A atuação do nutricionista na Atenção Básica à Saúde em um grande centro urbano

Cervato-Mancuso, Ana Maria; Tonacio, Larissa Vicente; Silva, Erika Rodrigues da; Vieira, Viviane Laudelino

doi:10.1590/s1413-81232012001200014

Cited by 61 publications

(57 citation statements)

References 12 publications

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“…These findings corroborate those of Cervato-Mancuso et al [30] and Rodrigues & Bosi [37]. According to these authors, nutritional care practices with these characteristics are not inserted into the context the users live in and are dissociated from their life history, the complexity among the regions where the health services are located, and the determinants of health.…”

Section: Discussionsupporting

confidence: 83%

“…Over the time period investigated, there were only two dietitians working in Primary Care. However, at the national level, the integration of this health professional at this level of care within the RAS remains more limited than that of the Secondary and Tertiary Care levels, despite the significant recent increase in the number of dietitians working in Primary Care [30,31].…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of nutritional care of overweight adults from the perspective of comprehensive health care

2017

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Objective: Describe and evaluate the nutritional care provided for overweight adults by the Primary and Secondary Health Care services of Santos, São Paulo, Brazil. Methods: This study was carried out between 2013 and 2015 integrating quantitative and qualitative approaches; it was divided into two phases: (1) characterization and (2) evaluation. In phase 1, a census of Primary Health Care Units (n=28) and Secondary Health Care Units (n=4) was conducted using interviews with health service managers and/or health professionals. Data were analyzed using exploratory data analysis. In phase 2, in-depth interviews were conducted with health service managers and/or health professionals investigating a sample of the Primary Health Care services and the totality of Secondary Health Care services provided. Thematic analysis was carried out using the theoretical framework for comprehensive health care proposed by Pinheiro & Mattos. Results: A total of 40 professionals were interviewed: 36 in the primary health care services and 4 in the secondary health care services. Nutritional care in the Primary Care services is focused on individual care and referrals to other services; nutrition diagnosis and health promotion occur only when overweight is associated with another disease. It was observed that the referral and counter-referral system and intersectorial collaborations were ineffective. In Secondary Care services, nutritional care is focused on clinical care using traditional approaches to nutrition education. Limiting factors for promoting comprehensive care were identified at the two levels of care: unproductive actions, lack of actions for health promotion and protection, and little dialogue between the Primary and Secondary care services. Conclusion: Overweight is not an outcome based on Primary and Secondary Care, but rather on prescriptive practices, which are not very effective in promoting users’ autonomy. It is necessary to guide the actions taken in these two levels of care to ensure the promotion of effective nutritional care.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Evaluation of nutritional care of overweight adults from the perspective of comprehensive health care

2017

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“…Making a comparison among the main activities developed by other professionals of NASF, there are reports on the performance of nutritionists from São Paulo who mentioned educational groups, home visits and individual care as main activities 28 , and physiotherapists reported programs of aerobic exercise and stretching 29 . Among speech therapists from the city of Recife, it was found that the matrix support actions of NASF held in combination with the basic team overlapped clinical care rehabilitation 30 , which demonstrates organization of the staff in meeting the demand for shared consultation, which as recommended, should only take place in specific cases 13 .…”

Section: Discussionmentioning

confidence: 99%

Atuação do profissional de Educação Física nos Núcleos de Apoio à Saúde da Família: um levantamento nacional

Santos

Benedetti

Medeiros

et al. 2015

Rev. Bras. Cineantropom. Desempenho Hum.

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-This is a descriptive and quantitative national survey aimed at presenting Health Education practices (HE) developed by Physical Education professionals working at NASF in Brazil. Overall, 296 professionals participated in this study, stratified by Brazilian regions and NASF groupings. Electronic interviews were conducted regarding the activities developed at the unity where each NASF professional worked. The main activities reported were gymnastics (40.1%), and walking (29.4%), having as their priority public elderly people (68.8%), groups of hypertensive and diabetic patients (30.9%) and young people (48.3%), respectively. The most discussed topics in lectures and orientations was the importance of physical activity (51.4%) and the second most cited was the prevention/treatment of comorbities (32.3%). The community spaces most utilized by Physical Education professionals to develop activities were: public squares, community centers and schools in the southeastern and southern regions of Brazil, and religious entities in the northeastern and Midwestern regions. In conclusion, in spite of the diversity of activities developed in different regions of Brazil, there is predominance of traditional Physical Education contents, which reflect the need of permanent education of such professionals to improve the quality of services offered to the community. Key words: Brazil; Family health; Health education; Physical education and training. Resumo -Estudo de levantamento nacional descritivo e quantitativo que visa apresentar as práticas de Educação em Saúde (ES) desenvolvidas pelos Profissionais de Educação 694The work of physical education professionals in NASFs Santos et al.

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“…Alguns estudos têm relacionado a inclusão do nutricionista na ESF à consolidação das ações de nutrição no âmbito da AB 19,32 . Em que pesem os avanços das políticas de SAN e de saúde, o papel do nutricionista tem sido entendido, pelos profissionais de saúde, como ainda muito limitado e associado à elaboração de dietas, e sua atuação concebida, frequentemente, como coadjuvante ao trabalho médico 19 .…”

Section: Sobre a Qualificação Das Ações Educativas Em Anunclassified

Práticas educativas em Segurança Alimentar e Nutricional: reflexões a partir da experiência da Estratégia Saúde da Família em João Pessoa, PB, Brasil

Vasconcelos

Magalhães

2015

Interface (Botucatu)

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Buscou-se analisar os principais desafios e perspectivas das ações educativas em Segurança Alimentar e Nutricional (SAN), a partir da experiência da Estratégia Saúde da Família (ESF) em João Pessoa. Foi realizado um estudo de caso exploratório de natureza qualitativa, que envolveu consulta documental, entrevistas semiestruturadas e observação local. Conclui-se que, apesar dos avanços no que se refere às dinâmicas de expansão e consolidação da ESF no município, persistem importantes desafios para a introdução da abordagem da SAN nas práticas educativas locais. Variáveis contextuais, tais como a baixa qualificação das equipes, a alta rotatividade dos profissionais e a fragilidade na integração entre os serviços de saúde e as comunidades, emergiram como aspectos a serem superados.

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A atuação do nutricionista na Atenção Básica à Saúde em um grande centro urbano

Cited by 61 publications

References 12 publications

Evaluation of nutritional care of overweight adults from the perspective of comprehensive health care

Evaluation of nutritional care of overweight adults from the perspective of comprehensive health care

Atuação do profissional de Educação Física nos Núcleos de Apoio à Saúde da Família: um levantamento nacional

Práticas educativas em Segurança Alimentar e Nutricional: reflexões a partir da experiência da Estratégia Saúde da Família em João Pessoa, PB, Brasil

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