Speech therapy intervention in relation of the patient with chronic non-progressive encephalopathy-experience report
Introduction: Chronic Non-Progressive Encephalopathy, commonly known as cerebral palsy, is one of the most common childhood disorders, arising in early childhood. It is characterized by being a persistent disorder in several structures and functions (of tonus, posture and movement), causing a series of limitations regarding the accomplishment of functional activities. Objective: To report the experience of the practical activities of the compulsory supervised internship of speech therapy course in relation to the patient with Chronic Non-Progressive Encephalopathy. Methodology: During the supervised stage, actions were carried out for speech-language intervention in patients with CNPE, where was carried out anamnesis, evaluation, speech-language therapy, guidelines and, when necessary, the patients were referred to the other specialties according to the needs observed. During the speech-language evaluation process, the analysis of the development of language aspects, communicative skills, evaluation of the functions and structures of the stomatoglossognatic system and auditory perception through musical resources and sound instruments were made. The intervention occurred on a weekly basis, with half an hour of duration, being stimulated the aspects of the language and worked the orofacial myofunctional structures. Results: It was possible to observe that all the patients had enough communicative intention, development of language appropriate to the age group, however, they presented alterations in the stomatoglossognatic system with impairment of mobility, sensitivity and tonicity of the phonoarticulatory organs, emphasizing: orofacial hypotonia, with interference of the musculature for the complete absence of lip seal, protrusion and lateralization of the tongue and phonemic articulation. Discussion: Rehabilitation for speech-language disorders in individuals with Chronic Non-Progressive Encephalopathy will depend on the type and degree of overall motor impairment, comprehension and language aspects of each patient. Conclusion: It is necessary the speech-language and multidisciplinary intervention in an early, effective and humanized way, favoring the development of these skills and seeking to promote…
Background: Alzheimer’s disease (AD) accounts for 50 to 70% of dementias in people over 65 years. It is a neurodegenerative disease, characterized by progressive disorder of memory and other psychological functions, affecting the social life of the patient. However, although it has been studied for years, the actual cause is not known as there is no single diagnosis for this disease and there is no specific standard for its treatment. Aim: To identify the pharmacological groups and drugs most used in the treatment of AD. Methods: Review of published researches from 2010 to 2017 in the Google Scholar, Scielo and Bireme databases, using the descriptors Alzheimer’s disease and Pharmacology. Results: In AD there is a formation of senile plaques produced by the undue accumulation of β-amyloid protein, promoting a neuronal degeneration. Therefore, the drugs of first choice for treatment are cholinesterase inhibitors and the most commonly used drugs are donezepil, galantamine and rivastigmine. Discussion: Donezepil causes improvement in cognitive function and stabilization of the patient’s functional capacity. Galantamine and rivastigmine inhibit the enzyme acetylcholinesterase and act directly on the presynaptic nicotinic receptors, causing an improvement in cognitive function, also in memory and mood. There are no significant differences in efficacy between the three most commonly used drugs and the side effects are few in both. Conclusion: Pharmacological treatment is capable of promoting the improvement of the cognitive symptoms of AD, not being able to cure or paralyze the degeneration of nerve cells, but allowing it to progress slowly. Therefore, there is a need for greater investment in research to discover new therapies, given that this disease is increasing.
The importance of learning in the field of Brazilian Sign Language (Pounds) by students and health professionals
Introduction: With the advancement of the need and inclusion characteristic of the 21st century, the teaching of the Brazilian Sign Language (Pounds) for health students has become increasingly essential in undergraduate studies. Therefore, in this experience experienced by us students who became monitors of Libras at the University of Pernambuco, we sought to expand the knowledge acquired in the perspective of expanding access and preparation of society to the bilingual model. Objective: To present the importance of learning in the field of Brazilian Sign Language (Pounds) by students and health professionals. Methodology: This is a descriptive study of the experience reported at the University of Pernambuco (UPE) through the extension action of the Auditory Ciranda Program, which offers the academic community 100-hour beginners’ pound courses, covering a number of campuses in the state of Pernambuco. The majority of the classes were presences, taking place classes on Saturdays and video-lessons of support. At the end of the course there was an evaluation to analyze the knowledge. Results and Discussion: In 2015 there were 1250 students enrolled in two classes that concluded in June 2017. Students approved in the course with grades above 8.0 enrolled to be monitors of the following classes. In total, 126 monitors favored greater assistance, approximation and coverage to the students in the next class. As well as, the pounds constitutes the optional curricular discipline in the other courses of higher education and professional education. Conclusion: Learning the Brazilian Language of Signals (Pounds) becomes essential for the formation of inclusive professionals. It is fundamental that every health professional know, dialogue, be bilingual in Libras so that communication occurs with empathy and mutual respect between deaf and hearing, generating a positive and reliable relationship between professional and patient.