An Approach to the Patient with Skin Disease

1992 ◽  
Vol 22 (1_suppl) ◽  
pp. 7-14 ◽  
Author(s):  
Yetunde Mercy Olumide
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Skin Disease ◽  
Skin Diseases ◽  
Health Workers ◽  
Family Health ◽  
Integrated Approach ◽  
Sexually Transmitted ◽  
Primary Health ◽  
Laboratory Investigations

We practise an integrated approach to the management of skin diseases, leprosy and sexually transmitted diseases because the latter diseases are still stigmatized and patients are unwilling to attend clinics so labelled. When approached by a patient with skin disease it is advisable to see the patient promptly, because any further delay encourages the use of assorted remedies which may lead to undesirable complications, physically, emotionally and financially. Since there is no health insurance scheme, it is also prudent to manage the patient as much as possible without admission to hospital and with minimal laboratory investigations, to save cost, so that the patient still has sufficient money to buy the required drugs. Family health workers treat patients at the primary health care (PHC) level. At this level, patients are managed by the use of specially prepared standing orders (SO), where checklists and flow charts are grouped by problems or complaints, to facilitate usage by an individual with minimal training in morphology. The SO presents, so far as is possible, the best treatment available for each condition, but which cannot be misused by the primary health care personnel. Before discussing the management of individual diseases, it is important for the reader to appreciate the milieu in which we practise which determines our approach to the patient with skin disease. Some of its features will be highlighted before the management of individual disorders is discussed.

Authors’ Commentary: Domestic Violence Against Women, Public Policies and Community Health Workers in Brazilian Primary Health Care

2019 ◽  
Vol 40 (3) ◽  
pp. 237-239
Author(s):  
Marcos Signorelli ◽  
Angela Taft ◽  
Pedro Paulo Gomes Pereira
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Primary Health Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Professionals ◽  
Health Workers ◽  
Family Health ◽  
Further Education ◽  
Primary Health

In this commentary paper, we highlight the key role that community health workers and family health professionals can perform for the identification and care for women experiencing domestic violence in communities. These workers are part of the primary health-care strategy in the Brazilian public health system, who are available in every municipalities and neighborhoods of the country. Based on our ethnographic research, we argue that identification and care of abused women by these workers and professionals follow a pattern which we described and named “the Chinese whispers model.” We also point gaps in training these workers to deal with complex issues, such as domestic violence, arguing for the need of formal qualification for both community health workers and family health professionals by, for example, incorporating such themes into curricula, further education, and continuing professional development.

scholarly journals Protagonismo dos agentes comunitários de saúde no combate ao tabagismo

2019 ◽  
Vol 13 (2) ◽  
pp. 371
Author(s):  
Mila Cristian Ferreira ◽  
Geovana Brandão Santana Almeida ◽  
Heloisa Campos Paschoalin ◽  
Denicy De Nazaré Pereira Chagas ◽  
Luiza Vieira Ferreira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Health Workers ◽  
Family Health ◽  
Structured Interview ◽  
Calidad De Vida ◽  
Primary Health ◽  
Family Health Strategy ◽  
Care Family

