A família em saúde mental: subsídios para o cuidado clínico de enfermagem

Abstract

This is a theoretical reflection on the clinical nursing care in mental health that is offered to the family. In view of having a family member with mental suffering, the family would delegate the care to that relative to the mental institution, thus there should be collaboration between the nursing and medical team to organize the environment and ensure family and social isolation. With the Psychiatric Reform, based on the proposal for psychosocial care, the family becomes the center of attention for health care professionals. The necessary support for clinical nursing care includes making conceptual changes in implementing health education, interdisciplinary work, and in the broadened clinic, so as to ensure comprehensiveness and subjects' autonomy. Clinical nursing care should permeate the subjects' politicalization, in which the actors militate to reach autonomy, and the practices involve dignity, creativity, welcoming, interdisciplinarity, hearing, and knowledge sharing.

Perfil dos familiares de usuários de Centros de Atenção Psicossocial: distribuição por tipo de serviço

“…22 There is need of health teams offer more support to families in the context of changes, both in their life and in the care they provide and care services. Thus, the co-responsibility for the mental health care that occurs between family and work needs to happen with the advancement of psychosocial rehabilitation policy, support families and empower them in order to advance the process of deinstitutionalization in mental health.…”

The Views of Family Members about Nursing Care of Psychiatric Patients Admitted at a Mental Hospital in Malawi

“…It is evident that involving family members in nursing care of their mentally ill relative may help in reducing morbidity and mortality [14]. As such, families should take responsibility in the nursing care being provided to their sick relative [10].…”

Saúde Mental na Prática

“…Os serviços substitutivos ao modelo hospitalocêntrico, o mais antigo modelo de cuidado ao portador de sofrimento psíquico, surgem na intenção de que este sujeito doente seja visto a partir de outro paradigma, o da reabilitação psicossocial, entendida como uma ação ampliada, que considera a vida em seus diferentes âmbitos: biológico, social, cultural, espiritual e familiar, objetivando, assim, a reinserção deste sujeito na sociedade. (SILVA, et. al., 2011) As relações sociais que se desenvolvem no interior do hospital psiquiátrico são dominantes, evidenciando a hierarquia, subordinação, exclusão, expropriação do saber e a divisão do trabalho e dos saberes em especialidades.…”

“…A implantação do modelo psicossocial tem o objetivo de reinserir o portador de transtorno psíquico em suas atividades diárias, tornando possível a interação com a família e comunidade em geral. (SILVA, et. al., 2011) Desta forma, sob este novo olhar, surgem os serviços substitutivos ao hospital psiquiátrico, que se constituem em uma rede de atenção à saúde mental.…”