Serviços de atenção ao idoso e estratégias de cuidado domiciliares e institucionais

Abstract

ResumoIntrodução: As redes de atenção à saúde são fundamentais para assistir a população idosa em seus diversos aspectos. A assistência domiciliar, o Programa Acompanhante de Idosos da Secretaria Municipal da Saúde da cidade de São Paulo e as instituições de longa permanência para idosos compõem as redes de assistência à pessoa idosa. Fazse necessário analisar como a rede entre esses serviços se estabelece e contempla essa demanda de cuidado. Objetivo: Descrever e comparar os serviços assistência domiciliar, Programa Acompanhante de Idosos e instituições de longa permanência para idosos quanto às possíveis diferenças e semelhanças, demanda dos usuários, fluxo assistencial e gestão de serviços. Metodologia: Realizou-se uma revisão bibliográfica não exaustiva da literatura nacional publicada nas bases eletrônicas de dados SciELO e LILACS, em referências literárias e eletrônicas, no período de 1997 a 2012. Resultados: No total, 32 estudos foram incluídos na revisão. Observou-se que a população atendida é predominantemente do sexo feminino, com idade avançada, e recebe assistência multiprofissional. Os serviços de assistência domiciliar e o Programa Acompanhante de Idosos valorizam a manutenção da família e da comunidade como ambiente terapêutico, postergando a institucionalização. A presença do cuidador mostrouse como um dos fatores de maior influência para a permanência dos cuidados domiciliares. Conclusão: Conclui-se que os serviços revisados possuem objetivos que contemplam as demandas dos idosos. Espera-se que a integração dos equipamentos de saúde estabeleça suas ações de acordo com o perfil dos idosos e as características de cuidado oferecidas em cada serviço.

Idosos com doença de alzheimer: como vivem e percebem a atenção na estratégia saúde da família Elderly with alzheimer’s disease: how they live and notice the attention in the health strategy of the family

“…25 It is emphasized here the importance of conducting home visits to the elderly with Alzheimer's in multidisciplinary approach, with trained professionals on the condition of offering care and meeting the demands of this group, as well as allowing the development and adaptation to daily life activities, generating greater autonomy and independence. 26 As regards to the distribution of actions related to dispensing of drugs. Some respondents receive medicines monthly in CSF Pharmacy Diabetes Mellitus and Hypertension and others receive medicines in other health services for the Alzheimer's disease.…”

Intervenção domiciliar como ferramenta para o cuidado de enfermagem: avaliação da satisfação de idosos

“…2016;37(spe):e68351 tions that sought to meet their real and symbolic needs (7,12) . Consequently, bonding is presented as the main determinant of satisfaction and as the result of a light technological resource -home visit -enabling more welcoming and remedial healthcare actions (5) . Since the bonds were accompanied with positive feelings, such as joy and distraction, the interventions achieved, as a result, quality relationships (12) .…”

“…Moreover, the elderly evaluated the home nursing interventions as positive and highlighted improvements to their state of health and well-being: The healthcare quality assessment model (12) used in this study reveals the importance of educational activities, risk prevention, promoting quality and control, and motivating and contacting users to reflect on the positive result of their evaluation (7) . Home interventions are highlighted as a pertinent technology to achieve this quality (5) . This fact was observed in the statements of the elderly who participated in the research.…”

“…This device aims to encourage the active participation of users in the health-sickness process and enable health workers to systematically organise healthcare, considering the specificities of the users and their healthcare needs, increase co-responsibility by supporting autonomy, and build bonds between users and the healthcare team (4) . A strategy for the implementation of the PTS is home intervention, considered an alternative healthcare modality for the population, including the elderly (5) . The aim of this modality is to humanise healthcare, promote health with scientific and technical support, and protect the functional capacity of individuals through interventions in the health-sickness process that contemplate sociocultural, psychological, and family-related issues (4) .…”

“…Use of these interventions broadens access to healthcare because they include the home as a point in the healthcare network (6) . The growing elderly population, the increasing demand for healthcare due to the prevalence of chronic conditions, physical limitations or educational disabilities and requirements (3) , and the importance of home interventions and the use of light technologies for this population (5) permeated by quality (7) led to the creation of a university extension project in 2014, in partnership with the primary care team. The goal of this project is to offer home care to the 116 elderly who live outside the ESF coverage area, and who are therefore unable to access primary care.…”