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Autonomy of long-stay psychiatric impatients; Autonomia de pacientes em internação prolongada em hospital psiquiátrico

Wagner, Luciane Carniel; Fleck, Marcelo Pio de Almeida; Wagner, Mario Bernardes; Dias, Míriam Thaís Guterres
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
POR
Relevância na Pesquisa
56.48%
OBJETIVO: Avaliar a autonomia de uma população de pacientes com internação prolongada em um hospital psiquiátrico, identificar indivíduos com possibilidades de desinternação e avaliar o impacto de variáveis sociodemográficas, do funcionamento social e de incapacitações físicas sobre a autonomia. MÉTODOS: Foi avaliado o total de 584 indivíduos de um hospital psiquiátrico de Porto Alegre, RS, com internação prolongada (96% dois pacientes), entre julho e agosto de 2002. Foram utilizados os instrumentos, adaptados para a realidade brasileira: independent living skills survey (inventário de habilidades de vida independente), social behavioral schedule (escala de avaliação do comportamento social) e questionário de avaliação do grau de invalidez física. RESULTADOS: Os pacientes apresentaram grande comprometimento de sua autonomia, principalmente com relação à administração de dinheiro, ocupação, lazer, preparo de alimentos e transporte. A deterioração da autonomia esteve associada com o tempo de internação (OR=1,02), com severa incapacitação física (OR=1,54; p=0,01) e com o sexo masculino (OR=3,11; p<0,001). A estimativa do risco de ter um comprometimento moderado a grave da autonomia foi 23 vezes mais alta entre os indivíduos com severo prejuízo no funcionamento social (IC 95%: 10...

Risk of dependence associated with health, social support, and lifestyle

Alcañiz,Manuela; Brugulat,Pilar; Guillén,Montserrat; Medina-Bustos,Antonia; Mompart-Penina,Anna; Solé-Auró,Aïda
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
46.32%
OBJECTIVE To analyze the prevalence of individuals at risk of dependence and its associated factors. METHODS The study was based on data from the Catalan Health Survey, Spain conducted in 2010 and 2011. Logistic regression models from a random sample of 3,842 individuals aged ≥ 15 years were used to classify individuals according to the state of their personal autonomy. Predictive models were proposed to identify indicators that helped distinguish dependent individuals from those at risk of dependence. Variables on health status, social support, and lifestyles were considered. RESULTS We found that 18.6% of the population presented a risk of dependence, especially after age 65. Compared with this group, individuals who reported dependence (11.0%) had difficulties performing activities of daily living and had to receive support to perform them. Habits such as smoking, excessive alcohol consumption, and being sedentary were associated with a higher probability of dependence, particularly for women. CONCLUSIONS Difficulties in carrying out activities of daily living precede the onset of dependence. Preserving personal autonomy and function without receiving support appear to be a preventive factor. Adopting an active and healthy lifestyle helps reduce the risk of dependence.

The Belief that Alcohol Use is Inconsistent with Personal Autonomy: A Promotive Factor for Younger Adolescents

Henry, Kimberly L.; Shtivelband, Annette; Comello, Maria Leonora G.; Slater, Michael D.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 01/08/2011 EN
Relevância na Pesquisa
46.44%
This study explored an understudied promotive factor, a belief that alcohol use is inconsistent with personal autonomy, which may reduce adolescent intention to drink and subsequent alcohol use. Autonomy was examined as an attitudinal construct within the Theory of Reasoned Action. Longitudinal data from 2,493 seventh grade students nested in 40 schools were analyzed using a structural equation model. Autonomy was negatively correlated with intention to use alcohol and subsequent alcohol use at a later wave, and intention to use fully mediated the effect of autonomy on subsequent alcohol use. These results are consistent with the proposition that when personal autonomy is perceived as inconsistent with alcohol use among younger adolescents, students indicate a lower intention to use alcohol and use less alcohol during the following school year.

Erasing traumatic memories: when context and social interests can outweigh personal autonomy

Lavazza, Andrea
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em 22/02/2015 EN
Relevância na Pesquisa
46.46%
Neuroscientific research on the removal of unpleasant and traumatic memories is still at a very early stage, but is making rapid progress and has stirred a significant philosophical and neuroethical debate. Even if memory is considered to be a fundamental element of personal identity, in the context of memory-erasing the autonomy of decision-making seems prevailing. However, there seem to be situations where the overall context in which people might choose to intervene on their memories would lead to view those actions as counterproductive. In this article, I outline situations where the so-called composition effects can produce negative results for everyone involved, even if the individual decisions are not as such negative. In such situations medical treatments that usually everyone should be free to take, following the principle of autonomy, can make it so that the personal autonomy of the individuals in the group considered is damaged or even destroyed. In these specific cases, in which what is called the “conformity to context” prevails, the moral admissibility of procedures of memory-erasing is called into question and the principle of personal autonomy turns out to be subordinate to social interests benefitting every member of the group.

