scholarly journals Graduação em serviço: Terapia Ocupacional na atenção primaria à saúde/ Graduation in service: Occupational Therapy in primary health care

Author(s):  
Manuela Martins Da silva ◽  
Maria Gisele Cavalcanti De Oliveira ◽  
Aline Maria Gomes Dos Santos ◽  
Maria Soraida Silva Cruz ◽  
Ilka Veras Falcão ◽  
...  

Contextualização: Trata-se de um relato de experiência de estudantes de Terapia Ocupacional na Atenção Primária à Saúde (APS), com acompanhamento docente e da equipe multiprofissional do Núcleo Ampliado de Saúde da Família e Atenção Básica (Nasf-AB). Processo de intervenção: As atividades foram direcionadas pelas ferramentas e atividades estruturantes do Nasf-AB. Análise crítica da prática: Experimentar a rotina do serviço e equipe permitiu que as estudantes aplicassem os conteúdos teóricos na prática e dimensionassem a multiplicidade de situações reais na APS. Síntese de considerações: Compreende-se que a Terapia Ocupacional nesse campo trabalha potencialidades do usuário para uma vida participativa, contribuindo também para que as estudantes vivenciem a especificidade profissional durante a formação.Palavras-chave: Atenção Primária à Saúde. Saúde Coletiva. Terapia Ocupacional. AbstractContextualization: This is an experience report of occupational therapy students in primary health care (PHC), with teacher and multidisciplinary team follow-up of the Expanded Family Health and Primary Care Center (NASF-AB). Intervention process: The activities were directed by nasf-AB's tools and structuring activities. Critical analysis of the practice: Experiencing the routine of the service and team allowed the students to apply the theoretical contents in practice and dimension the multiplicity of real situations in PHC. Synthesis of considerations:  It is understood that Occupational Therapy in this field works the user's potential for a participatory life, also contributing to the students experiencing professional specificity during training.Keywords: Primary Health Care. Public Health. Occupational Therapy.  ResumenContextualización: Este es un informe de experiencia de los estudiantes de terapia ocupacional en la atención primaria de salud (PHC), con el seguimiento del maestro y del equipo multidisciplinario del Centro ampliado de salud familiar y atención primaria (NASF-AB). Proceso de intervención: Las actividades fueron dirigidas por las herramientas y actividades de estructuración de nasf-AB. Análisis crítico de la práctica: Experimentar la rutina del servicio y el equipo permitió a los estudiantes aplicar los contenidos teóricos en la práctica y dimensionar la multiplicidad de situaciones reales en LA PHC. Síntesis de consideraciones: Se entiende que la Terapia Ocupacional en este campo trabaja el potencial del usuario para una vida participativa, contribuyendo también a que los estudiantes experimenten especificidad profesional durante la formación.Palabras clave: Atención Primaria de Salud. Salud Pública. Terapia Ocupacional.  

2010 ◽  
Vol 26 (5) ◽  
pp. 971-980 ◽  
Author(s):  
Leila Posenato Garcia ◽  
Doroteia Aparecida Höfelmann ◽  
Luiz Augusto Facchini

This cross-sectional study with 1,249 workers from all 49 municipal primary health care centers was conducted in Florianópolis, Santa Catarina State, Brazil, with the objective of investigating the prevalence of poor self-rated health and its association with working conditions and other factors. Multivariate statistical analyses were conducted using Poisson regression. The prevalence of poor self-rated health was 21.86% (95%CI: 19.56%-24.15%). The largest prevalence was found among dental assistants (35.71%), and the lowest among physicians (10.66%). In the adjusted analysis, the outcome was associated with female gender (PR = 1.48; 95%CI: 1.03-2.14), older age (PR = 1.29; 95%CI: 1.05-1.59), higher education (PR = 0.69; 95%CI: 0.55-0.87), more time working at the primary care center (PR = 1.57; 95%CI: 1.29-1.98), higher workload score (PR = 1.67; 95%CI: 1.35-2.05), obesity (PR = 1.74; 95%CI: 1.37-2.21), and often or always experiencing musculoskeletal symptoms (PR = 2.69; 95%CI: 1.90-3.83). A higher workload score remained associated with the outcome, suggesting an association between working conditions and self-rated health.


Author(s):  
Aniandra Karol Gonçalves Sgarbi ◽  
Kátia Gianlupi Lopes ◽  
Márcia Regina Martins Alvarenga

Objective: To analyze the distribution of risk factors for osteopenia and osteoporosis among adults and elderly in primary care. Method: sectional study of quantitative approach. Random sample extracted from registered adults and elderly from the five Family Health Strategy units belonging to an Expanded Family Health and Primary Care Center in Dourados, MS. Data collected between March and December 2015. The sample consisted of 44 adults and 103 elderly, of which only 109 performed all examinations. Body mass index, bone densitometry, serum calcium, 25 serum hydroxyvitamin D and a structured questionnaire were used. Results: The factors that were significantly associated with the risk of osteopenia and osteoporosis (p <0,05) were female gender, alcohol consumption and normal body mass index. Conclusion: the identification of these risk factors made it possible to trace their distribution profile, which will be of great value for carrying out health promotion actions and prevention of these diseases 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 ◽  
...  

