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[Procedures to improve daily activities performance in individuals with cerebral anoxia: case report]
P A Gouveia1, S M Brucki, S A Bolognani
1Departamento de Psicobiologia, Centro Paulista de Neuropsicologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, Brazil.
Objective:
To present a rehabilitation case study; procedures to improve the performance on daily activities were used by the caregiver.
Patient:
Cerebral anoxia due to cardiac arrest. He presented memory deficits for both visual and verbal material, temporal disorientation, abulia, psychomotor slowing and bradypsychism.
Methods:
daily activities were developed in fixed hours; calendar was presented 3 times a day; daily walks were performed; self-care activities were performed by the patient with short verbal commands and cues from the caregiver.
Results:
We observed improvement on initiative and autonomy for daily activities, attention, temporal orientation and bradypsychism. There was also reduction on response time.
Conclusions:
Behavioral control strategies result on improvement for patients and their family although limit their routine. Behavioral control strategy promotes learning through the preserved implicit memory mechanism and results on enhancement at patient's autonomy at home.