scholarly journals The approach to the elderly in the family health strategy and the implications for nursing practice

2014 ◽  
Vol 6 (2) ◽  
pp. 695-702
Author(s):  
Gabriela Fávero Alberti ◽  
Roselaine Boscardin Espíndola ◽  
Sandra Ost Rodrigues Martins Carvalho

Objetivo: identificar as ações de cuidado do enfermeiro da APS em relação ao idoso. Método: pesquisa de campo, descritiva de abordagem qualitativa. Os sujeitos foram sete enfermeiros da APS. Os dados empíricos foram coletados mediante entrevistas semiestruturada e analisados na perspectiva da Análise Temática. A pesquisa foi aprovada pelo Comitê de Ética da universidade, CAEE 09233312.8.0000.5353. Resultados: a abordagem acontece por intermédio da participação dos idosos nos programas do Ministério da Saúde ou através da consulta de enfermagem, nenhum desses contemplando as particularidades existentes na velhice. A visita domiciliária não foi citada como instrumento de abordagem a esses sujeitos. Conclusões: as ações deveriam contemplar a longevidade e qualidade de vida de quem envelhece e sua família e, para isso, implica em uma otimização dos serviços de saúde e a reestruturação de programas de saúde. Descritores: Papel do profissional de enfermagem, Idoso, Atenção primária à saúde, Programa saúde da família.

2018 ◽  
Vol 21 (2) ◽  
pp. 155-163
Author(s):  
Ana Paula Ribeiro de Castro ◽  
Eglídia Carla Figueirêdo Vidal ◽  
Ana Raquel Bezerra Saraiva ◽  
Sofia de Moraes Arnaldo ◽  
Ana Maria Machado Borges ◽  
...  

Abstract Objective: To identify health promotion actions carried out by professionals in the Family Health Strategy in relation to elderly people. Method: An exploratory study with a qualitative approach was performed in Juazeiro do Norte, Ceará, Brazil, with 19 professionals. A recorded, fully transcribed semi-structured interview was used after authorization by the ethics committee under number 501 675. The discussions were analyzed using Content Analysis, organized into thematic categories. Results: Actions of a collective nature were identified, such as activities in groups, meetings, conversation circles, lectures and guidance in the waiting room. Other directed actions were used, such as guidelines during individual consultations and referral to specialized services. Conclusion: The need for the discussion of health promotion and actions in relation to old age was highlighted, with debate and reflection on this theme required locally, along with the need to build a network of support for the health of the elderly in a shared manner among professionals, managers and the community.


2011 ◽  
Vol 5 (2) ◽  
pp. 174
Author(s):  
Dyego Anderson Alves de Farias ◽  
Priscilla Medeiros Neves ◽  
Geraldo Eduardo Guedes de Brito

