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Andrich R, Gower V, Milo A,
Albert, age 23: autonomy in writing and communicating
Editorial data: Portale SIVA Fondazione Don Gnocchi - Banca Dati dei Casi di Studio
Abstract: 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
Bozzolini G
Marina, 50 years old. Autonomy in daily life for a paraplegic person
Editorial data: Portale SIVA FondazioneDon Carlo Gnocchi
Abstract: The author, in this experience, was responsible for the restoration of the apartment of Marina, a 41 years old paraplegic woman, who expressed a strong need to live independently in her home. Thus, after evaluation of her needs and expectations, the housing complex was analyzed to reorganized. The program was focused on four main types of regulatory intervention, using the support provided by law: 1) indoor design 2) home appliances 3) accessible furniture and 4) aids for personal autonomy. Although the literature did not provide univocal references for the renovation of living spaces, the result was very positive in terms of both structural objectives achieved and satisfaction and autonomy on the part of Marina.
Year of publication: 2008
Type of document: Case studies/experiences
Last update: July 2011
Cacciatori B
Andrea, 45 years old. Autonomy in daily life for a person with Multiple Sclerosis
Editorial data: Portale SIVA FondazioneDon Carlo Gnocchi
Abstract: Andrea is a man aged 47, who in 1991 was diagnosed with multiple sclerosis; in 1998 there was a worsening of clinical conditions that forced him to walk with the aid of Canadians crutches. He had to leave work (receiving pension for incapacity for work) and in 2005 he moved into an apartment with no architectural barriers. This project aims to highlight the path followed by both Andrea and the various actors involved to allow him to have an independent life at home, despite the progression of the disease. The hardest thing was, and still is, accompanying Andrea during the deterioration of functional capacity, trying to propose and implement strategies (aids and services) to enable him to have his own autonomy while maintaining a good quality of life.
Year of publication: 2008
Type of document: Case studies/experiences
Last update: May 2013
Castellano G
Alessio, 33 years old. Autonomy in daily life for a person with spastic quadriplegia.
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: Alessio is a young man aged 33 with severe spastic quadriplegia, expressive aphasia, nystagmus, as results of a perinatal damage. This study aims to document the path of Alessio and of team of professionals who followed him: this experience involved Alessio’s parents, his caregiver and the whole team of the Centre. Considering the severity of the clinical situation, a multiprofessional approach was needed, in order to improve Alessio situation and to make him more independent, in particular as far as communication was concerned. Alessio has maintained a good level of symbolic cognitive ability, slightly below the norm: although he can’t use verbal language, he has a high understanding and an overall good cognitive functioning. Thanks to his character, his availability and his will, he was able to self determine not only the choice of technological solutions, but his future in general.
Year of publication: 2006
Type of document: Case studies/experiences
Last update: July 2011
Ciot C
Pietro, age 7, motor disability: improving independence in communication
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: Pietro is 6 years old and he is affected by dystonic quadriplegia and impaired upper limb functionality; he can articulate just a few words, but shows a good level of comprehension. This paper describes the way towards autonomy that the child, his family and the caregivers experienced together. At the beginning, parting from the mother was a great effort for the children, who expressed his discomfort rejecting unknown people and environments. Later, the emotional instability gradually decreased; Pietro became conscious of his abilities, he found fulfilment in them and his interests increased. Therefore it was possible to start a project aiming to the evaluation of assistive devices allowing Pietro to interact with the environment and actively take part in educational activities. An orthosis, keeping the thumb and the wrist aligned, was prescribed for the less impaired arm. In this way Pietro, who was already able to use a device with automatic scansion, could use a communication aid whose vocal output was activated by the pressure of a button. Besides, a multimedia "open" software for the creation of customized educational unities was chosen. Finally, Pietro was given a postural wheelchair allowing the carriage of the communicator and the use of the computer without tiring transfers from the push-chair to the wheelchair.
