Clínica Ampliada: Conhecimento de Alunos de Medicina

Abstract

Objetivo: identificar o conhecimento sobre Clínica Ampliada dos alunos de Medicina ao final do estágio rural. Método: trata-se de um estudo qualitativo, observacional, com 25 alunos do curso de Medicina. Foi aplicado um questionário com quatro perguntas abertas sobre: conhecimento, vivência, características e inserção da clínica ampliada no internato e na atenção básica, ao final do estágio rural. A análise dos dados foi embasada na técnica de Análise de Conteúdo Temática de Bardin. Resultados: verifica-se que os alunos apreenderam o conhecimento sobre Clínica Ampliada, o que proporciona uma visão ampliada do cuidado ao paciente. Conclusões: a temática de Clínica Ampliada vem sendo trabalhada durante o curso de Medicina, atendendo a uma das proposições contidas nas Diretrizes Curriculares Nacionais.

Family members seeking compulsory hospitalization for drug-using members: profile, expectations and needs

“…They also point to the scarcity of scientific knowledge production aiming at viable strategies of attention to family members that transcend group, educational, and sheltering spaces, based on the assumption that it is in the family that protection is processed. Thus, such subjects need to be empowered, including emotionally, in order to, in addition to strengthening bonds, deal with problems and conflicts that arise from the dynamics of addiction, to rescue their protagonism (24)(25)(26)(27) .…”

“…Instruments, such as home visits and territorial actions in the world of families, enable a better understanding of the user in his context. Studies show these strategies transcend the ideology of the disease, because they allow a social and emotional approach to the problem (24)(25)(26)(27)(28) .…”

“…Several studies, both theoretical and those that guide practice, point to the need for collaborative interventions in sustainable, co-participative and constructed networks, as well as the Expanded Clinic model (24)(25)(26)(27) . This model values interdisciplinary work and intersectoral networks.…”

“…It is a way of doing things that proposes a systemic look, that is, a broader look at the issue, transcending drug therapy, because it includes the power of narratives, interdisciplinary listening, health education, and psychosocial support, horizontalizing the clinic in a dimension of comprehensive care of the subjects, without losing sight of their territorial, social, economic, cultural, and political context. The subjects must be placed in a place of participation and collaboration for the joint construction of paths, which implies expanding concepts such as health, disease, treatment, autonomy and rights to better encompass the complexity of this phenomenon (27) .…”

“…Indeed, such movement of judicialization of life, specifically of health care policy, presents itself as a phenomenon that requires a discerning and reflective look. As to the aforementioned issue, research has debated controversial aspects of compulsory internment, in order to create transition models capable of fostering a substitute health network to fully assist users and their families, since it has been perceived the ineffectiveness of compulsory treatment compared to voluntary treatment, which shows better results, as explained in the literature (5,(20)(21)(22)(23)(24)(25)(26)(27)(28) .…”