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

Author(s):  
Douglas Castanheira Barros de Sa ◽  
Sara Resplande Magalhães ◽  
Hyslla Marianna Coelho Azevedo ◽  
Ramônica Garcia Lopes ◽  
Amanda Aguiar Barros ◽  
...  

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.

2015 ◽  
Vol 28 (3) ◽  
pp. 485-493 ◽  
Author(s):  
Fátima Ferretti ◽  
Rosane Paula Nierotka ◽  
Cássia Cristina Braghini ◽  
Carla Rosane Paz Arruda Teo ◽  
Lucimare Ferraz ◽  
...  

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.


10.3823/2509 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Rafael Rodolfo Tomaz de Lima ◽  
Natanael De Freitas Neto ◽  
Thais Paulo Teixeira Costa ◽  
Rosana Lúcia Alves de Vilar ◽  
Janete Lima de Castro ◽  
...  

This article purpose is to analyze the insertion of the population aging theme in the training of professionals working in the Family Health Strategy and in the Family Health Support Center. This is a study with a qualitative approach and documentary type, carried out in the state of Rio Grande do Norte, located in the Northeastern region of Brazil. To reach the objective, the pedagogical projects of the courses for the professions that work in the Family Health Strategy and in the Family Health Support Unit were searched. The documents analysis was based on the content analysis method, using the thematic analysis technique in three pre-established registration units: (i) skills and abilities; (ii) professional profile; and (iii) curricular structure. From the analysis of the pedagogical projects, two analytical categories emerged: discussion about aging and training for health care of the elderly. The research result was that the discussion about the thematic of the aging in the process of formation of human resources in health is still insipient. There is a clear necessity to prepare people to provide adequate attention to the elderly population, as well as to formulate and manage public policies for the mentioned population that benefits from Health Unic System (SUS) Keywords: Aging; Health of the Elderly; Human Resources in Health; Health education; Primary Health Care.


2018 ◽  
Vol 50 (6) ◽  
pp. 377-381
Author(s):  
Edsneider Rocha Pires de Souza ◽  
Maria Cristina Almeida de Souza ◽  
João Carlos De Souza Cortes Júnior ◽  
Paula Pitta de Resende Côrtes ◽  
Sandra Maria Barroso Werneck Vilagra ◽  
...  

Post-inflammatory hyperchromia (IPH), a pigmentation disorder of the skin resulting from the exaggerated production of melanin, is manifested by hyperchromic patches and is an important consequence of psoriasis, an inflammatory dermatosis. The objective of this article is to describe a case of IPH that appeared after psoriasis in a patient attended at a Family Health Strategy Unit (FHU), in the city of Vassouras, in the central region of the State of Rio de Janeiro. Psoriasis is a chronic immune disease that results from the persistent stimulation of T cells by immunogens of epidermal origin, involving innate and acquired immunity. The therapeutic management of IPH consists in prescribing of corticosteroids, despigmentants and photoprotectors. The follow-up of the patient through Psychology of the Family Health Support Center, the FHU and the dermatologist of the medium complexity of the Health Care Network represented a differential and proved to be essential for the integrality of health care.


Author(s):  
Carine Vendruscolo ◽  
Fabiane Ferraz ◽  
Charles Dalcanale Tesser ◽  
Letícia de Lima Trindade

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.


2014 ◽  
Vol 62 (1) ◽  
pp. 37-45
Author(s):  
Patrícia Maria Costa de OLIVEIRA ◽  
Léa Maria Bezerra de MENEZES ◽  
Maria Vieira de Lima SAINTRAIN ◽  
Paulo César de ALMEIDA ◽  
Maria Eneide Leitão de ALMEIDA

OBJECTIVE: This study aimed to know the understanding of Oral health indicators recommended by the Ministry of Health by dentists in the family health strategy of the state of Ceará in 2008. METHODS: It is a descriptive, cross-sectional study in which it was used a questionnaire to obtain the data concerning the way information on oral health actions performed in Family Health Care Units and other social spaces are registered, as well as investigate their knowledge about oral health indicators. The calculation of the sample of dentist-surgeons adopted an absolute sampling error of 6.8% and a significance level of 5%, resulting in an initial sample of 175 dentists; however, only 159 participated in this study according to the inclusion criteria. For instance, they should have been working in the service in the period from 2001 to 2007. In all, 32 cities participated in the research, distributed in 18 Regional Health Cells selected by drawing lots. The data were processed in the program SPSS version 17.0 and considered statistically significant the inferential analyses with p < 0.05. RESULTS: it was observed that there are differences between the interpretation of the indicators objectives and the data relating to oral health actions recorded by dentist-surgeons from the Family Health Strategy. They also differ from the guidelines of the Ministry of Health. CONCLUSION: The pregnant present some knowledge about oral health that can be improved by means of educational, preventive and healing programs. This group exert big it influences in the family ambit, could act as agents multipliers and avoiding the child's precocious contamination.


