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Andrich R, Gower V, Milo A,
Albert, age 23: autonomy in writing and communicating
Portale SIVA Fondazione Don Gnocchi - Banca Dati dei Casi di Studio
Alberto is a young man with a complex clinical situation. During the rehabilitation program at our center we worked at meeting his main needs related to mobility, writing, communication and environmental control. In the course of the prgram, thanks to the assistive products available in our Assistive Technology Unit (which were properly configured according to his motor and cognitive impairments), Alberto gradually developed the skills needed to effectively use them. In the meanwhile his life situation changed due to external circumstances. He had the possibility to start attending a Day Centre (sheltered workshop) and thus spend the majority of his time away from home. At the end of the occupational therapy programme we suggested a list of assistive products, which the family agreed to but and place in the Day Centre. After a while we visited the Day Centre and had the opportunity to check the equipment and fix a number of mistakes that had been done in the installation stage. We could also discuss with the family and the Centre staff how to best exploit the potential of the assistive technology provided to Alberto. In the final assessment all the actors involved (Alberto, family, educators) expressed satisfaction with the work done and the choices made.
Year of publication: 2015
Type of document: Case studies/experiences
Last update: March 2016
Cernigoi G
Gaia, age 72, motor disability: improving independence at home
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Gaia's severe impairment of both vital and motor functions, the cognitive ones excluded, was caused by an acute cerebral vascular accident. This experience deals with the patient's home reintegration and home care, aimed to assure her a good quality of life within her family. It is extremely important searching for a solution together with Gaia's family, that will take care of her in the daily life. Besides, a solution must be found out shortly because of the forthcoming discharge of the patient. The global evaluation of the domestic environment, the provision of the early assistive devices and Gaia's family training are only the first step in her life reorganization process, that will be extended, checked and improved according to the future needs.
Year of publication: 2005
Type of document: Case studies/experiences
Last update: February 2005
Festi C
Roberta, 43 years old. Autonomy in daily life for a person with Multiple Sclerosis
Portale SIVA Fondazione Don Carlo Gnocchi
Roberta is a young woman suffering from multiple sclerosis, characterized by hypertension, with tetraparesis, dysarthria and dysphagia. Roberta can’t express herself well and family members considered the proposal for a possible program aimed at improving communication: we have thus undertaken in collaboration with the Regional Centre for Assistive for AT a project aimed at evaluating a system of alternative communication. In parallel, the area of intervention has gradually expanded to include mobility and posture, in order to find solutions designed to lighten the load of assistive care and to improve comfort. Roberta is currently dependent in all activities of daily life and is no longer able to cooperate during transfers, thus totally charging her husband and the personal assistant. The seating system is no longer appropriate and Roberta prefers to remain lying on the sofa for most of the day: in this regard we have proposed a wheelchair with postural system in order to allow her to stay seated for several hours. The aim of this paper is to illustrate the path taken with Roberta to enhance her social participation and, if possible, prevent the risk of isolation. Through the integration of different skills and the service network, we would like to propose a global approach, not only oriented to the provision of services, but to the maximum autonomy as possible.
Year of publication: 2008
Type of document: Case studies/experiences
Last update: May 2013
Pigini L, Liverani G
Bruno, 52 years old. Adaptation of the workplace for an English teacher, with myelopathy
Portale SIVA Fondazione Don Carlo Gnocchi
Bruno is a man aged 52 suffering from myelopathy with a disability recognized by 100%. Bruno uses a manual wheelchair, and is Professor of English, working at a major international language institute, but now gives English lessons at home, as the disease forces him to stay home for a long time. The type of task he has to carry out in itself is not characterized by a high level of risk but the case highlights some typical aspects of the home adaptation when having a disability. In this short presentation risks and inadequacies for home accessibility are highlighted, as well as the suitable design solution making the workplace more secure and protected.
Year of publication: 2009
Type of document: Case studies/experiences
Last update: May 2013
Pigini L, Liverani G
Clara, 25 years old. Adaptation of the workplace for a person employed in bank, with hypotonia of the lower limbs
Portale SIVA Fondazione Don Carlo Gnocchi
Clara is a girl of 25 years suffering from a severe hypotonia of the lower limbs with a recognized disability of 100%. She always needs support for personal mobility and is and unable to move on her own except for short routes. Thanks to the Local Employment Service, she started working at a major Italian bank, as help-desk. In this short presentation potential risks arising from the performance of this particular work are highlighted, as well as the suitable design solution making the workplace more secure and protected.
