrochanteric fractures and 39% were femur neck fractures. The fall at home was the main trauma mechanism. Mean time of hospitalization was 15,47 days. The modality of treatment used was essentially surgical, it was remarkable the use of the DHS (Dynamic Hip Screw) and the total or parcial hip artroplasty. Related to the functional independence: there was a remarkable increase of the motor and total FIM scores at the discharge compared to the admission, on the other hand, there was a decrease of the total FIM one month after the regress to home. It was noticed that the functional impairment increased with the age and also an expressive relation between the functional impairment and a long time of hospitalization. The presence of a companion was a protector factor against the functional impairment. The hipotireoidism, the demencia and the depression were associated to lower scores of motor FIM. This study show us that the majority of the aged returned to the community demanding some modality of assistance for self-care, mobility and locomotion, emphasizing the importance of the family care

The purpose of the study was to, from the perspective of the operation coordinators, highlight guilt- and shame in parents whose children have a disability and are covered by the LSS- effort daily activities. Furthermore, to explore how guilt in shame with parents in face of their disabled child affect the work for operations coordinators within daily activities. We have used a qualitative method with semi structured interviews to collect data. In order to analyze the result, we have used social constructivism as a theoretical perspective as well as the client is the expert and dueling realities as applying theories. From the result it emerges that guilt- and shame feelings are found within some parents towards their disabled children within daily activities. Further it emerged that operation coordinators try to have an understanding towards parents that experience these feelings. The work continues with different tools such as collaboration with other business coordinators and managers in daily activities. Other tools such as clarifying pedagogy also facilitate the work. Furthermore, the result shows that the outcome of the work lies in cooperation between operation coordinator and parents. Finally, the result shows that the use of open dialogue between operation coordinators and parents can result in a reversal of the guilt- and shame feelings towards a future were hope and opportunities are at center. / Syftet med studien var att, utifrån verksamhetssamordnares perspektiv, belysa skuld- och skamkänslor hos föräldrar vars barn har en funktionsnedsättning och omfattas av LSS-insatsen daglig verksamhet. Vidare utforska hur skuld och skam hos föräldrar inför sitt funktionsnedsatta barn påverkar arbetet för verksamhetssamordnare inom daglig verksamhet. Vi har använt oss av en kvalitativ metod med semistrukturerade intervjuer för att samla in data. För att analysera resultatet har vi använt oss av socialkonstruktivismen som teoretiskt perspektiv samt klienten är expert och duellerande verkligheter som tillförande teorier. Ur resultatet framkommer det att skuld- och skamkänslor återfinns hos en delföräldrar gentemot sitt barn med en funktionsnedsättning inom daglig verksamhet. Vidare framkom det att verksamhetssamordnare försöker ha en förståelse för de föräldrar som upplever dessa känslor. Arbetet fortsätter med olika hjälpmedel såsom samverkan med andra verksamhetssamordnare och chefer inom daglig verksamhet. Andra hjälpmedel som tydliggörande pedagogik underlättar även i arbetet. Vidare visar resultatet på att arbetet skall resultera i ett samarbete mellan verksamhetssamordnare och föräldrar. Slutligen visar resultatet att nyttjandet av öppna samtal mellan verksamhetssamordnare och föräldrar kan vända de skuld- och skamkänslor som återfinns till en framtidstro där hopp och möjligheter är i centrum.