According to the participants, the resources available in these services guarantee medical consultation and provide access to exams and medicines. Such resources have attracted patients and caused excess demand, which implies a set of compromising factors for the quality of care in these services. Final considerations: Investments in the restructuring of the care network, especially in primary care, with an increase in the number of consultations and the creation of a bond, can contribute to the emergency care units achieving the goal of access to qualified assistance to the elderly population.

RESUMOEste estudo objetivou identificar os motivos que levam idosos em condições sensíveis à atenção primária à saúde a buscarem o serviço de uma Unidade de Pronto-Atendimento. Trata-se de um estudo descritivo, de caráter quantitativo, realizado em uma unidade de pronto-atendimento de um município do noroeste do estado do Paraná. A população de estudo foi constituída por 191 idosos, considerados em critérios de não urgência, a partir do acolhimento com classificação de risco com a estratificação das cores verde e azul. A coleta de dados foi realizada de maio a novembro de 2015 e os dados coletados por meio de um instrumento semiestruturado. Para a análise foi utilizada estatística descritiva, com auxílio de programa estatístico Statistical Package for the Social Sciences (SPSS). Os principais motivos para a busca do atendimento em um serviço de urgência e emergência foi o horário de atendimento da unidade básica de saúde referida por 32,9% dos entrevistados; a falta de médicos na unidade básica de saúde, relatada por 30,3% dos idosos; e a oportunidade de ser atendido sem a necessidade de agendamento de consultas (27,2%). Os resultados encontrados são de extrema relevância para sinalizar as ações necessárias a fim de diminuir a distorção de procura errônea do fluxo de atendimento, propiciando planejamento e reorganização de todos os níveis de atenção em saúde. Palavras-chave: Atenção Primária à Saúde; Idoso; Emergência; Enfermagem. ABSTR ACT

Objective: to analyze factors associated with the care of the elderly for Primary Health Care sensitive conditions in an Emergency Care Unit. Method: a cross-sectional study was carried out in a municipal district located in the northwest of the state of Paraná, Brazil, between May and November of 2015. A semi-structured instrument was used, consisting of three distinct blocks that addressed sociodemographic profile, characterization of care and the reasons that led the elderly to seek care in the unit. The data were submitted to descriptive analysis and logistic regression for the treatment of variables. Results: A total of 191 elderly persons, who were female (56%), had less than eight years of schooling (85.3%) and were retirees (78.5%) were interviewed. The results showed that people with chronic morbidities were 1.42 times more likely (CI: 1.08 -5.42) to seek the Emergency Care Unit prior to the Basic Health Unit and were 1.65 times more likely (IC: 1.01 -6.82) to be referred by the unit for care. The lack of a doctor in Basic Health Units was also a factor responsible for the 1.36 times greater chance (CI: 1.03 -5.38) of the elderly being referred to the Emergency Care Unit for primary care sensitive conditions. Conclusion: the lack of human resources in the first level of care of the health service, together with the need for treatment of morbidities, were factors associated with the elderly seeking treatment for primary care sensitive conditions, with diseases of the osteomuscular and connective tissue systems the main reasons for seeking such care (47.6%).

RESUMO Objetivo Avaliar os resultados de intervenções domiciliares de enfermagem na perspectiva da satisfação de idosos. Métodos Pesquisa avaliativa ex post, com abordagem qualitativa e caráter descritivo, realizada no período de novembro de 2015 a janeiro de 2016 com 12 idosos dependentes de cuidados, acompanhados por um projeto de extensão na cidade de Maringá/PR. A coleta de dados ocorreu, após intervenções domiciliares realizadas segundo o referencial do Projeto Terapêutico Singular, por meio de entrevistas semiestruturadas, submetidas à análise de conteúdo e posteriormente analisadas segundo o referencial teórico de Donabedian. Resultados Emergiram as seguintes categorias temáticas: “Intervenção domiciliar de enfermagem: sinônimo de alegria, distração e formação de vínculos” e ‘Intervenção domiciliar de enfermagem: transformações da saúde e dos hábitos de vida’. Conclusão Consideramos que as intervenções domiciliares de enfermagem tiveram resultados positivos que sinalizam qualidade do cuidado prestado.

Objective: to reflect on the integration of Leininger's Transcultural and Heller's daily life theories in the support of the care of the elderly with Alzheimer's disease. Method: reflection study guided by the researchers' perceptions, when understanding, in the development of actions, the convergence between the theories. As the procedures, studies about the theme in the fields of nursing and social work were analyzed. Results: text organized in two parts: "Cultural Care of the elderly with Alzheimer's Disease" and "The Daily Care of the elderly with Alzheimer's Disease". The respect for cultural aspects and immediate problems resolution of the elderly with Alzheimer's Disease are interdisciplinary actions integrated in the context of care, from the assumptions of Leininger and Heller, in this scenario used as a foundation for improving the care of patients. Conclusions and Implications for practice: the interdisciplinarity of care in Heller and Leininger is explained by the approximation to the social context, with common elements. Together, these theories provide the best response in promoting the well-being of the elderly with Alzheimer's Disease and its related surrounding. The theories congruence implies an integral and solid care, involves concrete action, based on different assumptions, which strengthen when they come together, benefiting patient and caregivers, with an individualized and differentiated care.