Year of publication: 2005
Type of document: Case studies/experiences
Last update: February 2005
Colantoni M F
Bruna, 60 years old. Autonomy in daily life for a person with mental retardation
Editorial data: Portale SIVA FondazioneDon Carlo Gnocchi
Abstract: It was 1959 when Bruna, at that time only 10 years old, the eldest daughter of a family of humble origins, was admitted to a charity with a diagnosis of "severe oligophrenia." Bruna spent 30 years at the Institute. At the age of 55 a Herpes zoster appeared, which tended to become chronic and evolved in algoneurodistrofia of the left lower limb. The continuous and unbearable pain forced her in a short time on a wheelchair and to continuous hospital treatments and rehabilitation programs. This papers explains the reorganization plan of care to ensure a good quality of life for Bruna at the Institute. Research and implementation regarded both structural solutions (access ramps, bathroom adaptations, etc..) and aids provision(wheelchairs, orthopedic shoes).
Year of publication: 2008
Type of document: Case studies/experiences
Last update: July 2011
D'Amato C
Filomena, age 102, motor disability: improving independence at home
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: (text automatically translated from Italian) Filomena has exceeded the 102 years. After a working life (she has been collaborating domestic servant in a family of which he has known five generations) during which he does not have the accused never serious problems of health, widow and without sons, to the age 98 years old, he has left the house in which he had withdrawn itself from retired in order moving itself in in young of the family which had always worked. This work regards the put project of life to point for Filomena, from shared she, which considered in relation to expectable the progressive degradation of the motor functions in the biological process of ***senescenza and to manifesting themselves, in the time, also of cognitive deficits you. ***Sensibilizzata the family that had meant to have treatment of the old to the problems which meeting would have gone, has been necessary to adopt of the practical sagacities us on the ***sistemazione of the new habitat and to supply some essential assistive devices. The indicated assistive devices have been: the height-adjustable orthopedic bed to two hinges, the antidecubitus mattress to compressed air, the wheelchair to ***autospinta, then equipped with antidecubitus pillow, the chair to comfortable and, subsequently, the stool for the shower cabinet and the support in order to raise ***dal the bed
Year of publication: 2005
Type of document: Case studies/experiences
Last update: December 2005
De Luca D
Robertina, age 38, motor disability: improving independence in the neighbourhood
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: Roberta is 38 years old and she was affected by a meningoencephalomyelitis 7 years ago. She moves very slowly and she finds all her activities very tiring. She lives in a scarcely accessible flat on the third floor without lift, and she rarely goes out. In the years her conditions got worse: now she gets rapidly tired when she walks, climbs the stairs, washes heself and does the houseworks, so she has to reduce her free time activities. She would like to discover aids and solutions that help her going round the city and to the supermarket idependently, washing herself in the bathroom in an less tiring way and using the gas cooker and the sink. She has a manual wheelchair which she can't use in her small flat. She has a driving licence and a special car but she can't use it very much, because she doesn't know the roads. Analyzing her demands and considering the assistive devices she has got, a solution for her problems was found. The purpose of the project is to give Roberta a stronger autonomy, to exploit her residual abilities and to help her discovering new resources.
Year of publication: 2005
Type of document: Case studies/experiences
Last update: February 2005
De Marchi C
Ermanno, 61 years old. Autonomy in daily life for a person on hemodialysis
Editorial data: ESPERIENZE
Abstract: Ermanno has been on hemodialysis for about 25 years and has experienced two kidney transplants. Although in the last ten years the motor situation has worsened, he never lost his nerve and he used several strategies in order to improve his functions and make the environment more likely to have social interaction. By now, Ermanno has been using the manual wheelchair for three years. The adaptation of his house particularly enhanced the use of the bathroom. Outdoor spaces in the district have been partially modified to allow the passage of a wheelchair on the sidewalk after a request to the Local Authority. This project is aimed at further improving home accessibility and activities related to daily living (ADL). Moreover, in order to promote Ermanno’s need for autonomy when moving outside, we will proceed to the prescription of a power wheelchair. Currently, only part of this project has been realized, but the changes made so far have already led to an improvement of his quality of life and a lower burden of care.
