scholarly journals Atuação do terapeuta ocupacional no NASF: reflexões sobre a prática/Occupational therapist at the NASF: reflections on practice

2019 ◽  
Vol 3 (4) ◽  
pp. 569-583
Author(s):  
Míriam De França Chagas ◽  
Magda Fernanda Lopes de Oliveira Andrade
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Family Health ◽  
Occupational Therapists ◽  
Structured Interview ◽  
Physical Structure ◽  
Occupational Therapist ◽  
Health Networks ◽  
Unified Health System ◽  
The Family

Em 2008, foi criado, pelo Ministério da Saúde, o Núcleo de Apoio à Saúde da Família (NASF), com o intuito de apoiar as equipes da Estratégia de Saúde da Família (ESF) nas redes de saúde e ampliar a ação da Atenção Básica da Saúde. O NASF é composto por uma equipe multidisciplinar e o terapeuta ocupacional é um dos integrantes desta equipe. O objetivo deste trabalho é o de conhecer a atuação dos terapeutas ocupacionais nos NASFs do município de Maceió, Alagoas, e suas reflexões sobre o trabalho desempenhado. Trata-se de uma pesquisa qualitativa, sendo a coleta de dados realizada por meio de entrevista semiestruturada. Como resultados, foram elencadas três categorias temáticas: A atuação do terapeuta ocupacional no NASF: ações e atividades efetuadas; Os principais obstáculos encontrados pelo terapeuta ocupacional no NASF e As ferramentas tecnológicas utilizadas para a realização do trabalho no NASF. A Terapia Ocupacional ainda é uma profissão que busca seu reconhecimento no NASF. Visitas domiciliares, salas de espera e atividades em grupo foram identificadas como ações desempenhadas pelos profissionais, apesar das dificuldades como falta de recursos materiais e de uma estrutura física melhor. Este estudo serviu para enfatizar a importância do trabalho do terapeuta ocupacional no serviço, bem como as dificuldades encontradas por eles, citando assim a falta de reconhecimento/conhecimento da profissão, recursos e espaço. Apesar das dificuldades mencionadas, os mesmos sempre buscam realizar um atendimento humanizado, preocupando-se com os usuários, minimizando os riscos e promovendo a saúde. AbstractIn 2008, the Family Health Support Center (NASF) was created by the Ministry of Health to support the Family Health Strategy (ESF) teams in health networks and expand the action of Primary Care of health. The NASF is composed of a multidisciplinary team and the occupational therapist is one of the members of this team. The objective of this work is to know the performance of occupational therapists in the NASFs of the city of Maceió-AL, and their reflections on the work performed. This is qualitative research, and the data collection is done through a semi-structured interview with occupational therapists of the NASFs in the municipality of Maceió-AL. As a result, three thematic categories were listed: The work of the occupational therapist in the NASF: actions and activities carried out; the main obstacles encountered by the occupational therapist in NASF; at technological tools used to perform work in the NASF. Occupational Therapy is still a profession that seeks recognition in the NASF. Home visits, waiting rooms and group activities were identified as actions performed by professionals, despite difficulties such as lack of material resources and a better physical structure. This study contributed to emphasize the practice of the work of the occupational therapist in the service, as well as the difficulties encountered to know: citing the lack of recognition/knowledge of the profession, resources and space. Despite the mentioned difficulties, they seek to perform a humanized care, reaffirming principles and guidelines of the Unified Health System - SUS, to minimize risks and promote health care. Keywords: Occupational Therapy, Primary Health Care, Family Health. Resumen En 2008, fue creado por el Ministerio de Salud, el Núcleo de Apoyo a la Salud de la Familia (NASF), con el propósito de apoyar a los equipos de la Estrategia de Salud de la Familia (ESF) en las redes de salud y ampliar la acción de la Atención Básica de la Salud. El NASF está compuesto por un equipo multidisciplinario y el terapeuta ocupacional es uno de los integrantes de este equipo. El objetivo de este trabajo es el de conocer la actuación de los terapeutas ocupacionales en los NASF del municipio de Maceió-AL, y sus reflexiones sobre el trabajo desempeñado. Se trata de una investigación cualitativa, siendo la recolección de datos realizada por medio de una entrevista semiestructurada con terapeutas ocupacionales de NASF en el municipio de Maceió-AL. Como resultados, se enumeraron tres categorías temáticas: La actuación del terapeuta ocupacional en el NASF: acciones y actividades efectuadas; los principales obstáculos encontrados por el terapeuta ocupacional en el NASF; las herramientas tecnológicas utilizadas para la realización del trabajo en el NASF. La Terapia Ocupacional sigue siendo una profesión que busca su reconocimiento en el NASF. Las visitas domiciliarias, salas de espera y actividades en grupo fueron identificadas como acciones realizadas por los profesionales, a pesar de las dificultades como falta de recursos materiales y de una estructura física mejor. Este estudio contribuido para enfatizar la práctica del terapeuta ocupacional en el servicio, así como las dificultades a saber:la falta de reconocimiento / conocimiento de la profesión, recursos y espacio. A pesar de las dificultades mencionadas, buscan realizar una atención humanizada, reafirmando los principios y lineamientos del Sistema Único de Salud - SUS, para minimizar los riesgos y promover la atención médica.Palabras clave: Terapia Ocupacional, Atención Primaria de Salud, Salud Familiar. 

