FUNDAO UNIVERSIDADE REGIONAL

DE BLUMENAU
Concurso Pblico EDITAL PSPS TA N 09/2016

PROVA CASOS CLNICOS

Cargo: PEDAGOGO
Candidato(a):
Inscrio:

INSTRUES

Voc est recebendo:

1- Um caderno de rascunho, onde voc poder fazer todos os tipos de anotao que necessitar;
2- Um caderno contendo 10 cases e o caderno de resposta oficial, sendo que somente para transcrever a
resposta dos cases.
Confira se seus dados esto registrados corretamente. Caso haja alguma divergncia, comunique isso ao
fiscal de sala.
proibido fazer qualquer tipo de desenho, sinal ou assinar o caderno de resposta oficial que possa identificar
o candidato, com pena de eliminao do concurso.
No dobre, amasse ou rasure a folha da redao, pois, mesmo em caso de erro, esse material no ser subs-
titudo.
O case dever ter no mximo 40 linhas, em letra de tamanho regular.
Ao terminar, levante o brao e aguarde para entregar sua redao.
Somente poder ser utilizado caneta esferogrfica azul-escura ou preta.
O candidato somente poder sair da sala de prova aps transcorrida 1 (uma) hora.
Os trs ltimos candidatos permanecero na sala at o trmino das provas.
Ao sinal para o trmino da prova, o Fiscal de Sala recolher a redao dos candidatos que, porventura, ainda
se encontrarem na sala.
Durao da Prova: 3h30min.
Todo material dever ser devolvido aos fiscais.

CRITRIOS DE AVALIAO

Apresentao da redao de forma clara e objetiva, respeitando as normas gramaticais da lngua portuguesa.
Demonstrar capacidade de articulao entre o contedo terico e as aes previstas para o cargo, exigidos no
edital.

Nome Legvel do Candidato Assinatura do Candidato

Blumenau, 12 de fevereiro de 2017.

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 CASOS CLNICOS

Caso Clnico 01: Transtorno Espectro Autista (TEA)

Em 2013, o Ministrio da Sade do Brasil publicou o Manual de Normas Tcnicas referente LINHA DE
CUIDADO PARA A ATENO INTEGRAL S PESSOAS COM TRANSTORNO DO ESPECTRO DO AUTI S-
MO E SUAS FAMLIAS NO SISTEMA NICO DE SADE. Baseado nas sugestes deste manual, como os
profissionais de um Centro de Reabilitao Multiprofissional podem contribuir para o processo de reabilit a-
o e incluso social de uma criana com Transtorno do Espectro Autista que est c ursando o 1 ano do
Ensino Fundamental em uma escola pblica regular e que possui as seguintes caractersticas cintico -
funcionais e cognitivas: atraso do desenvolvimento motor normal, marcha em bloco, postura anteriorizada,
aumento da tenso muscular em cintura escapular, dificuldades de coordenao, equilbrio e manuteno do
olhar horizontal e frontal, dificuldades de interao com as crianas de sua sala de aula, exacerbao da
ansiedade quando est frente a situaes de desafios ou dificuldades (ex.: a valiaes ou passeios), pouca
concentrao diria durante as aulas? Seus familiares so afetivos, atenciosos, presentes e dispostos a
investir nas melhores oportunidades de reabilitao e qualidade de vida para essa criana.
Responda questo com argumentos, estratgias e condutas que voc e sua equipe utilizariam para co n-
tribuir para o processo de reabilitao e incluso social da criana referida nesse caso clnico.

Caso Clnico 02: Criana com Paralisia Cerebral

O Plano Teraputico Singular (PTI) de uma criana com Paralisia Cerebral, espstica bilateral, idade cronolgica
de 12 meses e idade motora de 3 meses, contempla a associao de vrias terapias, condutas de sade e de
educao em um Centro de Reabilitao Multiprofissional. Cite e explique os principais objetivos e condutas multi-
profissionais e transdisciplinar a curto, mdio e longo prazo para o PTI da criana citada neste caso clnico.

Caso Clnico 03: Criana com Sndrome de Down

Criana do sexo feminino com Sndrome de Down, 12 anos, realiza acompanhamento teraputico multipro-
fissional na APAE de sua cidade e frequenta a escola regular. Possui tima adaptao nesses dois ambie n-
tes desde beb e ainda apresenta excelentes habilidades artsticas para o desenho e a pintura. Participa da
educao fsica com seus colegas, mas, recentemente, apresenta dificuldades de equilbrio e coordenao
em vrias atividades motoras, bem como se tornou mais introspectiva e tmida no relacionamento com seu
grupo de amigos na escola. Percebe-se que essas dificuldades motoras e de relacionamento surgiram re-
centemente, evoluem e perturbam a criana no seu desenvolvimento. A escola encaminha a criana para
uma avaliao especializada no Centro de Reabilitao Multiprofissional de sua cidade.
A partir do enunciado acima, discuta de que forma e com quais aes especficas um Centro de Reabilitao
Multiprofissional pode contribuir para melhorar a qualidade de vida da criana e orientar os profissionais da
escola, a famlia e seus conviventes.