RESUMOObjetivo: identificar de que forma os agentes comunitários de saúde contribuem para o desenvolvimento das ações de combate ao tabagismo na atenção primária à saúde.  Método: trata-se de um estudo qualitativo, descritivo e exploratório, realizado com 20 agentes comunitários de saúde. Utilizou-se uma entrevista semiestruturada para a obtenção dos depoimentos. Realizou-se a análise de conteúdo temática das entrevistas, identificando as palavras-chave, e discutiram-se os resultados em categorias. Resultados: evidenciaram-se duas categorias de análise: as estratégias utilizadas pelos agentes comunitários de saúde para a divulgação das ações de controle do tabagismo e as ações dos agentes comunitários de saúde voltadas aos usuários que não cessaram com o tabagismo. Conclusão: inferiu-se que o profissional capacitado é capaz de estabelecer um vínculo com o usuário da atenção primária à saúde, o que favorece a resolubilidade das ações, contribuindo para a qualidade de vida dos usuários que procuram por atendimento no serviço de saúde. Descritores: Atenção Primária à Saúde; Estratégia Saúde da Família; Agentes Comunitários de Saúde; Enfermagem; Educação em Saúde; Tabagismo. ABSTRACT Objective: to identify how community health agents contribute to the development of actions to combat smoking in primary health care. Method: this is a qualitative, descriptive and exploratory study carried out with 20 community health agents. A semi-structured interview was used to obtain the testimonies. The thematic content analysis of the interviews was carried out, identifying the keywords, and the results in categories were discussed. Results: two categories of analysis were presented: the strategies used by community health agents to publicize smoking control actions and the actions of community health agents directed at users who did not stop smoking. Conclusion: it was inferred that the trained professional is able to establish a link with the primary health care user, which favors the resolubility of the actions, contributing to the quality of life of users who seek care in the health service. Descritores: Primary Health Care; Family Health Strategy; Community Health Workers; Nursing; Health Education; Tobacco Use Disorder. RESUMEN Objetivo: identificar de qué forma los agentes comunitarios de salud contribuyen al desarrollo de las acciones de combate al tabaquismo en la atención primaria a la salud. Método: se trata de un estudio cualitativo, descriptivo y exploratorio, realizado con 20 agentes comunitarios de salud. Se utilizó una entrevista semiestructurada para la obtención de los testimonios. Se realizó el análisis de contenido temático de las entrevistas, identificando las palabras clave, y se discutieron los resultados en categorías. Resultados: se evidenciaron dos categorías de análisis: las estrategias utilizadas por los agentes comunitarios de salud para la divulgación de las acciones de control del tabaquismo y las acciones de los agentes comunitarios de salud dirigidas a los usuarios que no cesaron con el tabaquismo. Conclusión: se ha inferido que el profesional capacitado es capaz de establecer un vínculo con el usuario de la atención primaria a la salud, lo que favorece la resolución de las acciones, contribuyendo a la calidad de vida de los usuarios que buscan atención en el servicio de salud. Descritores: Atención Primaria de Salud; Estrategia de Salud Familiar; Agentes Comunitarios de Salud; Enfermería; Educación em Salud; Tabaquismo.

scholarly journals Role of Primary Health Care teams in rapid testing for Sexually Transmitted Infections

2021 ◽  
Vol 45 (131) ◽  
pp. 1075-1087
Author(s):  
Túlio César Vieira de Araújo ◽  
Marize Barros de Souza
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Professional Practices ◽  
Health Care Teams ◽  
Process Data ◽  
Sexually Transmitted ◽  
Staff Members ◽  
Primary Health ◽  
Rapid Tests

ABSTRACT This research aims at describing the professional practices of Primary Health Care teams regarding rapid tests for STDs. It follows a descriptive study under a quantitative approach; participants include 18 municipalities, 94 Basic Health Units, and 100 staff teams working on Family Health Strategies. The sample was composed of the managers and the staff members directly involved in the testing, while the variables included adhesion to the tests and factors regarding the testing process. Data collection was performed in loco through a semi-structured instrument. Rapid tests were offered by 93% of the teams, 78.5% offering the tests to any users. In 89.2% of the staff teams, the nurse was solely responsible for collecting tests; 55.9% of members did not feel confident about reporting on a positive result, while 63.1% of those who considered the community health agent the main form of outreach assessed their performance as inadequate. Treatment against syphilis accounts for 50.5%. There is fair adhesion to testing by part of the staff teams; the focus on the nurse, however, leads to an increase in their workload, highlighting their protagonism, leading to a reflection on professional practices and paving the way for different realities to be further investigated

scholarly journals Sharp Object Injuries of Family Health Workers Working in Primary Health Care Services and Related Factors

2021 ◽  
Vol 29 (3) ◽  
pp. 324-333
Author(s):  
Aynur Uysal Toraman ◽  
◽  
Safak Daghan ◽  
Ebru Konal Korkmaz ◽  
Esin Ates ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Health Workers ◽  
Family Health ◽  
Related Factors ◽  
Sharp Object ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Evaluation of the Quality of Care for Sexually Transmitted Infections in Primary Health Care Centres in South Africa

2002 ◽  
Vol 32 (4) ◽  
pp. 33-40 ◽  
Author(s):  
Nokuthula Shabalala ◽  
Anna Strebel ◽  
Tammy Shefer ◽  
Leickness Simbayi ◽  
Tanya Wilson ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Health Providers ◽  
Sexually Transmitted ◽  
Primary Health ◽  
Depth Interviews

