{"id":1742,"date":"2018-06-09T13:54:28","date_gmt":"2018-06-09T13:54:28","guid":{"rendered":"http:\/\/www.therapy-tapas.org\/?p=1742"},"modified":"2018-06-09T13:54:28","modified_gmt":"2018-06-09T13:54:28","slug":"last-update-from-pilar-and-nora","status":"publish","type":"post","link":"https:\/\/www.therapy-tapas.org\/?p=1742","title":{"rendered":"Last update from Pilar and Nora"},"content":{"rendered":"<p>Hoy os queremos contar nuestra experiencia por las comunidades del municipio de Terrabona. All\u00e1 hemos estado llegando dos d\u00edas por semana.<br \/>\nLos jueves llegamos a Terrabona, a la cl\u00ednica de Prosalud, en la que se da atenci\u00f3n sanitaria dos d\u00edas por semana. No estamos mucho tiempo ah\u00ed porque enseguida salimos a visitar a las familias que est\u00e1n dentro del proyecto de Corazones Unidos y Armon\u00eda Mental.<br \/>\nDentro del proyecto de Corazones Unidos, se trabaja con ni\u00f1os, ni\u00f1as y adolescentes que presentan alg\u00fan tipo de discapacidad o est\u00e1n en riesgo de padecerla bien sea por su condici\u00f3n o por factores del entorno. Es aqu\u00ed donde apoyamos desde nuestra profesi\u00f3n c\u00f3mo terapeutas ocupacionales.<br \/>\nPor otro lado, el proyecto de Armon\u00eda Mental incluye a personas con diagn\u00f3stico en salud mental.<br \/>\nLos jueves les acompa\u00f1amos a hacer el seguimiento de la medicaci\u00f3n de dichas personas. Desde nuestro lugar como terapeutas intentamos conocer que roles desempe\u00f1a el o la paciente en su hogar, en la escuela y en la comunidad. Que limitaciones y\/o dificultades sienten ellos as\u00ed como sus familias.<br \/>\nLos viernes llegamos a El Ocote, otra comunidad del municipio de S\u00e9baco. La cual est\u00e1 m\u00e1s alejada y el acceso es m\u00e1s dif\u00edcil. Nosotras llegamos en veh\u00edculo pero la mayor\u00eda de las personas se mueven a pie. Por lo tanto es bastante complicado que puedan llegar a la cl\u00ednica para poder recibir las sesiones de rehabilitaci\u00f3n, por lo que somos nosotras quienes llegamos a la casa de una familia y all\u00ed acuden varios ni\u00f1os y ni\u00f1as de la comunidad para recibir rehabilitaci\u00f3n. Aqu\u00ed llegan ni\u00f1os y ni\u00f1as con diferentes diagn\u00f3sticos entre ellos par\u00e1lisis cerebral infantil, microcefalia, epilepsia, par\u00e1lisis del plexo braquial, entre otras.<br \/>\nNuestras intervenciones junto con las de nuestro compa\u00f1ero Eduardo, est\u00e1n basadas en aspectos sensoriomotores por lo que comenzamos con movilizaciones articulares para ampliar el rango de movimiento. Continuamos con ejercicios para trabajar las habilidades y destrezas motoras, mediantes actividades de juego, ya que trabajamos con poblaci\u00f3n infantil. Tambi\u00e9n damos peque\u00f1as recomendaciones a las madres de que posibles estrategias pueden llevar a cabo para facilitar la autonom\u00eda de sus criaturas.<br \/>\nPara nosotras, esta parte es muy gratificante. M\u00e1s de la mitad de la poblaci\u00f3n en Nicaragua vive en la zona rural por lo que poder llegar y dar atenci\u00f3n a estas personas es poder llegar a una poblaci\u00f3n que se ve limitada por su dif\u00edcil acceso a los recursos de salud de la comunidad m\u00e1s cercana.<br \/>\nCon esta entrada de blog queremos despedirnos, ya que debido a varios factores, entre otros, la situaci\u00f3n socio-pol\u00edtica por la que est\u00e1 pasando Nicaragua nos ha llevado a terminar nuestra intervenci\u00f3n en el proyecto antes de lo previsto.<br \/>\nNos llevamos un gran aprendizaje y un buen recuerdo de todas las personas con las que hemos compartido nuestra estancia en Ciudad Dar\u00edo.<br \/>\nEstamos seguras que pronto volveremos a Nicaragua.<\/p>\n<p><em>Nora and Pilar<\/em><\/p>\n<p><a href=\"http:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1743\" src=\"http:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-1-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-1-300x225.jpg 300w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-1-768x576.jpg 768w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-1-624x468.jpg 624w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-1.jpg 1004w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a> <a href=\"http:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1744\" src=\"http:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-2-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-2-300x225.jpg 300w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-2-768x576.jpg 768w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-2-624x468.jpg 624w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-2.jpg 1004w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a> <a href=\"http:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1745\" src=\"http:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-3-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-3-300x225.jpg 300w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-3-768x576.jpg 768w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-3-624x468.jpg 624w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-3.jpg 1004w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><strong><em>Today we want to tell you our experience in the communities of Terrabonna and Sebaco. We have been there twice a week.<\/em><\/strong><br \/>\n<strong><em>On Thursdays we go to Terrabona, at Prosalud\u2019s clinic, in which healthcare is given twice a week. We do not there for a long time because, quickly, we have to visit the families that are part of the project of Corazones Unidos and Armon\u00eda Mental.