A Colônia Santa Izabel e a história da hanseníase em Minas

O vídeo traz a reportagem sobre a Colônia Santa Izabel, inaugurada em 23 de abril de 1931 e instalada no município de Betim. A Colônia era o local onde se enclausuravam pessoas com a doença de lepra, hoje conhecida como hanseníase.

Hospital Colônia Dr. Arnaldo Pezzuti Cavalcanti: Histórias e Lendas - parte 1

Primeira parte da série de três reportagens especiais sobre a história do Hospital Colônia Dr. Arnaldo Pezzuti Cavalcanti em Mogi das Cruzes. O hospital foi conhecido por receber os pacientes de hanseníase, doença conhecida também como lepra.

Hospital Colônia Dr. Arnaldo Pezzuti Cavalcanti: Histórias e Lendas - parte 2

Segunda reportagem da série de três reportagens especiais sobre a história do Hospital Colônia Dr. Arnaldo Pezzuti Cavalcanti em Mogi das Cruzes. O hospital foi conhecido por receber os pacientes de hanseníase, doença conhecida também como lepra.

Hospital Colônia Dr. Arnaldo Pezzuti Cavalcanti: Histórias e Lendas - parte 3

Terceira e última parte da reportagem especial sobre a história do Hospital Colônia Dr. Arnaldo Pezzuti Cavalcanti em Mogi das Cruzes. O hospital foi conhecido por receber os pacientes de hanseníase, doença conhecida também como lepra.

Paredes Invisíveis: Hanseníase - Região Norte

Documentário realizado pela Comissão Interministerial de Avaliação e Secretaria de Direitos Humanos da Presidência da República sobre a reconstrução da vida de centenas de brasileiros atingidos pela hanseníase, da Região Norte, após a concessão de uma indenização pelo Governo Federal, por terem sido submetidos à internação e isolamento compulsórios em hospitais-colônia. Consiste em uma série de depoimentos sobre a doença, sobre a segregação social, sobre a rotina de isolamento nas ex-colônias, sobre política de profilaxia da "lepra" até 1986 e sobre o que mudou com a indenização.

Paredes Invisíveis: Hanseníase - Região Nordeste

Documentário realizado pela Comissão Interministerial de Avaliação e Secretaria de Direitos Humanos da Presidência da República sobre a reconstrução da vida de centenas de brasileiros atingidos pela hanseníase, da Região Nordeste, após a concessão de uma indenização pelo Governo Federal, por terem sido submetidos à internação e isolamento compulsórios em hospitais-colônia. Consiste em uma série de depoimentos sobre a doença, sobre a segregação social, sobre a rotina de isolamento nas ex-colônias, sobre política de profilaxia da "lepra" até 1986 e sobre o que mudou com a indenização.

Reportagem mostra pacientes com hanseníase que viveram no antigo Sanatório Santa Fé

No vídeo, temos a reportagem transmitida pelo Canal EPTV (Emissoras Pioneiras de Televisão) que conta a história de alguns pacientes com hanseníase do antigo Sanatório Santa Fé, localizado em Três Corações, no sul de Minas Gerais

Hanseníase: conheça a maior colônia de hansenianos do Brasil

Reportagem do canal Papo de Mãe traz o drama histórico das mães com hanseníase que foram afastadas de seus filhos na antiga Colônia Santa Isabel.

Antiga política de isolamento de doentes com hanseníase adotada no Brasil

Com a promessa de acabar com a hanseníase, antigamente chamada de lepra, o governo brasileiro decidiu isolar os doentes entre 1940 e 1975 em locais que os especialistas consideram hoje verdadeiros campos de concentração, onde eram submetidos a experimentos médicos, humilhação e tortura.

Hospital Colônia de Itapuã

A reportagem traz os relatos dos pacientes do antigo leprosário no Rio Grande do Sul, o Hospital Colônia de Itapuã.

["They are enjoying their first holiday ever"--working with the elderly, from the post-war years up to the early 1970s]. / "Sie geniessen den ersten Urlaub ihres Lebens"--Entwicklung der offenen Altenhilfe von der Nachkriegszeit bis zum Beginn der 1970er Jahre.

