Dietitians in the Right Place at the Right Time For Primary Health Care

2006 ◽  
Vol 67 (S1) ◽  
pp. S2-S3
Author(s):  
Elizabeth Bright-See

2011 ◽  
Vol 5 (4) ◽  
pp. 1064 ◽  
Author(s):  
Patrícia Juliana de Sousa ◽  
Fátima Maria Da Silva Abrão ◽  
Aurélio Molina da Costa ◽  
Luiz Oscar Cardoso Ferreira

ABSTRACT Objective: to reflect on how nursing may employ the bioethics knowledge inside their practice to assistance and humanize the embracement on primary health care to Lesbian, Gay, Bisexual, and Transgender people (LGBT). Methodology: a reflective essay based on extensive literature review and consolidated through discussions during classes, as also seminars and Bioethics readings extracted from the discipline  "Fundamentals of Ethics and Bioethics in Health Care” from Masters of Science in Nursing’s Associate Program of Pernambuco State University and Paraiba State University, Brazil. Results: the bioethics knowledge can subscribe the real recognition of citizenship for all people, especially the most vulnerable ones, providing a space for reflections in the direction of harmony and equal opportunity among LGBT and health professionals. Conclusion: the theoretical framework of bioethics can help and support registered Nurses to promote humanized care for embracement of LGBT people in primary health services, in that it gives them sense of dignity and respect through the tolerance and acceptance of the right of diversity. Descriptors: user embracement; primary health care; homosexuality; bioethics; nursing. RESUMO Objetivo: refletir sobre como a Enfermagem pode utilizar o referencial da Bioética para fundamentar sua prática e assistência em relação à garantia de um acolhimento humanizado a Lésbicas, Gays, Bissexuais, Travestis e Transexuais (LGBT) nos serviços de saúde da atenção básica. Metodologia: ensaio reflexivo baseado em revisão bibliográfica e consolidado por meio de discussões e seminários realizados na disciplina Fundamentos da Ética e Bioética na Saúde e Enfermagem do Programa de Mestrado Associado de Pós-Graduação em Enfermagem UPE/UEPB. Resultados: a Bioética contribui para o reconhecimento da plena cidadania de todos os seres humanos principalmente dos mais vulneráveis, deste modo, proporcionando um espaço de reflexão na busca da convivência e da oportunidade entre usuários LGBT e profissionais da saúde. Conclusão: o referencial teórico da Bioética pode ajudar a respaldar e promover o acolhimento humanizado de LGBT pela Enfermagem nos serviços da atenção básica por meio da tolerância com a diversidade e respeito à dignidade humana destes cidadãos. Descritores: acolhimento; atenção básica; homossexualidade; bioética; enfermagem. RESUMEN Objectivo: refletir cómo las enfermeras pueden emplear los conocimientos de bioética dentro de su práctica  para  la asistencia y humanización de la acogida dentro la atención primaria de la salud de lesbianas, gays, bisexuales y personas transgénero. Metodología: ensayo reflexivo basado en  revisión de la literatura y consolidado através de discusiones y seminarios  durante las clases, así como seminarios y lecturas de Bioética extraídos de la disciplina "Fundamentos de la Ética y Bioética en la Atención Sanitaria" del Programa Master en Enfermeria Asociado de las Universades de los estados de Pernambuco y Paraiba, Brazil. resultados: la Bioética puede sostener um reconocimiento real de la ciudadanía de las personas, especialmente los más vulnerables, proporcionando un espacio de reflexión en el sentido de la armonía y la igualdad de oportunidades entre los LGBT y profesionales de la salud. Conclusión: el marco teórico de la bioética puede sustener a las enfermeras  para una atención más humanizada  de la acogida a los LGBT dentro de los servicios de salud primaria, garantizando a estas personas un sentido de dignidad y respeto a través de la tolerancia y la aceptación del derecho de la diversidad. Descriptores: acogimiento; atención primaria de salud; homosexualidad; bioética; enfermería.



Author(s):  
A.M. Tiamiyu ◽  
I.A. Adesina

Primary Health Care (PHC) is expected to serve as a basis for the country's health sector, of which it is the primary responsibility and priority, as well as the community's overall collective and economic prosperity. Promotion of food supply and proper nutrition are among eight elements of PHC. Protein deficiency is one of the most important health concerns in some parts of the world. A huge numbers of malnourished or hungry people have been reported particularly in the less developed countries. Advantages of aquaculture in nutrition are varied. However, there are some zoonotic microbial illnesses occurred due to consumption of infected seafood. Some of these challenges will be cor- rected by good aquaculture practices. With the right reforms in the aquaculture industry, progress can be made toward solving some of the challenges facing PHC delivery. In this mini-review, the benefits and risks of aquaculture foods in PHC are briefly discussed.