<\/em><\/strong><\/p>\n<p><strong><em>In the Corazones Unidos project, we work with children and teenagers who have some disability or have the risk of suffer one, either by their condition or by environmental factors. This is where we support Occupational Therapists.<\/em><\/strong><\/p>\n<p><strong><em>In the other side, Armonia Mental project includes people with diagnosis of mental health.<\/em><\/strong><\/p>\n<p><strong><em>On Thursdays we also accompany them to follow up of the medication of these people. From our place as Occupational Therapists we try to know what roles the patient plays in their home, at school and in the community. Furthermore, which limitations and\/or difficulties they and their families feel.<\/em><\/strong><\/p>\n<p><strong><em>On Fridays we arrive at El Ocote, another community in the municipality of Sebaco which is further away and its access is more difficult. We arrive in a private vehicle but de majority of people comes by walking. Because of this, it\u2019s very difficult for them to reach the clinic for their rehabilitation, so we go to the family\u2019s house and there we go to other families in communities close to our position. Here, children with different diagnosis are coming. Diagnoses such as infantile cerebral palsy, microcephaly, epilepsy, paralysis of the brachial plexus are some that we found in our trip.<\/em><\/strong><\/p>\n<p><strong><em>Our interventions, working with Eduardo, are based on sensory-motor aspects, so we started with joint mobilizations to expand the range of movement. We continued with exercises to work on motor skills. We also gave some recommendations to mothers that possible strategies can be carried out to facilitate the autonomy of their sons and daughters.<\/em><\/strong><\/p>\n<p><strong><em>For us, this part is very gratifying. More than half of the population in Nicaragua lives in rural area, so being able to reach and give attention to these people is to reach a population that it is limited by their difficult access to the health resources of the closest community.<\/em><\/strong><\/p>\n<p><strong><em>With this blog post we want to say goodbye, because due to several factors, the socio-political situation that Nicaragua, among others, is going through has made us to finish our intervention in the project sooner than expected.<\/em><\/strong><\/p>\n<p><strong><em>We have learnt more than any of us could think when we started and we bring with us a good memory of all the people who have participated with us and have shared their time with us in Ciudad Dar\u00edo.<\/em><\/strong><br \/>\n<strong><em>We are sure that soon we will return to Nicaragua.<\/em><\/strong><\/p>\n<p><strong>Nora and Pilar<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Thank you so much for your contribution\u00a0 Nora and Pilar.\u00a0<\/strong><\/p>\n<p><a href=\"http:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1746\" src=\"http:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-4-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-4-300x225.jpg 300w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-4-768x576.jpg 768w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-4-624x468.jpg 624w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-4.jpg 1004w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a> <a href=\"http:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1747\" src=\"http:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-5-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-5-300x225.jpg 300w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-5-768x576.jpg 768w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-5-624x468.jpg 624w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-5.jpg 1004w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a> <a href=\"http:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1748\" src=\"http:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-6-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-6-300x225.jpg 300w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-6-768x576.jpg 768w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-6-624x468.jpg 624w, https:\/\/www.therapy-tapas.org\/wp-content\/uploads\/2018\/06\/nora-pilar-6.jpg 1004w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hoy os queremos contar nuestra experiencia por las comunidades del municipio de Terrabona. All\u00e1 hemos estado llegando dos d\u00edas por semana. Los jueves llegamos a Terrabona, a la cl\u00ednica de Prosalud, en la que se da atenci\u00f3n sanitaria dos d\u00edas por semana. No estamos mucho tiempo ah\u00ed porque enseguida salimos a visitar a las familias [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[],"class_list":["post-1742","post","type-post","status-publish","format-standard","hentry","category-activities"],"publishpress_future_action":{"enabled":false,"date":"2026-05-03 22:38:05","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.therapy-tapas.org\/index.php?rest_route=\/wp\/v2\/posts\/1742","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.therapy-tapas.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.therapy-tapas.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.therapy-tapas.org\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.therapy-tapas.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1742"}],"version-history":[{"count":0,"href":"https:\/\/www.therapy-tapas.org\/index.php?rest_route=\/wp\/v2\/posts\/1742\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.therapy-tapas.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1742"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.therapy-tapas.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1742"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.therapy-tapas.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}