Sammanfattning Syftet: Att sammanställa vad som fanns beskrivet i vetenskaplig litteratur om bedömningsinstrument som kan användas av arbetsterapeuter för bedömning av behov av bostadsanpassning för vuxna med främst fysiskt funktionsnedsättning.   Metod: Systematisk litteraturstudie med sökning på fyra sökord i sju databaser. För att få ytterligare information om de funna bedömningsinstrumenten gjordes en manuell sökning via artiklarnas referenslistor för att kunna besvara frågeställningarna.   Resultat: Författarna fann sju bedömningsinstrument som bedömde olika aspekter av miljön i relation till person och/eller aktivitet. Inget av bedömningsinstrumenten var avsett att enbart bedöma behovet av bostadsanpassning. Resultatet styrker behovet av bedömningsinstrument som innehåller både observation och självskattningsmoment för att få en helhetsbild av miljöns tillgänglighet och användbarhet.   Konklusion:  Arbetsterapeuter som bedömer behovet av bostadsanpassning behöver bedömningsinstrument som mäter både subjektiva och objektiva aspekter av hemmiljö. Fem av bedömningsinstrumenten innehöll antingen självskattnings- eller observationsmoment och om de kombineras med varandra får arbetsterapeuten en helhetsbild. Två av bedömningsinstrumenten innehöll båda aspekterna. / Summary   Purpose:   To compile what was described in scientific literature on assessment instruments that can be used by occupational therapists to assess the need for home modifications for adults with primarily physical disabilities. Method: Systematic literature search with four keywords in seven databases. To obtain additional information about the assessment instruments a manual search of article reference lists was carried out in order to answer the specific study questions of the study. Results: The authors found seven assessment instruments which assessed various aspects of the environment in relation to person and / or activity. None of the assessment instruments were designed to only assess the need for home modifications. The results proved the need for assessment instruments that contain both observation and self-assessment elements to obtain a complete picture of environmental accessibility and usability. Conclusion: Occupational therapists who assess the need for housing modification needs assessment instrument that measures both subjective and objective aspects of the home environment. Five of the assessment instruments contained either self-estimation or observation moments and when combined, the occupational therapist gets an complete picture. Two of the assessment instruments included both aspects.

Magister Scientiae (Physiotherapy) - MSc(Physio) / Stroke is the third leading cause of death and disability worldwide. The Uitenhage Provincial Hospital admits many stroke patients. To date, no in-depth study has been conducted on stroke patients admitted to the Hospital. This study identified the profile of stroke patients admitted to the Uitenhage Provincial Hospital and explored the challenges that these patients experienced post stroke. A concurrent mixed model design was used to collect the data. Firstly retrospective data was obtained by means of a quantitative data gathering instrument designed by the researcher. The information obtained, included data relating to demographic characteristics, reported risk factors relating to stroke, stroke onset-admission interval and length of hospital stay, as well as information relating to the process of physiotherapy. Secondly quantitative prospective information was collected by means of the Barthel Index, the Modified Rankin Scale and the Facilitators And Barriers Survey. The sample for the quantitative phase was drawn from medical records of 168 stroke patients admitted to the Uitenhage Provincial Hospital from the 1 of January 2008 up to and including the 31 of December 2009. For the second prospective quantitative part of the study, participants were selected conveniently from the admitted patients. In the qualitative phase, nine participants taken of the sampled participants were selected. The Microsoft Excel 2007 Package and the SPSS 18 for social sciences were used to analyse the quantitative data. Means, standard deviations, frequencies and percentages were calculated for descriptive purposes and the Chi-square test was used to test for associations between variables. Qualitative analysis began with the transcription of voice recordings and the translation of relevant Afrikaans transcription into English. Emerging categories were identified within the pre-determined themes. Permission and ethical clearance was obtained from the Higher Degrees Committee and the Senate Research and Grants and Study Leave Committee of the University of the Western Cape and permission to conduct this study was also obtained from the Medical Superintendent of the Uitenhage Provincial Hospital. Altogether 461 patients had been admitted with stroke during the relevant period, but only 168 could be included in the retrospective quantitative study. The mean age of the participants was 61,54 years; 59% were females and 41% males. The majority of the participants (86,9%) were admitted on the same day of stroke onset, and the mean length of hospital stay was 7,38 days. Hypertension was the most common reported risk factor, at 79%. Only 165 of the participants received physiotherapy while hospitalised, with the mean total physiotherapy sessions being 2,56 sessions. In 90% of the cases, physiotherapy sessions were discontinued due to the patient being discharged from the Hospital. The mean Barthel Index score was 81,46 and the family care domain of the Modified Rankin Scale was the most affected. Participants experienced participation restrictions and activity limitations due to stairs, gravel surfaces and kerb cuts. During the qualitative interviews participants reported activity limitations related to walking and activities of daily living. The participants also experienced participation restrictions, which included dependency on others, decreased social support and an array of emotions experienced post stroke. The current study’s findings suggest that the discharge of patients from the hospital post stroke should follow a mulitidisciplinary approach. Rehabilitation professionals should play an active role in the discharge process in providing patient and caregiver education.

