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Previous issue date: 2012-03-30 / According to demographic estimates, by the year 2025 Brazil will be the sixth country in the
world in number of elderly. For this reason, it is a purpose of public policies to help people to
reach that age being healthier. The current health care model of health surveillance through
the Family Health Strategy (EFS, in portuguese) is configured as a gateway into the care of
the elderly in the Unified Health System (SUS, in portuguese). It is also an area of
development of practices to promote health, prevention and control of chronic nondegenerative
diseases. The aim of this study was to analyze the health care of the elderly
provided by ESF professionals for the achievement of a full care. The study is descriptive
case study with a quantitative approach, performed in the city of Santo Ant?nio/RN. The
population included all health professionals, who are FHS members of the city that agreed to
participate of the survey, a total of 80 professionals. Data were collected using a structured
questionnaire, having mostly closed questions and divided into two parts: one containing
sociodemographic information of health professionals and vocational training and the other,
the activities carried on by the professionals in senior care, being analyzed from a database
tabulated in a spreadsheet and discussed according to the descriptive statistics in tables,
graphs and charts using frequencies, medians and values of central tendency. It was verified a
predominance of professionals who finished highschool, mostly female, aged from 30 to 34
years old, with training completed in the last 10 years, without being graduated in the field of
geriatrics or gerontology and mostly without training in gerontology. Family members and
caregivers were the components of the social support network most identified by the
professionals (66.3%).The elderly access to the Family Health Basic Unit was considered
by83.8% of professionals as the most important factor that interferes in the activities of health
care of the elderly. Considering the inclusion of the family in care: 98.8% of professionals
consider the family as one of the goals of care, but 82.5% assist the family to know their role
and participate in the care of the elderly, emphasizing that no professional makes use of tools
for evaluating the functionality of the family. Regarding the actions taken to assist the elderly,
91.25% have home visits program to the elderly, 88.75% use the host program; 77.5% know
the habits of life, cultural, ethical and religious values of the elderly, their families and their
community ;51.25% complement the activities through intersectoral actions, 50%participate
in groups of living with the elderly; 33.75% keeps track and maintain updated the health
information of the elderly; 11.25% of the professionals perform the Single Therapy Planning
(PTS, in portuguese) and few implement the actions to promote health according to PTS;
there is a deficit in the number of professional categories in the identification and monitoring
of the frail older people in their households. It is concluded that the health care of the elderly
developed by ESF professionals differs among the professional categories. It was identified
weaknesses in the promotion of an active and healthy aging and also in the establishment of
an integrated and full care of the elderly. It is recommended the adoption of permanent
educational activities by the City Management, initially for ESF professionals in the the
perspective of the guidelines of the National Policy of Health Care for the Elderly and later to
the other professionals that are part of the health care network of the elderly, at all levels of
care in the city for the development of strategies and practices that promote the improvement
of the quality of healthcare for the elderly, expecting concrete and effective results in terms of
promoting health within Brazilian reality / Segundo estimativas demogr?ficas, at? o ano de 2025 o Brasil ser? o sexto pa?s do mundo em
n?mero de idosos. Por essa raz?o, ? fun??o das pol?ticas p?blicas contribuir para que as
pessoas alcancem idades avan?adas com melhor sa?de. O atual modelo assistencial de
vigil?ncia ? sa?de atrav?s da Estrat?gia Sa?de da Fam?lia (ESF) configura-se como a porta de
entrada no atendimento da pessoa idosa no Sistema ?nico de Sa?de (SUS), favorecendo
pr?ticas de promo??o a sa?de, preven??o e controle das doen?as cr?nicas n?o degenerativas.
