{"id":88155,"date":"2022-02-15T07:53:40","date_gmt":"2022-02-15T06:53:40","guid":{"rendered":"https:\/\/aulaabierta.arasaac.org\/archivos\/Items%20de%20portfolio\/uso-de-pictogramas-en-terapia-intensiva-norberto-necesitaba-su-pijama"},"modified":"2023-02-09T11:31:06","modified_gmt":"2023-02-09T10:31:06","slug":"uso-de-pictogramas-em-terapia-intensiva-norberto-necessario-o-pijama","status":"publish","type":"portfolio","link":"https:\/\/aulaabierta.arasaac.org\/pt-pt\/archivos\/Items de portfolio\/uso-de-pictogramas-em-terapia-intensiva-norberto-necessario-o-pijama","title":{"rendered":"UTILIZA\u00c7\u00c3O DE PICTOGRAMAS NOS CUIDADOS INTENSIVOS: &#8220;NORBERTO E SEUS PIJAMAS&#8221; &#8211; HOSPITAL TRES ARROYOS &#8211; BUENOS AIRES"},"content":{"rendered":"<div class='flex_column av-5ppuon7-273ca1f04e461aaa2c819ffeefb171d7 av_one_full  avia-builder-el-0  el_before_av_two_third  avia-builder-el-first  first flex_column_div '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kznpusya-2f9c33d33b29a21030c4f0c6d7ae4765\">\n#top .av-special-heading.av-kznpusya-2f9c33d33b29a21030c4f0c6d7ae4765{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kznpusya-2f9c33d33b29a21030c4f0c6d7ae4765 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kznpusya-2f9c33d33b29a21030c4f0c6d7ae4765 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kznpusya-2f9c33d33b29a21030c4f0c6d7ae4765 av-special-heading-h3  avia-builder-el-1  el_before_av_hr  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >UTILIZA\u00c7\u00c3O DE PICTOGRAMAS NOS CUIDADOS INTENSIVOS: <span class='special_amp'>&#8220;<\/span>NORBERTO E SEUS PIJAMAS<span class='special_amp'>&#8221;<\/span> &#8211; HOSPITAL TRES ARROYOS &#8211; BUENOS AIRES<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<div  class='hr av-nqw2cj-7430ec92423402a6d30ff64aabaa174e hr-default  avia-builder-el-2  el_after_av_heading  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-kznrnxl9-dc7a3486f35d45e6459de3a0c18602bd'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: center;\"><em>Os nossos sinceros agradecimentos a Norberto, \u00e0 sua fam\u00edlia, ao pessoal de sa\u00fade e a Guillermina por nos permitir partilharmos esta hist\u00f3ria de supera\u00e7\u00e3o que nos moveu e que nos encoraja a continuar a lutar para melhorar a qualidade de vida de todas as pessoas e em todas as \u00e1reas.<\/em><\/p>\n<\/div><\/section><\/p><\/div>\n<div class='flex_column av-5cpl9cz-fb9a4711b9abd53a062da8322155d955 av_two_third  avia-builder-el-4  el_after_av_one_full  el_before_av_one_third  first flex_column_div column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-4nsavk3-0e61aea086c5729c98a06bd39e6742b3\">\n#top .av-special-heading.av-4nsavk3-0e61aea086c5729c98a06bd39e6742b3{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-4nsavk3-0e61aea086c5729c98a06bd39e6742b3 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-4nsavk3-0e61aea086c5729c98a06bd39e6742b3 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-4nsavk3-0e61aea086c5729c98a06bd39e6742b3 av-special-heading-h3  avia-builder-el-5  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Descri\u00e7\u00e3o do