scholarly journals Identificação das ações de terapeutas ocupacionais na atenção primária à saúde no Brasil/Identified actions of occupational therapists in primary health care in Brazil

2019 ◽  
Vol 3 (1) ◽  
pp. 21-36
Author(s):  
Rodrigo Alves dos Santos Silva ◽  
Fátima Correa Oliver
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Occupational Therapy ◽  
Family Health ◽  
Occupational Therapists ◽  
Service Planning ◽  
Unified Health System ◽  
Basic Care ◽  
Primary Health ◽  
On Line

É relevante conhecer a diversidade de práticas de terapeutas ocupacionais na Atenção Primária à Saúde (APS) no contexto brasileiro, devido esse nível assistencial apoiar o rearranjo da atenção à saúde à população. O estudo identificou ações e atividades realizadas por terapeutas ocupacionais na APS. Trata-se de pesquisa do tipo Survey, efetuada entre novembro de 2017 e fevereiro de 2018, através de Questionário On line autoaplicável com terapeutas ocupacionais da APS. Participaram 105 profissionais, a maioria do gênero feminino, com até 39 anos de idade e tempo de atuação na APS variando entre um e cinco anos, inseridos, sobretudo, em Núcleos de Apoio à Saúde da Família das regiões sudeste e nordeste. Os profissionais informaram realizar atendimento individual (97,1%) e grupal (93,3%); atenção domiciliar (84,8%); apoio matricial (88,6%); educação em saúde (86,7%); promoção da saúde (95,2%); prevenção de doenças (89,5%); educação permanente e/ou continuada (84,8%); participação em reuniões de planejamento dos serviços (89,5%) e de articulação com redes saúde (81,9%). Também utilizam atividades, tecnologia assistiva e recursos terapêuticos em ações junto a pessoas com dificuldades na realização das atividades cotidianas. As práticas referidas indicam a integração dos profissionais às equipes e aos serviços de saúde e do território. A identificação das ações e atividades representa etapa inicial de construção de dados aprofundados sobre a atuação da terapia ocupacional na APS. Abstract It is relevant to know the diversity of practices of occupational therapists in Primary Health Care (PHC) in the Brazilian context, due to this level of support to the rearrangement of health care to the population. The study identified actions and activities performed by occupational therapists in PHC. This is a Survey-type, conducted between November 2017 and February 2018, through a self -administered On-line Questionnaire with PHC occupational therapists. A total of 105 professionals, most of them female, with up to 39 years of age and working time in PHC ranging from one to five years, were included, mainly in Expanded Core Family Health and Basic Care in the Southeast and Northeast Regions. The professionals reported individual care (97.1%) and group (93.3%); home care (84.8%); matrix support (88.6%); health education (86.7%); health promotion (95.2%); disease prevention (89.5%); continuing and/or continuing education (84.8%); participation in service planning meetings (89.5%) and articulation with health networks (81.9%). They also use activities, assistive technology and therapeutic resources in actions with people with limitations in daily activities. The practices referred to indicate the integration of the professionals to the teams and the health services and the territory. The identification of actions and activities represents an initial stage of construction of in-depth data on the performance of occupational therapy in PHC.Keywords: Primary Health Care; Occupational Therapy; Unified Health System.