A autonomia dos usu??rios de um Centro de Aten????o Psicossocial nas rela????es cotidianas; A autonomia dos usu??rios de um Centro de Aten????o Psicossocial nas rela????es cotidianas; Autonomy of users of a psychosocial care center in daily relations; Autonomy of users of a psychosocial care center in daily relations

CLASEN, Bianca Neme
Fonte: Universidade Federal de Pelotas; Enfermagem e Obstetr??cia; Programa de P??s-Gradua????o em Enfermagem; UFPel; BR Publicador: Universidade Federal de Pelotas; Enfermagem e Obstetr??cia; Programa de P??s-Gradua????o em Enfermagem; UFPel; BR
Tipo: Dissertação Formato: application/pdf
POR
Relevância na Pesquisa
46.32%
The autonomy concerns the condition of self-determination and self-governance. Considering this affirmation, this study it had as objectives to know manifestations of the autonomies attitudinal, functional and emotional in expression of daily relations of users of a CAPS of municipality of Alegrete-RS. This is a qualitative, descriptive and analytical study. The subjects were 11 users. The data was collected through interviews held in the second semester of 2006. The data were analyzed in the light of the theoretical referential that understands the autonomies attitudinal, functional and emotional. With regard to the attitudinal autonomy it is observed it has on the part of the users the manifestation of the essential aptitudes and desires in the attitudes in areas of self care, in establishing interpersonal relations and for the work. The autonomy for the self care appears, over all, in the expression of practices related to hygiene, health care of the body through physical exercise and the commitment of some users to not leave to have the continuous supply of psychotropic drugs by the System of Health to all those who use them. The attitudinal autonomy to establish interpersonal relationships might be perceived through the exercise of desire and the decision of "with who"...

Le libéralisme politique et l’éducation à l’autonomie individuelle

Cormier, Andree-Anne
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
Relevância na Pesquisa
46.64%
Ce mémoire explore la question des conséquences de l’interprétation rawlsienne du pluralisme éthique pour la légitimité de l’autonomie individuelle comme objectif d’éducation publique. Rawls (1993, 2003) soutient que seuls des objectifs éducatifs strictement politiques peuvent guider l’élaboration des politiques publiques en matière d’éducation obligatoire et justifier une intervention étatique dans l’éducation des enfants. Or, puisque Rawls définit l’autonomie individuelle comme un idéal éthique privé, il conclut qu’elle n’est pas un objectif légitime d’éducation publique. La thèse principale qui est défendue dans le cadre de ce mémoire est que Rawls est aveugle aux implications réelles de sa propre théorie politique en matière d’éducation commune, qui, contrairement à ce qu’il soutient, exigent précisément la promotion de l’autonomie individuelle comme idéal éthique (et non politique). Cette thèse remet en question le principe de neutralité de l’État envers toutes les doctrines éthiques, y compris l’idéal d’autonomie individuelle, qui caractérise et distingue la théorie rawlsienne des versions classiques du libéralisme. La deuxième partie de cette étude considère une stratégie possible pour sauver la neutralité du libéralisme politique...

Autonomy and Relatedness in Mainland Chinese Adolescents: Social or Personal? Accommodation or Distinctiveness?

Zhao, Junru
Fonte: Brock University Publicador: Brock University
Tipo: Electronic Thesis or Dissertation
ENG
Relevância na Pesquisa
46.55%
Three studies comprised the current research program, in which the major goals were to propose and validate empirically the proposed two-level (universal and culture-specific) model of both autonomy and relatedness, as well as to develop reliable and valid measures for these two constructs. In Study 1, 143 mainland Chinese adolescents were asked open-ended questions about their understanding of autonomy and relatedness in three social contexts (peer, family, school). Chinese youth’s responses captured universal and culturally distinctive forms of autonomy (personal vs. social) and relatedness (accommodation vs. distinctiveness), according to a priori criteria based on the theoretical frameworks. Also, scenarios designed to reflect culture-specific forms of autonomy and relatedness suggested their relevance to Chinese adolescents. With a second sample of 201 mainland Chinese youth, in Study 2, the obtained autonomy and relatedness descriptors were formulated into scale items. Those items were subject to refinement analyses to examine their psychometric properties and centrality to Chinese youth. The findings of Study 1 scenarios were replicated in Study 2. The primary goal of Study 3 was to test empirically the proposed two-level (universal and culture-specific) models of both autonomy and relatedness...