2018 ◽  
Vol 3 (2) ◽  
pp. 94
Author(s):  
John Tilock Sarkar ◽  
Md Jobair Khan ◽  
Atiqur Rahman Khan

In the developed nations physiotherapist are autonomously participating in the first line and already they are working in the second line treatment alongside with other professionals and the right for the mass population similar to the goal of the public health. The aim of the study was to sort out the real scenario of the development of physiotherapy services as a part of primary health care services including the knowledge and attitude of the general people. A multistage sampling method was selected for conducting the study in districts hospitals of the Barisal division. Result depicted that among the respondents mean age 36.86 ± 4.558 years and most 33.3% (n= 73) of them were younger age range 21-30 years and interestingly highest 41.55% (n= 91) were graduated with highly significant (x2= 1.196, P= 0.000). 65.3% (n= 143) of patients had knowledge about physiotherapy. Majority of case 41.1% (n= 90) orthopedic (x2= 86.175, P= 0.000) and medical condition stroke ware highest 30.1% (n= 66) statically significant (x2= 1.561, P= 0.000). Due to the awareness maximum, 39.70% (n= 87) came from self-reference and 88.4% (n= 176) received exercise therapy including other electrical modalities. Lowest 8.70% (n= 19) of patient expense > 300 BDT. Treatment right time 60.3% (n= 132). Treatment success rate 69.4% (n= 152). Difficulty to come physiotherapy center 43.8% (n= 96). Some limitation that causes insufficiency in treatment provide; 10.6% patient noted poor timing, 30.7% long witting time, 68.3% (n= 136) unpleasant, 78.9% (n= 157) absence of physiotherapist, 9.5% (n= 19) lack of cooperation. Although that 99.5% patient demand physiotherapy center as close as their range and 60.3% (n=132) satisfied with the treatment. Therefore it is strongly suggested to set up a modern physiotherapy department within the primary health care system with the qualified physiotherapist in community-level also District level hospital



Author(s):  
Fernando Rey Martínez

El artículo se plantea, sobre todo, el problema de la oportunidad de constitucionalizar el derecho a la protección jurídica de la salud como un derecho fundamental en sentido estricto, concluyendo afirmativamente. En el constitucionalismo español vigente, es un principio rector constitucional y un derecho legal. Se propone, pues, en una eventual reforma de la Constitución, convertirlo en un derecho fundamental de configuración legislativa. En segundo lugar, el trabajo se plantea la conveniencia de reconocer expresamente a la atención primaria de la salud en el texto constitucional.The article raises, above all, the problem of the opportunity to constitutionalize the right to legal protection of health as a fundamental right in the strict sense, concluding affirmatively. In current Spanish constitutionalism, it is a constitutional «principio rector» and a legal right. It is proposed, then, in a possible reform of the Constitution, to convert it into a fundamental right of legislative configuration. Second, the work raises the convenience of explicitly recognizing primary health care in the constitutional text.



2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Juliana Spinula dos Santos ◽  
Rodrigo Nogueira da Silva ◽  
Márcia de Assunção Ferreira

Abstract Objective: To reflect on the approaches to the health of the LGBTI+ population, Primary Health Care and Nursing in the care of this population. Method: The reflection is based on a brief characterization of the LGBTI+ population and their health, an analysis of the nurses' work in Primary Health Care (PHC), and a debate about particularities of the nursing care for the LGBTI+ population in the PHC. Results: The LGBTI+ population is composed of many populations defined by the diversity of gender identity and expression, sexual orientation, and biological sex. In Family Health teams, nurses must know the main demands of this population. The institutional reorientation of PHC imposes new challenges to the enjoyment of the right to health of the LGBTI+ population. Conclusion and implications for practice: Although the National LGBT Health Policy is seven years old, studies are still scarce, foremost in Nursing. Considering that the LGBTI+ population is also under the Nursing responsibility in the PHC, it is up to this professional category to provide integral assistance with a view to minimizing the inequalities suffered by this population.



Author(s):  
Margarita Blanco-Cornejo ◽  
Irma Riva-Palacio-Chiang-Sam ◽  
Iyari SánchezDíaz ◽  
Antonio Cerritos ◽  
Carlos Tena-Tamayo ◽  
...  


