A tecnologia em saúde tornou-se um ator eficaz no processo de cuidar e gerir. Ela compõe a rede de atenção em saúde. Contudo sua característica ambivalente exige uma análise crítica e multidimensional de sua ação. O presente artigo tem como objetivo apresentar uma reflexão sobre a disseminação e uso da tecnologia nos serviços de saúde, tendo como plano de fundo sua ambivalência e ação como ator na rede de assistencial. Trata-se de uma análise acerca do uso da tecnologia em saúde e suas repercuções sobre o cenário da assistência integral ao paciente. Tal ponto faz-se necessário uma vez que seu uso acarreta em dualidade em suas consequências e por vezes expressa-se através da mecanização e visão tecnicista do cuidado. Acredita-se que toda inovação tecnológica deve ser compreendida e analisada de forma crítica, uma vez que esta possui característica ambivalente e sua utilização repercute em consequência multidimensional. Desta forma para minimizar os efeitos contraditórios da tecnologia é necessário que esta tome seu papel como ator para compor o processo de cuidar e gerir a fim de prestar uma assistência integral à saúde no papel de um ator não-humano capaz de agir sob a forma de intervenção para promoção, prevenção, diagnóstico ou tratamento de doenças, e reabilitação.
Functional evaluation is one of the pillars of elderly home care for planning of interventions targeting the autonomy of this population. To verify Functional Independence Measure (FIM) in senior patients on a home care program. Retrospective quantitative study with elderly patients assisted by a home care service in the city of Curitiba, from August 2012 to December 2016. The following information was collected: gender, age, clinical diagnosis, and mean FIM scores at admission and discharge. Inclusion and exclusion criteria were met, descriptive statistics was used and, for association of variables, Wilcoxon’s and Spearman’s tests were applied. 1,614 patients were included, with predominance of women (n = 953; 59.53%), mean age of 78.7 ± 9.2 years, clinical diagnoses of diseases mostly affecting the central nervous system (CNS), the respiratory system, the joint and musculoskeletal system, and the circulatory system. The initial mean FIM was 50.56 points, while the final one was 55.36 points, with significant difference – Z = -5.09, p = 0.0001. Most seniors presented maximum to moderate dependence; however, a significant improvement in FIM after the health care provided in their homes was observed in patients with minimum dependence or modified independence.
Functional evaluation is one of the pillars of elderly home care for planning of interventions targeting the autonomy of this population. To verify Functional Independence Measure (FIM) in senior patients on a home care program. Retrospective quantitative study with elderly patients assisted by a home care service in the city of Curitiba, from August 2012 to December 2016. The following information was collected: gender, age, clinical diagnosis, and mean FIM scores at admission and discharge. Inclusion and exclusion criteria were met, descriptive statistics was used and, for association of variables, Wilcoxon's and Spearman's tests were applied. 1,614 patients were included, with predominance of women (n = 953; 59.53%), mean age of 78.7 ± 9.2 years, clinical diagnoses of diseases mostly affecting the central nervous system (CNS), the respiratory system, the joint and musculoskeletal system, and the circulatory system. The initial mean FIM was 50.56 points, while the final one was 55.36 points, with significant difference -Z = -5.09, p = 0.0001. Most seniors presented maximum to moderate dependence; however, a significant improvement in FIM after the health care provided in their homes was observed in patients with minimum dependence or modified independence.
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