Work-related musculoskeletal disorders (MSDs) account for more than 350,000 occupational illnesses and injuries in the United States. Many job risk factors for developing MSDs are found in the automotive industry and the United Automobile Workers (UAW)-Ford Ergonomics Surveillance Tool (EST) has been designed to screen these jobs into high, moderate or low risk for work-related musculoskeletal disorders affecting the distal upper extremity (DUE), lower back (LB) and/or neck and shoulders (NS). The purpose of this effort was to examine the predictive validity of the EST against a sample of target jobs at four Ford plants. Individual jobs for this study were selected by a stratified random assignment. Health records from Ford were reviewed in order to identify first time office visits (FTOVs), which were symptomatic complaints made by individual workers. Jobs that were associated with FTOVs were defined as case jobs for the three body regions. These case jobs were compared with predictions for injury by EST. Sensitivity and specificity were used to test predictive validity. While the sensitivity was poor for all body regions tested, the specificities were fairly strong for DUE and NS when looking at low risk compared to moderate/high risk. The low risk DUE specificity was 0.67 and increased to 0.78 when looking at low/moderate risk compared to high. Low back specificity for low risk was 0.51 but increased to 0.85 when looking at low/moderate risk compared to high. The NS specificity score was 0.81, increasing to 0.85 when looking at low/moderate risk. While the EST does not predict which jobs are high risk for injury, it does screen out safe jobs. Therefore, jobs identified by the EST as low/moderate risk are likely to be safe.

Despite the emphasis of benefits on preventive health, many older adults are not receiving the recommended age specific, evidence based screenings and vaccinations. The Medicare Annual Wellness Visit (AWV) is designed to address modifiable risk factors with aging adults and close gaps in care not captured in routine office visits. Although a free Medicare benefit to patients, and a reimbursable service to health care providers, participation in the AWV is low nationwide. The purpose of the project is to introduce an AWV program to a rural health clinic in Northwest Illinois that has a population consisting of over 25% of people 65 years and older. The rural health clinic failed to capture a single AWV in the previous year, despite having 1300 active Medicare patients in the clinic. The clinical question asked whether the implementation of an AWV program by nurse practitioners can yield improved compliance with recommended health screenings and vaccinations and diagnosed previously unrecognized clinical conditions. The Iowa model, health belief model and Donebedian's structure-process-outcome model were utilized for the introduction and implementation of the practice change. Evidence was derived from chart review of 50 patients and administration of the SF-36 survey before and following the AWV. Findings and conclusions suggest that the AWV generated improved compliance of preventive services and improved patient quality of life. Addressing preventive health strategies for aging adults is relevant to nursing practice because of the complex and chronic health challenges of this age group. These efforts can reduce the burden of suffering from chronic illness, prevent exacerbation and decline, improve quality of life, and reduce federal and individual health care expenditures to minimize the cost of advanced disease treatment.

Many women experience miscarriage every year. Every fourth woman who has given birth reports that she has previous experience of miscarriage. In a study of all women in the Swedish Medical Birth Register 1983-2003, we found that the number of cases of self reported miscarriage had increased in Sweden during this 21 year period. This increase can be explained by the introduction of sensitive pregnancy tests around 1990, as well as an increase in the mean age of the mothers, by approximately 3 years, during the observation period. The risk of miscarriage is 13% with the first child. With subsequent pregnancies, the risk of miscarriage is 8%, 6% and 4% with the second, third and fourth child, respectively. Thirteen of these women who had suffered a recent miscarriage were interviewed four months later, and their feelings of guilt and emptiness were explored. Their experience was that they wanted their questions to be answered, and that they wanted others to treat them as the mothers to be that they felt themselves to be. They also experienced the need for time to grieve their loss. Measurement of grief by means of the Perinatal Grief Scale (PGS) is used in research but has also been proposed for clinical use. We have translated this psychological instrument to Swedish, back-translated and tested it in a small pilot study. In a randomized controlled study, women with early miscarriage were allocated, either to a structured visit (study group) or a regular visit (control group) to