Year of publication: 2009
Type of document: Case studies/experiences
Last update: July 2011
Dibenedetto M
Franco, age 16, motor disability: improving independence in mobility and communication
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: Francesco is 16 years old and he is affected by Cerebral Palsy with severe vision problems, that had a great influence on his cognitive growth. He is a very lively and sociable boy. He has reached a moderate autonomy in walking. He attends a high school (first year) and a social and educational center. The project's purpose is to provide greater autonomy to Francesco. After a detailed analysis of assistive aids available a wise choice was made, taking into account the economic aspect.
Year of publication: 2005
Type of document: Case studies/experiences
Last update: February 2005
Farina E
Fabrizio, age 31, motor disability: improving independence at home
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: (text automatically translated from Italian) Fabrizio is 31 years old, is paraplegic from four, is independent, works and to short tu will go alone to living… would want something more. It wishes in fact to put themselves to the test, to try again the taste of the competition of the physical exercise. This job introduces a experience of professional assessment supported from a relationship of esteem and mutual confidence, that progressive grip of conscience of new developed needs of personal independence around the proposed sport activities has then carried Fabrizio to one: the Monoski and the ***Handybike. To the aim to answer adequately to the demands that came to me placed it has been important to follow a methodological path that it has previewed, in succession, the examination of the residual activity, the analysis of the needs and the expectations, the location of the activities more ***consone, the definition of a path of performance of the project and I use of the assistive devices characterized, the verification at a distance of the activities and theirs fallen back on the quality of life by means of questionnaires which the ***Q.U.E.S.T and the P.I.A.D.S.
Year of publication: 2005
Type of document: Case studies/experiences
Last update: December 2005
Ghirardelli M
Gio, age 61, motor disability: improving independence at home
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: Several problems concerning motion and coordination were left by a pair of surgical interventions. The use of special assistive aids allowed a gradual but steady recovery of several domestic and social activities.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: May 2003
Groppo G
Gabri, age 20, motor disability: improving independence at home and in the neighbourhood
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: The assistive aid as a means for overcoming the limits imposed by the pathology and for improving knowledge of one's own body in order to reach greater independence.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: May 2003
Guerri M
Francesca, age 12, motor disability: improving independence at home and school integration
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: Importance of an aid evaluation in order to facilitate the assistance and to allow a correct positioning during the daily activities.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: May 2003
Lazzarich C
Emanuele, 10 years old. Autonomy in daily life for a person with Duchenne Muscular Dystrophy
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: Emanuele is a child, aged 10, suffering from progressive muscular dystrophy type Duchenne. He lives with his mother, a physiotherapist, that until now has coordinated on her own all professional interventions (physicians, pediatric neurology, pulmonologist, cardiologist, orthopedic technicians, etc..), as a response to the needs of her son. Now Emanuele’s mother is no more able to manage the situation by herself, as it has turned more difficult. We intervened in order to try to support her, focusing on five major issues concerning the autonomy of her son: the power wheelchair, the renovation of the bathroom, the accessibility of the home garden, the environment control and accessibility to personal computer. For each topic a specific project was formulated, each identifying needs, objectives and expected results.
Year of publication: 2006
Type of document: Case studies/experiences
Last update: May 2016
Marrocco F
Laura, age 23, motor disability: improving independence in mobility
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: (text automatically translated from Italian) Laura is a girl 22 years old, in 1992 them has been diagnosed the Ataxia of ***Friedreich. The progressive worsening of the symptoms has caused in 1996 the loss total of the deambulation and the necessity to use one wheelchair. In October 2004 it has begun the treatment in Occupational Therapy with the scope to estimate of the independence degree, tu given to the visible postural necessities the primary objective has become the substitution of the wheelchair and the location of an adapted system of posture. ***Dalle the motor assesments and ***dalle the functional assesments are emerged problematic postural that regard the trunk, the pelvis and the limbs are inferiors that advanced. The choice of a wheelchair and a postural system is assumed therefore that can resolve or compensate these problematic ones, that they are easily manageable from Laura and you give to its assistants and that they answer to the ergonomic principles. Once reaped all the necessary information the moment has been introduced to choose the more suitable assistive device. Beyond the personal knowledge and the obtained slight knowledge from several searches, in order to render possible most satisfactory and responsible the choice, the collaboration has been asked for SIVA (Service of Information and Assesment Assistive devices) of the Don Carlo Gnocchi Foundation of Milan. After a series of assessments and it encounters characterized from various tests, modifications and new evidences, one is arrives you to a solution and the indicated assistive device has been demanded through the direct supply of National the Sanitary Service. After the supply of the assistive devices it is proceeded to the training to the use and the management of the system by Laura and its Assistants. The obtained result have been demonstrated more than satisfactory tu the job cannot be considered concluded. It will be necessary to continue the training work in order to find always new such strategies from being able to use and to manage in optimal way the system. Control assesments are previewed that they verify in the time the effectiveness of the system in terms of functionality and independence. It is also important to verify that ***vanga carried out a careful maintenance in such way that the assistive device can always answer to requirement of emergency, effectiveness and stability and is fundamental to verify that, in the time, the expectations of Laura and its assistants regarding the entrusted system remain satisfactory.
