Sistematização dos procedimentos para a implementação da comunicação alternativa e ampliada em uma UTI geral

Abstract

Objective: To describe the procedures before the intervention of occupational therapy with patients having communicative difficulties and hospitalized in an Intensive Care Unit (ICU). Method: Action research performed at an ICU of a reference hospital in the city of Rio de Janeiro, from June to December of 2018 in patients with restricted verbal communication, health professionals, and family members. We used the following instruments: 1) assessment form of the patient's clinical condition and biography; 2) registration of basic information at the bedside; 3) communication skills assessment protocol; 4) assessment of the patient's occupational profile supported by a set of Alternative and Extended Communication (AEC) boards; 5) patient satisfaction scale applied before and after the intervention. Results: Among the procedures, we highlight the actions before the entry of the professional in the unit and the outline of steps that were started with the active search; the preparation of the material and the necessary care; the use of the assessment protocol and communicative skills in the hospital context; occupational profile assessment; the offering and training of the basic AEC board kit; the assessment of patient satisfaction regarding their communicative ability; the registration in the medical record and guidance to family members and health professionals. Conclusion: The data showed that previous factors of the AEC should be considered and valued by the occupational therapist in favor of the management of communication of the patient with verbal restriction in the ICU.

Intervention of occupational therapists with accompanying mothers in hospital pediatric wards

“…The results indicate that most participants in this study do not only provide assistance in the pediatric ward (n=12), but simultaneously provide assistance in other sectors of the hospital institution (Lima & Pereira, 2020;Silva et al, 2020). Regarding the forms of access, occupational therapists have accessed patients through active search (n=13), and this behavior was found in studies carried out in Intensive Care Units (Bombarda et al, 2016;Coelho et al, 2020). The results reveal the prevalence of daily consultations (n=9), showing that occupational therapists routinely provide assistance to accompanying mothers during their children's hospitalization.…”

A prática de terapeutas ocupacionais com mães acompanhantes em enfermarias pediátricas

“…Em relação às formas de acesso, os terapeutas ocupacionais têm acessado os pacientes pela busca ativa (n=13), e essa conduta foi encontrada em estudos realizados em Unidades de Terapia Intensiva (Bombarda et al, 2016;Coelho et al, 2020). Os resultados revelam a prevalência de atendimentos diários (n=9), evidenciando que os terapeutas ocupacionais, rotineiramente, prestam assistência às mães acompanhantes durante a internação dos seus filhos.…”

USO DA COMUNICAÇÃO AUMENTATIVA E ALTERNATIVA EM INDIVÍDUO COM TCE EM NÍVEL III NA ESCALA RANCHO LOS AMIGOS: um relato de caso

“…Diante do estado crítico das comorbidades, o cliente com TCE é ainda mais afetado em sua comunicação, sofrendo constantes manipulações clínicas que o levam a um quadro de fadiga intensa, procedimentos invasivos que envolvem seu aparelho orofacial, como inserção de sondas e intubações orotraqueais, além de lesões neurológicas complexas (Coelho et al, 2020), as suas demandas ao ser recebido pela Terapia Ocupacional não trata apenas de encontrar desafios na ocupação comunicativa, mas também sobre sentir-se fragilizado em seu senso de função, de desempenho e autonomia.…”