Sexually transmitted infections (STIs) are one of the most common illnesses among adolescents and adults in developing countries. While research from other countries indicates that a lack of financial, infra-structural and human resources are central determinants of the quality of care for STIs, South African studies suggest that there are also problems in health workers' interactions with STI patients. This study investigates the quality of care for STIs at 24 primary health care (PHC) centres in four provinces of South Africa (SA). Semi-structured interviews were conducted with STI patients and health providers. In addition, in-depth interviews were conducted with a sample of STI patients, and focus group discussions were held with diverse community groupings. Simulated patients also completed questionnaires on the care they received at the centres. Frequencies were computed on close-ended questions in order to describe patterns and trends in the data. Cross-tabulations were calculated to check for gender, provincial and urban-rural differences. Composite scores were also generated for the purpose of comparing quality of care across the different participating groups. Finally, the depth interviews and focus groups were analysed thematically. The results show that PHC centres in SA are relatively well-resourced. However, problems were found in the actual encounter between health workers and STI patients, which severely undermines the quality and effectiveness of treatment. It is strongly recommended that attention be given to health providers, in particular through the provision of further training and support in relation to effective STI management.

scholarly journals Práticas de acolhimento na perspectiva de profissionais de atenção básica em saúde/Reception practices from the perspective of professionals in Basic Health Care

2019 ◽  
Vol 3 (4) ◽  
pp. 494-507
Author(s):  
Teresinha Cid Constantinidis ◽  
Mirlan Cristian Mendes de Oliveira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Family Health ◽  
Structured Interview ◽  
Health Production ◽  
Daily Work ◽  
Primary Health ◽  
Family Health Strategy ◽  
Healthy Work Environments

O conhecimento de como o acolhimento é entendido e praticado no serviço de Atenção Primária em Saúde (APS) pode trazer melhorias para o cuidado em saúde e o trabalho em rede, uma vez que acolher é uma técnica leve que motiva o cuidado significativo para profissional e usuário. Este estudo teve como objetivo identificar, conhecer e descrever as concepções de acolhimento em saúde de trabalhadores de uma unidade de Estratégia de Saúde da Família (ESF), bem como discutir as diferenças entre as referidas concepções e as diretrizes da Política Nacional de Humanização (PNH). Trata-se de pesquisa qualitativa com coleta de dados por meio de entrevista semi-estruturada com seis trabalhadores inseridos na Atenção Básica em Saúde (ABS). A análise dos dados, refinada por meio de análise do discurso na modalidade temática, apontou as seguintes regularidades discursivas: concepção de acolhimento; método de acolhimento; acolhimento no cotidiano de trabalho.  Os resultados salientam a falta de articulação teórico-prático entre a PNH e trabalhadores, os parâmetros de qualidade e os fatores prejudiciais ao acolhimento. Constata-se o acolhimento como prática no cotidiano do serviço possibilita o estabelecimento de cuidado com o usuário e legitima boa relação de trabalho entre os trabalhadores de saúde desta unidade ESF.Abstract:The knowledge of how the host is understood and practiced in the Primary Health Care (PHC) service can bring improvements to health care and networking. The purpose of this study was to identify and describe the conceptions of health reception of workers from a Family Health Strategy (FHS) unit, as well as to discuss these concepts in the light of the National Humanization Politics (NHP) guidelines. This is qualitative research with data collection through a semi-structured interview with six workers enrolled in PHC. The analysis of the data was made through discourse analysis in the thematic modality, pointed to the following discursive regularities: reception conception; host method; host in the daily work. The results relate the professionals' conceptions to the importance of welcoming SUS as a quality tool, not only in the health production of users, but also in the production of professional valorization and healthy work environments. It is important to highlight the challenges of placing the care in accordance with the NHP, as a practice in the day-to-day of the service in establishing care for the user and in the relationships among the health workers of this FHS unit.Keywords: User Embracement, Primary Health Care; Humanization; Health professionals. ResumenEl conocimiento de cómo la acogida es entendido y practicado en el servicio de Atención Primaria en Salud (APS) puede traer mejoras para el cuidado en salud y el trabajo en red. El propósito de este estudio fue identificar y describir las concepciones de la acogida de salud de los trabajadores de una unidad de Estrategia de Salud Familiar (ESF), así como discutir estos conceptos a la luz de las directrices de la Política Nacional de Humanización (PNH). Esta es una investigación cualitativa con recolección de datos a través de una entrevista semiestructurada con seis trabajadores inscritos en Atención Primaria de Salud (ABS). El análisis de los datos se realizó a través del análisis del discurso en la modalidad temática, apuntando a las siguientes regularidades discursivas: concepción de recepción; método de acogida; Anfitrión en el trabajo diario. Los resultados relacionan las concepciones de los profesionales con la importancia de recibir al SUS como una herramienta de calidad, no solo en la producción de salud de los usuarios, sino también en la producción de valorización profesional y entornos laborales saludables. Es importante resaltar los desafíos de colocar la atención de acuerdo con la PNH, como práctica en el día a día del servicio para establecer la atención para el usuario y en las relaciones entre los trabajadores de la salud de esta unidad del ESF.Palabras clave: Acogida en salud; Atención Primaria en Salud; Humanización; Profesionales de la salud.

