Submitted by PPG Servi?o Social (servico-social-pg@pucrs.br) on 2018-04-23T11:32:42Z No. of bitstreams: 1 Disserta??o - Carmen L?cia Nunes da Cunha.pdf: 3237350 bytes, checksum: 7d15cf406b1ac95b885f009bd769ab26 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-05-08T19:07:35Z (GMT) No. of bitstreams: 1 Disserta??o - Carmen L?cia Nunes da Cunha.pdf: 3237350 bytes, checksum: 7d15cf406b1ac95b885f009bd769ab26 (MD5) / Made available in DSpace on 2018-05-08T19:44:53Z (GMT). No. of bitstreams: 1 Disserta??o - Carmen L?cia Nunes da Cunha.pdf: 3237350 bytes, checksum: 7d15cf406b1ac95b885f009bd769ab26 (MD5) Previous issue date: 2018-01-03 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The present dissertation is the result of the research that aimed to discuss how families organize themselves in the care of members with loss of autonomy and dependence for the activities of daily life due to stroke and what the support of the Health Policy in the monitoring of these families. Part of the understanding that the family is a social construction that establishes a dialectical relationship with society and that varies according to the current mode of production that establishes a hegemonic model, such as the nuclear family in bourgeois society, spread to other social classes. This model is adopted by social policies, although the current day shows us that there is no one way to be a family. There is difficulty in defining a single concept for the term "families," since it encompasses a variety of family configurations and arrangements, but the family is considered the traditional locus of care and social policies lay the responsibility for the care of its members. The State only acts when the family "fails" to provide the conditions for socialization, survival and protection of their relatives. This perspective overlooks the fact that families are not able to afford alone with all the demands and responsibilities placed on them and therefore need the social protection of the State as a right. Access and shelter were identified as challenges and possibilities of family social protection by the State and Better at Home Program and the need to judicialize health as limits of the policy. Regarding the social protection of the family by the family, the participants assumed the task of care of the member affected by stroke, however one follows the traditionally adopted model, in which care is a feminine attribution, in another the male figure assumes this role of caregiver, contrary to the data indicated in the surveys. Another possibility of this protection by the family is the adoption of care sharing, a situation identified in the research and contrary to findings in the literature. / A presente disserta??o ? fruto da pesquisa que objetivou discutir como as fam?lias se organizam no cuidado de membro com perda de autonomia e depend?ncia para as atividades da vida di?ria devido ao AVC e qual o suporte da Pol?tica de Sa?de no acompanhamento destas fam?lias. Parte do entendimento de que a fam?lia ? uma constru??o social que estabelece uma rela??o dial?tica com a sociedade e que varia de acordo com o modo de produ??o vigente que institui um modelo hegem?nico, como a fam?lia nuclear na sociedade burguesa, espraiado para as outras classes sociais. Modelo este adotado pelas pol?ticas sociais, embora os dias atuais nos mostrem que n?o existe uma ?nica forma de ser fam?lia. H? dificuldade na defini??o de um conceito ?nico para o termo ?fam?lias?, visto que engloba uma variedade de configura??es e arranjos familiares, por?m a fam?lia ? considerada o l?cus tradicional do cuidado e as pol?ticas sociais nela depositam a responsabilidade pelo cuidado de seus membros. O Estado somente atua quando a fam?lia ?falha? em prover as condi??es de socializa??o, sobreviv?ncia e prote??o de seus familiares. Esta perspectiva desconsidera que as fam?lias n?o t?m condi??es de arcar sozinhas com todas as exig?ncias e responsabilidades nelas depositadas e por isso necessitam da prote??o social do Estado enquanto direito. Identificou-se o acesso e o acolhimento como desafios e possibilidades da prote??o social da fam?lia pelo Estado e Programa Melhor em Casa e a necessidade de judicializa??o da sa?de como limites da pol?tica. Com rela??o a prote??o social da fam?lia pela fam?lia, os participantes assumiram a tarefa de cuidado do membro adoecido por AVC, por?m uma segue o modelo tradicionalmente adotado, em que o cuidado ? uma atribui??o feminina, noutra a figura masculina assume este papel de cuidador, contrariando os dados indicados nas pesquisas. Outra possibilidade desta prote??o pela fam?lia ? a ado??o do compartilhamento do cuidado, situa??o identificada na pesquisa e que contraria os achados na literatura.