scholarly journals Mental Health In Primary Care

10.3823/2463 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Dayse Lôrrane Gonçalves Alves ◽  
Maria Vilani Cavalcante Guedes ◽  
Josualdo Araujo Lima Ribeiro
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Prescription Drugs ◽  
Family Health ◽  
Structured Interview ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objective: To understand how the professionals of the Family Health Strategy (FHS) develop their actions with people who need mental health care. Methods and results: This is an observational and descriptive research, which predominantly had a qualitative approach. The participants of this research were the professionals of the Reference Teams of the Family Health Strategy of a municipality in the interior of Ceará, in this case, doctors, nurses and dental surgeons. The sample was of twenty participants, which was given by theoretical saturation about the object of study. For the data collection, two techniques were used: semi-structured interview and simple observation. This project was submitted and approved by the Research Ethics Committee of the State University of Ceará (CAAE: 44321015.4.0000.55.34 - Report No.: 1,082,101 / 2015). The data were organized through the technique of the Discourse of the Collective Subject. The results showed that health professionals are not yet ready to promote mental health care in primary care, since they still conceive mental health care from the asylum paradigm and, therefore, act based on the prevalence of diagnosis Psychiatric care, individual care, prescription drugs and renewal of prescriptions. Conclusion: In this regard, we emphasize the need to invest in continuing education for professionals in order to train them for the mental health act. Keywords: Mental Health; Primary Health Care; Family Health Strategy.

scholarly journals Professional education in curricular internships of occupational therapists in Primary Health Care

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A P N Fornereto ◽  
P G Furlan ◽  
S H Ferigato ◽  
A S Moura ◽  
C B Faria ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Occupational Therapy ◽  
Health System ◽  
Family Health ◽  
Occupational Therapists ◽  
Level Of Care ◽  
Health Unit ◽  
Basic Health ◽  
Primary Health

Abstract This study regards the experience of implementing a professional internship intended to students of Occupational Therapy in Primary Health Care in a Federal University located in São Paulo State, Brazil. Occupational therapist profession in Brazil was inserted in this level of care to offer specialised support to teams, mainly concerning qualification of care to vulnerable and invisible populations (community, family and cultural aspects), health promotion, encouragement of team work, humanisation in health. Such curricular internship occurs since 2017 to students of the 4th and 5th years of undergraduate course, completing 240 hours. How is the practice programme in Primary Health Care organised in the pedagogic project? Which are the strengths and fragilities of this field, as far as education is concerned? Among the practice scenarios, there are Basic Health Unit, Family Health Strategy teams, Family Health Support Centre, Street Clinic and University Basic Health Unit, with tutors who establish the collaboration. The interns follow individual and group cases, take part in team meetings and actions for team qualification and are also supervised weekly by a professor. Among their strengths, we can list a diversified education, based on the most recent public policies for the level of care that represents the stepping stone to the health system. As well as the access to the occupational therapy professional in this first contact, if the team identifies such necessity. Regarding challenges, there is unawareness about professional practice, difficulty to access work instruments and resources, as well as physical space. We hope this experience can help other educational institutions to implement their practice programmes in and for the health system. Egresses report that enables learning to work in a team in different scenarios. Such strategy aims to form a generalist professional, with criticality regarding challenges and potentialities of Brazilian public health. Key messages This study reports the experience of a professional internship of Occupational Therapy in Primary Health Care, understanding the health system as a scenario for practice, teaching and learning. Educating occupational therapists to this level of care is necessary, in agreement with the attributes of Primary Care.

Extending the Role of the Occupational Therapist in the Promotion of Collaborative Medication Management to Facilitate Occupation

2011 ◽  
Vol 74 (11) ◽  
pp. 540-542 ◽  
Author(s):  
Julie Cole
Keyword(s):  
Health Care ◽  
Medication Adherence ◽  
Occupational Therapy ◽  
Medication Management ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Health Care Environment ◽  
Care Environment ◽  
Professional Perspectives

Although falling outside its traditional domain of concern, medication management merits consideration by occupational therapists owing to both the beneficial and the detrimental effects of pharmacology on occupation. However, a lack of clarity about the profession's role in promoting this activity has important consequences from legal and professional perspectives. In a health care environment, where a client-centred approach to medication adherence is currently advocated, there is scope to use the profession's models to explore this topic from an occupational viewpoint. This could enhance effective collaboration between prescribers and patients and enable the use of occupational therapy to augment, support or replace pharmacological approaches.