a midwife. The structured visit was conducted according to the Swanson caring theory. We could conclude that the structured visit had no significant effect on grief compared to the regular visit, as measured using the PGS. However, women with the sub-diagnosis missed abortion have significantly more grief four months after early miscarriage, regardless of visit type. We also performed a content analysis of the tape-recorded structured follow-up visit. The code-key used was Bonanno and Kaltman’s general grief categorization. Women’s expression of grief after miscarriage was found to be very similar to the grief experienced following the death of a relative. Furthermore, the grief was found to be independent of number of children, women’s age, or earlier experience of miscarriage. Conclusions: Every fourth woman who gives birth reports that she has also experienced early miscarriage. The experience of these women is that they have suffered a substantial loss and their reaction is grief similar to that experienced following the death of a relative. / On the day of the public defence of the doctoral thesis the status of article III was In Press and article IV was In Press.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

A presente pesquisa, intitulada Agenciamentos de Visita: notações pictóricas na fotografia de ambientes domésticos, analisa os procedimentos de elaboração das séries fotográficas Agenciamentos de Visita para Estudos de Composição – natureza morta e Agenciamentos de Visita para Estudos de Composição – cena de gênero, abarcando as questões emergidas destas práticas. Neste contexto, as relações entre fotografia e pintura holandesa são investigadas, partindo de minha poética e articulando-a com a arte atual, a qual é referenciada pelo uso de cenas construídas para a realização das imagens. Concernente ao procedimento de trabalho, a prática de visitas veiculou a investigação do espaço da casa como reduto íntimo e como estúdio provisório. / The present research named Requests to Visit: pictorial notations in domestic space’s photography analyses the procedures of elaboration of the photography series Requests to visit for Composition Studies– still life and Requests to visit for Composition Studies - gender scenes, including the questions emerged from these practices. In this context, the relations between photography and Dutch painting are investigated, having as a starting point my poetic and articulating it with the recent art, which is alluded by the use of scenes made for the realization of the images. Concerning the working procedure, the visiting practice leaded to the investigation of the house’s space as being an intimate redoubt and a provisory studio.

A presente pesquisa, intitulada Agenciamentos de Visita: notações pictóricas na fotografia de ambientes domésticos, analisa os procedimentos de elaboração das séries fotográficas Agenciamentos de Visita para Estudos de Composição – natureza morta e Agenciamentos de Visita para Estudos de Composição – cena de gênero, abarcando as questões emergidas destas práticas. Neste contexto, as relações entre fotografia e pintura holandesa são investigadas, partindo de minha poética e articulando-a com a arte atual, a qual é referenciada pelo uso de cenas construídas para a realização das imagens. Concernente ao procedimento de trabalho, a prática de visitas veiculou a investigação do espaço da casa como reduto íntimo e como estúdio provisório. / The present research named Requests to Visit: pictorial notations in domestic space’s photography analyses the procedures of elaboration of the photography series Requests to visit for Composition Studies– still life and Requests to visit for Composition Studies - gender scenes, including the questions emerged from these practices. In this context, the relations between photography and Dutch painting are investigated, having as a starting point my poetic and articulating it with the recent art, which is alluded by the use of scenes made for the realization of the images. Concerning the working procedure, the visiting practice leaded to the investigation of the house’s space as being an intimate redoubt and a provisory studio.

Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro / Esta pesquisa teve como objetivo conhecer os sentidos atribuídos pelos enfermeiros e agentes comunitários de saúde da Estratégia Saúde da Família do município do Rio de Janeiro/RJ acerca das práticas de saúde desenvolvidas na visita domiciliar. É um estudo descritivo, de natureza qualitativa e teve como abordagem metodológica a hermenêutica-dialética. O cenário foi a cidade do Rio de Janeiro/RJ, em duas Unidades Básicas de Saúde da Família (UBSF) da Área Programática 3.1. Os sujeitos foram 08 enfermeiros e 07 agentes comunitários de saúde (ACSs) atuantes nas UBSF selecionadas. A coleta de dados foi realizada entre janeiro e março de 2010, por meio de entrevistas semi-estruturadas e para a avaliação dos resultados utilizou-se a técnica de análise de conteúdo proposta por Bardin. A partir dos resultados alcançados foi possível elaborar três