2022 ◽  
pp. 44-50
Author(s):  
N. A. Daikhes ◽  
T. Yu. Vladimirova ◽  
S. V. Bulgakova ◽  
A. B. Martynova

Introduction. The article discusses methods of screening for hearing impairments in patients of the older age group in the frame-work of primary health care.Aim of the study. Conduct a comparative analysis of the effectiveness of different hearing assessment protocols in primary health care.Materials and methods. Сlinical and demographic data were collected in 585 elderly and senile patients (mean age 76.43 ± 9.83), tonal threshold audiometry was performed in the frequency range from 250 Hz to 12000 Hz, hearing was studied using the web application “Automated primary hearing assessment” (patent No. 2019664671) and analyzed the self-assessment of hearing with the HHIE questionnaire.Results. Most of the patients were elderly people (57.44%) with a high percentage of concomitant diseases (up to 89.23%). When interviewing a geriatrician about a complaint of hearing loss, a sensitivity of 91.5% and a specificity of 82.2% for detecting mild hearing loss, a sensitivity of 95.5% and a specificity of 71.8% for screening for moderate to severe hearing loss were obtained. When assessing the total score of the HHIE questionnaire (>17 points) and moderate hearing loss, the sensitivity was 84.7% and the specificity was 88.7%. The sensitivity index of the web application «Automated primary hearing assessment» for detecting moderate hearing impairment was 90.6% for the left ear and 88.5% for the right ear, and specificity – 88.5% for the left ear and 97.5% for the right ear.Discussion. Raising awareness of hearing problems through the introduction of feasible methods of assessing hearing function should lead to an increase in the number of older adults receiving adequate hearing rehabilitation.Conclusions. The authors conclude that it is important to take preliminary account of data on the sensitivity and specificity of assessment protocols for detecting hearing impairments of varying severity at the stage of examination of an older patient by a geriatrician and an otorhinolaryngologist.



2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Selma Maria da Fonseca Viegas ◽  
Leila Cristine do Nascimento ◽  
Cássia Menezes ◽  
Thiago Rocha Santos ◽  
Gabriel Rios Roquini ◽  
...  

ABSTRACT Objectives: to understand access in a day in the life Primary Health Care as a fundamental right to health, from users’ perspective. Methods: a holistic-qualitative multiple case study based on Comprehensive Sociology of Everyday Life. 77 Unified Health System (SUS) users participated in the study. Results: according to users’ voice, the right to health is still a matter of struggle, in more than 30 years of SUS. SUS is considered as the place where they have to appeal. The experiences are diverse, from the ease to the difficulty of access, neglecting users’ needs, but despite the inequality in relation to the offer of services, the solution always arrives. Final Considerations: to overcome this historical obstacle of comprehensive access to health, as a fundamental human right, it is necessary to overcome political and administrative decisions that hinder the construction of legitimate SUS, in a truly democratic participation of all social actors.



2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Sessa ◽  
G Occhini ◽  
C Milani ◽  
G Marini ◽  
A Sarro

Abstract Worldwide sustainability of the National Health Systems (NHS) has been facing different challenges, such as population ageing, epidemiologic transition and deep social transformations. All these changes are struggling Italian welfare state and its public NHS. Following the principle of the Right to Health of the Declaration of Human Right and the Italian Constitution, a group of young health professionals from all over Italy founded a campaign called “2018 Primary Health care: Now or Never”(PHC Campaign) reminding WHO report of 2008 “primary Health Care: Now more than never”. This movement promotes a reform of the NHS focusing on comprehensive-PHC (C-PHC) and health promotion to guarantee sustainability of the Beveridge model italian system, fight health inequalities and answer the complexity of population needs in a period of spending cuts. Since the beginning, the movement started an educational program through the study of the literature and the research of the Italian and international best practices of C-PHC and community health promotion. As a result, to achieve the goal of this project, PHC campaign organized peer education training sessions, educational site-visit of some Italian best practices, lectures and workshops with Italian and foreigner health professionals experts on the field. Several national and regional events had been organized all over Italy. Members of “PHC” Campaign have been invited to write books, news on web-based newspapers on this topic and participate in congresses. To date, PHC campaign might be considered one of the strongest not-institutional voices in Italy in supporting the public beveridge-model NHS Moved from a strong ethical health policy view underlined the importance of the Right-to-Health and of a C-PHC based NHS, since the beginning, “2018 Primary Health care: Now or Never” Movement identified three asset of action: advocacy, education/knowledge and diffusion. Key messages The experience showed the importance of health professionals engagement in public health topics such as sustainability of public NHS in order to promote a reform towards health promotion and equity. PHC Campaign is an example of how a bottom-up ethical movement on public health from different Health professionals could actively contribute to promoting cultural and health policy change.



Sign in / Sign up

Export Citation Format

Share Document