projeto<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kznqgkrx-d1ce3ee7085650386e5bcc81573fd044'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Norberto<\/strong> \u00e9 um paciente que entra nos <strong>Cuidados Intensivos<\/strong> <a href=\"https:\/\/centrodesaludtsas.com.ar\/\" target=\"_blank\" rel=\"noopener\"><strong>Centro Municipal de Sa\u00fade do Tres Arroyos <\/strong> <\/a>(<strong>Buenos Aires \u2013 Argentina<\/strong>) com uma foto de <strong>Covid negativizado<\/strong> e <strong>meningite<\/strong>. Ap\u00f3s mais de 15 dias em <strong>respira\u00e7\u00e3o assistida<\/strong> e com <strong>completa semente,<\/strong> a sementeia come\u00e7a a ser removida, um processo de evolu\u00e7\u00e3o que demora mais de 48 horas.<\/p>\n<p>Quando <strong>Norberto<\/strong> come\u00e7a a mobilizar-se atrav\u00e9s de <strong>gestos faciais<\/strong>, o <strong>enfermeiro<\/strong>, que at\u00e9 esse momento tinha estabelecido uma rela\u00e7\u00e3o com o paciente atrav\u00e9s das <strong>estrat\u00e9gias de cuidados e conten\u00e7\u00e3o<\/strong>, observa que <strong>pede algo em particular<\/strong>, mas percebe que <strong>n\u00e3o \u00e9 \u00c1GUA<\/strong>, que \u00e9 o que um paciente costuma pedir quando retoma gradualmente o estado da consci\u00eancia.      <\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-88109\" src=\"https:\/\/aulaabierta.arasaac.org\/wp-content\/uploads\/2022\/02\/Terapia_Intensiva_pictogramas_ARASAAC_1.jpeg\" alt=\"\" width=\"1152\" height=\"532\" srcset=\"https:\/\/aulaabierta.arasaac.org\/wp-content\/uploads\/2022\/02\/Terapia_Intensiva_pictogramas_ARASAAC_1.jpeg 1152w, https:\/\/aulaabierta.arasaac.org\/wp-content\/uploads\/2022\/02\/Terapia_Intensiva_pictogramas_ARASAAC_1-300x139.jpeg 300w, https:\/\/aulaabierta.arasaac.org\/wp-content\/uploads\/2022\/02\/Terapia_Intensiva_pictogramas_ARASAAC_1-1030x476.jpeg 1030w, https:\/\/aulaabierta.arasaac.org\/wp-content\/uploads\/2022\/02\/Terapia_Intensiva_pictogramas_ARASAAC_1-768x355.jpeg 768w, https:\/\/aulaabierta.arasaac.org\/wp-content\/uploads\/2022\/02\/Terapia_Intensiva_pictogramas_ARASAAC_1-705x326.jpeg 705w\" sizes=\"auto, (max-width: 1152px) 100vw, 1152px\" \/><\/p>\n<p><strong>Os enfermeiros<\/strong> come\u00e7am a usar um <a href=\"https:\/\/aulaabierta.arasaac.org\/pt-pt\/archivos\/Items de portfolio\/placas-de-comunicacao-com-pictogramas-para-terapia-intensiva-hospital-de-tres-arroyos-buenos-aires-argentina\" target=\"_blank\" rel=\"noopener\"><strong>quadro de comunica\u00e7\u00e3o<\/strong> com<\/a> <strong>penstogramas<\/strong> <a href=\"https:\/\/arasaac.org\/\" target=\"_blank\" rel=\"noopener\"><strong>ARASAAC<\/strong><\/a>. A partir deste momento, esta <strong>tabela<\/strong> torna-se uma <strong>ferramenta de comunica\u00e7\u00e3o<\/strong> que permite <strong>compreender os desejos e necessidades de Norberto<\/strong> e que <strong>provoca momentos de riso e humor<\/strong>, porque percebem que <strong>Norberto n\u00e3o pede \u00e1gua, mas o seu PAJAMAS<\/strong>, algo inesperado na altura para a equipa de enfermagem.     <\/p>\n<p>Entre risos, gestos de afeto e cuidado , a <strong>comunica\u00e7\u00e3o com o pessoal m\u00e9dico e de assist\u00eancia do setor<\/strong> tornou-se <strong>fluida e agrad\u00e1vel<\/strong> gra\u00e7as aos pictogramas da <a href=\"https:\/\/arasaac.org\/\" target=\"_blank\" rel=\"noopener\"><strong>ARASAAC<\/strong><\/a>, at\u00e9 que a <strong>evolu\u00e7\u00e3o<\/strong> de Norberto lhe permitiu <strong>recuperar as suas capacidades de fala e comunica\u00e7\u00e3o<\/strong>. A<strong> colabora\u00e7\u00e3o com a fam\u00edlia<\/strong> foi<strong> fundamental<\/strong>, uma vez que todos os dias usava a sua meia hora de visita para lhe mostrar fotografias, recordar mem\u00f3rias e colaborar na recupera\u00e7\u00e3o de <strong>Norberto<\/strong> que <strong>superou uma condi\u00e7\u00e3o grave sem sequelas neurol\u00f3gicas<\/strong>.<\/p>\n<p>De acordo com a equipa de enfermagem, <strong>Norberto<\/strong> \u00e9 uma pessoa de muito bom car\u00e1ter, muito calma e com muito humor que <strong>n\u00e3o acreditava que acordava e estava sem roupa<\/strong>. Para ele, era <strong>muito urgente ter o pijama<\/strong> , por isso ficou muito contente por, atrav\u00e9s <strong>dos pictogramas, permitirem compreender a sua necessidade<\/strong>, o que n\u00e3o \u00e9 o mais comum quando um paciente acorda da sementeira.<\/p>\n<p><em>&#8220;\u00c9 muito gratificante a rela\u00e7\u00e3o que se gera com os nossos pacientes, n\u00f3s, quando est\u00e3o em seda\u00e7\u00e3o, adormecidas e num ventilador, cuidamos deles com todos os protocolos que cada patologia requer, mas tamb\u00e9m os mimamos muito. Sabemos que o contacto nesses momentos \u00e9 muito importante e l\u00e1 na caixa somos a \u00fanica coisa que eles t\u00eam. Ent\u00e3o, quando pouco a pouco recuperam o seu estado de consci\u00eancia, as vozes est\u00e3o a reconhecer-nos e atrav\u00e9s dos seus olhos o processo de comunica\u00e7\u00e3o come\u00e7a. Estes elementos s\u00e3o \u00fateis para n\u00f3s e para o paciente porque nos permitem saber o que lhe acontece e o que ele quer. Para n\u00f3s, o menor detalhe \u00e9 muito importante&#8221;,<\/em> conta-nos <strong>Elina<\/strong>, <strong>Supervisora de Enfermer\u00eda de Intensiva Terapia<\/strong>.<\/p>\n<p>O <strong>conselho de comunica\u00e7\u00e3o<\/strong> utilizado por Norberto foi <strong> preparado<\/strong> por <strong>Guillermina Ramos<\/strong>, Professora de Educa\u00e7\u00e3o Especial e seus alunos do 3\u00ba ano da carreira de <strong>Professor Especial<\/strong> da     <strong><a href=\"https:\/\/isfd167-bue.infd.edu.ar\/sitio\/\" target=\"_blank\" rel=\"noopener\">Instituto 167<\/a> de Tres Arroyos<\/strong> e se encaixa dentro de um <a href=\"https:\/\/aulaabierta.arasaac.org\/pt-pt\/archivos\/Items de portfolio\/placas-de-comunicacao-com-pictogramas-para-terapia-intensiva-hospital-de-tres-arroyos-buenos-aires-argentina\" target=\"_blank\" rel=\"noopener\"><strong>projeto de cria\u00e7\u00e3o de quadros de comunica\u00e7\u00e3o<\/strong><\/a> com pictogramas de <strong><a href=\"http:\/\/www.arasaac.org\/\" target=\"_blank\" rel=\"noopener\">ARASAAC<\/a><\/strong> para a <strong>UCI do Hospital de Tres Arroyos<\/strong>, em colabora\u00e7\u00e3o com a <strong>\u00c1rea de Defici\u00eancia do Minist\u00e9rio da Preven\u00e7\u00e3o e Sa\u00fade<\/strong> e os <strong>m\u00e9dicos Sebasti\u00e1n Otero<\/strong> e <strong>Elina Berrutti<\/strong> (Coordenador e Supervisor da UCI, respectivamente).    <\/p>\n<p>Da <a href=\"https:\/\/arasaac.org\/\" target=\"_blank\" rel=\"noopener\"><strong>ARASAAC, queremos<\/strong><\/a> mostrar a nossa maior alegria pela recupera\u00e7\u00e3o total do Norberto, a quem enviamos um abra\u00e7o muito forte, e transmitimos a nossa gratid\u00e3o e solidariedade a todas as pessoas e institui\u00e7\u00f5es que dedicam o seu trabalho para melhorar a nossa sa\u00fade e salvar as nossas vidas diariamente. <strong>OBRIGADO!!!<\/strong><\/p>\n<\/div><\/section><\/p><\/div>\n<div class='flex_column av-4cakrab-e2767919edeb6b8becb2711d29f067a7 av_one_third  avia-builder-el-7  el_after_av_two_third  el_before_av_masonry_gallery  avia-builder-el-last  flex_column_div column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kznrxkea-aad623089f2d0feb6e32f62dce7c94a8\">\n#top .av-special-heading.av-kznrxkea-aad623089f2d0feb6e32f62dce7c94a8{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kznrxkea-aad623089f2d0feb6e32f62dce7c94a8 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kznrxkea-aad623089f2d0feb6e32f62dce7c94a8 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kznrxkea-aad623089f2d0feb6e32f62dce7c94a8 av-special-heading-h3  avia-builder-el-8  el_before_av_image  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Baixar placas de comunica\u00e7\u00e3o<\/h3><div class=\"special-heading-border\"><div 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src=\"https:\/\/aulaabierta.arasaac.org\/wp-content\/uploads\/2017\/01\/pdf_download.png\" alt='' title='pdf_download'  height=\"128\" width=\"128\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/aulaabierta.arasaac.org\/wp-content\/uploads\/2017\/01\/pdf_download.png 128w, https:\/\/aulaabierta.arasaac.org\/wp-content\/uploads\/2017\/01\/pdf_download-80x80.png 80w, https:\/\/aulaabierta.arasaac.org\/wp-content\/uploads\/2017\/01\/pdf_download-36x36.png 36w, https:\/\/aulaabierta.arasaac.org\/wp-content\/uploads\/2017\/01\/pdf_download-120x120.png 120w\" sizes=\"(max-width: 128px) 100vw, 128px\" \/><\/a><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3vc50qr-dc40e391ce3940d4de9dafce99cdbd53\">\n#top .av-special-heading.av-3vc50qr-dc40e391ce3940d4de9dafce99cdbd53{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-3vc50qr-dc40e391ce3940d4de9dafce99cdbd53 .av-special-heading-tag 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>Localiza\u00e7\u00e3o<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-2h0j98j-483f35960fbec3d01ae6459e18865fbb'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><div class=\"leaflet-map WPLeafletMap\" style=\"height:250px; width:100%;\"><\/div><script>\nwindow.WPLeafletMapPlugin = window.WPLeafletMapPlugin || [];\nwindow.WPLeafletMapPlugin.push(function WPLeafletMapShortcode() {\/*<script>*\/\nvar baseUrl = atob('aHR0cHM6Ly97c30udGlsZS5vcGVuc3RyZWV0bWFwLm9yZy97en0ve3h9L3t5fS5wbmc=');\nvar base = (!baseUrl && window.MQ) ?\n    window.MQ.mapLayer() : L.tileLayer(baseUrl,\n        L.Util.extend({}, {\n            detectRetina: 0,\n        },\n        {\"subdomains\":\"abc\",\"noWrap\":false,\"maxZoom\":20}        )\n    );\n    var options = L.Util.extend({}, {\n        layers: [base],\n        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