Year of publication: 2006
Type of document: Case studies/experiences
Last update: September 2006
Pigini L, Liverani G
Bruno, 52 years old. Adaptation of the workplace for an English teacher, with myelopathy
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi
Abstract: 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
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi
Abstract: 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
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi
Abstract: 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
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi
Abstract: 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
Proverbio L
Lando, age 35, motor disability: improving independence at home
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: Despite a progressive and severely disabling disease it was possible, through the choice of special aids and the training of the family and the caregivers, to avoid hospitalization and assure an adequate home reintegration.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: June 2003
Rescigno L
Elena, 15 years old. Autonomy in daily life for a person with an outcome of severe head injury
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi
Abstract: 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
Robol E
Paoletto, 14 years old. Autonomy in daily life for a person with Menkes disease
Editorial data: Portale SIVA FondazioneDon Carlo Gnocchi
Abstract: Paoletto today is 14 years old and from his birth is affected by Menkes disease, a rare genetic disease and rapidly progressive. The genetic alteration results in a lack of intestinal absorption and intracellular transport of copper (coenzyme essential to man, especially during the growth and neuromotor development) that leads to a serious damage at neurological, visceral and musculoskeletal levels. Our rehabilitation services started during his first month of life, adopting an integrated approach (neuromotor and speech therapy). The areas of intervention have focused on internal and external mobility (including access to the garden), accessibility to transportation, personal care, posture, e-accessibility and writing, interpersonal communication, integrations of AT within the educational pathways.
Year of publication: 2008
Type of document: Case studies/experiences
Last update: July 2011
Sponza R
Matteo, age 55, motor disability: improving independence at home
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: (text automatically translated from Italian) Matteo is married, has a son 15 years old, is sport, loves the mountain, the long walks and the climbs. In the 2000 it comes to it diagnosed the Amyothrophic lateral sclerosis. ***Sin dal our first Matteo meeting has expressed the necessity of wanting to participate in first person on every thing that the cares, it wants to know all in the particular minimums also on the choice of the assistive devices. With Matteo and its family much sincere open has been established endured a dialog and, and of full collaboration. The first assistive devices of which Matteo it has had need have been sticks and springs of ***Codivilla; in according to time they have joined of the minimal modifications acclimatizes them (shackles to the walls of the bath, slide for the access to ***terrazzo) and the supply of one chair bathtub and a rise ***wc. With passing of the months, the motor deficits of Matteo are such to force it in wheelchair, and for the outputs it also comes supplied a stairclimber to crawler tracks. In 2004 Matteo by now passes great part of the day to bed: it comes before supplied therefore a bed electrical worker with a mattress in fiber silicon quarry and then to air, an hoist for the transfers and one personalized wheelchair, and on its explicit demand one comfortable chair. In January 2005, Matteo dies to house its assisted ***dalla the wife and ***dal the ***com'era son its will, having he refused the ***terapuetico fury and the hospital admission in hospital.
