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O Servi?o Social e a exclus?o/inclus?o social dos portadores de HIV/AIDS :demandas e desafios nos hospitais p?blicosSantos, Regina Maria dos 22 July 2005 (has links)
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Previous issue date: 2005-07-22 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This research presents the labors developed by the Social Service unto socially excluded HIV/Aids positives at public hospitals in Rio Grande do Norte (RN). It purposes to identify and to analyze the demands brought by the holder onto the Social Service professional as well as the challenges the latter face to minister to the former. It privileges, from the methodological viewpoint, the qualitative and quantitative analysis with the application of questionnaires, direct observation, semi-structured interviews and bibliographic references. Data were collected from 12 (twelve) social assistants who work at Giselda Trigueiro Hospital in Natal (7) and Rafael Fernandes Hospital in Mossor? (5). The central hypothesis that guided this study is that the social inclusion/exclusion process experienced by the HIV/Aids positive on society implies a demand for the Social Service that is inserted in the public health context (specially in HIV-referred public hospitals), whose agents, however, when attempting to answer those demands, meet obstacles due to both the precariousness of public health services and the social complexity that concerns the HIV/Aids epidemic. Results point out that, de facto, the HIV/Aids epidemic, because of the social exclusion/inclusion process to which the holder is subject results a demand for the social agents at hospitals. Demands rise principally from the patient s life condition, considering the increasing pauperization in the epidemic context. As to what it is concerned, social assistants, responding to the needs, come across concrete twofold challenges: the illness in itself, for all social, negative aspects that make part of quotidian life of holders; and the precarious state of the public health service in RN State, since that working conditions are unsatisfactory / A pesquisa apresenta o trabalho desenvolvido pelo Servi?o Social com os portadores de HIV/AIDS exclu?dos socialmente, nos hospitais p?blicos do Estado do Rio Grande do Norte (RN). Objetiva identificar e analisar as demandas postas pelo portador ao profissional do Servi?o Social e os desafios que os mesmos enfrentam para atend?-las. Privilegia, do ponto de vista metodol?gico, a abordagem qualitativa e quantitativa, com aplica??o de question?rios, observa??o direta, entrevistas semi-estruturadas e leitura bibliogr?fica. A coleta dos dados foi realizada com doze (12) Assistentes Sociais que trabalham nos Hospitais: Giselda Trigueiro, em Natal (7) e Rafael Fernandes, em Mossor? (5). A hip?tese central que orientou a pesquisa ? que o processo de exclus?o/inclus?o social vivenciado pelo portador de HIV/AIDS na sociedade resulta em demanda profissional para o Servi?o Social inserido na ?rea da sa?de p?blica, especificamente, nos hospitais p?blicos de refer?ncia no atendimento ao portador; e que, ao responder ?s demandas os profissionais enfrentam desafios, em raz?o da precariedade dos servi?os de sa?de e da complexidade social que envolve a epidemia do HIV/AIDS. Os resultados apontam que, de fato, a epidemia do HIV/AIDS, em raz?o do processo de exclus?o/inclus?o social ao qual est? subjugado o portador na sociedade, resulta em demanda para o assistente social nos hospitais. Estas se acentuam principalmente pela condi??o de vida do usu?rio, por causa da crescente pauperiza??o no contexto da epidemia. Nesse sentido, o assistente social, na tentativa de responder a essa demanda, encontram desafios concretos de duas naturezas: a doen?a em si, por todos os aspectos sociais negativos que fazem parte do cotidiano dos portadores; e a situa??o de precariedade em que se encontra o servi?o de sa?de p?blica no Estado do RN, uma vez que as condi??es de trabalho s?o insatisfat?rias
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