The nursing process in family health strategy and the care for the elderly

Abstract

This article aims to nurses practising of Family Health Strategy related to actions directed at the elderly care. It is a qualitative study, converging-assistential, which data were collected between May and June/2012 through interviews and theme workshops with 20 nurses, who work in the Family Health Strategy of a Sanitary District of Florianópolis Municipality, SC. The data analysis involved processes of apprehension, synthesis, theorization and transference, resulting two categories: care to elderly; public Healthcare policy for the elderly. The results sustain discussions about the need of connecting the nurse work and proposal of government policies to the elderly health care. It is strongly recommended permanent education to the professionals already in service, so they can deal with the challenges of population aging. DESCRIPTORS: LA PRAXIS DEL ENFERMERO DE LA ESTRATEGIA DE SALUD FAMILIAR Y LA ATENCIÓN AL ANCIANO RESUMEN:Este artículo tiene como objetivo discutir la práxis del enfermero de la Estrategia de Salud de la Familia relacionada con las acciones dirigidas a la atención a los ancianos. Se trata de una investigación cualitativa, convergente-asistencial, cuyos datos fueron recolectados entre Mayo y Junio /2012 a través de entrevistas estructurada y talleres temáticos con 20 enfermeros, que actúan en la Estrategia de Salud de la Familia de un Distrito Sanitario, del Municipio de Florianópolis-SC. El análisis de los datos involucró procesos de aprehensión, síntesis, teorización y transferencia, dando como resultado dos categorías: atención a los ancianos; políticas públicas de atención a la salud del anciano. Los resultados sustentan discusiones sobre la necesidad de aproximación entre el trabajo del enfermero y las propuestas de políticas públicas de atención a la salud del anciano. Se recomienda educación permanente para los profesionales que ya trabajan en los servicios, a fin de que puedan enfrentar los desafíos del envejecimiento de la población. DESCRIPTORES:Enfermería. Salud del anciano. Práctica profesional. Programa de salud familiar.

Health advocacy by nurses in the Family Health Strategy: barriers and facilitators

“…In addition, it expands the insertion of nurses, who usually take on the frontline in relation to other health professionals when they develop care, administrative and educational activities crucial to consolidate and strengthen the Family Health Strategy (FHS) in the scope of the Brazilian Unified Health System (SUS) (1) . The FHS, in turn, recommends the PHC reorganization and the consolidation of the SUS principles, giving priority to actions aimed to promote, protect and recover health in a comprehensive and consistent way, focusing care on family health, understood in the light of its physical and social environment (2)(3) . In the FHS nurses serve as mediators in the structural and functional reorganization of the service, in the micro/macro-political changes of the healthcare system to provide it with an important social and historical trait, and also enable advances to the category and the social building of health (4) .…”

Atenção ao idoso: práticas de educação permanente do Núcleo de Apoio à Saúde da Família

“…In more specific aspects, case discussions (class 1) revealed moments of PEH in the care of older adults through the dialogue between NASF and FHS and triggered dialogue spaces for teaching and learning such as meetings, shared consultations, planning and articulation of health actions, requiring professional nurses who were fit to this practice. Thus, these discussions allowed a space for reflection, learning, exchange of knowledge and improvement in practice, bringing benefits to the service and mainly to the older adult user (16) , who is well known to be devoid of more qualified actions (5,8) .…”

“…PEH provides a reflexive practice, mediated by the capacity for reflection and the need for transforming the processes generated at work. Their assumptions prioritize the daily problems of health services and teams, seeking the transformation of practices, relationships between subjects and understanding of health work in an attempt to overcome the logic of skills, improvements and updates (2)(3)(4)(5) .…”

“…It should be emphasized that the biomedical care model is still predominant in the care for older adults in PHC, favoring curative actions to the detriment of preserving the overall functionality of older adults, possibly due to the incipient gerontogeriatric training of the professional. This reality can be transformed by the PEH in search of knowledge and practices which are in line with active and healthy aging (5,8) .…”

“…In this direction, the confrontations experienced by health professionals in care provided to older adults, especially regarding excessive demand (5,8) coupled with the lack of preparation in aging management in PHC clarify the need for PEH in order to minimize the challenges that exist in the daily life of PHC and to redefine practices in the care of older adults (2,6) . This scenario is undoubtedly a field of intervention of the NASF team for its multidisciplinary and pedagogical character with the FHS teams (7) .…”