Year of publication: 2005
Type of document: Case studies/experiences
Last update: May 2016
Tovo B
Roberta, age 61, motor disability: improving mobility and seating
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: Despite the severe motor problems of the patient, the use of suitable assistive devices allowed a good level of autonomy and pressure sore prevention. A less demanding level of assistance was also possible.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: July 2003
Vannini R
Nicoletta, age 20, motor disability: improving independence at home
Editorial data: Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Abstract: A car accident caused a tetraplegia and required lower limbs amputation. A global rehabilitation program that allows home reintegration and a good level of autonomy in everyday life activities is required. The evaluation of suitable aids and prostheses is fundamental for home reintegration with a reasonably demanding level of assistance.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: July 2003
Cernigoi G
Si torna a casa: il caso di Gaia
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
Abstract: (text automatically translated from Italian) Gaia is a old woman, hit from an acute vascular event with serious impairment of not cognitive the vital and motor functions tu. In this thesis the organization will be dealt with of at domicile re-enters of Gaia and its finalized attendance to inside guarantee them one good quality of life of its family. ***E' be fundamental to search in every studied solution of the agreement points with the familiar ones that would have managed Gaia between them walls domestic servants. The structuring of the address, initially lacking in whichever assistive device, will have to be adapted to the requirements of Gaia and the familiar ones that will be taken care then of its attendance. Moreover every thing will have to be realized in limited times, given to the imminent passage ***dall' the hospital to the address without intermediate periods of hospital admission in other which protected structures. The supply of the first assistive devices and the training of the familiar ones that assist it to the use of the same ones, beyond to a total assesment of the environment, are alone the first passage of a life project that then will go widened, see again and corrected in relation to the necessities of the moment and the clinical passed one. Therefore the assistive devices thought indispensable for I re-enter at domicile will be the height-adjustable orthopedic bed to two hinges, the antidecubitus mattress to air, the exhaust fan and the pump for parenteral nutrition (supplied beginning right now ***dal the ***infermieristico service) and still the hoist electrical worker with fastening fixed to the wall. Moreover, in the times immediately succeeded you to I re-enter at domicile, will be necessary ***to procurare one postural wheelchair with adequate antidecubitus pillow.
Year of publication: 2004
Type of document: Thesis
Last update: December 2004
Ciot C
Quando si può fare di più che parlare con gli occhi: a piccoli passi verso l’autonomia. Il caso di Pietro
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
Abstract: (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
Editorial data: 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
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
Abstract: (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
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
Abstract: (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
Editorial data: 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
Editorial data: 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
Ghiraldelli M
L'Autonomia va Sempre Ricercata? Il caso di Gilberto
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 1999-2000
Abstract: (text automatically translated from Italian) ***Gilberto, 61 years, suffers from outcomes of twofold participation (1986-1993) of removal of ***cervico ependymoma dorsal ***C4 - ***D2. ***Dal 1995 I follow its motor recovery and during this period they have been made various proposals of assistive devices. The job is proposed to analyze to the proposals and the adopted solutions and, to the light of the new acquired knowledge in this course, to program participations that improve the independence of ***Gilberto.
Year of publication: 2000
Type of document: Thesis
Last update: May 2003
Groppo R
Autonomia come emancipazione: il caso di Gabriele
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 1998-1999
Abstract: (text automatically translated from Italian) The independence is an element of the life of the man who demands knowledge of himself, courage in applying it and determination in realizing it. The history of Gabriele is that one of a young person in wheelchair that has need to experience the own abilities, like man, student and future manager of the own life. The road passes through several is made: the own determination in the familiar environment, the acquisition of greater independence, the emancipation in the world that is around himself. In this project it has need of the supports adapts to you, as the manual wheelchair of agile use (and beautiful presence), the electronic wheelchair for the outputs outside and a functional system of posture. Dream in the slide valve: to go to the university without the aid of the family, being been involved the friends/connects of study.