Intelligence agents, autonomous slaves and the U.S. Supreme Court’s wrong (and right) concept of personal autonomy

BITTON, Raphael
Fonte: Instituto Universitário Europeu Publicador: Instituto Universitário Europeu
Tipo: Artigo de Revista Científica Formato: application/pdf; digital
EN
Relevância na Pesquisa
46.44%
This paper traces the boundaries of consent in the relations of recruited intelligence agents and their handlers. The U.S. Supreme Court considered these relations to be contractual. However, such a contract, according to the Supreme Court, is unenforceable. An Agent’s autonomy largely underpins the argument for the prima facie legitimacy of Human Intelligence (HUMINT) relations with each agent. Autonomy is also an essential element in recognizing the formulation of a recruitment contract. Sketching its boundaries in the human intelligence context (namely between the spy recruited typically within enemy ranks and the recruiter) raises the paradoxical question: How free is the free choice to give up freedom of choice? In contrast to the common deontological approaches, this paper offers an account of personal autonomy which incorporates the examination of dignity-compromising (dehumanizing) influences on the choice-making process of the agent. If being autonomous is an exclusive human condition, then a condition in which a person is both dehumanized while making his choice, yet remains autonomous nonetheless, must be wrong. Hence, it is argued that any hierarchical model of personal autonomy should be interpreted as if incorporating a test of a dignity-compromising influence on the desires-setting or choice-making process of a person. The case of voluntary intelligence agents...

Political neutrality and the argument from personal autonomy

Bifulco, Robert, Jr
Fonte: Universidade Rice Publicador: Universidade Rice
Tipo: Thesis; Text Formato: 98 p.; application/pdf
ENG
Relevância na Pesquisa
46.39%
One argument for political neutrality appeals to the value of autonomy. I consider three objections to this argument. First, it appears that this argument is self-defeating in drawing from a controversial conception of the good life. If we distinguish between theoretical and practical levels of political reasoning, however, the initial appearance of paradox disappears. Second, it is unclear whether autonomy plays an essential enough role in the good life to justify making it the goal of the state. Via, an expliction of Joseph Raz's work, I develop a sense in which it is plausible to say that autonomy is essential to the good life in some societies, and that the governments of such societies should pursue the conditions of autonomy. Third, it is unclear whether political neutrality is the best means of securing autonomy. I suggest a reason for believing that it is that draws on a connection between neutrality and the type of culture conducive to personal autonomy.

Gender, race and policy: aboriginal women and the state in Canada and Australia

McGrath, Ann
Fonte: Athabasca University Press Publicador: Athabasca University Press
Tipo: Artigo de Revista Científica Formato: 17 pages
Relevância na Pesquisa
46.36%
This article examines the history of colonial and national policies towards indigenous peoples in Australia and Canada during the 19th and 20th centuries. It is specifically concerned with the ways in which such legislation affected Aboriginal women. In attempting to provide a comparative assessment of the "statutory subjugation" of Aboriginal women, the article examines the law's definition of identity and band membership; enfranchisement and assimilation; personal autonomy (marriage, divorce, sexuality, motherhood); private and personal property; and political reorganization. It concludes that gender and race were key determinants of government policy in both countries, and that under the Canadian Indian Act and Australian Aboriginal Acts, women, in particular, suffered a great decline in status and severe limitations of autonomy. But the failure of state policies to bring about the complete degradation of Aboriginal women in particular, and Aboriginal peoples in general, suggests that there were forces operating to "destabilize ... hegemonic colonial control." Competing colonial values, collective resistance of Aboriginal societies, and the individual contestations of both colonizer and colonized, in the end, undermined imperial objectives.

