Dissertação
Cuidado à saúde do idoso na atenção primária: uma proposta de mudança para assistência integral
Fecha
2022Autor
Lussandra Viviane Faria da Costa
Institución
Resumen
Brazil presents a change in the population profile, where there is a remarkable
picture of longevity, resulting in an increase in the elderly population. This aging
process, in addition to impacting the demographic and epidemiological profile
throughout the country, results in new challenges to be faced in the care of the
elderly population, mainly directed at public policies. The Primary Health Care-PHC
is the level of assistance that comes closest to the elderly, their reality of life, daily
life and family. In addition, the link between the Family Health Team and this
population, associated with the adoption of multidisciplinary interventions, can
establish conditions for a more effective monitoring of their health, in addition to
helping in the therapeutic and preventive process. From the point of view of modern
Geriatrics, the health of the elderly can be considered as the maximum functional
capacity for the longest time achievable. In this sense, one of the main objectives of
the policies is the reorientation of services to identify the level of dependency of
these elderly people, giving them a differentiated follow-up in each situation, in order
to promote their quality of life. However, in the daily practice of PHC, there is a
perpetuation of reductionist care, centered on the disease and its exacerbation,
reinforcing the biomedical model, imposed by the medicalization of symptoms that
sometimes emerge from a multidimensional individual and family context, which are
not taken into account. It becomes emergent to evolve in this aspect. Therefore, this
study is part of a larger research that intends to elaborate a proposal for change in
the integral care of the elderly in PHC, based on the Primary Care policies for the
elderly in the world and in Brazil, with the intention of qualifying the health care of the
elderly. The first phase of this study consisted of building the model used in the PHC
of Belo Horizonte for elderly care and its validation by experts through a
questionnaire. Afterwards, the model was adapted with the contributions of experts.
In the second phase, based on the summary table with the PHC guidelines for the
elderly presented in the documents of the WHO, the Ministry of Health, the State
Health Department and the PBH, a proposal for care in PHC in the PBH was
established, based on in the guidelines of the documents, whose validation will also
be given by managers and professionals of the PBH and which will result in a
technical product: Workshop to discuss the feasibility of the intervention.