While, in the post-war years and into the 1950s, the building of old people's and care homes and the allocation of home places in those homes was seen as the main task of municipal care institutions for the elderly in Frankfurt am Main, in the decade that followed their main task shifted towards increasing the possibilities of providing care in people's own homes, delaying the move into old people's homes and breaking through the loneliness that elderly people were presumed to experience. Supported by the state, community housing was provided with flats for elderly people and with carers to look after their needs. The "warm rooms" of the post-war period changed into clubs, where members met and received guidance. In the late 1960s the clubs were extended into day-care centres, offering a range of consultation services, organized day trips and recreational holidays for the elderly. It was hoped that "meals-on-wheels" in combination with age-appropriate living conditions would delay the move into a home. But these plans were not adequately developed in the 1960s and often it was not clear who would pay the bills. The same was true of outpatient medical care which had traditionally been the task of community nurses, but was now increasingly carried out by local authority carers, who also provided household assistance. This kind of care could only ever be given for a limited period of time and, while it was able to delay the move into an old people's home, it could not replace it.

Los 100 años de tratamiento de Fontilles: 1ª Parte / No disponible

Objetivos: analizar y conocer el trabajo realizado en el Sanatorio, relativo al tratamiento específico de leprorreacciones y de úlceras en sus diferentes etapas cronológicas. Valorar la influencia de los tratamientos en el Sanatorio de Fontilles y en el pronóstico de los pacientes con lepra atendidos allí durante los 100 años de funcionamiento. Hacer un fondo histórico que recopile los diferentes tratamientos. Metodología: Fuentes: Revista Fontilles. Trabajos del Sanatorio de Fontilles. Apéndice Sanitario. Revista de Leprología 1964 y 1973. Manual actualizado de Leprología 2008 y entrevistas con profesionales sanitarios. Primera etapa: del inicio del Sanitario hasta la utilización del Promin. Segunda etapa: desde el empleo del Promín hasta las recomendaciones de la OMS de 1982. Tercera etapa: desde las recomendaciones de la OMS de 1982 hasta la actualidad. Resultados: En la primera etapa los que destacan son los etilésteres de chaulmoogra. En la 2º etapa son muchos los fármacos ensayados pero destacan las sulfonas, la Clofazimina y la Rifampicina. Se llega a la negativización en piel en monoterapia con los tres. Se necesita dar tratamiento indefinido con Sulfonas para prevenir recaídas. Mejores resultados en monoterapia con Sulfonas y Clofazimina que Rifampicina. En década de los 70 empiezan las asociaciones de fármacos. Se controlan mejor las leprorracciones gracias a los corticoides y la talidomida. En tercera etapa ya empiezan a emplear la poliquimioterapia recomendada de la OMS alargando la duración del tratamiento para asegurarse la curación. Conclusión: En primera etapa no hay cura. En segunda etapa con la monoterapia de sulfonas se llega a la curación de los enfermos y se convierte en enfermedad crónica. Se controlan mejor las leprorreacciones. En tercera etapa se curan los enfermos en menor periodo de tiempo, se tratan las sulfonorresistencias, hay un mejor cumplimiento, menos leprorreacciones, menos efectos secundarios y menos secuelas y no hay recaídas. Hay un descenso gradual de número de ingresos y de residentes debido a la disminución de número de casos nuevos, por mayor número de altas y porque el tratamiento se realiza de forma ambulatoria. Muchos enfermos se quedan en Fontilles, por miedo al rechazo de la sociedad, por las incapacidades que presentan y por no tener familiares

Aim: Evaluate the work carried out at the Sanatorio Fontilles concerning the specific treatmen of leprosy, leprosy reactions and ulcers during the different periods of time and review the efficacy of the different treatments administered during these 100 years. Methods: References: Journal Revista Fontilles, Trabajos del Sanatorio de Fontilles, Manuel Actualizado de Leprología 2008 and also interview with medical and paramedical staff members. First period: from the inauguration of the institution until the use of Promin; Second Period; from the use of Promin until 1982 when multidrug therapy (MDT) is recommended by the World Health organization and the third and last period from 1982 to actual times. Results: During the first period the use of chaulmoogra oil is reviewed. During the second period several drugs were administered in monotherapy: dapsone, clofazimine and rifampicin and patients were rendered skin smear negative. The treatment with dapsone was chronic to avoid relapses. In the 70s drug combinations were started and leprosy reactions were controlled by the administration of corticoids and thalidomide. In the last period the WHO recommended MDT is implemented. Conclusion: During the first period there is no effective cure available but during the second period the patients can be cured with dapsone monotherapy and the disease is considered chronic and leprosy reactions can be more effectively controlled. In the last period the affected individuals can be cured in a shorted period of time with less drug resistance, fewer leprosy reactions and adverse drug effects together with a significant reduction in relapses. The number of resident patients is gradually reduced since the disease can be treated on an outpatient basis. Many patients decide to voluntarily reside in the Sanatorium due to their disabilities or for the fear of social stigma