Personal autonomy in discharge planning decision -making in mentally alert hospitalized elderly individuals: The social workers' perspective

Murdock, Beatriz Huaroto
Fonte: FIU Digital Commons Publicador: FIU Digital Commons
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.46%
This study was conducted to understand (a) hospital social workers' perspectives about patients' personal autonomy and self-determination, (b) their experiences, and (c) their beliefs and behaviors. The study used the maximum variation sampling strategy to select hospitals and hospital social work respondents. Individual interviews were conducted with 31 medical/surgical and mental health hospital social workers who worked in 13 hospitals. The data suggest the following four points. First, the hospital setting as an outside influence as it relates to illness and safety, and its four categories, mentally alert patients, family members, health care professionals, and social work respondents, seems to enhance or diminish patients' autonomy in discharge planning decision making. Second, respondents report they believe patients must be safe both inside and outside the hospital. In theory, respondents support autonomy and self-determination, respect patients' wishes, and believe patients are the decision makers. However, in practice, respondents respect autonomy and self-determination to a point. Third, a model, The Patient's Decision in Discharge Planning: A Continuum, is presented where a safe discharge plan is at one end of a continuum...

Socialização e inclusão das crianças com Necessidades Educativas Especiais através da dança

Silvério, Carina Cavalheiro
Fonte: [s.n.] Publicador: [s.n.]
Tipo: Dissertação de Mestrado
Publicado em //2015 POR
Relevância na Pesquisa
46.37%
Dissertação apresentada à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Ciências da Educação: Educação Especial, área de especialização em Domínio Cognitivo e Motor; O presente projeto visa acompanhar os efeitos da dança num grupo de crianças com e sem necessidades educativas especiais (NEE). entendendo-se que a dança tem um papel fulcral no fomento da socialização, da inclusão e da autonomia destes alunos no contexto referido. O estudo empreendido visa compreender se a dança é um meio facilitador na socialização, inclusão e autonomia pessoal de crianças com NEE O estudo foi realizado num agrupamento de escolas de Quarteira tendo participado 45 alunos do 1º ciclo (3º e 4º anos). Aplicaram-se como instrumentos de recolha de dados, testes sociométricos, entrevistas semiestruturadas, atividades práticas desenvolvidas nas aulas de Educação Especial e grelhas de observação não-participante. Concluiu-se que ao nível da socialização e inclusão a dança atuou como um catalisador no estabelecimento de novos relacionamentos e no aprofundamento de outros já existentes, bem como na minimização de atritos entre os alunos das duas turmas, pois proporcionou interação e o convívio...

Autonomy of long-stay psychiatric inpatients

Wagner,Luciane Carniel; Fleck,Marcelo Pio de Almeida; Wagner,Mário; Dias,Míriam Thaís Guterres
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2006 EN
Relevância na Pesquisa
56.48%
OBJECTIVE: To assess personal autonomy of long-stay psychiatric inpatients, to identify those patients who could be discharged and to evaluate the impact of sociodemographic variables, social functioning, and physical disabilities on their autonomy was also assessed. METHODS: A total of 584 long-stay individuals of a psychiatric hospital (96% of the hospital population) in Southern Brazil was assessed between July and August 2002. The following instruments, adapted to the Brazilian reality, were used: independent living skills survey, social behavioral schedule, and questionnaire for assessing physical disability. RESULTS: Patients showed severe impairment of their personal autonomy, especially concerning money management, work-related skills and leisure, food preparation, and use of transportation. Autonomy deterioration was associated with length of stay (OR=1.02), greater physical disability (OR=1.54; p=0.01), and male gender (OR=3.11; p<0.001). The risk estimate of autonomy deterioration was 23 times greater among those individuals with severe impairment of social functioning (95% CI: 10.67-49.24). CONCLUSIONS: In-patients studied showed serious impairment of autonomy. While planning these patients' discharge their deficits should be taken into consideration. Assessment of patients' ability to function and to be autonomous helps in identifying their needs for care and to evaluate their actual possibilities of social reinsertion.

Autonomía personal, intervención médica y sujetos incapaces

Lora, Pablo de
Fonte: Universidade Autônoma de Barcelona Publicador: Universidade Autônoma de Barcelona
Tipo: Artigo de Revista Científica Formato: application/pdf
Publicado em //2008 SPA
Relevância na Pesquisa
46.45%
En este trabajo, me propongo hacer una evaluación crítica de algunos aspectos de la Ley 41/2002, relativos al papel del consentimiento de los menores a la hora de practicar una intervención médica sobre ellos. El punto de partida es la defensa del valor central de la autonomía personal —entendida como la capacidad para el juicio racional e independiente— y de la legítima actuación del Estado, por encima de los representantes (padres o tutores), para salvaguardar ciertos bienes —objetivamente considerados— de los menores no capaces. La fundamentación de dicho paternalismo radica en la preservación del soporte (la vida e integridad física) de lo que será ejercicio futuro de la autonomía. En el trabajo, se descartan otras defensas de la consideración de la autonomía del menor maduro (destacadamente el denominado «paternalismo de la voluntad») y se participa de la consagración que de la noción «material» y «gradual» de competencia para el consentimiento informado se ha hecho en la Ley 41/2002 en relación con los menores. Se destacan, sin embargo, algunas incoherencias en la dicha normativa en relación con otras normas del sistema jurídico español, se analiza en particular el supuesto de la interrupción del embarazo.; In this paper I critically assess some aspects of the Ley 41/2002 having to do with the minors’ consent as regards to medical treatment. My starting point is the defense of the value of personal autonomy...