ABSTRACTObjective: to draw the profile of the hypertensive elderly registered/accompanied in the field of basic health attention. Method: cross sectional study of descriptive characteristic, in which users who were 60 years old or more and who were in the Family Health Strategy program between 2000 and 2009 were analyzed through the HIPERDIA system of João Pessoa-PB city. Data referring to number of hypertensive patients registered in that period and association of hypertension with smoking, sedentary habits and overweigh, classified by sex and age group,  were used. Results: files of 7,156 hypertensive elderly registered/accompanied by HIPERDIA by sex and age group were found, with prevalence of arterial hypertension of 8 % in the period of study. Among these users, 68,4% are female and the age group from 60 to 64 presented the greatest number of hypertensive when both sexes are added (23.6%).  In relation to the presence of associated factors, 49% presented overweigh, 51% had sedentary habits and 15.9% smoked. Conclusion: the hypertensive elderly of João Pessoa showed characteristics which are similar to the other regions of the country. It is necessary to promote and implement public policies towards this population with emphasis on prevention and valorization of the services of Basic Attention. Descriptors: Aged; Hypertension; Primary health careRESUMOObjetivo: traçar o perfil dos idosos hipertensos cadastrados/acompanhados no âmbito da atenção básica de saúde. Método: estudo transversal de cunho descritivo, em que se analisaram por meio do sistema HIPERDIA da cidade de João Pessoa-PB os usuários 60 anos ou mais adscritos a Estratégia de Saúde da Família, entre os anos de 2000 a 2009. Utilizaram-se os dados já tabulados: número de hipertensos cadastrados no período e associação da hipertensão com tabagismo, sedentarismo e sobrepeso estratificados por sexo e faixa etária. Resultados: foram encontrados registros de 7156 idosos hipertensos cadastrados/ acompanhados pelo HIPERDIA por sexo e faixa etária, com prevalência de hipertensão arterial de 8% no período estudado. Destes usuários, 68,4% são do sexo feminino e a faixa etária de 60 a 64 anos apresentou o maior número de hipertensos somado ambos os sexos (23,6%). Quanto à presença de fatores associados, 49% apresentaram sobrepeso, 51% eram sedentários e 15,9% tabagistas. Conclusão: os hipertensos mostraram características semelhantes às demais regiões do país. Faz-se necessário incentivar e implementar políticas públicas voltadas a essa população, enfatizando a prevenção e valorizando os serviços de Atenção Básica. Descritores: Idoso; Hipertensão; Atenção básica; RESUMENObjetivo: trazar el perfil de los ancianos hipertensos registrados/acompañados en el ámbito de la atención básica de salud. Método: estudio transversal de cuño descriptivo, en el que fueron analizados por medio del sistema HIPERDIA de la ciudad de João Pessoa – PB los usuarios de 60 o más años inscritos en la Estrategia de Salud de la familia, entre el año 2000 y el 2009. Fueron utilizados los datos ya procesados: número de hipertensos registrados en el periodo y asociación de la hipertensión con tabaquismo, sedentarismo y obesidad estratificados por sexo y faja etaria. Resultados: fueron encontrados registros de 7156 ancianos hipertensos registrados/acompañados por el HIPERDIA por sexo y faja etaria, con prevalencia de hipertensión arterial de 8% en el periodo estudiado. De estos usuarios el 68,4% son del sexo femenino y los de la faja etaria entre 60 y 64 años presentaron un número mayor de hipertensos de ambos sexos (23,6%). En relación a la presencia de factores asociados el 49% presentaron obesidad, el 51% eran sedentarios y el 15,9% fumadores. Conclusión: los hipertensos mostraron características semejantes a las demás regiones del país. Se hace necesario incentivar e implementar políticas públicas orientadas a dicha población, enfatizando la prevención y dando más valor a los servicios de Atención Básica. Descriptores: Anciano; Hipertensión; Atención primaria de salud.  


2011 ◽  
Vol 5 (11) ◽  
pp. 2660
Author(s):  
Roberta De Souza Pereira da Silva Ramos ◽  
Anna Karla de Oliveira Tito Borba ◽  
Márcia Carrera Campos Leal ◽  
Ana Paula de Oliveira Marques ◽  
Vânia Pinheiro Ramos

