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Dra.
Elaine Sonato Martins Caiado is psychologist of the development,
psicopedagoga and neuropsicóloga. Takes part of the team of
Precocious Stimulation of the Naval Polyclinic Nossa Senhora
da Glória (of the Navy of Brazil). Also is psychologist
of the CEAPSI - RJ (Center of Studies, Research and Application
of Psychology to the Health, the Education and the Work),
where it acts in the areas of health and education.
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Treatment for Precocious
Stimulation
April, 26/2001
The precocious attendance is that one
destined to the risk babies Babies of risk are the ones that had
passed for some intercorrência in the gestacional period (congenital
infections, arterial hipertensão materna, congenital malformations
etc.), childbirth and periparto (acute fetal suffering, toxemia
gravídica, work of childbirth fast or drawn out etc.) or
after the birth (metabolic riots, cardiopathies, respiratory discomfort,
convulsions etc.). These intercorrências are potentially capable
to injure structures of the nervous system and to unchain alterations
in the course of the global development of the baby.
The evaluation of the development,
the treatment for precocious stimulation, when necessary, and orientações
to the family how much to the cares with the baby they are taken
the effect for a team to multidiscipline constituted of: neuropediatra;
psychologist of the development; fonoaudiólogo; physiotherapist;
occupational therapeutic e.
Inside of the precocious attendance
one has two moments: of accompaniment and of treatment. The accompaniment
means to evaluate the baby periodically, in terms of its development,
exactly that it does not come presenting no clinical expression
of the injury that supposedly can have suffered. Sabe, therefore,
that, in many cases, only a certain period of development of the
baby is after transcorrido who the clinical alterations if become
visible. In such circumstances, therefore, it would be only when
the way demanded the use of some function commanded for the injured
area that if could perceive if it would be anormalizada or modified.
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Dra. Elaine Caiado giving attendance
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Then, he is exactly to prevent a delayed
constatação already of the problem that the accompaniment
if makes necessary For this, also she is necessary that the therapist
who takes care of these babies of risk knows all enough well the
pointers whom they characterize, in each stage, the normal development,
mainly in qualitative terms. To exemplificar, a relative situation
to the cognitivo development, that corresponds to our area of ability
as psychologist of the development, and as displayed can be used
to follow.
Sabe that approximately to the 9 months
the child presents a behavior of withdrawal of an obstacle to conquer
the toy of its interest. With this, it indicates that the permanence
of the object is if constituting, what represents a significant
behavior in the cognitivo development. This conquest must it the
fact of the child be had been capable, in the previous phase, to
explore the displacements of objects (apanhando them, balancing
them, playing them, hiding them, reencontrando-
the etc. e, in this way, to co-ordinate
the visual permanence and the tactile permanence that if presented
disentailed until then.
However, if to 4 months, this child,
although to possess condition tonic-motor satisfactory, still is
far to conquer coordination óculo-manual (hold + vision),
that she would allow it to catch the object that sees, can yourself
be predicted, with certain security, that it, to the 9 months, will
not be capable to carry through the active search of the object
hidden for a bulkhead. Ahead of this, if it will not have to wait,
until these 9 months, to confirm if such will happen, of fact.
It will be at this moment, then, that
if it will have to initiate the intervention properly said, or either,
the treatment for precocious stimulation. When carrying through
this treatment in a child is necessary to know the stage of the
development that it meets (starting point , where if wants to arrive
(objective to reach) and which the procedures necessary to arrive
themselves there. The point most important of the treatment is to
know as to make to pass of a moment of the development for the following
moment. E the way who in the sample is the theoretical study and
the experience.
It is considered that the treatment
for precocious stimulation is possible because the existence of
the phenomenon of the cerebral plasticity is estimated. This comes
to be, resumidamente, the possibility of neighboring neuronais systems
to an injured area to assume the responsibility of the relative
function to this area, by means of the stimulation process.
The psychologist of the development
in this work is responsible for the evaluation of the aspects cognitivo
and affective-emotional, as well as for the treatment of these areas,
when diagnosised delay in relation to the development normally waited.
On the author
Dra.
Elaine Sonato Martins Caiado is psychologist of the development,
psicopedagoga and neuropsicóloga. Takes part of the team of Precocious
Stimulation of the Naval Polyclinic Nossa Senhora da Glória
(of the Navy of Brazil). Also is psychologist of the CEAPSI - RJ
(Center of Studies, Research and Application of Psychology to the
Health, the Education and the Work), where it acts in the areas
of health and education.
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