RESUMO
Issues related to mental health in relation to court matters have increasingly required the participation of the psychologist. We present the use of forensic neuropsychological assessment in a case of retirement reversal. Incapacity was attested due to disability resulting from depression of a 35-year-old attorney, and the case was forwarded from the courts to the Forensic Psychiatry and Psychology Unit at the USP Clinical Hospital. A clinical interview and application of cognitive tests was conducted. Despite the depression, significant cognitive losses that would prevent return to his professional assignments were not detected. The neuropsychological assessment has been shown to be an important tool in the forensic context, as it assists with diagnostic value for clarification of functional aspects in the various psychopathological areas in terms of disabilities or potentialities.
Assuntos relacionados à saúde mental na corte vêm demandando crescente participação de psicólogos. Sob este mote, apresentamos uma aplicação de um assessment neuropsicológico em um caso de reversão de aposentadoria por invalidez. Trata-se do caso de um juiz de 35 anos, que chegou à nossa Unidade de Tratamento Forense Psicológico e Psiquiátrico, no Hospital das Clínicas da Universidade de São Paulo. Para suprir a demanda, inicialmente conduzimos uma entrevista clínica e, em seguida, aplicamos uma bateria neuropsicológica, a partir da qual foi revelada a inexistência de limitações do desempenho cognitivo, as quais recomendariam a reafirmação do afastamento do profissional. Tal como revelado, o uso adequado do assessment neuropsicológico mostra-se uma importante ferramenta em contexto forense, auxiliando o esclarecimento de aspectos funcionais do diagnóstico, em vários contextos psicopatológicos.
RESUMO
La temática del embarazo en la adolescencia resulta de gran importancia en la actualidad debido a la trascendencia de este grupo etáreo para el desarrollo y su impacto en la población mundial, particularmente en América Latina, el Caribe y Cuba. Este en edades cada vez más tempranas se está convirtiendo en un problema social de salud pública de alcance mundial. Mediante el resultado del análisis crítico de la información disponible sobre el tema en la bibliografía consultada, se demuestra cómo las consecuencias de este problema repercuten en la calidad de vida de la madre joven, su familia y la comunidad, siendo pocas las acciones que se realizan, por lo que cada año el número de adolescente embarazadas se acrecientan cada vez más, determinando un riesgo importante para su descendencia. Es necesario comenzar las acciones a partir de la constitución de la célula básica de la sociedad, siendo el primer grupo al cuál pertenece el ser humano. Resulta imprescindible el rol de los profesionales de la enfermería a nivel de los consultorios del médico de familia como un elemento clave para mediante la labor educativa prevenirlo, a través de los círculos de adolescentes y otras acciones que contribuyan a la prevención y a enfrentar los riesgos que esta condición determina, haciéndose preciso desarrollar acciones que contribuyan al desarrollo del profesional de enfermería en esta temática en la Atención Primaria de Salud para prevenir el embarazo en la adolescencia(AU)
Pregnancy in adolescents is a topic of greater importance at present, due to the significance of this age group for the development, and its impact on the world population, particularly Latin America, the Caribbean and Cuba. Pregnancy at ever increasingly younger ages is turning into a social and public health problem worldwide. Based on the critical analysis of the available information on this topic, there was shown how the consequences of pregnancy affect the quality of life of the young mother, of her family and the community as well. The amount of actions carried out is low, so the number of pregnant adolescents increases every year, thus bringing a significant risk to their offspring. It is necessary to take actions within the family, the basic cell of the society to which the human being first belongs. It is indispensable that the nursing professionals play their role at the family doctor´s offices, as a key element to prevent pregnancy through educational work, through the work of the teenager clubs and other types of actions that might contribute to prevent and to manage the risks of this condition. Therefore, it is required to develop actions to assist in the development of the nursing professional at the primary health care, in order to prevent pregnancy at younger ages(AU)
Assuntos
Humanos , Feminino , Gravidez , Adolescente , Gravidez na Adolescência/prevenção & controle , Atenção Primária à Saúde/métodos , Indicadores Sociais , Literatura de Revisão como Assunto , Cuidados de Enfermagem/métodosRESUMO
Hoy en día es muy importante abordar la temática de la adolescencia, debido a la trascendencia de este grupo etáreo para el desarrollo y su impacto en la población mundial, particularmente en América Latina, el Caribe y Cuba. El embarazo en edades cada vez más tempranas se está convirtiendo en un problema social y de salud pública de alcance mundial; constituye en la actualidad un reto de gran envergadura. Mediante el resultado del análisis crítico de la información disponible sobre el tema en la bibliografía consultada, se demuestra cómo las consecuencias de este problema repercuten en la calidad de vida de la joven madre y de su familia, y determina un riesgo importante para su descendencia, además de ser pocas las acciones que se realizan, por lo que cada año, el número de adolescente embarazadas y las infecciones de transmisión sexual (ITS) se acrecientan. Es por ello que se hace necesario comenzar las acciones relacionadas con estos aspectos a partir de la célula básica de la sociedad, que es la familia, pues constituye el primer grupo al cual pertenece el ser humano. Se hace imprescindible el papel de los profesionales de la enfermería al nivel de los consultorios del médico de familia como un elemento clave para prevenir el embarazo mediante la labor educativa, mediante los círculos de adolescentes y otras acciones que contribuyan a la prevención. Asimismo, para enfrentar los riesgos que esta condición determina, por lo que resulta necesario desarrollar acciones que pudieran utilizarse para continuar el desarrollo del profesional de Enfermería en esta temática en el nivel de la atención primaria de salud, con vistas a prevenir el embarazo en la adolescencia.
Nowadays is very important to approach the adolescence subject matter due to significance of this age-group for development and its impact on world population, mainly in Latin America, the Caribbean and Cuba. Pregnancy in ages more and more early becomes a social and public health problem at world scale; it is nowadays a very complex challenge. According to result of critical analysis of information available on this subject in the consulted bibliography it is demonstrated how the consequences of this problem has repercussion on the quality of life of the young mother and her family, and also to determine a significant risk for its offspring in addition to be few the actions performed, thus each year to increase the figure of adolescents pregnant and the sexually transmitted infections (STIs). For that reason, it is necessary to start the actions related to these features from the basic cell of society, that is, the family, being the first group of the human being. It is essential the nursing professionals role at level of the family physician consulting rooms as a key element to prevent pregnancy by means of an educational task, by adolescent circles and other actions contributing to its prevention and at the same time to confront the risks of this condition, being necessary to develop actions that could be used to continue the professional nursing development in this subject matter at the primary health care level to prevent pregnancy in adolescence.