ABSTRACTObjective: to identify in scientific publications the health education actions concerned with the elderly population in the Family Health Strategy (FHS). Method: this is an integrative review with search in the scientific literature published from 2000 to 2010 in the databases of the website Virtual Health Library (VHL): LILACS (Latin American and Caribbean Health Sciences Literature), MEDLINE (National Library of Medicine, United States), IBECS (Índice Bibliografico Espanol en Ciencias de la Salud), and SciELO (Scientific Electronic Library Online), besides the specialized area of BIREME – BDENF (Nursing Database), according to the following stages: establishment of the guiding question (What is the importance of the health education actions for the elderly population in the Family Health Strategy?) and aims of the review; establishment of inclusion and exclusion criteria for papers (sample selection); definition of the information to be extracted from the papers selected; analysis of results; presentation and discussion of results; and, finally, presentation of the review. Inclusion criteria: full text available online  and papers concerning health education activities, involving the elderly public, developed in the FHS. For this study, the concept of elderly from the World Health Organization (WHO) was adopted: person aged 60 years or over in developing countries. Results: the final sample consisted of  nine papers, which presented variety of themes, ranging from studies that applied and evaluated the educative activities to those which pointed them proposals. Conclusion: it was found an incipience in papers portraying the performance of educative practices aimed at the elderly population and the predominance of the biomedical paradigm in the health education activities. Descriptors: health education; elderly; Family Health Program.RESUMOObjetivo: identificar em publicações científicas as ações de educação em saúde voltadas para população idosa na Estratégia de Saúde da Família (ESF). Método: trata-se de revisão integrativa com busca na literatura científica publicada de 2000 a 2010 nas bases de dados do sítio Biblioteca Virtual em Saúde (BVS): LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde), MEDLINE (National Library of Medicine, Estados Unidos), IBECS (Índice Bibliográfico Español en Ciencias de la Salud) e SciELO (Scientific Electronic Library Online) além da área especializada da BIREME - BDENF (Base de Dados de Enfermagem), cumprindo as seguintes etapas: estabelecimento da questão norteadora (Qual a importância das ações de educação em saúde para população idosa na Estratégia Saúde da Família?) e objetivos da revisão; estabelecimento de critérios de inclusão e exclusão de artigos (seleção da amostra); definição das informações a serem extraídas dos artigos selecionados; análise dos resultados; apresentação e discussão dos resultados; e, por último, apresentação da revisão. Critérios para inclusão: texto completo acessível on-line e artigos de atividades de educação em saúde, voltadas para o público idoso, desenvolvidas na ESF. Para este estudo, adotou-se o conceito de idoso da Organização Mundial de Saúde (OMS): pessoa com 60 anos ou mais em países em desenvolvimento. Resultados: a amostra final consistiu em nove artigos, os quais demonstraram variedade temática, desde estudos que aplicaram e avaliaram as atividades educativas até aqueles que as apontaram como propostas. Conclusão: constata-se uma incipiência em artigos que retratam a realização de práticas educativas voltadas à população idosa e a predominância do paradigma biomédico nas atividades de educação em saúde. Descritores: educação em saúde; idoso; Programa Saúde da Família.RESUMEN Objetivo: identificar en publicaciones científicas las acciones de educación en salud dirigidas a la población anciana en la Estrategia de Salud de la Familia (ESF). Método: esta es una revisión integradora con búsqueda en la literatura científica publicada de 2000 hasta 2010 en las bases de datos del sitio Biblioteca Virtual en Salud (BVS): LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud), MEDLINE (National Library of Medicine, Estados Unidos), IBECS (Índice Bibliográfico Español en Ciencias de la Salud) y SciELO (Scientific Electronic Library Online), además de la área especializada de la BIREME – BDENF (Base de Datos de Enfermería), cumpliendo las siguientes etapas: establecimiento de la cuestión orientadora (¿Cual es la importancia de las acciones de educación en salud para la población anciana en la Estrategia Salud de la Familia?) y objetivos de la revisión; establecimiento de criterios de inclusión y exclusión de artículos (selección de la muestra); definición de las informaciones que serán extraídas de los artículos seleccionados; análisis de los resultados; presentación y discusión de los resultados; y, por último, presentación de la revisión. Criterios para inclusión: texto completo accesible online y artículos de actividades de educación en salud, dirigidas para el público anciano, desarrolladas en la ESF. Para este estudio, fue adoptado el concepto de anciano de la Organización Mundial de la Salud (OMS): persona con 60 años o más en países en desarrollo. Resultados: la muestra final consistió en nueve artículos, los cuales demostraron variedad temática,  desde estudios que aplicaron y evaluaron las actividades educativas hasta aquellos que las apuntaron cómo propuestas. Conclusión: se constata una insipiencia en artículos que retratan la realización de prácticas educativas dirigidas a la población anciana y la predominancia del paradigma biomédico en las actividades de educación en salud. Descriptores: educación en Salud; anciano; Programa Salud de la Familia.


2019 ◽  
Vol 13 (1) ◽  
pp. 148
Author(s):  
Vívian Roselany Ferreira Hipólito ◽  
Laura Maria Feitosa Formiga ◽  
Ana Klisse Silva Araújo ◽  
Lorena Mayara Hipólito Feitosa ◽  
Kathelyn Jane Sousa Carvalho ◽  
...  