Caso Clnico 04: Rede de Cuidados Pessoa com Deficincia

A Rede de Cuidados Pessoa com Deficincia, no mbito do Sistema nico de Sade, foi estabelecida p e-
la Portaria n 793, de 24 de abril de 2012, e tem como objetivos:

I - Ampliar o acesso e qualificar o atendimento s Pessoas com Deficincia temporria ou permanente; pr o-

gressiva, regressiva ou estvel; intermitente ou contnua no SUS;
II - Promover a vinculao das Pessoas com Deficincia auditiva, fsica, intelectual, ostomia e com mltiplas
deficincias e suas famlias, aos pontos de ateno;
III - Garantir a articulao e a integrao dos pontos de ateno das redes de sade no territrio, qualifica n-
do o cuidado por meio do acolhimento e classificao de risco (BRASIL,2012).

A organizao dessa rede deve possibilitar o provimento contnuo de aes sade da pessoa com defic i-
ncia, fsica e intelectual, para a populao de determinado territrio, com a articulao dos diversos pontos
de ateno, do sistema de apoio, do sistema logstico e da governana da rede de a teno sade.
A partir do texto acima, relacione e exemplifique com situaes prticas os objetivos I, II e III da Rede de
Cuidados Pessoa com Deficincia no SUS, com a necessidade de abordagens multiprofissionais e inte r-
disciplinares de um Centro Especializado de Reabilitao no seu territrio.
 Caso Clnico 05: Criana com Sndrome Rara Epidermlise Bolhosa
Epidermlise bolhosa (EB) uma patologia do tecido conjuntivo, ainda sem cura, que causa bolhas na pe-
le e membranas mucosas, com uma incidncia de 1:50.000. Resulta de um defeito na fixao
da epiderme na derme, o que provoca frico e fragilidade da pele. Sua severidade varia desde casos leves
at fatais.
Crianas afetadas pela EB costumam ser chamadas de crianas-borboleta, porque se diz que sua pele
to frgil quanto as asas de uma borboleta. Tambm so chamadas de "bebs de algodo-doce ou crian-
as com pele de cristal. Geralmente, na primeira infncia, os dedos das mos e dos ps podem encaps u-
lar, devido s repetidas frices que sofrem nas atividades de vida diria, o que desencadeia uma excessiva
produo de colgeno no local. Assim, cirurgias de liberao do encapsulamento dos dedos realizada em
centros especializados. So crianas que sentem constantemente muita dor devido s leses rotineiras na
pele.
No municpio de Blumenau, h registro de criana com epidermlise bolhosa. A Associao Brasileira das
Crianas Borboletas chama-se DEBRA-Brasil.
A partir do exposto acima, quais profissionais, terapias, condutas e aes interdisciplinares e intersetoriais
poderiam ser imprescindveis na reabilitao fsico-funcional global, cognitiva e psicolgica de crianas
submetidas a cirurgia de liberao de sinquias entre os dedos originadas da epid ermlise bolhosa?
Observao 1: como uma patologia rara, provavelmente ainda voc no tenha tido contato com ela. Po-
rm, o exposto no texto permite que voc estabelea um raciocnio clnico sobre o caso.
Observao 2: Em um Centro Especializado de Reabilitao, as Sndromes Raras so mais frequentes e h
necessidade de profissionais com conhecimento para realizar abordagens avaliativas e de tratamento.

Caso Clnico 06: Polticas Pblicas para a Pessoa com Deficincia

O Brasil tem avanado, nos ltimos anos, na promoo dos direitos das pessoas com deficincia, por meio
de polticas pblicas que buscam valorizar a pessoa como cidad, respeitando suas caractersticas e espec i-
ficidades. A atual Poltica Nacional de Sade baseia-se na Constituio Federal de 1988, a qual estabelece,
em seu artigo 196, que sade direito de todos e dever do Estado e, em seu artigo 23, captulo II, a Con s-
tituio determina que competncia comum da Unio, Estados, Distrito Federal e Municpios, cuidar da
sade e assistncia pblicas, da proteo e garantia das pessoas com deficincias. O Ministrio da Sade
tem atuado efetivamente no sentido de incluir a ateno sade da populao com deficincia no Sistema
nico de Sade - SUS, de forma articulada entre as trs esferas de governo, na perspectiva da universali-
zao e integralidade da assistncia e da descentralizao das aes.
A partir do exposto acima, que aborda as responsabilidades da governana pblica, discuta sobre a re s-
ponsabilidade do prprio portador de deficincia no seu processo de reabilitao, de que forma ele pode ser
eficiente, eficaz e efetivo na sua reabilitao e incluso social e, assim, contribuir com a equipe e seu territ -
rio.