categorias de estudo: a primeira trata das práticas de saúde do enfermeiro e do ACS na Estratégia Saúde da Família (ESF); a segunda aborda a visita domiciliar do enfermeiro e do ACS, a qual inclui subcategorias sobre o trabalho em equipe na visita domiciliar, as dificuldades na realização da visita domiciliar, o planejamento da visita domiciliar, o vínculo entre enfermeiro, ACS e família na visita domiciliar e a interação profissional do enfermeiro e do ACS na visita domiciliar; a última categoria trata dos sentidos atribuídos pelos enfermeiros e ACSs acerca das práticas de saúde desenvolvidas na visita domiciliar, as quais incluem subcategorias sobre as práticas de saúde do enfermeiro e do ACS na visita domiciliar e as opiniões sobre a visita domiciliar. Com a análise dos dados constatou-se que os enfermeiros e os ACS's desenvolvem diversas práticas de saúde na ESF, com destaque para as práticas de cuidado. As práticas de cuidado do enfermeiro na visita domiciliar estão voltadas para a investigação das necessidades de saúde e realização das atividades assistenciais. Já as do ACS estão voltadas para a identificação de demandas. A escuta ativa, a observação da estrutura física, da alimentação e das relações familiares e a educação em saúde são as principais práticas de cuidado realizadas em conjunto por estes profissionais na visita domiciliar. O percentual de visitas domiciliares semanais do enfermeiro está abaixo do esperado, sendo que a principal justificativa para este baixo índice é a sobrecarga de trabalho na UBSF. Ficou evidente que a interação profissional entre enfermeiro e ACS na visita domiciliar é pequena, pois diversas vezes, o ACS está presente na visita domiciliar do enfermeiro apenas como acompanhante. Por fim, pode-se constatar que o cuidado desenvolvido por enfermeiros e por ACSs é distinto. A prática de cuidado que o enfermeiro desenvolve na visita domiciliar é específica, destinada às famílias com prioridades de saúde e a que o ACS desenvolve é mais ampla, voltada para todas as famílias da microárea. Estas conclusões demonstram a necessidade de estimular enfermeiros e ACSs a (re)pensarem as práticas de saúde desenvolvidas na visita domiciliar, bem como a compreenderem e discutirem seus papéis e a interação nesta atividade. / This research had the aim of knowing the meanings given by the nurses and health community agents about the program of Family Health Strategy of Rio de Janeiro/RJ county about health practices which are developed at the home visit. It is a descriptive, qualitative basis study which had the methodological approach on hermeneutics-dialectics. The set was Rio de Janeiro/RJ city, in two Basic Units of Family Health (BUFH) of the Programmatic Area 3.1. The subjects were 08 nurses and 07 health community agents (HCA) working at the selected BUFH. Database sampling was performed from January to March, 2010 by means of semi-structured interviews and for the results assessment the technique of content analysis proposed by Bardin was used . From the results which had been obtained it was possible to elaborate three study categories: the first is about health practices of nurses and HCA at the Family Health Strategy (FHS); the second one approaches the home visits of the nurses as well as the HCAs, which include subcategories about team work at home visit, the difficulties in carrying out the home visit, the planning of home visits, the bond of nurse, HCA and family at the home visit and the nurses and HCA professional interaction at the home visit; the last category is about the meanings given by nurses and HCAs about the health practices which are developed at the home visit, that include subcategories about health practices of nurses and HCA at the home visit and the opinions about this. With database analyses it is observed that nurse and HCA's develop varied practices of health at ESF, highlighting care practices. Such practices of the nurse at home visit are to investigate the needs in health and to accomplish assistance activities. The HCAs work is towards demands identification. Active listening, observation of physical structure, nourishment and family relations and health education are the main care practices carried out together by these professionals at home visit. The percentage of the nurses weekly home visits is under the expectation, and the main explanation for this low index is the BUFH overwork. It is evident that professional interaction between nurse and HCA at home visit is little, once many times, the HCA is present at the nurses home visit only as companion. Finally, it can be proved that care developed both by nurses and HCAs is distinct. Health care practice developed by nurses develop at home visit is specific, addressed to families having health priorities and the one that the HCA develops is wider, towards all the families in the micro-area. Such conclusions demonstrate the need to foster nurses and HCAs to (re) consider the health practices which are developed at home visit, as well as to comprehend and discuss their roles and the interaction in this activity.

CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / Com a implantaÃÃo do Programa SaÃde da FamÃlia, a visita domiciliÃria vem ganhando forÃa nesta Ãltima dÃcada, apesar de ser uma atividade desenvolvida na Ãrea de SaÃde PÃblica desde o inÃcio do sÃculo. O presente estudo tem como objetivo compreender percepÃÃes do usuÃrio sobre a visita domiciliÃria como componente do Programa SaÃde da FamÃlia, referente Ãs dimensÃes: cuidado, humanizaÃÃo e integralidade. Trata-se de um estudo exploratÃrio, de natureza qualitativa. Fundamentado na fenomenologia hermenÃutica, inserindo-se na vertente crÃtico interpretativa dado investigar o fenÃmeno em estudo contrastando-o com a materialidade a que se relaciona, buscando apontar elementos para sua transformaÃÃo. Para tanto, foram realizadas 21 entrevistas em profundidade com usuÃrios que recebiam visita domiciliÃria e residiam nas Ãreas pertencentes Ãs seis Secretarias Executivas Regionais de SaÃde no MunicÃpio de Fortaleza. As entrevistas gravadas e transcritas constituÃram a base empÃrica do estudo. A anÃlise dos depoimentos de cada informante evidenciou trÃs eixos temÃticos centrais: 1) Aspectos Relacionais da Visita DomiciliÃria: percepÃÃes dos usuÃrios quanto aos aspectos relacionados à humanizaÃÃo do cuidado e integralidade da assistÃncia durante a visita das equipes. Esse eixo foi dividido em trÃs dimensÃes: percepÃÃo da relaÃÃo profissional usuÃrio, humanizaÃÃo do cuidado, o sentido da integralidade. O segundo eixo 2) CaracterÃsticas da Visita, enfoca caracterÃsticas da visita em relaÃÃo à prioridade e operacionalizaÃÃo da mesma. Emergiram nesse eixo duas dimensÃes: freqÃÃncia/duraÃÃo e seleÃÃo dos atendimentos. O terceiro e Ãltimo eixo temÃtico-VinculaÃÃo com o ServiÃo, levanta questÃes relacionadas com o serviÃo, enfocando aspectos funcionais e de integraÃÃo da atenÃÃo com outros serviÃos, e desdobrando-se em trÃs dimensÃes: funcionamento da unidade, equidade e integraÃÃo da atenÃÃo. As consideraÃÃes finais deste trabalho apontam como caminho para mudanÃas no paradigma da assistÃncia domiciliÃria, a prÃtica em saÃde baseada na aproximaÃÃo, conversaÃÃo e negociaÃÃo constante, entre profissionais, usuÃrios e comunidade / Although a public health practice since the early 20th century, home visits by health care teams from the newly implanted family health program have become increasingly popular over the past decade. The present study looks into usersâ perceptions of home visits within the context of the family health program with respect to completeness and humanization of care. The study was explorative and qualitative. Based on hermeneutic phenomenology and within a critical-interpretive perspective, the study contrasts the phenomenon under investigation with its own materiality in search of transforming elements. To this end 21 interviews were carried out in depth with users receiving home visits by family health teams within the six administrative health districts of Fortaleza. The empirical evidence of the study consisted of taped and transcribed interviews. An analysis of the interviews revealed the existence of three core themes: 1) Health professional/user relationships, i.e. usersâ perceptions of completeness and humanization of care during visits. This theme was divided into three items: perception of health professional/user relationships, humanization of care and the meaning of completeness; 2) Characterization of visits, with emphasis on priorities and operationalization. The theme was divided into two items: frequency/duration of visits and patient selection; and 3) User/health facility association, with focus on health facility management and integration with other services, divided into three items: health facility management, equity and integration of care. In conclusion, the study suggests that home visiting practices may be improved by enhancing the aspects of closeness, conversation and constant negotiation between professionals, users and the community

A disseminação das ciências naturais em espaços de educação não formal tem sido tema de discussões na área de ensino de ciências na busca de elementos que possibilitem a compreensão das suas potencialidades e dos seus desafios. Investigações atuais têm buscando compreender o potencial dos museus de promover o processo de Alfabetização Científica de seus visitantes por meio de ações educativas. Dentre os elementos na educação em museus estão os materiais educativos e, inseridos neste conjunto, temos os roteiros de visita a exposições. Nesta perspectiva, o objetivo deste trabalho foi analisar o processo de Alfabetização Científica em visitas de famílias à Trilha da Nascente do Jardim Botânico de São Paulo a partir do uso de um roteiro elaborado sob a perspectiva da Alfabetização Científica. Também foi intenção da pesquisa compreender o papel deste roteiro - tanto seu processo de elaboração quanto seus efeitos e potenciais - como estratégia para a promoção do processo de Alfabetização Científica junto a famílias que visitam este local. A confecção do roteiro teve por base literatura e a experiência profissional das pesquisadoras envolvidas, tendo passado por um processo de validação envolvendo, diferentes atores, especialistas e o próprio público. A versão final do roteiro, fornecido como parte de um kit com outros objetos como monóculo e lupa, foi aplicado e avaliado na visita de uma família. Do ponto de vista metodológico, a investigação proposta se