scholarly journals Physical therapist insertion in the Family Health Strategy team: the users’ view

2015 ◽  
Vol 28 (3) ◽  
pp. 485-493 ◽  
Author(s):  
Fátima Ferretti ◽  
Rosane Paula Nierotka ◽  
Cássia Cristina Braghini ◽  
Carla Rosane Paz Arruda Teo ◽  
Lucimare Ferraz ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Family Health ◽  
Theory And Practice ◽  
Unified Health System ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

AbstractIntroduction The Family Health Strategy program (FHS) was created with the aim to strengthen primary care through multidisciplinary practices, focused of health care to the family and community. In this sense, the incorporation of other professionals, other than provided in the minimum composition, such as the physical therapist, may contribute to enhance the comprehensiveness of health care.Objective To know how the user perceives the need of a physical therapist in the FHS.Methodology This is a qualitative research of 60 users of a Family Health Center in a city in western Santa Catarina. Data collection was performed at users’ homes by means of an interview. It contained questions about users’ knowledge on physiotherapy and the need to include this professional in the FHS team. Data were analyzed using thematic content analysis.Results Regarding the users’ knowledge about the physical therapist, we could observe that users perceive this professional as the one who works in rehabilitation. As for the need for the physical therapists insertion in the FHS staff, users highlighted that it is important to facilitate access to physical therapy services and to expand the comprehensiveness of health care to the user.Final considerations It is clear that users recognize the role of physiotherapy in primary care, realizing the need for its inclusion in the FHS. This fact emphasizes that it is necessary to (re)consider the training process of this professional, approaching theory and practice of the FHS guidelines and the principles of the Unified Health System.

scholarly journals Percepção de profissionais da saúde sobre a Terapia Ocupacional no Núcleo de Apoio à Saúde da Família/Perception of health professionals about the Occupational Therapy in a Family Health Support Center

2019 ◽  
Vol 3 (1) ◽  
pp. 76-90
Author(s):  
Rodolfo Gomes Nascimento ◽  
Ronald Oliveira Cardoso ◽  
Gisely Avelar Castro
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Occupational Therapy ◽  
Health Professionals ◽  
Family Health ◽  
Northern Region ◽  
Occupational Therapist ◽  
Health Programs ◽  
Primary Health ◽  
Health Support

Introdução: O desconhecimento do papel do terapeuta ocupacional na Atenção Primária à Saúde (APS), especialmente na região norte onde a inserção deste profissional é incipiente, pode figurar como entrave à efetivação da interdisciplinaridade e oferta de cuidado aos usuários. Objetivo: Conhecer a percepção dos profissionais de saúde de um Núcleo de Apoio à Saúde da Família (NASF) da região norte do Brasil, acercada atuação do terapeuta ocupacional no âmbito da APS. Métodos: Foi realizado um estudo de abordagem qualitativa com 15 profissionais de saúde do NASF-Águas Lindas, localizado no município de Ananindeua, Pará. Para a coleta de dados utilizou-se como instrumentação um questionário e uma entrevista semiestruturada. Resultados: A caracterização dos participantes da pesquisa demonstrou a precariedade e/ou a inexistência de contrato formal no vínculo dos profissionais deste NASF. A análise de conteúdo gerou três categorias temáticas envolvendo a importância da atuação do terapeuta ocupacional na APS, o conhecimento acerca da inserção do profissional nos programas de saúde e a percepção sobre as ações interdisciplinares envolvendo a Terapia Ocupacional. Conclusão: Diante da análise dos discursos, embora tenha ficado clara a importância da Terapia Ocupacional na APS, notou-se que existem restrições quanto à compreensão, em especial, sobre os propósitos da atuação do terapeuta ocupacional em programas de saúde da APS e no exercício da interdisciplinaridade. AbstractIntroduction: The lack of knowledge about the role of the occupational therapist in Primary Health Care (PHC), especially in the northern region where the insertion of this professional is incipient, may be an obstacle to the effectiveness of interdisciplinarity and offer of care to users. Objective: To know the perception of the health professionals of a Family Health Support Center (FHSC) of the northern region of Brazil, about the work of the occupational therapist in the ambit of the APS. Methods: A qualitative study was carried out with 15 health professionals from FHSC-Águas Lindas, located in the city of Ananindeua, Pará. A questionnaire and a semi-structured interview were used to collect data. Results: The characterization of the participants of the research demonstrated the precariousness and/or absence of formal contract of employment relationship in the FHSC context of the study and the content analysis generated three thematic categories of analysis involving the importance of the work of the occupational therapist in PHC, the knowledge about the insertion of the professional in the health programs and the perception about the interdisciplinary actions involving the Occupational Therapy. Conclusion: In light of the analysis of the speeches, although the importance of Occupational Therapy in PHC was clear, it was observed that there are restrictions regarding the understanding, in particular, of the purposes of the occupational therapist's performance in PHC health programs and in the exercise of interdisciplinarity.Keywords: Primary health care; Patient care team; Professional practice; Occupational therapy.