Evaluation and Monitoring of the Group of Pregnant Women in a Primary Health Care Unit in the Municipality of Fortaleza

2021 ◽  
Vol 12 (04) ◽  
pp. 409-414
Author(s):  
Fernanda Castro Silvestre ◽  
◽  
Maria Helenice Almeida Leitão ◽  
Tiago Araújo Monteiro ◽  
Mayara Duarte da Rocha ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Pregnant Women ◽  
Extended Family ◽  
Family Health ◽  
Rapid Test ◽  
Sexually Transmitted ◽  
Primary Health ◽  
Health Care Unit ◽  
Evaluation And Monitoring

This work aims to show the deployment of a Group of Pregnant Women developed in a Primary Health Care Unit (PHCU) of Regional V. Firstly, a strategy was started for early capture, prenatal care, stratification and the entire development of care for prenatal. The collection took place collectively, through visits by Community Health Agents (CHA), in the visits to the unit and early identification of suspected pregnancy, the examination was carried out. Finding pregnancy, the first consultation was held in partnership between psychology and nursing, starting with anamnesis of pregnancy, raising awareness about sexually transmitted infectious diseases, application of the rapid test and scheduling for the group of pregnant women. During the meetings, experiences and difficulties related to the gestational period were shared, covering topics such as breast care and the newborn. The pregnant women got interest and realized the relevance of the group, maintaining attendance to the meetings. An average of 102 pregnant women were monitored during the period from January to December 2019, which effectively prevents and promotes health in the Family Health Strategy (FHS) linked to the Extended Family Health Center (EFHC).

scholarly journals Configuration and organization of Primary Health Care regarding actions to promote infant food and nutrition in a city located in the Zona da Mata of Minas Gerais

2021 ◽  
Vol 43 ◽  
pp. e19-43690
Author(s):  
Tatiane Cristina Serafim ◽  
Bruno David Henriques ◽  
Raquel Maria Amaral Araújo ◽  
Carolina Araujo dos Santos ◽  
Emanuelle Emília Ferreira Parreiras ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Maternal Education ◽  
Health Workers ◽  
Family Health ◽  
Minas Gerais ◽  
Adolescent Mother ◽  
Infant Food ◽  
Primary Health ◽  
Food And Nutrition

The study analyzed the promotion of infant food and nutrition for children under two years in the Primary Health Care in a city located in Minas Gerais. An exploratory and descriptive study interviewing managers, coordinating nurse, community health workers and mothers of registered children. The data were analyzed using the Shapiro-Wilk normality test and Fisher's exact test, Pearson's chi-square test and simple Student t test. The city did not implement the Strategy Amamenta e Alimenta Brasil. Strategy for Family Health performed childcare, but in an irregular or incomplete way. The main difficulties were low adherence by mothers and work overload by nurses. SISVAN's nutritional diagnosis reports are not used.55.6% of mothers participate in the childcare. 33.3% of mothers received guidance on breastfeeding before and after the baby was born. 22.2% received it during prenatal care and 5.6% received it only after the baby was born. Half of the mothers received guidance on healthy complementary feeding. No significant associations were found for the participation of mothers and the variables maternal education, maternal age, having an only child, being an adolescent mother. Mothers should be advised on the approach of the units to monitor the child's growth and development, preventing health problems.

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