enquadra como uma pesquisa qualitativa, tendo por foco a perspectiva dos participantes na busca de responder os potenciais e limitações das visitas roteirizadas e seus possíveis impactos nos visitantes do Jardim Botânico em São Paulo. Os dados em categorias pré-estabelecidas - indicadores de Alfabetização Científica e habilidades investigativas -, se constituíram como a base para o estudo da fala dos sujeitos na interação com o roteiro durante a vista a Trilha da Nascente. Esse procedimento nos revelou evidências de que a Alfabetização Científica está em processo para os integrantes da família. Desse modo, apontamos que a produção e o uso de roteiros em visitas a museus podem promover a reflexão e auxiliar o desenvolvimento das atividades dos setores educativos de museus. / The spread of natural sciences in non-formal education has been subject of discussions in the area of science education in search for elements that allow the understanding of their potential and their challenges. Current investigations are seeking to understand the potential of museums to promote scientific literacy process of their visitors by means of educational activities that develop. Among the elements in education in museums are educational materials and included in this set, we have the visit scripts to exhibitions. In this perspective, the objective of this study was to analyze the scientific literacy process in family visits to the \"Trilha da Nascente\" of Botanical Garden of São Paulo from the use of a developed script from the perspective of the Scientific literacy. It was also the intention of the research to understand the role of this script as a strategy for the promotion of the process of Scientific Literacy with the families who visit this site. The potential of the material was investigated as an educational resource for the promotion of Scientific Literacy, analyzing both the process of elaboration of the material and its effects when applied to a visiting family of \"Trilha da Nascente\" . The preparation of the script was based on literature and professional experience of the involved researchers, having passed through a validation process involving different actors, experts and the public itself. The final version of the script provided as part of a kit with other objects such as monocular and magnifying glass, was applied and evaluated on a family visit. From a methodological point of view, the proposed research fits into the perspective of qualitative research, with the focus on the perspective of the participants in the quest to answer the potential and limitations of scripted visits and their possible impacts on Botanical Garden visitors in São Paulo. The data in predetermined categories - scientific literacy indicators and investigative skills-, constituted as the basis for the study of the subjects\' speeches in the interaction with the script during the visit to the \"Trilha da Nascente\". This procedure revealed us evidence that the Scientific Literacy is in process for the family members. Thereby, we point out that the production and use of scripts in visits to museums can promote reflection and assist the development of the activities of educational museums sectors.

O objetivo desta dissertação foi o de identificar as orientações e estratégias, utilizadas com as famílias no atendimento em ambiente domiciliar, que ajudaram seus filhos com surdocegueira ou com deficiência múltipla sensorial a alcançarem habilidades em atividades de vida autônoma e social (Avas). A fundamentação teórica refere-se à caracterização da pessoa com surdocegueira e deficiência múltipla sensorial, suas dificuldades de comunicação e participação; às metodologias que orientam a avaliação e organização de programas educacionais; à caracterização e necessidades das famílias; à programas baseados em Avas. Os participantes da pesquisa foram dois alunos e suas mães atendidos no Programa de Atendimento Domiciliar e Famílias Apoiadas (Programa AD & FA), da Ahimsa. Os critérios de seleção dos sujeitos foram: semelhanças nas características devidas à etiologia da deficiência, Síndrome da Rubéola Congênita (SRC) e alterações de comportamentos causados pelas manifestações tardias da (SRC); similaridade da faixa etária, jovens entre 22 e 23 anos. Para a coleta de dados foram realizadas dez visitas domiciliares para cada família no período de fevereiro a setembro de 2009, nas quais foram desenvolvidas atividades em Avas e elaborados relatórios das observações; foram realizadas no final dos atendimentos entrevistas semi-estruturadas com as mães. Foram elencadas as estratégias que efetivaram a participação do aluno e os fatores que constituíram auxílio ou dificuldade para as mães efetivarem ou não as estratégias, por meio da análise dos dados realizada em cinco etapas: 1) elaboração de quadros dos registros dos comportamentos/participação e dos comportamentos comunicativos dos alunos nas atividades no primeiro atendimento; 2) elaboração de quadros dos registros dos comportamentos/participação e dos comportamentos comunicativos dos alunos nas atividades no último atendimento; 3) discussão sobre as diferenças, evolução e outras variações (apresentadas nas participações e na comunicação, assim como na aquisição de autonomia e independência) na execução das atividades, amparado nos quadros da etapa 1 e etapa 2 e nos relatórios das observações das visitas; 4) análise dos relatos e entrevistas das mães assinalando as