Year of publication: 2009
Type of document: Case studies/experiences
Last update: May 2013
Pigini L, Liverani G
Nadia, 37 years old. Home adaptation for a person with paraplegia
Portale SIVA Fondazione Don Carlo Gnocchi
Nadia is a woman aged 37 who, after a car accident occurred in 2002, remained paraplegic. The disability has been recognized by 100%. As Nadia can no longer teach physical education, she works part time as a clerk and lives in a rented flat she adapted for herself. Although Nadia has already introduced many devices to carry on housework independently, inadequacies and potential risks linked to her home accessibility are highlighted, as well as the suitable design solution making the house more secure and protected also as a workplace.
Year of publication: 2009
Type of document: Case studies/experiences
Last update: May 2013
Pigini L, Liverani G
Stefano, 46 years old. Workplace adaptation for an employee with muscular dystrophy
Portale SIVA Fondazione Don Carlo Gnocchi
Stefano is a man aged 46 suffering from a particular form of muscular dystrophy, for which he was granted an accompanying disability by 100%. At present his major problems are the control of legs, balance and reduced muscle strength. Stefano works for a social cooperative that operates in the field of services for people with disabilities. In this short presentation inadequacies and potential risks arising from the performance of this particular work are highlighted, as well as the suitable design solution making the workplace more secure and protected.
Year of publication: 2009
Type of document: Case studies/experiences
Last update: May 2013
Porcella B
Gabriele, age 56, motor disability: improving independence in communication by means of eye-gaze
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Gabriele: a clear and subtle mind trapped in a body that doesn't respond to commands. An ictus relegated him to the immobility and to a persistent silence from which he would like to escape, satisfying his fundamental needs: communication, interaction with the world, expression of feelings and thoughts. Gabriele can only communicate through his eyelids: looking up means yes, half-opening the eyes means no. With a 21 yellow and green letters table, he becomes a marksman of the alphabet. Yet his disease has been finally defeated by the patient's will and motivation and by the intelligence of the carers who believed in new technologies. This experience presents the experimentation results of a new eye-blink driven sensor for PC.
Year of publication: 2005
Type of document: Case studies/experiences
Last update: February 2005
Rescigno L
Elena, 15 years old. Autonomy in daily life for a person with an outcome of severe head injury
Portale SIVA Fondazione Don Carlo Gnocchi
This paper presents the story of a 15 years old girl that one day, apparently similar to another, going out of school has a car accident. The awakening after the four long, agonizing days in a coma reassures her family, but for Elena is just the beginning of a long journey full of changes and of situations in which it is hard to accept a reality and a body that she does not recognize as hers. The paper describes the progressive return of Elena to a life still to be lived and felt though the circumstances have changed. In particular, we focused on the solutions chosen for mobility (wheelchair with the seating system), for the return home (removal of architectural barriers at home), for personal autonomy and communication (alphabetical communicator and later communication software).
Year of publication: 2009
Type of document: Case studies/experiences
Last update: May 2013
Ciot C
Quando si può fare di più che parlare con gli occhi: a piccoli passi verso l’autonomia. Il caso di Pietro
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
(text automatically translated from Italian) Pietro has six years and means and a diagnosis of dystonic and ***anartria tetraparesis, a functionality reduced to the upper limbs and succeed to articulating only some words, tu demonstrate good ability to understanding. The who drew up present reconstructs the route towards the which paced independence ***dal the child, with to its relatives and the operating ones of the rehabilitation center that has it in load. A experience marked initially ***dalla the fatigue to separate ***dalla the mother who expressed with refusing every not familiar person and environment. Then, slowly, the emotional instability has been reduced, Pietro has begun to perceive itself like able making, has known the gratification that derives some, its interests is widens to you. From it has taken to start the finalized project here to define modality and to characterize assistive devices that allowed Pietro to interact with the surrounding environment and to participate actively to the didactic activity. Once verified that, also compromise, the skillful upper limb was the more functional body segment, to Pietro it has been prescribed ortheses in order to maintain to the alignment of the wrist and the finger index. In this way it, than already was in a position to managing a device to automatic scansion, can use a communicator with output in adjustable voice by means of the direct selection of the keys. Moreover for the realization of didactic unit personalized has been characterized multimedia “an open” software. At last it has been proposed a postural wheelchair that, between the other things, will allow it to carry with himself the communicator let alone to carry out the activity to the computer avoiding wearying movements ***dal the pram to the chair as it happened previously.
Year of publication: 2004
Type of document: Thesis
Last update: December 2004
Dalla Mora R.