Year of publication: 1999
Type of document: Thesis
Last update: May 2003
Guerri M
Eppur si cresce...: il caso di Francesca
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2000-2001
Abstract: (text automatically translated from Italian) The case described in the work regards a girl 12 years old with spastic tetraparesis and cognitive delay of medium degree, that it needs of attendance. The proposed project has like objective the identification of the problematic ones emerged in their ***evolutività and the attempt of answer that holds account of the solutions proposed and experienced in the past, adapted in the present and projected in the future. To such purpose it ambles it to you characterized regard the problematic ones of external accessibility to the room with the proposal of the installation of an elevator platform, the which bonded personal treatment in particular at the moment of the bath for whose solution has been believed I use it of an hoist for bathtub and for I use it of the WC to a chair from WC, the posture, or more better the choice of the more suitable position seated for this girl that is not in a position to maintaining it neither to change it independently, through I use it of a system of posture highly personalized (***siège), the external mobility through the location of one wheelchair that beyond receiving it arranges of chosen posture, is manageable for the familiar ones. The arguments list to you come dealt following the requirements of the interested subject and those of the relatives who carry out the daily attendance. The characterized solutions are partially manageable from a single individual
Year of publication: 2001
Type of document: Thesis
Last update: May 2003
Lategana M.
The strength to start again: Davide
Editorial data: 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
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2011-2012
Abstract: 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
Proverbio L
Le piaghe da decubito "vanno bene... dal loro punto di vista": il caso di Lando
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2000-2002
Abstract: (text automatically translated from Italian) Lando is a patient that suffers from diagnosed multiple sclerosis ***vent'anni ago. Of it I make the knowledge after an hospital admission during which an participation of intestinal resection has undergone. The work will tell the history of the relationship between the customer and the team of the Service of Attendance To domicile Integrated that it has followed it and that has formulated the project of treatment and the path of chosen of the assistive devices. The project has regarded ambles it you of the mobility, the posture and the personal treatment having like reference angle the prevention and the treatment of the decubituses, going meeting to the requirements of independence of Lando and lightening the load of job of the beloveds-givers.
Year of publication: 2002
Type of document: Thesis
Last update: May 2003
Riosa E
I'll make a new start: il caso di Dragan
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2011-2012
Abstract: This is the story of Dragan, a 27 year old boy, paraplegic due to a motorcycle accident. This paper illustrates his path to autonomy, both physical and psychological.
Year of publication: 2012
Type of document: Thesis
Last update: May 2013
Sangiani L
Progetto per un Centro Informazione Ausili nell’AULSS 12 Veneziana, Distretto 1 Centro Storico
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
Abstract: (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
Tovo B
Storia di "ordinaria" sclerosi multipla: il caso di Roberta
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 1999-2000
Abstract: (text automatically translated from Italian) The case study regards Roberta, 61 years, that it has introduced first disturbs motor and sensory to 31 years and that ***dall' the age 43 years old is moved exclusively in wheelchair. It has conserved a discreet one I use functional of the left upper limb. It has a lively and sensitive spirit and has faced its disability with courage and good sense. In the last years, also later on to a disease of the husband beyond that to just the motor aggravation, it has lost enthusiasm and it has given up little for time to the activities that involve fatigue for she and for who it assists it. The project is proposed to improve the station seated in wheelchair, to improve the transfers, to improve accessibility to the bath, to improve external accessibility. In order to reduce the load charitable and to use the energies saved for more rewarding activities
Year of publication: 2000
Type of document: Thesis
Last update: May 2013
Vannini R
Una nuova vita a vent’anni: va tutto bene!!! Il caso di Nicoletta
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2000-2002
Abstract: (text automatically translated from Italian) Nicoletta is 19 years old, from six months ago the ***assicuratrice, lives in family, she is fiancèe from three years and it has a life activates and flood of friends and interests. The 03/10/01, as a result of a street incident, becomes ***tetraplegica and later on the lower limbs come to them amputate both to you. He reaches in our center of rehabilitation after five months of resuscitation. The rehabilitative participation has like objectives the stabilization of the clinical conditions, the resumption of the position seated, the search of the greater possible independence and social integration through: 1) supply of a manual wheelchair with posture system and adaptations necessary in order to allow the ***autospinta; 2) ***tutorizzazione for the upper limbs in order to correct the retraction in bending of the elbows and the attitude in ***dorsiflessione of the wrists; 3) ***protesizzazione for the lower limbs; 4) search of strategies in order to allow the activities of the daily life (***a.d.l.); 5) search of strategies in order to allow the use of the computer and the writing; 6) adaptation of the room; 7) search of strategies for the control of the sphincters.
Year of publication: 2002
Type of document: Thesis
Last update: May 2003
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