necessidades e expectativas levantadas, as estratégias que foram efetivadas pelas mães que melhoraram a participação e a comunicação dos alunos e os fatores que levaram as famílias a implementarem ou não as estratégias; 5) reflexões sobre os dados da discussão da etapa 3 e as consonâncias e divergências com a análise da etapa 4. A análise dos dados mostrou os maiores ganhos na comunicação e participação dos alunos nas atividades propostas nas visitas e no dia a dia, também evidenciou as estratégias que trouxeram maiores resultados durante a realização das atividades e ajudaram a melhorar a participação dos alunos, como a adoção e efetivação pelas mães da: implementação de rotina e manutenção de sequências nas atividades, organização das atividades realizadas, organização de utensílios e materiais utilizados, sistematização e implementação de formas de comunicação expressivas e receptivas. A investigação assinalou dificuldades das famílias, para a implementação de algumas orientações e estratégias, devido a questões relacionadas a condições de saúde e a distúrbios de comportamentos de seus filhos. O período bastante exíguo de atendimento, de apenas dez sessões e número de somente dois jovens e suas mães constituíram limites a esta investigação, assinalando a necessidade de dar continuidade aos estudos com mais dados, mais sujeitos e maior tempo para a pesquisa. Apesar disso, a pesquisadora propõe-se a divulgar estes dados por meio de publicações, considerando a inexistência de dados 10 sistematizados e analisados sobre o atendimento domiciliar a pessoas com surdocegueira e com deficiência múltipla sensorial. / The objective of this thesis was to identify the orientations and strategies used with families at home visits that have helped their children with deafblindness or with multiple sensory impairment to develop skills in daily living activities. The theoretical basis refer to the characterization of the person with deafblindness and multiple sensory impaired, their difficulties with communication and participation; to the methodologies that guide the evaluation and organization of educational programs; to the characterization and needs of the families; to programs based on daily living activities. The participants were two students and their mothers enrolled in the Home Visit & Supported Families Program (Program AD & FA), of Ahimsa. The criteria to select the participants were: similarities in the characteristics due to etiology of the disability, Congenital Rubella Syndrome (CRS) and behavior alterations caused by the late manifestations of the CRS; similarity of age group, young adults between 22 and 23 years old. To data collection there were performed 10 home visits to each family in the period of February to September 2009, in which daily living skills activities were developed and observations reports were made; towards the end of the visits semi-structured interviews were carried out with the mothers. The strategies that promoted the participation of the student were listed and the factors that either contributed or made difficult for mothers to promote or not the strategies, through analysis of the data collected in five steps: 1) creation of the tables to record behavior/participation and the communicative behaviors of students in the activities at the first home visit; 2) creation of the tables to record behavior/participation and the communicative behaviors of students in the activities at the last home visit; 3) discussion on the differences, evolution and other variations (presented in the participations and in communication, as well as in the acquisition of independence and autonomy) in the execution of activities, based on the tables of steps 1 and 2 and on the observations reports of the home visits; 4) analysis of reports and interview of the mothers pointing out the needs and expectations raised, the strategies that were used by the mothers that have improved the participation and communication of the students and the factors that led families to implement or not the strategies; 5) reflections on the data of the discussion from step 3 and the similarities and differences with the analysis of step 4. Data analysis showed the benefits in communication and participation of students in the daily living activities proposed during the home visits and day-by-day, in addition, it has showed which strategies brought better results during the performance of the activities and helped improve the participation of the students, as the adoption and use by mothers of: routine implementation and maintenance of sequences in the activities, organization of the activities done, organization of materials used, systematization and implementation of means of expressive and receptive communication. The research pointed out difficulties of families, to implement some orientations and strategies, due to matters related to health conditions and challenging behaviors of their children. The short period of time of the home visits, only 10 sessions, and the number of only two young adults and their mothers were limitations found in this research, pointing out the need to carry on with the studies with more data, more participants and more time for the research. Nevertheless, the researcher proposes to divulge these data through publications, 12 considering the lack of systematized and analyzed data on home visits of people with deafblindness and multiple sensory impairment.