Objetivou-se neste estudo analisar a aten??o ? sa?de da pessoa idosa prestada pelos
profissionais da ESF com vista ao alcance de um atendimento integral. O estudo ? descritivo
do tipo estudo de caso com abordagem quantitativa, realizado no munic?pio de Santo
Ant?nio/RN. A popula??o incluiu todos os profissionais de sa?de integrantes da ESF do
munic?pio que aceitaram participar da pesquisa, totalizando 80 profissionais. Os dados foram
coletados atrav?s de um question?rio estruturado com quest?es fechadas em sua maioria,
dividido em duas partes: uma contendo informa??es s?cio demogr?ficas dos profissionais de
sa?de e de forma??o profissional e outra sobre a??es desenvolvidas pelos profissionais no
atendimento ao idoso, sendo analisados a partir de um banco de dados tabulado na planilha
excel e discutidos de acordo com a estat?stica descritiva em tabelas, gr?ficos e quadros atrav?s
de frequ?ncias, mediana e valores de tend?ncia central. Obteve-se predom?nio de profissionais
de n?vel m?dio, do sexo feminino, com idade entre 30 a 34 anos, com forma??o profissional
conclu?da nos ?ltimos 10 anos, sem p?s- gradua??o na ?rea de geriatria ou gerontologia e
maioria sem capacita??o em gerontologia. Os familiares e cuidadores foram os componentes
da rede social de apoio mais identificados pelos profissionais (66,3%). O acesso da pessoa
idosa ? Unidade B?sica de Sa?de da Fam?lia foi considerado por 83,8% dos profissionais
como o fator que mais interfere nas a??es de sa?de junto ao idoso. Quanto a inser??o da
fam?lia no cuidado: 98,8% dos profissionais consideram a fam?lia como um dos objetivos da
assist?ncia, por?m 82,5% auxiliam a fam?lia a conhecer sua fun??o e participar do cuidado
junto ao idoso, destacando-se que nenhum profissional faz uso de instrumentos de avalia??o
da funcionalidade da fam?lia. Quanto ?s a??es realizadas junto ao idoso, 91,25% realizam
visita domiciliar ao idoso; 88,75% realizam o acolhimento; 77,5% conhecem os h?bitos de
vida, valores culturais, ?ticos e religiosos dos idosos, suas fam?lias e da comunidade; 51,25%
complementam as a??es atrav?s da intersetorialidade; 50% participam de grupos de viv?ncia
de idosos; 33,75% mantem a caderneta de sa?de da pessoa idosa atualizados; 11,25% dos
profissionais realizam o Planejamento Terap?utico Singular (PTS) e poucos implementam as
a??es de promo??o ? sa?de de acordo com o PTS; h? d?ficit em algumas categorias
profissionais na identifica??o de idosos fr?geis e o acompanhamento dos mesmos em
domic?lio. Conclui-se, que a aten??o ? sa?de da pessoa idosa desenvolvida pelos profissionais
da ESF diverge entre as categorias profissionais. Verificou-se fragilidades quanto a promo??o
do envelhecimento ativo e saud?vel e no estabelecimento de uma aten??o integral e integrada
a pessoa idosa. Recomenda-se a ado??o de atividades de educa??o permanente por parte da
Gest?o Municipal, a priori para os profissionais da ESF na perspectiva das diretrizes da
Pol?tica Nacional de Aten??o ? Sa?de da Pessoa Idosa e posteriormente para os demais
profissionais que integram a rede de aten??o a sa?de da pessoa idosa em todos os n?veis de
aten??o no munic?pio para a elabora??o de estrat?gias e pr?ticas que promovam a melhoria da
qualidade da aten??o ? sa?de da pessoa idosa, impactando resultados efetivos e concretos em
termos de produ??o de sa?de na realidade brasileira
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14767 |
| Date | 30 March 2012 |
| Creators | Fernandes, Fernanda de Medeiros |
| Contributors | CPF:17599750444, http://lattes.cnpq.br/5190926575194616, Gon?alves, Lucia Hisako Takase, CPF:76371212834, http://lattes.cnpq.br/6191152585879205, Queiroz, Jamerson Viegas, CPF:39367398204, http://lattes.cnpq.br/0037657888703116, Menezes, Rejane Millions Viana, CPF:23039310453, http://lattes.cnpq.br/9130470143761299, Menezes, Rejane Maria Paiva de |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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