2015 ◽  
Vol 23 (4) ◽  
pp. 611-619 ◽  
Author(s):  
Maicon Henrique Lentsck ◽  
Thais Aidar de Freitas Mathias

AbstractObjective: to verify the correlation between the rates of hospitalization for primary care-sensitive cardiovascular diseases and the coverage by the Family Health Strategy of residents of the State of Paraná, by regional health divisions, from 2000 to 2011.Method: ecological study developed from data of the Hospital Information System of the Brazilian Unified Health System (SUS) and the Department of Primary Care of the Ministry of Health. The rates of hospitalization for cardiovascular diseases were correlated with the annual coverage by the Family Health Strategy using Pearson's and Spearman's correlation coefficients.Result: there was a strong and negative correlation in the State of Paraná (r=-0.91; p <0.001) and in most regional health divisions, with the highest correlations observed in the Metropolitan and Toledo (r =-0.93; p<0.001) and Paranaguá (r=-0.92, p<0.001) regional health divisions.Conclusion: the results suggest that the increase in the coverage by the Family Health Strategy was an important factor for decrease in the hospitalizations for cardiovascular conditions among residents of the State of Paraná and in most regional health divisions. Other studies should be performed to analyze the factors and causes in regional health divisions where there was no correlation with increase in the Family Health Strategy.


2013 ◽  
Vol 47 (2) ◽  
pp. 403-413 ◽  
Author(s):  
Lilian G Perez ◽  
Juliet D Sheridan ◽  
Andrea Y Nicholls ◽  
Katherine E Mues ◽  
Priscila S Saleme ◽  
...  

OBJECTIVE: To analyze the strengths and limitations of the Family Health Strategy from the perspective of health care professionals and the community. METHODS: Between June-August 2009, in the city of Vespasiano, Minas Gerais State, Southeastern Brazil, a questionnaire was used to evaluate the Family Health Strategy (ESF) with 77 healthcare professionals and 293 caregivers of children under five. Health care professional training, community access to health care, communication with patients and delivery of health education and pediatric care were the main points of interest in the evaluation. Logistic regression analysis was used to obtain odds ratios and 95% confidence intervals as well as to assess the statistical significance of the variables studied. RESULTS: The majority of health care professionals reported their program training was insufficient in quantity, content and method of delivery. Caregivers and professionals identified similar weaknesses (services not accessible to the community, lack of healthcare professionals, poor training for professionals) and strengths (community health worker-patient communications, provision of educational information, and pediatric care). Recommendations for improvement included: more doctors and specialists, more and better training, and scheduling improvements. Caregiver satisfaction with the ESF was found to be related to perceived benefits such as community health agent household visits (OR 5.8, 95%CI 2.8;12.1), good professional-patient relationships (OR 4.8, 95%CI 2.5;9.3), and family-focused health (OR 4.1, 95%CI 1.6;10.2); and perceived problems such as lack of personnel (OR 0.3, 95%CI 0.2;0.6), difficulty with access (OR 0.2, 95%CI 0.1;0.4), and poor quality of care (OR 0.3, 95%CI 0.1;0.6). Overall, 62% of caregivers reported being generally satisfied with the ESF services. CONCLUSIONS: Identifying the limitations and strengths of the Family Health Strategy from the healthcare professional and caregiver perspective may serve to advance primary community healthcare in Brazil.


2021 ◽  
Vol 3 (2) ◽  
pp. 95-101
Author(s):  
Minéia da Costa Figueiredo ◽  
Fabiana Lopes de Paula

Este artigo irá abordar a vivência em uma unidade de Estratégia Saúde da Família (ESF) no município de Canto do Buriti-PI sobre os aspectos relacionados ao processo de matriciamento e a gestão do cuidado. A descrição será feita a partir da análise da gestão do cuidado e articulações com o Núcleo de Apoio à Saúde da Família (NASF) e suas ações de apoio matricial desenvolvidas na unidade. O NASF tem fundamental importância na resolução de casos mais complexos e na efetivação de cuidado integral, bem como para a assistência humanizada aos usuários na Atenção Primária à Saúde. O relato traz como contribuição a análise do processo de trabalho entre eSF e NASF, com uma visão que traz subsídios para a reflexão; tendo a intenção de cooperar para o aperfeiçoamento, progresso das ações na APS e a concretização das políticas públicas. Palavras-chave: Atenção Primária à Saúde; Estratégia Saúde da Família; Equipe de Assistência ao Paciente; Integralidade em Saúde; Sistema Único de Saúde.   Abstract This article will address the experience in a Family Health Strategy (ESF) unit in the city of Canto do Buriti-PI on aspects related to the matrix support process and care management. The description will be made from the analysis of care management and articulations with the Family Health Support Center (NASF) and its matrix support actions developed in the unit. The NASF is of fundamental importance in solving more complex cases and in providing comprehensive care, as well as in providing humanized assistance to users in Primary Health Care. The report contributes to the analysis of the work process between eSF and NASF, with a a vision that supports reflection; with the intention of cooperating for the improvement, progress of actions in the PHC and the implementation of public policies. Keywords: Primary Health Care; Family Health Strategy; Patient Care Team; Integrality in Health; Unified Health System.


Author(s):  
Míriam De França Chagas ◽  
Magda Fernanda Lopes de Oliveira Andrade

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. 


10.3823/2463 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Dayse Lôrrane Gonçalves Alves ◽  
Maria Vilani Cavalcante Guedes ◽  
Josualdo Araujo Lima Ribeiro

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.


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