title: [Functional (in)dependence in the dependent relationship of quadriplegic men with their (un)replaceable parents/caregivers].
abstract: The objective of this study was to identify elements of the international classification of functioning, disability and health, applicable to quadriplegic men's home care, to reduce the dependence on their parents' help for activities of daily living and self-care. Data were collected from June 2004 to March 2005. Semi-structured interviews were performed with eight adults with high spinal cord lesions who were being cared for at home. Content analysis was performed based on the categories of meaning extrapolated and the following themes were discovered: family support: safety for the corporal functions of the disabled; supporting technology: inventiveness to promote quality care; fears, uncertain future and parents' loss: thresholds and human fragilities; and functional gains: objective response of body functions. In conclusion, family support, and especially the presence of parents, is fundamental to facing limitations and to reacting in the search for balance with the deficiency, disability, disadvantage and health of that population, preparing them to achieve gradual functional gain and independence for daily activities and self-care.
authors.affiliation: Universidade Federal do Estado do Rio de Janeiro, Brasil. wilmachado@uol.com.br
authors.forename: Wiliam César Alves
authors.initials: WC
authors.lastname: Machado
authors.forename: Ana Paula
authors.initials: AP
authors.lastname: Scramin
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D017028:Caregivers; D004185:Disability Evaluation; D005195:Family Relations; D006801:Humans; D008297:Male; D010290:Parents; D011782:Quadriplegia; D012648:Self Care