Objetivo: Comparar os resultados das avaliações de linguagem obtidas por protocolos centrados nas habilidades das crianças com os resultados de uma análise enunciativa em casos de atraso de linguagem, relacionando-os ao psiquismo. Método: Estudo de caso longitudinal, qualitativo, com três crianças de 24 meses. Elas foram avaliadas em suas habilidades linguísticas por meio dos protocolos DENVER II e BAYLEY III. A avaliação enunciativa foi realizada por meio da análise dos vídeos das interações entre as mães e os bebês a partir dos quais foram identificados os mecanismos e estratégias enunciativas. O risco psíquico foi avaliado por meio dos Indicadores Clínicos de Referência ao Desenvolvimento Infantil (IRDI) e Sinais PREAUT e comparado aos resultados do MCHAT. Resultados: As avaliações de linguagem demonstraram que o teste Bayley III é mais sensível ao atraso no domínio gramatical do que o Denver II. As análises enunciativas demonstraram a limitação nos mecanismos enunciativos no caso de risco psíquico mais grave, mas também as potencialidades linguísticas das crianças. Conclusão: A comparação permitiu identificar a diferença entre testes padronizados e a avaliação enunciativa, pois a limitação em mecanismos enunciativos e em alguns itens relacionados ao endereçamento da fala ao outro no teste Bayley III permitiu identificar as limitações de linguagem relacionadas com as alterações na intersubjetividade.
Introduction: With the aging of the population, the demand for Homes for the Aged (HFAs) grows. Objective: To analyze resources and population of HFAs and to check the fulfillment of the criteria from the national regulations. Methods: Descriptive quantitative study including 11 philanthropic HFAs in the state of Rio Grande do Sul, Brazil. Data was collected through a questionnaire applied to the responsible for the facility. Results: The study comprised 318 workers and 522 elders. HFAs presented: some accommodations without private bathrooms (100%); external area and administrative office (72.7%); cafeteria and support room (54.5%); ecumenical room (36.4%); rooms with more than four beds (45.5%). The prevailing reasons for admission were brought by family member (69.2%); social vulnerability (36.4%). Death was the main reason for leaving the facility. The average age of elders was 76.8 years, 58.4% were women. The dependence grade was I for 31.1%; II for 33.9%; and III for 35%. Leisure and cultural activities occurred in 72.7% of HFAs. In 27.3% there were records of visits. Only 9.1% had cooperation from families. Available human resources were nurses (72.7%); physicians and nursing assistants (63.3%); physical therapists (45.5%); psychologists (36.4%); caregivers (27.3%); occupational therapists (9.1%). In 63.3% of facilities, workers carried out mixed activities. The costs were covered by retirement pensions, partnerships, and donations. The main obstacles were financial resources or dependence on donations and rigorous health surveillance or compliance with standards. Conclusion: The HFAs partially fulfill the national criteria, impairing the quality of care provided to elders.
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