ABSTRACTObjective: to know the risks for the onset of osteoporosis in the elderly. Method: this is a quantitative, cross-sectional and descriptive study in the Family Health Strategy (FHS). An instrument covering sociodemographic characteristics, anthropometry, clinical variables and life habits was used for data collection. The results were analyzed through the SPSS software, version 20.0, and the findings were presented in tables. Results: hypertension and diabetes mellitus prevailed. With respect to the family history, it was found that the elderly never had a fracture, did not have genetic factors on osteoporosis and did not use calcium and vitamin D. As for the modifiable factors, a large part of the elderly said not to practice physical activity, nor get exposed to the sun, and they said they ingested much caffeine and milk. Conclusion: the proposed objective was reached and it is hoped that the results found in this study contribute to the construction of knowledge about this disease that has increasingly affected people, helping to elaborate prevention strategies or avoid possible complications. Descriptors: Nursing; Aged; Osteoporosis; Disease Prevention; Health Care (Public Health); Aging.RESUMOObjetivo: conhecer os riscos para o desencadeamento da osteoporose nos idosos. Método: trata-se de estudo quantitativo, transversal e descritivo na Estratégia Saúde da Família (ESF). Utilizou-se, para a coleta de dados, um instrumento composto por características sociodemográficas, antropometria, variáveis clínicas e hábitos de vida. Analisaram-se os resultados por meio do programa SPSS, versão 20.0, e se apresentaram os achados em tabelas. Resultados: prevaleceram-se as doenças hipertensão arterial e diabetes mellitus. Encontrou-se, sobre o histórico familiar, o fato de os idosos nunca terem apresentado fratura, não possuírem fatores genéticos sobre a osteoporose e não fazerem uso de cálcio e vitamina D. Com relação aos fatores modificáveis, grande parte dos idosos afirmou não praticar atividade física, não se expor ao Sol, ingerir bastante cafeína e leite. Conclusão: atingiu-se o objetivo proposto e espera-se que os resultados encontrados contribuam na construção do conhecimento sobre essa doença de crescente acometimento auxiliando a elaboração de estratégias de prevenção ou evitando possíveis complicações. Descritores: Enfermagem; Idoso; Osteoporose; Prevenção de Doenças; Atenção à Saúde; Envelhecimento.RESUMENObjetivo: conocer los riesgos para el desencadenamiento de la osteoporosis en los adultos mayores. Método: se trata de estudio cuantitativo, transversal y descriptivo en la Estrategia Salud de la Familia (ESF). Se utilizó para la recolección de datos, un instrumento compuesto por características sociodemográficas, antropometría, variables clínicas y hábitos de vida. Se analizaron los resultados por medio del programa SPSS, versión 20.0, y se presentaron los hallados en tablas. Resultados: prevalecieron las enfermedades hipertensión arterial y diabetes mellitus. Se encontró, sobre el histórico familiar, el hecho de los adultos mayores nunca haber presentado fractura, no poseer factores genéticos sobre la osteoporosis y no hacer uso de cálcio y vitamina D. Con relación a los factores modificables, grande parte de los adultos mayores afirmo no practicar actividad física, no exponerse al Sol, ingerir bastante cafeína y leche. Conclusión: se consiguió el objetivo propuesto y se espera que los resultados encontrados contribuyan en la construcción del conocimiento sobre esa enfermedad de creciente acometimiento auxiliando la elaboración de estrategias de prevención o evitando posibles complicaciones. Descriptores: Enfermería; Anciano; Osteoporosis; Prevención de Enfermedades; Atención a la Salud; Envejecimento.


2015 ◽  
Vol 24 (1) ◽  
pp. 105-111 ◽  
Author(s):  
Kelly Maciel Silva ◽  
Silvia Maria Azevedo dos Santos

This article aims to nurses practising of Family Health Strategy related to actions directed at the elderly care. It is a qualitative study, converging-assistential, which data were collected between May and June/2012 through interviews and theme workshops with 20 nurses, who work in the Family Health Strategy of a Sanitary District of Florianópolis Municipality, SC. The data analysis involved processes of apprehension, synthesis, theorization and transference, resulting two categories: care to elderly; public Healthcare policy for the elderly. The results sustain discussions about the need of connecting the nurse work and proposal of government policies to the elderly health care. It is strongly recommended permanent education to the professionals already in service, so they can deal with the challenges of population aging.