RESUMOObjetivo: avaliar os fatores que influenciam na adesão de adultos/idosos ao tratamento de hipertensão arterial. Metodologia: pesquisa quantitativa transversal, realizada em duas Unidades Básicas de Saúde, no interior do Paraná, Brasil. Utilizou-se de questionário estruturado para obtenção dos dados sociodemográficos e escala do tipo likert de avaliação do tratamento, sendo a adesão atribuída à pontuação de 73 a 120. A análise foi a partir do software R. O escore de adesão foi descrito pela média, pelo desvio padrão e coeficiente de variação. Para associações entre a adesão ao tratamento, aplicou-se a regressão logística univariada. A pesquisa seguiu os preceitos éticos, obtendo aprovação CAAE: 61218216.8.0000.0106 e parecer Nº 1.838.418. Resultados: participaram do estudo 257 hipertensos, a maioria mulheres. Destes, 91,05% foram aderentes ao tratamento. Não houve diferença significativa entre as Unidades de Saúde. Conclusão: contribuíram para maior chance de adesão: idade superior a 60, aposentado e tempo diagnóstico superior a seis anos. Descritores: Atenção Básica à Saúde; Hipertensão Arterial; Equipe de assistência ao paciente; Cooperação e adesão ao tratamento. ABSTRACTObjective: to evaluate the factors that influence the adherence of adults / elderly to the treatment of arterial hypertension. Methodology: cross-sectional quantitative research, carried out in two Basic Health Units in the interior of Paraná, in 2016. A structured questionnaire was used to obtain sociodemographic data and a likert scale for assessing treatment, with adherence attributed to a score of 73 to 120. The analysis was based on software R. The adherence score was described by the mean, standard deviation and coefficient of variation. For associations between treatment adherence, univariate logistic regression was used. The research followed the ethical precepts, obtaining CAAE approval: 61218216.8.0000.0106, opinion No. 1.838.418. Results: 257 hypertensive patients, mostly women, participated in the study. Of these, 91.05% were adherent to the treatment. There was no significant difference between the Health Units. Conclusion: They contributed to a greater chance of adherence, being over 60, retired and having been diagnosed for more than six years. Descriptors: Primary Health Care; Arterial hypertension; Patient care team; Cooperation and adherence to treatment. RESUMENObjetivo: evaluar los factores que influyen en la adherencia de adultos / ancianos al tratamiento de la hipertensión arterial. Metodología: investigación cuantitativa transversal, llevada a cabo en dos Unidades Básicas de Salud en el interior de Paraná, Brasil, en 2016. Se utilizó de cuestionario estructurado para obtener datos sociodemográficos y escala likert para evaluar el tratamiento, con adherencia atribuida a puntuación de 73 a 120. El análisis se basó en el software R. La puntuación de adherencia se describió por la media, la desviación estándar y el coeficiente de variación. Para las asociaciones entre la adherencia al tratamiento, se utilizó la regresió...

Objective: To know the perception of relatives of elderly people about the coexistence center and its importance in supporting the Health Care Network. Methodology: A qualitative study carried out with 14 relatives of elderly people participating in a coexistence center. Data collection took place in January 2016 through individual interviews, which were recorded, transcribed and submitted to content analysis. The results were discussed in the light of the theoretical referential of health promotion. Results: The elderly's participation in the coexistence center was an alternative to support care and institutionalization, provided time for self-care and to maintain or engage in the formal labor market and positively influenced the family relationships. Conclusion: The coexistence center was set up as a health promotion institution, being jointly responsible for the care of the elderly with the Health Care Network and the families.

Objective: To understand the contributions of university activities for active aging of elderly people committed to the Open University for the Third Age program. Method: This is a qualitative study guided by Symbolic Interactionism as a theoretical framework and by the Grounded Theory as a methodological framework. Data were collected between April and October 2020, through individual interviews with the elderly, coordinators, and professors of an Open University for the Third Age. The software Atlas.ti ® was used to support the analysis, which took place through open, axial, and integration coding. Results: Participation in university activities contributed to strengthening the pillars that support the active aging policy. Contributions were driven by lifelong learning, included in the program through nonformal continuing education, which optimized opportunities for the elderly’s health, participation, and safety. Conclusion: The contributions arising from participation in university activities favor the (re)construction of the elderly’s resilience in coping with everyday situations.