CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / Muitos idosos ao entrarem em uma instituiÃÃo asilar se deparam com uma de suas principais caracterÃsticas: o carÃter totalizador dessas instituiÃÃes. Assim à necessÃrio que adapte-se a uma nova rotina repleta de normas e regras. à preciso, agora, apÃs passar toda a sua vida convivendo com pessoas conhecidas, com quem mantinha laÃos de amizade e consangÃinidade, ter que aprender a conviver com pessoas totalmente desconhecidas, deixando para trÃs seu estilo de vida pessoal e de viver seu cotidiano. Este estudo tem como objetivo geral: compreender como os idosos (re)constroem o seu cotidiano dentro de uma instituiÃÃo asilar, e especÃficos: 1) Identificar as motivaÃÃes que levaram os idosos ao asilo; 2) Descrever o processo de adaptaÃÃo ao contexto asilar elos idosos; 3) Explicar como os idosos se percebem e organizam as atividades cotidianas.; e 4) Explicar a dinÃmica das relaÃÃes interpessoais dos idosos no asilo. Este estudo teve como referencial teÃrico conceito de processo adaptativo do Modelo de AdaptaÃÃo da teÃrica de enfermagem Callista Roy. O caminho metodolÃgico escolhido foi a estratÃgia de pesquisa Estudo de Caso, jà que esta pesquisa adentrou no universo natural da idosa institucionalizada e teve uma abordagem compreensiva. O estudo foi realizado em um asilo da cidade de Fortaleza-Ce que possui caracterÃsticas filantrÃpicas e à mantida por uma ordem de religiosas. A instituiÃÃo selecionada tem cerca de 60 idosas residentes, todas do sexo feminino. A amostra foi composta por saturaÃÃo dos resultados sendo composta por 9 idosas. A unidade de anÃlise desta pesquisa foi a (re) construÃÃo do cotidiano da idosa na instituiÃÃo asilar selecionada e utilizou um protocolo de estudo de caso com o intuito de aumentar a confiabilidade da pesquisa. Para a coleta de dados utilizou-se a observaÃÃo direta e a entrevista baseada no roteiro de histÃria de vida. As observaÃÃes foram escritas em diÃrio de campo e as entrevistas foram gravadas em gravador digital sendo transcritas na Ãntegra, posteriormente codificadas e, em seguida analisadas. Como tÃcnica para organizaÃÃo e anÃlise dos dados utilizou-se da tÃcnica de AnÃlise de Discurso que visa a compreensÃo de como um objeto simbÃlico produz sentidos, como ele està investindo de significÃncia para e por sujeitos. Este estudo foi submetido e aprovado à ComissÃo de Ãtica em Pesquisa do Complexo Hospitalar da UFC. As categorias, apÃs a anÃlise do sentido das falas foram:1) Vinda para o asilo â principais motivaÃÃes:favorecimento de prÃticas religiosas, evitar a solidÃo, influencia de outras pessoas, acesso a recursos de saÃde e exclusÃo familiar; 2) Processo adaptativo: senti-se produtiva, sentimentos de perda/ enfrentamento da realidade e conhecimento prÃvio do asilo; 3) Auto percepÃÃo do idoso no contexto asilar: pertenÃa e autonomia, e satisfaÃÃo/ insatisfaÃÃo das necessidades humanas; e 5) DinÃmica das relaÃÃes: respeito. Com este estudo percebe-se que a (re)construÃÃo do cotidiano do idoso no contexto asilar à uma atividade complexa que necessita de um esforÃos tanto do idoso como da instituiÃÃo que o acolhe, sendo necessÃrio estar atento ao processo adaptativo e Ãs necessidades humanas do idoso. / When entering a rest home, many elders face one of its main features: the totalitarian nature of these institutions. Thus, it is necessary for them to adapt themselves to a new routine full of rules. Now they need, after spending their whole life living with people to whom theyâve had blood relation and friendship ties, to learn to live with completely unknown people, leaving their own lifestyle behind and not living their everyday lives anymore. This study has as its main aim: to understand how the elderly (re)build their everyday lives in a rest home, and as specific aims: 1) Know the reasons that took the elders to the rest home; 2) Investigate the process of adaptation to this new context; 3) Elucidate how the elders see themselves and how they organize their everyday life; and 4) Analyze the dynamics of the interpersonal relationships among the seniors in the rest home. This study was based on Callista Royâs Adaptation Model theory of the adaptive process. The methodology chosen was the Case Study, since the research involved the natural universe of elder women living in a rest home, and had a comprehensive approach. The study happened in a philanthropic rest home in the city of Fortaleza-Ce, maintained by a religious order. The selected institution houses around 60 elders, all women. The sample was made selected resulting 9 elderly women at the end. The analytical component of this research was the (re)building of elderly womenâs everyday life in the selected rest home. Case study was chosen in order to increase research reliability. Data was collected using both observations and interviews based on their life record. The observation was written in a diary and the interviews were recorded with a digital audio recorder, which were wholly transcribed, encoded, and analysed. For data organization and analysis, Discourse Analysis technique was used, which aims to understand how a symbolic element produces meanings, and how it is full of meanings to and for someone. This study was submitted and approved by the Ethics in Research Committee of the Hospital Complex at UFC. The categories, after the meanings in the speech were analysed, were: 1) Going to the rest home â main reasons: favoring religious practice, avoiding loneliness, other peopleâs influence, access to health care and family exclusion; 2) Adaptive process: feeling productive, feeling of losing/facing reality and previous knowledge of the rest home; 3) Self-awareness of the seniors in the rest home context: taking part and autonomy, and satisfaction and dissatisfaction of human needs; and 5) Relationships dynamics: respect. Through this study, it is realized that the (re)building of the elderlyâs everyday life inside the rest home context is a complex activity which requires efforts from both elderly themselves and from the rest home, thus, it is necessary to be attentive to the adaptive process and the elderlyâs human needs.

Abstract   Aim This study aimed to determine what is known from the existing literature about parental guidance during occupational therapy to promote the participation of children with autism spectrum disorder (ASD) in everyday activities. Method  The scoping review methodology was used to gather existing information on the topic. The following databases were used for searches: The Allied and Complementary Medicine Database (AMED), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and MEDLINE.  Results Ten studies were included in this study, as they met the inclusion and exclusion criteria. The results of the selected studies were thematically organised. Three key elements emerged from the results that promoted the participation of children with ASD in everyday life activities: increased knowledge and awareness of parents; new practices and changes in everyday life; supporting and strengthening parenting.  Conclusion  The findings of this study suggest that parents have a central role to play in promoting child participation. Parental guidance is an ideal way to promote the participation of ASD children in everyday activities, as parents are involved in children’s daily lives and influence children’s natural environments. The results of this study can be utilized in occupational therapy practice for the implementation of interventions. Keywords: ASD, children with ASD, daily activities, involvement, occupational therapy, parental guidance