Cultural scripts, ways of speaking and perceptions of personal autonomy: Anglo English vs Singapore English

Wong, Jock
Fonte: Walter de Gruyter Publicador: Walter de Gruyter
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
66.32%
Every language variety embodies a set of culture-specific ways of thinking that can be articulated with maximal clarity and minimal ethnocentrism in the form of 'cultural scripts' using natural semantic metalanguage (NSM). In this study, perceptions of 'personal autonomy' in Anglo culture and in Singapore culture are explored on the basis of linguistic evidence using NSM. These Anglo and Singaporean attitudes to personal autonomy are articulated in the form of cultural scripts, and are thus compared and contrasted. The proposed cultural scripts show that even though Anglo English speakers and Singapore English speakers can both be said to speak the same 'language', the cultural values reflected by the two varieties can be radically different from and even at odds with each other.

A autonomia como necessidade estruturante para o enfrentamento da violência de gênero; La autonomía como necesidad estructuradora para el enfrentamiento de la violencia de género; Autonomy as a structural need to face gender violence

Guedes, Rebeca Nunes; Fonseca, Rosa Maria Godoy Serpa da
Fonte: Universidade de São Paulo. Escola de Enfermagem Publicador: Universidade de São Paulo. Escola de Enfermagem
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Artigo Avaliado pelos Pares Formato: application/pdf; application/pdf
Publicado em 01/12/2011 POR; ENG
Relevância na Pesquisa
46.34%
Objetiva-se apresentar categoria referente a necessidades relacionadas à autonomia, reconhecidas pelos profissionais da Estratégia Saúde da Família no que concerne à atenção à saúde de mulheres que vivenciam violência. Para a produção do material empírico foram feitas entrevistas com profissionais de saúde que compõem as equipes da ESF e com mulheres usuárias do serviço. Os significados conformam a necessidade de autonomia relacionada à mulher como sujeito na tomada de decisões. Entretanto, alguns significados revelaram o reducionismo que se traduz na desresponsabilização do serviço em relação ao problema. A autonomia financeira foi um aspecto convergente entre os discursos dos profissionais e das usuárias do serviço de saúde. Concluiu-se que para o enfrentamento da violência é fundamental a inclusão da perspectiva de gênero tanto nas políticas de saúde quanto nas práticas concretizadas no processo de trabalho, condição que abre possibilidades de respostas a necessidades práticas e estratégicas de gênero, contribuindo para a redução da iniqüidade entre homens e mulheres e a promoção da emancipação feminina.; Se objetiva presentar categoría referente a necesidades relativas a la autonomía...

Autonomia de pacientes em internação prolongada em hospital psiquiátrico; Autonomy of long-stay psychiatric inpatients

Wagner, Luciane Carniel; Fleck, Marcelo Pio de Almeida; Wagner, Mário; Dias, Míriam Thaís Guterres
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/08/2006 ENG
Relevância na Pesquisa
56.44%
OBJETIVO: Avaliar a autonomia de uma população de pacientes com internação prolongada em um hospital psiquiátrico, identificar indivíduos com possibilidades de desinternação e avaliar o impacto de variáveis sociodemográficas, do funcionamento social e de incapacitações físicas sobre a autonomia. MÉTODOS: Foi avaliado o total de 584 indivíduos de um hospital psiquiátrico de Porto Alegre, RS, com internação prolongada (96% dois pacientes), entre julho e agosto de 2002. Foram utilizados os instrumentos, adaptados para a realidade brasileira: independent living skills survey (inventário de habilidades de vida independente), social behavioral schedule (escala de avaliação do comportamento social) e questionário de avaliação do grau de invalidez física. RESULTADOS: Os pacientes apresentaram grande comprometimento de sua autonomia, principalmente com relação à administração de dinheiro, ocupação, lazer, preparo de alimentos e transporte. A deterioração da autonomia esteve associada com o tempo de internação (OR=1,02), com severa incapacitação física (OR=1,54; p=0,01) e com o sexo masculino (OR=3,11; p; OBJECTIVE: To assess personal autonomy of long-stay psychiatric inpatients, to identify those patients who could be discharged and to evaluate the impact of sociodemographic variables...