scholarly journals The Importance of the Physical Therapist’s Performance in the Family Health Support Center

2020 ◽  
pp. 44-52
Author(s):  
Douglas Castanheira Barros de Sa ◽  
Sara Resplande Magalhães ◽  
Hyslla Marianna Coelho Azevedo ◽  
Ramônica Garcia Lopes ◽  
Amanda Aguiar Barros ◽  
...  
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Physical Therapist ◽  
Family Health ◽  
Unified Health System ◽  
Health Strategy ◽  
The Family ◽  
Health Support ◽  
The Government ◽  
Under Construction

Introduction: Created from Brazilian social and sanitary movements, the Unified Health System (SUS) has changed the concept of health, its management, and how society should actively participate in this process. Portrait n. 154, dated January 24, 2008, created the Family Health Support Centers (NASF), and with it emerged the need to organize the professional practices of Physical Therapy in all actions of its responsibility, through the Health Strategy of the family. Physical Therapy in Basic Health Care is a process under construction that faces challenges since the physiotherapist is trained for rehabilitation. Objective: To demonstrate significantly the importance of the physiotherapist in the Family Health Support Center. Materials and Methods: This is a qualitative bibliographic review with an exploratory design, carried out through a bibliographical survey related to the theme The Importance of Physical Therapist Performance in the Family Health Support Center, published since 2006, in the Portuguese language. The descriptors were: Physiotherapist; Family Health; Primary Health Care; Public health for search. The exclusion attributes were: publications inferior to the year 2006 and that flee from the selected theme. The surveys will be carried out in the following databases, Medline, VBS, Lilacs, Scielo, Google Scholar, and Official Sites of the Government of Brazil. Conclusion: The physiotherapist when inserted within the NASF (Family Health Support Nucleus) team is a fundamental piece, fulfilling its role in primary care investing in the promotion and prevention of diseases and their diseases, recovery, rehabilitation and quality improvement of life of the population, with an integral practice that per passes by the education in health, reception, individual attendance. The literary shortage when the subject is Basic Attention mainly in what concerns the NASF, making difficult the understanding of the importance and the role of preventive Physiotherapy in this context. For physiotherapy to be increasingly recognized, the training of professionals capable of acting in this area should be encouraged.

scholarly journals FAMILY HEALTH SUPPORT CENTER: AN INTERSECTION BETWEEN PRIMARY AND SECONDARY HEALTH CARE

2019 ◽  
Vol 28 ◽  
Author(s):  
Carine Vendruscolo ◽  
Fabiane Ferraz ◽  
Charles Dalcanale Tesser ◽  
Letícia de Lima Trindade
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Structured Interviews ◽  
Unified Health System ◽  
Primary Health ◽  
The Family ◽  
Family Health Strategy ◽  
Secondary Health Care ◽  
Health Support

ABSTRACT Objective: to identify the space in which the Family Health Support Center is structured in the services and how it works within the scope of the Unified Health System. Method: a conceptual study based on partial results of a multicenter, descriptive-exploratory study with a qualitative approach, carried out in 2017, in the State of Santa Catarina, with managers and professionals from the Family Health Support Center. Content thematic analysis was used with the data from semi-structured interviews with professionals and individual interviews with managers, totalling 18 participants. Results: the professionals of the Family Health Support Center are identified as specialists who work in or close interaction with Primary Health Care, in the context of matrix support, in order to assist in the planning of the Health Care Network, which strengthens the general practice in Family Health. In addition to primary health care, they can act in intercessory spaces and perform secondary health care; set forth possibilities for intervention and enhance inter-sectoriality and co-responsibility. Conclusion: the Family Health Support Center was recognized as an important articulator of interdisciplinarity in health work, cabable of promoting comprehensive and intersectoral care, in addition to its initial proposal of supporting the Family Health Strategy, which could help in the coordination and fulfillment of secondary health care in the Brazilian Unified Health Care System, thus being an intersecting space between primary and secondary health care.

