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Guides or guidelines for interacting and playing with medical complex children: a qualitative documentary research 1 * Paper extracted from doctoral dissertation “Tradução de conhecimento sobre interagir-brincar em roteiro de um guia de cuidado de crianças com necessidades de saúde clinicamente complexas”, presented to Universidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery, Rio de Janeiro, RJ, Brazil”. Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Grant #430213/2018-2, Brazil. This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001.

Objectives:

to identify content on play and interaction with children with special health care needs recommended in clinical guidelines; analyze play and interaction activities applicable to children with special health care needs and complex care requirements.

Method:

qualitative documentary research based on guides, protocols, or guidelines on playing and interacting with children with special and living with complex care. Search terms in English (guidelines, playing OR play, complex needs, OR chronic disease) and in Portuguese ( guia, brincar ou brincadeiras, condições crônicas ) on the first ten pages of_Google Search ® . Thematic analysis was applied to the information extracted from the documents.

Results:

a total of nine documents with similar content were grouped into units of analysis, keeping only the interacting and playing activities applicable to children with special health care needs and living with complex care requirements, namely stimulation of potential, stimulation of adult-child interaction, and stimulation of the senses (touch, sight, and hearing), to be carried out by health professionals and family caregivers in the different care contexts.

Conclusion:

interaction and play are potential promoters of adult-child interaction, with application in the stimulating and life-delivering complex care for children.

Descriptors:
Child; Play and Playthings; Social Interaction; Material Resources in Health; Guidelines as Topic; Child Health


Highlights:

(1) The potential of children with special health care needs.

(2) The adult as the object of play and interaction with the child with multiple disabilities.

(3) Interacting and playing promote sensory (touch, sight, hearing) and emotional stimulation.

(4) The need to overcome the invisibility of children with medical complexity.

(5) Knowledge translated into a stimulating and life-delivering Care Guide.

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