2013 ◽  
Vol 21 (6) ◽  
pp. 1337-1344 ◽  
Author(s):  
Guilherme Oliveira de Arruda ◽  
Silvia Cristina da Silva Lima ◽  
Rogério Dias Renovato

OBJECTIVES: this study aimed to investigate and understand the use of medications by elderly men, their representations and the subsequent practices. METHODS: this is a qualitative, descriptive and exploratory study, in which there participated 17 elderly men, with polypharmacy, and assisted under the Family Health Strategy in the Municipality of Dourados in the Brazilian state of Mato Grosso do Sul (MS). RESULTS: the results show that most of the medications are used for treating cardiovascular disorders. The elderly men develop strategies considering the prescription of these, adapting in line with their own perceptions and meanings. From these tactics emerge representations on youth and old age, in which old age is associated with illness. In addition, practices were observed which sought to associate the use of medications with medicinal plants, re-signifying the process of being ill. Different perspectives of masculinity permeate the use of medications, sometimes reinforcing hegemonic conceptions, and sometimes revealing alternate models of masculinity. The woman is present in the care with the use of the medications. CONCLUSIONS: in this context, the health team, above all that of nursing, must assist the elderly man in his practices of medication, taking into account his representations, his protagonism, and the role of the woman as a support in the care.


10.3823/2277 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Verônica Lourdes Lima Batista Maia ◽  
Eliana Campelo Lago ◽  
Carmen Viana Ramos ◽  
Márcia Astrês Fernandes ◽  
Eucário Leite Monteiro Alves

Background: Mental disorders of the elderly constitute a public health problem due to their high prevalence, shortage of specialized services offered in Brazil, difficulties of access by the population and deficiency in the training of professionals of the Family Health Strategy for the identification, receptiveness and psychosocial assistance to the elderly. Objectives: To analyze the training of professionals of the Family Health Strategy on psychosocial care for the elderly in the context of the Psychosocial Care Network – RAPS (Rede de Atenção Psicossocial), and to discuss how professional training influences the care provided to the elderly. Methodology: Descriptive, qualitative study carried out with 31 professionals, 13 physicians and 18 nurses, who work at the Family Health Strategy of the city of Picos, Piauí, Brazil. The data were collected in January 2016, through a semi-structured interview guide, processed by the IRAMUTEQ software and analyzed by means of the Descending Hierarchical Classification. Results: The results were presented in three segments, namely: 1. The practice of professionals from the Family Health Strategy in psychosocial care in the family context; 2. Training of specialized professionals, in the attention to the elderly, in the Family Health Strategy; 3. The Psychosocial Attention Network in the care of elderly users of alcohol and other drugs; Conclusion: Health professionals have difficulties in dealing with the elderly with mental disorders in basic care. In order to facilitate access to specialized health services and to develop actions for social reintegration, prevention and harm reduction, it is necessary to implement a policy of ongoing training and education for health professionals to improve care for the elderly. Keywords: Aging; Mental Health; Mental disorders; Family Health Strategy.


Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e60796
Author(s):  
Iara Sescon Nogueira ◽  
Nayana Flor Ulbinski ◽  
André Estevam Jaques ◽  
Vanessa Denardi Antoniassi Baldissera

Objective: to analyze the environmental risk for falls among the elderly living in the area covered by a Family Health Strategy team. Methods: cross-sectional research, using, as a data source, 80 forms of environmental risk evaluation of elderly falls. The collected data were transcribed and organized in a computerized spreadsheet, using the Microsoft Excel® program, and analyzed using descriptive statistics. Results: most elderly’s households were classified as low risk for falls (56.3%) and showed at least one environmental risk (94.0%), being the most frequently found in the bathroom (47.5%), in stairs (46.2%), and associated to light (41.2%). Conclusion: environmental risks were observed in different places of the households, highlighting the bathroom, stairs, and little light in the room, most of them being classified as a low environmental risk for falls.


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.


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