Caso Clnico 07: A Participao da Famlia no Tratamento da Pessoa com Deficincia

O apoio familiar muito importante, sendo mais ainda durante a reabilitao. Porm, esse papel no trato
com a pessoa com deficincia pode no ser fcil, pois vrios so os sentimentos que ela pode apresentar
diante dessa situao, tais como culpa, preconceito e incapacidade. Alm do preconceito que as pessoas
com deficincia sofrem da sociedade, elas tambm so submetidas aos da famlia, que pode se sentir e n-
vergonhada pela sociedade pelo simples fato de no ter conseguido formar um indiv duo saudvel e prepa-
rado para cumprir com suas obrigaes sociais. No possvel julg -las, pois tambm so vtimas da socie-
dade, mas possvel reconhecer a importncia delas na vida de qualquer ser humano. Os familiares to r-
nam-se essenciais no processo de reabilitao da pessoa com deficincia. No entanto, necessitam saber
como lidar com as situaes estressantes, evitando comentrios crticos ao paciente ou se tornando exag e-
radamente protetores, dois fatores que reconhecidamente provocam recadas. Tor na-se muito importante
que os familiares dosem o grau de exigncias em relao ao paciente, exigindo, assim, mais do que ele
pode realizar em dado momento, porm sem deix-lo abandonado ou sem participao na vida familiar. Co-
nhecendo melhor a doena e tendo um diagnstico claro, a famlia passa a ser um aliado eficiente em co n-
junto com a reabilitao trabalhada pela equipe multiprofissional.
Discuta sobre a importncia da participao da famlia na reabilitao da pessoa com deficincia a partir do
texto acima e, apresente a sua opinio.

Fundao Universidade Regional de Blumenau Edital PSPS TA N 09/2016 Pgina 3 de 14

 Caso Clnico 08: Territrio e a Deficincia
Para a Organizao Mundial da Sade (2013), o conceito de territrio fundamental para a sade, o bem -
estar e a qualidade de vida, por se tratar no somente da definio de uma rea geogrfica de responsabili-
dade dos servios, mas tambm pela proximidade dos contextos reais das pessoas, favorecendo seu ace s-
so, alm de favorecer certo compartilhamento da circulao dos afetos e dos elementos que fazem parte da
vida dos usurios, compondo o que chamamos de rede social.
A partir do exposto, discuta e argumente como a intersetorialidade da rede social da pessoa com deficincia
pode contribuir para a sua reabilitao.

Caso Clnico 09: Autismo, Equipe e Reabilitao Moderna

O Transtorno do Espectro Autista (TEA) pode ser associado com deficincia intelectual, dificuldades de c o-
ordenao motora e de ateno. s vezes, as pessoas com autismo tm problemas de sade fsica, tais
como sono e distrbios gastrointestinais, tambm podendo apresentar outras condies, como sndrome de
dficit de ateno e hiperatividade, dislexia ou dispraxia. Na adolescncia, podem desenvolver ansiedade e
depresso. Algumas pessoas com Transtorno do Espectro Autista (TEA) podem ter dificuldades de aprendi-
zagem em diversos estgios da vida, desde estudar na escola at aprender atividades da vida diria, como,
por exemplo, tomar banho ou preparar a prpria refeio. Algumas podero levar uma vida relativamente
normal, enquanto outras podero precisar de apoio especializado ao longo de toda a vida.
Discuta sobre reabilitao da pessoa com TEA e o meio ambiente como meio auxiliar nesse processo.
Exemplifique de acordo com seu conhecimento e experincia.

Caso Clnico 10: Aes Interdisciplinares Conjuntas no Tratamento da Criana com Autismo
Opine, a partir de seu conhecimento e experincia, sobre as aes interdisciplinares conjuntas (no mesmo
atendimento) no tratamento de reabilitao da criana com autismo. Exemplifique, de maneira sistematiz a-
da, um protocolo bsico de aes conjuntas em um mesmo atendimento .

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 Cargo: PEDAGOGO / CADERNO DE RESPOSTA OFICIAL

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