A gestão do apoio a pessoas idosas com doença de Alzheimer: o caso do centro de dia “Lugar de Memórias”
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Data
2020
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O envelhecimento demográfico sendo um tema urgente nos dias de hoje, merece especial destaque na presente dissertação, sobretudo a temática das demências – Doença de Alzheimer. Tendo em conta a prevalência deste tipo de demência, surgiu a necessidade de compreender melhor a realidade do Centro de Dia Lugar de Memórias, visto ser uma resposta especializada na DA, que presta cuidado a 14 pessoas idosas com demência.
O presente estudo aborda teoricamente, o envelhecimento, a demência e a doença de Alzheimer, a importância da prestação de cuidados a pessoas idosas com doença de Alzheimer, a gestão de IPSS’s e o Serviço Social na prestação de cuidados a pessoas idosas com DA.
O objetivo principal desta investigação passa por compreender como é que se processa a gestão do apoio e dos cuidados a pessoas idosas com doença de Alzheimer e, ainda, que competências específicas devem ter os cuidadores formais para lidarem com esta demência.
A investigação desenvolveu-se através de um estudo de caso, descritivo, no Centro de Dia “Lugar de Memórias” localizado na RAM, tendo sido realizada observação direta e entrevistas semi-diretivas a 8 profissionais de diferentes categorias profissionais do CD. A metodologia seguida foi a qualitativa, através de uma lógica indutiva.
Relativamente aos resultados obtidos, é de referir que a equipa, de uma forma geral, possui as competências necessárias para prestar o cuidado adequado aos utentes do CD, estando normalmente motivada para a realização do mesmo.
Porém, apresentam algumas necessidades que, colmatadas, poderiam contribuir para uma melhor relação de cuidados e para o aumento da qualidade dos serviços prestados. A título de exemplo podemos adiantar a necessidade de facultar aos cuidadores formais mais momentos formativos e um maior acompanhamento por parte da direção técnica através das reuniões de equipa e da monitorização das práticas, por forma a assegurar os objetivos de intervenção propostos e de modo a contribuir para a garantia de serviços de qualidade que maximizem o bem-estar do utente. Um líder presente e atento é essencial para a garantia do sucesso das instituições.
Demographic ageing is an urgent issue nowadays and deserves special emphasis in this dissertation, especially the theme of dementias - Alzheimer's disease. Taking into account the prevalence of this type of dementia, there was a need to better understand the reality of the “Lugar de Memórias” day centre, since it is a specialised response in Alzheimer Disease, which provides care to 14 elderly people with dementia. This study theoretically addresses ageing, dementia and Alzheimer's disease, the importance of caring for older people with Alzheimer's disease, the management of Private Institution of Social Solidarity and the role of Social Service in providing care to older people with AD. The main objective of this research is to understand how support and care management for older people with Alzheimer's disease is carried out and also what specific skills formal caregivers should have to deal with this dementia. The research was carried out through a descriptive case study at the "Lugar de Memórias", day centre located in the Autonomous Region of Madeira, with direct observation and semi-directive interviews with 8 professionals from different professional categories of the day centre. The methodology followed was qualitative, through an inductive logic. With regard to the results obtained, it should be noted that, in general, the team has the necessary skills to provide adequate care to the users of the day centre and is usually motivated to do so. However, they do have some needs which, if plugged, could contribute to a better care relationship and an increase in the quality of the services provided. As an example, we can advance the need to provide formal caregivers with more training moments and greater supervision by the technical management through team meetings and monitoring of practices, in order to ensure the intervention objectives proposed and contribute to the guarantee of quality services that maximize the patient's well-being. A present and attentive leader is essential to ensure the success of the institutions.
Demographic ageing is an urgent issue nowadays and deserves special emphasis in this dissertation, especially the theme of dementias - Alzheimer's disease. Taking into account the prevalence of this type of dementia, there was a need to better understand the reality of the “Lugar de Memórias” day centre, since it is a specialised response in Alzheimer Disease, which provides care to 14 elderly people with dementia. This study theoretically addresses ageing, dementia and Alzheimer's disease, the importance of caring for older people with Alzheimer's disease, the management of Private Institution of Social Solidarity and the role of Social Service in providing care to older people with AD. The main objective of this research is to understand how support and care management for older people with Alzheimer's disease is carried out and also what specific skills formal caregivers should have to deal with this dementia. The research was carried out through a descriptive case study at the "Lugar de Memórias", day centre located in the Autonomous Region of Madeira, with direct observation and semi-directive interviews with 8 professionals from different professional categories of the day centre. The methodology followed was qualitative, through an inductive logic. With regard to the results obtained, it should be noted that, in general, the team has the necessary skills to provide adequate care to the users of the day centre and is usually motivated to do so. However, they do have some needs which, if plugged, could contribute to a better care relationship and an increase in the quality of the services provided. As an example, we can advance the need to provide formal caregivers with more training moments and greater supervision by the technical management through team meetings and monitoring of practices, in order to ensure the intervention objectives proposed and contribute to the guarantee of quality services that maximize the patient's well-being. A present and attentive leader is essential to ensure the success of the institutions.
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Orientação: Isabel de Freitas Vieira
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MESTRADO EM SERVIÇO SOCIAL - GESTÃO DE UNIDADES SOCIAIS E DE BEM-ESTAR, SERVIÇO SOCIAL, DEMÊNCIA, DOENÇA DE ALZHEIMER, CUIDADOS DE SAÚDE, CENTROS DE DIA, SOCIAL WORK, DEMENTIA, ALZHEIMER'S DISEASE, HEALTH CARE, DAY CARE CENTRES, CUIDADORES FORMAIS, FORMAL CAREGIVERS