Matteo and his home
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi, a.a. 2010-2011
Year of publication: 2011
Type of document: Thesis
Last update: December 2011
De Luca D
Solo et pensoso i più deserti campi vo mesurando a passi tardi et lenti: il caso di Roberta
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
(text automatically translated from Italian) Roberta is 38 years old and from seven he cohabits with the outcomes of one ***meningoencefalomielite. One moves slowly and all that that carries out them turns out hard. It lives in a insufficient accessible house, ***dalla quale which it exits least because it is placed to the third plan and without elevator. In the course of the years its clinical conditions are gotten worse and have brought to light some problems in many of the activities that it carries out: it is get tiredded fastly in the way, in making the stairs, washing themselves and the execution of many of the house matters. It has had to diminish its activities of the free time and would want to find of the solutions for being able to go to make the expense or in order more independently to turn for the city and the historical center, it would want to better know the assistive devices that could serve them, would want to find of the solutions in order to wash itself in the bathtub with little expenditure than energies, in order to more comfortably use the stoves, the sink and the washbasin. A manual wheelchair gets, tu does not succeed to use it in the apartment because the premises too much are torqued, has achieved the special patent and gets an automobile with adaptations for the guide who does not succeed to take advantage of to full load ***dal the moment that does not know the roads well. Leaving ***dall' the analysis of the demands from she formulated and considering the assistive devices of which already it arranges, cover the stages in order to reach to find of the solutions to its domestic problems, of mobility and knowledge. The objective of the project is multiple and consists in supplying one greater independence to Roberta, giving one answer to its demands, optimizing its residual abilities and supplying new resources.
Year of publication: 2004
Type of document: Thesis
Last update: December 2004
Di Benedetto MR
Le sue mille possibilità nonostante tutto: il caso di Francesco
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
(text automatically translated from Italian) Francesco is a boy of sixteen years with outcomes of Infantile Cerebral Paralysis and remarkable visual problems, situation that has influenced in decisive way in the development of its cognitive abilities. He is equipped with remarkable wants of living and to get in contact with with the others. Continuation ***dalla writing in ***fisioterapico treatment ***dall' the age of three years has caught up one currently discreet ***deambulatoria independence. In this period it is inserted in one before advanced and it attends a socio-educational center. The project exposed in the thesis, aiming to the conquest of a greater independence, previews the use of assistive devices actions to ***rendergli the more satisfactory life in three fields: 1) external mobility through the location of a manageable wheelchair for he and the relatives or the operating ones who turn around to he. It has been chosen the wheelchair to rear driven. 2) Independence in the treatment of the own linked person in particular at the moment of the bath: the seat for bathtub is proposed. 3) computer based Accessibilities and possibility of writing through the location of opportune adaptations for computer and specific programs. They have been chosen: expanded special keyboard, emulator of keyboard, software for decode information video, software for magnified visualization, software for learning of the mathematical one, software for learning of the monetary value, software for the exercise of ***abilita' perceptive, software in order to design, software for processing of texts. Completed a detailed analysis of the numerous offered proposals, having every remarkable advantages in a sense or the other, have been operated one chosen ***oculata also in sight of the economic implication. As far as the first point, the wheelchair already has been granted. On more soon the procedure will set off because the other chosen assistive devices and proposals for the others can be supplied also two points.
Year of publication: 2004
Type of document: Thesis
Last update: December 2004
Fileni G.
Re-discovering quality of life: Salvatore
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi, a.a. 2010-2011
Year of publication: 2011
Type of document: Thesis
Last update: December 2011
Galeazzi A
The choice of assistive devices integrates with rehabilitation: Ludovico
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi, a.a. 2010-2011
Year of publication: 2012
Type of document: Thesis
Last update: March 2012
Lategana M.
The strength to start again: Davide
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi, a.a. 2010-2011
Year of publication: 2011
Type of document: Thesis
Last update: December 2011
Martini De Lima C
Proposals for mobility of people suffering from myelomeningocele
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2011-2012
Myelomeningocele is the most common disorder of the neural tube, and is a very complex disease. This paper provides some guidelines to choose the right orthesis to enhance independence.
Year of publication: 2012
Type of document: Thesis
Last update: December 2012
Sangiani L
Progetto per un Centro Informazione Ausili nell’AULSS 12 Veneziana, Distretto 1 Centro Storico
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
(text automatically translated from Italian) The project to institute a Center Information Assistive devices in the Historical Center of Venice is born ***dall' the analysis of the particularitity of its territory, that it opposes to the inhabitants with disability additional barriers, regarding those of whichever city of mainland. The more frequent problems for the persons with reduced motor and/or sensory abilities are the mobility, accessibility to the room and the services and the independence in the activities of the daily life. In the territory the only informative service existing is the ***Informahandicap shop of the Common one that he pursues the objective to favor integration of the persons persons with disability through the information, the guideline and the assessment for the best one I use of the services publics and private-social the presents in the Common one of Venice, with particular attention to the overcoming of the architectural barriers. The Center Information Assistive devices would relatively enrich such activity to the assessment on the technical and computer based assistive devices, in tune with foretold integration of the social services and of those sanitary ones.
Year of publication: 2004
Type of document: Thesis
Last update: December 2004
Info updated 26/05/2020 | Fondazione Don Carlo Gnocchi Onlus - P.IVA 12520870150 | E-mail: portale@siva.it