ABSTRACT
Objetivo: identificar as fragilidades e potencialidades vivenciadas pelos cuidadores na prática assistencial dos serviços de residência terapêutica. Método: pesquisa qualitativa realizada por meio de entrevista semiestruturada, com 12 cuidadores dos de seis Serviços de Residências Terapêuticas do Oeste Paulista, cujos dados foram tratados por análise de conteúdo de Bardin. Resultados: emergiram duas categorias, fragilidades na prática de ser cuidador em serviço de residência terapêutica: superando limites e as potencialidades na prática de ser cuidador em serviço de residência terapêutica: uma conquista nas relações interpessoais. Considerações finais: os cuidadores têm dificuldades em promover atividades a fim de ressocializar às pessoas com transtorno mental, decorrente da sobrecarga de trabalho com as atividades domésticas da residência e o vínculo com o morador é um facilitador na assistência aos mesmos.
Objective: to identify the weaknesses and potentialities experienced by caregivers in the care practice of therapeutic residency services. Method: qualitative research carried out through a semi-structured interview with 12 caregivers of the six Residual Therapy Services from the west of São Paulo, whose data were treated by Bardin 's content analysis. Results: two categories emerged, weaknesses in the practice of being a caregiver in a therapeutic residency service: surpassing limits and the potentialities in the practice of being a caregiver in a therapeutic residency service: an achievement in interpersonal relationships. Final considerations: caregivers have difficulties in promoting activities in order to re-socialize people with mental disorders, due to the overload of work with the domestic activities of the residence and the bond with the resident is a facilitator in the care of them.
Subject(s)
Humans , Caregivers , Mental Health , Mental DisordersABSTRACT
We used an animal model of restrictive strabismus analogous to the fat adherence syndrome in humans to test the efficacy of topical intraoperative mitomycin-C (MMC) in preventing the development of restrictive scar tissue. A cicatricial adhesion was created between the inferior rectus muscle and the inferior orbital rim of each eye in eight rabbits, and passive forced ductions were quantitatively measured with a spring scale. Eight eyes were treated intraoperatively with topical MMC 0.5 mg/mL, the other eight with sterile water. Passive forced ductions were again measured 4 weeks postoperatively and representative orbits were exenterated for histopathologic examination. Significant restriction of motility was produced in six of the eight control eyes. Though prophylactic treatment with MMC may have been beneficial in some cases, on average, the restriction developing in these eyes did not significantly differ from that in the control eyes. In addition, longer exposure times to MMC led to marked orbital inflammation and severe restriction of ocular motility. Finally, histopathologic evaluation of the orbits of the MMC-treated eyes revealed marked fibrosis of perimuscular connective tissues. Although MMC may have a role in the management of fat adherence syndrome, further study is needed to establish safe and efficacious methods of delivery.
