scholarly journals The Transformative Learning and Critical Reflection Approach to Sustain Self-care Program for Chronically Ill Persons in Philanthropic Primary Health Care Unit

2014 ◽  
Vol 152 ◽  
pp. 725-733
Author(s):  
Prasak Santiparp ◽  
Suwithida Charungkiatkul ◽  
Kiatiwan Amatayakul

Given the history of medicine, we realize that it goes from a practice focused on the patient and self-care to a centralized pharmacological treatment. Given the above, this article aims to highlight the importance of changing lifestyle habits in the management of diseases through an experience report by medical students from the Christus University Center in their internship practice in a primary health care unit (UAPS) in Fortaleza-CE, Brazil, regarding the discipline of Integration Health Teaching Community III (ISEC III) through a qualitative writing study. As demonstrated in several scientific articles, the adoption of healthier practices leads to a lower incidence of symptoms such as anxiety and even remission of certain diseases such as type II diabetes mellitus. However, the vast majority of patients do not adhere to non-medication practices, often believing that medication is enough to promote the definitive cure of their respective illnesses. Soon, the importance of developing appropriate physical exercise and dietary practices is evident. However, there is much to be desired regarding patient compliance, making intervention necessary through educational activities to promote greater awareness of the disease and the importance of self-care.


1989 ◽  
Vol 14 (2) ◽  
pp. 107-120 ◽  
Author(s):  
Charles E. Begley ◽  
Lu Ann Aday ◽  
Roy McCandless

2011 ◽  
Vol 31 (3) ◽  
pp. 109-120 ◽  
Author(s):  
R Pineault ◽  
S Provost ◽  
M Hamel ◽  
A Couture ◽  
JF Levesque

Objectives To examine the extent to which experience of care varies across chronic diseases, and to analyze the relationship of primary health care (PHC) organizational models with the experience of care reported by patients in different chronic disease situations. Methods We linked a population survey and a PHC organizational survey conducted in two regions of Quebec. We identified five groups of chronic diseases and contrasted these with a no–chronic-disease group. Results Accessibility of care is low for all chronic conditions and shows little variation across diseases. The contact and the coordination-integrated models are the most accessible, whereas the single-provider model is the least. Process and outcome indices of care experience are much higher than accessibility for all conditions and vary across diseases, with the highest being for cardiovascular-risk-factors and the lowest for respiratory diseases (for people aged 44 and under). However, as we move from risk factors to more severe chronic conditions, the coordination-integrated and community models are more likely to generate better process of care, highlighting the greater potential of these two models to meet the needs of more severely chronically ill individuals within the Canadian health care system.


2007 ◽  
Vol 20 (2) ◽  
pp. 28-33 ◽  
Author(s):  
Mary Lou O'Neill ◽  
Evelyn Kennedy ◽  
Cyndee MacPhee

This study was undertaken primarily to evaluate Do I Need to See the Doctor?, a book designed to assist young families to self-manage common health problems. In addition, the study sought to determine whether providing an introductory explanation to the book had an impact on the respondents' perceived usefulness of it. Comparisons of emergency room visits were made for the timeframe of the study and for the previous year. Study results support the book's usefulness in increasing respondents' confidence to make knowledgeable, informed self-care decisions. Providing explanations did not affect the book's usefulness. A link between emergency room visits and the book requires further study.


1994 ◽  
Vol 39 (5) ◽  
pp. 733-741 ◽  
Author(s):  
Raija-Leena Punamäki ◽  
Hanna Aschan

2019 ◽  
Vol 28 ◽  
Author(s):  
Leiliane Teixeira Bento Fernandes ◽  
Vanessa Medeiros da Nóbrega ◽  
Malueska Luacche Xavier Ferreira Sales ◽  
Altamira Pereira da Silva Reichert ◽  
Flávia Moura de Moura ◽  
...  

ABSTRACT Objective: to analyze actions of Primary Health Care teams from the perspective of supported self-care for children and adolescents with chronic diseases. Method: a qualitative study, conducted between April and August 2016, with 11 primary care professionals from a municipality of Paraíba, Brazil. A semi-structured interview supported data collection; and a thematic analysis backed interpretation, which categorized the actions according to the 5 A ́s methodology (Evaluation, Guidance, Agreement, Assistance, Follow-up). Results: there were insufficient actions in the specific care plans. Isolated interventions are performed including: assessment of barriers to self-care and emotional state of the individual; provision of information on signs, symptoms of disease and treatment; stimulating the search for community resources; actions inherent to professional training; and follow-up by active search and home visits. Conclusions: actions in Primary Health Care do not yet value the active and co-responsible role of the individual in the control of their disease, with gaps to be overcome in the five pillars of supported self-care. Intervention studies are recommended that train professionals regarding supported self-care of these individuals.


2020 ◽  
Vol 16 (esp. 1) ◽  
pp. 446-461
Author(s):  
Maria da Graça Araújo Garcia

This article reports on the process of implementing Integrative Community Therapy (ICT) in the Primary Health Care (PHC) of the Health Care Unit XXXXX. The relevance of this work takes place in the sphere of welcoming people in psychic distress who seek support in the Single Health System (SUS). PHC is the gateway to the SUS, a public, universal system, hierarchized in attention levels and that proposes care in an equitable and integral manner. PHC is responsible for coordinating care at all levels of care. From this perspective, TCI, as a community-based and systemic care strategy, will be considered Primary Mental Health Care. The project considers the ICD as a scenario for changing professional practice in the area of mental health and a field of in-service teaching for doctors and resident doctors of Family and Community Medicine and Psychiatry.


Sign in / Sign up

Export Citation Format

Share Document