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.


Author(s):  
Ayşegül Sarıoğlu Kemer ◽  
İdris Yıldız

INTRODUCTION: The aim of this study was to determine the use of primary health care services in individuals diagnosed with cardiovascular diseases and to investigate the relationship between health status and sociodemographic characteristics and health/disease characteristics. METHODS: The sample of this descriptive study consisted of 313 individuals with cardiovascular disease aged 20 years and over who were admitted to a hospital for any reason by haphazard sampling method. A questionnaire was used to collect the data. RESULTS: The mean age of the participants was 59.21 ± 13.52 years. It was seen that 46% of the individuals had hypertensive disease and 88.5% of them had continuous medication. The rate of those who prefer family health care center as the first institution for cardiovascular diseases is 13.4%, and the rate of those who prefer family health care center, as the first institution in case of any health problem is 20.1%. The individuals 89.1% came to the hospital without referral from the family health care center, 16.9% of them found family health care centers inadequate. DISCUSSION AND CONCLUSION: It is seen that cardiovascular patients who apply to the hospital benefit less from primary health care services. Strengthening the management of cardiovascular patients in primary care is the main suggestion of this study.


Author(s):  
Rodolfo Gomes Nascimento ◽  
Ronald Oliveira Cardoso ◽  
Gisely Avelar Castro

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.


2021 ◽  
Vol 10 (10) ◽  
pp. e303101018723
Author(s):  
Rodrigo Feitosa de Oliveira Correa ◽  
Alice Lima Rosa Mendes ◽  
Samyres Batista de Medeiros ◽  
Inês Rodrigues Amarante ◽  
Ivanildes do Nascimento ◽  
...  

O (TO), é um dos profissionais que podem compor os Núcleos de Apoio à Saúde da Família (NASF). O objetivo geral desse estudo foi, investigar na literatura científica nacional a contribuição do (TO) junto a equipe do NASF. Tratou-se de uma pesquisa bibliográfica, por meio de uma revisão integrativa de caráter descritivo. A estratégia de busca, foi realizada nas bases de dados Biblioteca Virtual em Saúde (BVS), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Coleção Nacional das Fontes de Informação do SUS (Coleciona SUS) e Revista Institucional Brasileira de Terapia Ocupacional REVISBRATO, no período de setembro a novembro de 2020 utilizando-se os seguintes descritores: “primary health care”, “occupational therapy”, “family health” com o operador booleano “AND” para a especificidade do levantamento bibliográfico. Os critérios de inclusão definidos para a seleção foram: artigos publicados na língua portuguesa que retratassem a temática, publicados e indexados nos referidos bancos de dados nos últimos cinco anos, sendo excluídos aqueles que não estavam disponíveis na íntegra. Foram selecionados 14 trabalhos, sobre a atuação do (TO) no NASF. Verificou-se que os grupos e oficinas terapêuticas, as visitas domiciliares, a organização de grupos comunitários e as reuniões com equipes da Estratégia Saúde da Família (ESF) foram as formas mais recorrentes de atuação desses profissionais no NASF, onde apoiaram-se no matriciamento e na reabilitação baseada na comunidade. Concluiu-se que a atuação do (TO) no NASF é um processo de edificação nos campos da promoção da saúde e da prevenção das doenças, desenvolvendo uma prática integral e interdisciplinar de saúde e contribuindo para a emancipação dos sujeitos em seus diversos papeis sociais, favorecendo o desenvolvimento humano e comunitário. 


Author(s):  
Rodrigo Alves dos Santos Silva ◽  
Fátima Correa Oliver

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.


Author(s):  
Kübra Sultan Deniz ◽  
Deniz Koçoğlu Tanyer

INTRODUCTION: The aim of this study was to determine the use of primary health care services in individuals diagnosed with cardiovascular diseases and to investigate the relationship between health status and sociodemographic characteristics and health/disease characteristics. METHODS: The sample of this descriptive study consisted of 313 individuals with cardiovascular disease aged twenty years and over who were admitted to a hospital for any reason by haphazard sampling method. A questionnaire was used to collect the data. RESULTS: The mean age of the participants was 59.21 ± 13.52 years. It was seen that 46% of the individuals had hypertensive disease and 88.5% of them had continuous medication. The rate of those who prefer family health care center as the first institution for cardiovascular diseases is 13.4%, and the rate of those who prefer family health care center, as the first institution in case of any health problem is 20.1%. The individuals 89.1% came to the hospital without referral from the family health care center, 16.9% of them found family health care centers inadequate. DISCUSSION AND CONCLUSION: It is seen that cardiovascular patients who apply to the hospital benefit less from primary health care services. Strengthening the management of cardiovascular patients in primary care is the main suggestion of this study.


Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.


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