Changing landscape of nursing homes in Singapore: challenges in the 21st century.

The ageing population is posing new challenges to Singapore's healthcare system. The rise of dual income and the decline of extended families, as well as an increase in age-related degenerative disorders due to increased longevity render it difficult for the family to remain the primary social safety net to care for our elderly in their own homes. Consequently, nursing homes may become increasingly relevant for resource and expertise-challenged families to cope with the burden of caring for a frail and dependent elderly. However, as the recent Nightingale Nursing Home elderly mistreatment incident attests, the standards of some have been found wanting. This paper will trace the history of nursing homes in Singapore and the evolution of government policies towards them, discuss the challenges and trade-offs of nursing home regulation, and provide suggestions for better care and governance.

Before empowerment: residents' memories of the role of the housemother in diaconal residential care settings in Germany 1945-1995.

In the 20th century, houseparent families represented a significant resource in the long-term care of people with mental illnesses and physical disabilities in diaconical care settings in Germany. In theory, such families could therefore be understood as a type of institutional family: groups which occasionally use familial patterns of reciprocity but are not themselves families. As little empirical material on life in institutional families existed, a qualitative study was undertaken to explore the experiences of contemporary witnesses, particularly those who had experienced the duties and responsibilities of housemothers in the second half of the 20th century. This paper has combined the experiences of residents (n= 8) and biological children of houseparents (n= 5) from a qualitative study (n= 42). The qualitative study took a grounded theory approach, with the phenomena of power and domination forming the central category. The findings show that life in houseparent families of the time was shaped by rules which the family members had to obey. This study explores a highly controversial area which is of great relevance for current mental health nursing practice: the power relations in diaconal families. This demonstrates the importance of integrating autonomy and empowerment into everyday communal life and contributes to professional nursing practice.

Negotiating user preferences, discrimination, and demand for migrant labour in long-term care.

The restructuring of long-term care for older people has been marked both by the role of the market and by the role of migrant labor. This article develops the analysis of these processes at the microlevel of the provision of care. It draws on data collected as part of a cross-national comparative study on the employment of migrant care workers in residential care homes and home care services for older people in England and Ireland. The article examines, first, the ways in which divisions of race, ethnicity, and citizenship shape the preferences of service providers/employers and some service users as regards who provides care. Second, it examines how the institutional context of quasi-markets in long-term care shapes the negotiation of demand for migrant labor, the racialized preferences of individual users, alongside the rights of care workers to non-discrimination. It is argued that market-oriented policies for personalization, as well as for cost containment, raise implications for divisions of race, ethnicity, and citizenship in the provision of long-term care. At the same time, those divisions point to the limits of framing care in terms of the preferences of the individual as opposed to the social relations in which care is embedded.

"Quicker and sicker" under Medicare's prospective payment system for hospitals: new evidence on an old issue from a national longitudinal survey.

Medicare's prospective payment system for hospitals (PPS), introduced in the USA in 1983, replaced cost reimbursement with a system of fixed rates which created incentives for hospitals to control costs. Previous studies found that elderly patients were discharged from hospital "quicker and sicker" under PPS and concluded that families were coping at home. We analyse a national longitudinal survey, the first National Health and Nutrition Examination Survey and its Epidemiologic Followup Study, which includes data on more outcomes over a longer period than earlier studies. We find that the rate of admission to nursing homes from the community in the first weeks after a hospital discharge more than tripled under PPS, suggesting that families were not always able to cope. As another response to sicker patients, discharges directly to nursing homes from hospitals, which jumped initially under PPS, may have risen further when payment rates were tightened in the early 1990s. Hospital readmissions fell after the first few years. Our findings are strengthened by the fact that we control for patients' health using health information collected independently of hospital admission.