Pobreza, bioética e pesquisa; Pobreza, bioética e investigación; Poverty, bioethics and research

Ribeiro, Cléa Regina de Oliveira; Zoboli, Elma Lourdes Campos Pavone
Fonte: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Publicador: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf; application/pdf; application/pdf
Publicado em 01/10/2007 ENG; POR; SPA
Relevância na Pesquisa
46.32%
Realiza-se, aqui, reflexão bioética sobre a concepção de pobreza enquanto condição, ou circunstância, de restrição e vulnerabilidade. Tal concepção prevê duas perspectivas: a econômica que relaciona pobreza com incapacidade (visão do Banco Mundial, a partir das recomendações políticas para o ajuste econômico dos países latino-americanos) e a ético-filosófica, relacionando pobreza com desigualdade (fundamentada nos conceitos de eqüidade e igualdade, enquanto desdobramentos da idéia de justiça). Uma das graves conseqüências é o tratamento injusto, no que diz respeito aos procedimentos de pesquisa dos países ricos que recrutam populações de países pobres como campo experimental para investigações na área da saúde, principalmente pesquisas biomédicas ou farmacêuticas, colocando sob questionamento ético o caráter de vulnerabilidade e autonomia desses indivíduos.; Nos proponemos desarrollar una reflexión bioética acerca de la concepción de la pobreza como condición o circunstancia de restricción y vulnerabilidad. Esta concepción presentará dos perspectivas: la económica, relacionada con la incapacidad (visión del Banco Mundial desde las recomendaciones políticas para el ajuste económico de los países latinoamericanos) y la ético-filosófica...

Risk of dependence associated with health, social support, and lifestyle

Alcañiz,Manuela; Brugulat,Pilar; Guillén,Montserrat; Medina-Bustos,Antonia; Mompart-Penina,Anna; Solé-Auró,Aïda
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
46.32%
OBJECTIVE To analyze the prevalence of individuals at risk of dependence and its associated factors.METHODS The study was based on data from the Catalan Health Survey, Spain conducted in 2010 and 2011. Logistic regression models from a random sample of 3,842 individuals aged ≥ 15 years were used to classify individuals according to the state of their personal autonomy. Predictive models were proposed to identify indicators that helped distinguish dependent individuals from those at risk of dependence. Variables on health status, social support, and lifestyles were considered.RESULTS We found that 18.6% of the population presented a risk of dependence, especially after age 65. Compared with this group, individuals who reported dependence (11.0%) had difficulties performing activities of daily living and had to receive support to perform them. Habits such as smoking, excessive alcohol consumption, and being sedentary were associated with a higher probability of dependence, particularly for women.CONCLUSIONS Difficulties in carrying out activities of daily living precede the onset of dependence. Preserving personal autonomy and function without receiving support appear to be a preventive factor. Adopting an active and healthy lifestyle helps reduce the risk of dependence.

Autonomy of long-stay psychiatric inpatients

Wagner,Luciane Carniel; Fleck,Marcelo Pio de Almeida; Wagner,Mário; Dias,Míriam Thaís Guterres
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2006 EN
Relevância na Pesquisa
56.48%
OBJECTIVE: To assess personal autonomy of long-stay psychiatric inpatients, to identify those patients who could be discharged and to evaluate the impact of sociodemographic variables, social functioning, and physical disabilities on their autonomy was also assessed. METHODS: A total of 584 long-stay individuals of a psychiatric hospital (96% of the hospital population) in Southern Brazil was assessed between July and August 2002. The following instruments, adapted to the Brazilian reality, were used: independent living skills survey, social behavioral schedule, and questionnaire for assessing physical disability. RESULTS: Patients showed severe impairment of their personal autonomy, especially concerning money management, work-related skills and leisure, food preparation, and use of transportation. Autonomy deterioration was associated with length of stay (OR=1.02), greater physical disability (OR=1.54; p=0.01), and male gender (OR=3.11; p<0.001). The risk estimate of autonomy deterioration was 23 times greater among those individuals with severe impairment of social functioning (95% CI: 10.67-49.24). CONCLUSIONS: In-patients studied showed serious impairment of autonomy. While planning these patients' discharge their deficits should be taken into consideration. Assessment of patients' ability to function and to be autonomous helps in identifying their needs for care and to evaluate their actual possibilities of social reinsertion.