scholarly journals The Team Of The Family Health Strategy And The Doctrinal Principles Of The Unified Health System: Perceptions And Applicability

10.3823/2389 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Woneska Rodrigues Pinheiro ◽  
Thais De Lima Felix Da Silva ◽  
Isaac De Sousa Araújo ◽  
Kátia Monaisa de Sousa Figueiredo ◽  
Lorena Pereira Bernardo ◽  
...  
Keyword(s):  
Health System ◽  
Family Health ◽  
Structured Interview ◽  
Consolidation Process ◽  
Basic Health ◽  
Unified Health System ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Right

Introduction: The SUS, which was guaranteed by the Brazilian Constitution of 1988 and regulated by organic laws of health, offers a system governed of doctrinal principles (universality, fairness and completeness) concerning the philosophy of the system and extend the concept of health and the right to it. On the promotion of these principles, the municipalization of health is referred to as a policy of decentralization which incorporates basic health attention, permeated by the principles of the SUS, where inserts in this context the basic health units (UBS) that are entrance doors of the population to the system. When considering that the proposals brought by the family health strategy (FHS) are great potential to restructure the welfare model and the Organization of health services, and these proposals based on the principles governing the SUS, becomes essential, inter alia, that the worker member of this team have involvement and knowledge of the project, as well as on its goals and principles governing it. Objective: Check the knowledge and promotion of doctrinal principles of the SUS by active team of FHS in the town of Juazeiro do Norte in the State of Ceará (CE), Brazil.  Method: This work deals with a transversal nature study exploratory, qualitative approach. The survey was conducted in the family health strategy of the city of Juazeiro do Norte-CE, with top level professionals (physician, nurses and dentists) who work on units during the collection period. The collection was performed through a semi structured interview and the data analyzed by means of the collective subject discourse. This study was submitted to the Ethics Committee of the College Lion Sa, having the opinion of approved (nº: 1.067.638).  Results: the results showed that the professionals have demonstrated no knowledge of, nor promote some doctrinal principles of the SUS coherently. The knowledge that they have are fragmented and incipient, and Praxis (theory combined with practice) is still far from being achieved.  Conclusion: The findings of this research show gaps as the promotion of the principles of the SUS by professionals who act. The ineffective knowledge on how SUS is organized and on what basis rests, leads to improper practices, making deployment and consolidation process.   Keywords: Doctrinal Principles of the SUS. Unified health system. The family health strategy.

scholarly journals A terapia ocupacional na Atenção primária a Saúde reinventando ações no cotidiano frente as alterações provocadas pelo COVID-19/Occupational therapy in primary health care reinventing actions in everyday front the changes caused by COVID-19

2020 ◽  
Vol 4 (3) ◽  
pp. 334-350
Author(s):  
Ilka Veras Falcão ◽  
Adriana Lobo Jucá ◽  
Sémares Genuino Vieira ◽  
Cinthia Kalyne De Almeida Alves
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
World Health ◽  
Redes Sociales ◽  
Unified Health System ◽  
Primary Health ◽  
Health Organization ◽  
La Red