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2015-08-05T22:00:05Z No. of bitstreams: 1 DISSERTACAO_FELIPE_DLA_PPGDCI.pdf: 4763694 bytes, checksum: 6f8b30d04543619f033603fcd6034795 (MD5) / Made available in DSpace on 2015-08-05T22:00:05Z (GMT). No. of bitstreams: 1 DISSERTACAO_FELIPE_DLA_PPGDCI.pdf: 4763694 bytes, checksum: 6f8b30d04543619f033603fcd6034795 (MD5) Previous issue date: 2014-10-24 / This dissertation discusses the concepts of accessibility in university space for school inclusion and consequent social inclusion of people with disabilities or reduced mobility through a diagnosis of physical architectural structure, more specifically in the areas of external movement of pedestrian users, conducted in main campus of the State University of Feira de Santana. Were pre-selected nine routes, five parallel and four perpendicular, to cover all locations on campus. The checklist was performed according to ABNT / NBR 9050, which in this study included: structure of sidewalks, parking and access to the building - external circulation; and doors, door handles, ramps, lifts, stairs and toilets - internal circulation of some of the main buildings. Added to this critical / observational analysis, an interview was conducted with 28 people (16 with and 12 without reduced mobility reduced mobility) in order to understand the views of users about the accessibility of the campus in its effective use. We observed any problems as barriers to full accessibility, such as inadequacy, malfunction, or structures in a state of degradation. The majority (60.71%) of research participants do NOT consider the UEFS campus accessible. The creation of accessible routes arises as a possibility adequacy of physical space, in favor of universal design as a way to ensure equal access, independent of personal physical condition. The UEFS, as a public university, owes the commitment to present and implement solutions to this problem in order to make a space that would allow exchanges, encourage the establishment of relationships and reduce the differences as a way of overcoming social inequalities of people physically different, to fulfill its role of social and institutional change agent. / A presente Disserta??o discute os conceitos de acessibilidade no espa?o universit?rio para a inclus?o escolar e consequente inclus?o social, de pessoas com defici?ncia ou mobilidade reduzida atrav?s de um diagn?stico da estrutura f?sico-arquitet?nica em rela??o ? mobilidade, mais especificamente das ?reas de circula??o externa dos usu?rios pedestres, realizado no campus principal da Universidade Estadual de Feira de Santana, em Feira de Santana. Foram pr?-selecionadas nove rotas, cinco paralelas e quatro perpendiculares, de forma a abranger todas as localidades do campus. A lista de verifica??es foi realizada de acordo com a ABNT/NBR 9050, que nesse trabalho incluiu: estrutura de cal?adas, estacionamento e acesso ? edifica??o ? circula??o externa; e portas, ma?anetas, rampas, elevadores, escadas e sanit?rios ? circula??o interna, de alguns dos pr?dios principais. Somado a essa an?lise cr?tica/observacional, uma entrevista foi realizada com 28 pessoas (16 com mobilidade reduzida e 12 sem mobilidade reduzida) a fim de compreender a percep??o dos usu?rios sobre a acessibilidade do campus em sua efetiva utiliza??o. Foram constatados diversos problemas quanto ? acessibilidade plena como obst?culos, inadequa??es, mau funcionamento, ou estruturas em estado de degrada??o. A maioria (60,71%) dos usu?rios participantes da pesquisa N?O considera o campus da UEFS acess?vel. A cria??o de rotas acess?veis surge como uma possibilidade de adequa??o do espa?o f?sico, em prol do desenho universal, como forma de garantir o acesso igualit?rio, independente da condi??o f?sica individual. A UEFS, na condi??o de universidade p?blica, deve o compromisso de apresentar e executar solu??es para essa problem?tica visando tornar-se um espa?o capaz de permitir trocas, estimular o estabelecimento de rela??es e atenuar as diferen?as como forma de supera??o das desigualdades sociais de pessoas fisicamente diferentes, para cumprir seu papel de agente de transforma??o social e institucional.