Uma desconhecida e letal infecção respiratória se disseminou mundialmente levando a Organização Mundial de Saúde a decretar uma pandemia pelo COVID-19. O Sistema Único de Saúde (SUS) brasileiro adotou recomendações de distanciamento social, uso de equipamentos de proteção e outras, para prevenção a novas infecções. A demanda hospitalar é crescente, requerendo participação dos demais serviços, incluindo a rede de Atenção Primária à Saúde (APS), tanto para enfrentamento a epidemia como continuidade do cuidado a outros problemas de saúde. O objetivo é apresentar às experiências da Terapia Ocupacional no contexto da APS na epidemia pelo COVID-19. As experiências estão apresentadas como remotas e presenciais. O trabalho remoto usa a comunicação telefônica e/ou redes sociais para teleatendimento, telemonitoramento e reuniões de equipes. Atividades desenvolvidas pelas famílias são adaptadas, para que ocorram de forma segura. As terapeutas ocupacionais realizam grupos de promoção á saúde, informativos sobre a rede de saúde, orientações para isolamento domiciliar, atividades de autocuidado e funcionalidade para pessoas com deficiência, transtorno mental e outras com tratamentos interrompidos. Presencialmente, as terapeutas ocupacionais organizam ambientes e processo de trabalho, acolhimento, triagem e prioridade de atendimento, incluindo urgências por adoecimento mental, pânico e vivência do luto. A Terapia Ocupacional vem apoiando a equipe com escuta qualificada e uso de práticas integrativas. A epidemia escancarou dificuldades do SUS e as injustiças ocupacionais, as quais o terapeuta ocupacional e a equipe da APS já enfrentavam. A epidemia vai passar, mas as desigualdades e injustiças permanecerão e combatê-las com afinco e consciência crítica será fundamental. AbstractAn unknown and lethal respiratory infection has spread worldwide leading the World Health Organization to decree a pandemic by COVID-19. The Brazilian Unified Health System (SUS) has adopted recommendations for social distance, the use of protective equipment and other measures to prevent new infections. Hospital demand is growing, requiring the participation of other services, including the Primary Health Care (PHC) network, both to face the epidemic and to continue care for other health problems. The objective is to present the experiences of Occupational Therapy in the context of PHC in the epidemic by COVID-19. The experiences are presented as remote and in person. Remote work uses telephone communication and / or social networks for teleconsultation, telemonitoring and team meetings. Activities developed by families are adapted, so that they occur safely. Occupational therapists hold health promotion groups, information about the health network, guidelines for home isolation, self-care activities and functionality for people with disabilities, mental disorders and others with interrupted treatments. In person, occupational therapists organize environments and the work process, reception, screening and priority care, including emergencies due to mental illness, panic and bereavement. Occupational Therapy has been supporting the team with qualified listening and use of integrative practices. The epidemic opened up difficulties for SUS and occupational injustices, which the occupational therapist and the PHC team already faced. The epidemic will pass, but inequalities and injustices will remain and tackling them with diligence and critical awareness will be critical.Key words: Occupational therapy; Primary Health Care; Basic Attention; COVID-19; NASF. ResumenUna infección respiratoria desconocida y letal se ha extendido en todo el mundo, lo que llevó a la Organización Mundial de la Salud a decretar una pandemia por COVID-19. El Sistema Único de Salud de Brasil (SUS) ha adoptado recomendaciones para la distancia social, el uso de equipos de protección y otras medidas para prevenir nuevas infecciones. La demanda hospitalaria está creciendo y requiere la participación de otros servicios, incluida la red de Atención Primaria de Salud (APS), tanto para enfrentar la epidemia como para continuar atendiendo otros problemas de salud. El objetivo es presentar las experiencias de la terapia ocupacional en el contexto de la APS en la epidemia por COVID-19. Las experiencias se presentan como remotas y en persona. El trabajo remoto utiliza la comunicación telefónica y / o las redes sociales para teleconsulta, telemonitorización y reuniones de equipo. Las actividades desarrolladas por las familias se adaptan para que ocurran de manera segura. Los terapeutas ocupacionales organizan grupos de promoción de la salud, información sobre la red de salud, pautas para el aislamiento en el hogar, actividades de autocuidado y funcionalidad para personas con discapacidades, trastornos mentales y otras personas con tratamientos interrumpidos. En persona, los terapeutas ocupacionales organizan los entornos y el proceso de trabajo, la recepción, la detección y la atención prioritaria, incluidas las emergencias debido a enfermedades mentales, pánico y duelo. La terapia ocupacional ha estado apoyando al equipo con la escucha calificada y el uso de prácticas integradoras. La epidemia abrió dificultades para el SUS y las injusticias ocupacionales, que el terapeuta ocupacional y el equipo de APS ya enfrentaron. La epidemia pasará, pero las desigualdades e injusticias permanecerán y abordarlas con diligencia y conciencia crítica será fundamental.Palabras clave: Terapia ocupacional; Atención primaria de salud; Atención básica; COVID-19; NASF. 

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