Navegando por Palavras-chave "Gestão Autônoma Da Medicação"

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    "EU NÃO SOU UMA DROGA": um diálogo hermenêutico sobre o GAM no CAPS AD
    (Universidade Federal de São Paulo (UNIFESP), 2020-12-03) Lauria, Beatriz Cesar [UNIFESP]; Surjus, Luciana Togni de Lima e Silva [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Autonomous Medication Management (GAM) is an emancipatory care strategy in mental health, developed in Canada and adapted to the Brazilian context, aimed at producing user au- tonomy in the context of their care. Based on the challenges of care in freedom arising from the process of the Brazilian Psychiatric Reform, there has been a growing concern about the non- critical use of psychiatric drugs in mental health services. On the other hand, the issue of con- sumption of other drugs, especially illicit drugs, has taken center stage in counter-reform move- ments, advancing the discussion on human rights in a context of greater vulnerability. In this study, we start from a little depth questioning in the literature that proposes an approximation between these issues based on the identification of the contributions of the implementation of the GAM strategy, in the organization of a reference Psychosocial Care Center for the care of people with related problems to the use of drugs (CAPS AD), paying attention to possible pe- culiarities of the field of alcohol and other drugs. This is a qualitative study, based on critical and narrative hermeneutics, in the light of contemporary philosophers Hanz George Gadamer and Paul Ricoeur. The procedures used to produce the data were the realization of a focus group with the workers and the recording in the field diary of the experience of conducting a GAM group at CAPS AD in the city of Santos / SP. The interpretative hermeneutic exercise involved the organization of the main argument centers, followed by narrative constructions elaborated by the researcher. From this material produced, we sought to produce a dialogue between users and workers, highlighting the main approaches and distances between these productions and relating them to authors who dialogue with the theme of alcohol and other drugs. The research results point to the experience of high vulnerability and criminalization of drug users and the recurrent hospitalizations in Therapeutic Communities, in response to poverty, denounce the precariousness of health services and the absence of other public policies, in addition to their repercussion on discontinuity. care. They also show a devaluation of the user's biography in the medical posture, as well as the predominance / prioritization of drug treatment in the CAPS AD and indicate the need to radicalize the discussion of these prescriptions and reorganize the care offers, allowing the exercise of co-management in the service.
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    A sacola de medicamentos: reflexões sobre as práticas de assistência farmacêutica em unidades de saúde da atenção básica
    (Universidade Federal de São Paulo (UNIFESP), 2019-09-13) Souza, Rosana Neves Marques De [UNIFESP]; Maximino, Viviane Santalucia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: the pharmacist's work in Primary Care has traditionally aimed more at the pharmacies logistics and supply issues in Health Units rather than the user needs regarding the use of their medicines. This gap was gradually noticed, not only by the pharmaceutical professionals, but also by other professionals of the health teams, as reports emerged of users with great difficulty in handling and understanding their drug treatment. There was a demand and a space that the pharmaceutical professional could occupy. The approach of this professional to the teams of Primary Care, as responsible for the shared care of these users, was facilitated in the Family Health Support Centers. Therefore, the Pharmaceutical Assistance actions have expanded to those related to Pharmaceutical Care, considered as a model of pharmaceutical practice and that is attentive to attitudes, ethical values, behaviors, skills, commitments and co-responsibilities in disease prevention, health promotion and recovery, in an integrated manner to the health teams. This requires a direct interaction with the user through qualified hearing, aiming at gaining users autonomy with regard to medication use. In addition to be a hearing space, the group experience can offer opportunities for the exchange of ideas and experiences in this direction. Objectives: To monitor a group experience, which uses the GAM strategy – Autonomous Medication Management in a Family Health Unit of the Municipality of Santos, with users who have chronic non communicable diseases, observing their effects on medication management. Identify barriers and facilitators in the medication use, the importance of the medication for these users and the effects of the group on their autonomy and prominent role. Method: a qualitative study using the intervention research with a group of users with chronic diseases who use polymedication with reference to the Brazilian Autonomous Medication Management Guide .Autonomous Medication Management Guide initially created in Canada with users of Mental Health services and subsequently adapted to the Brazilian context proposes a co-management of medication among teams, users, family and community. Results and Discussion: it was found the importance of ensuring spaces for discussion and learning among users with chronic diseases and workers, enabling a better understanding of drug treatment, which contributes to the pharmaceutical care process, generating increased possibility of negotiation and consequently autonomy for the user. The GAM themes are important triggers for these reflections. The "bag" of medicines points to the medication as a commodity and incentive to consumption, as well as a criticism of the way drugs are being dispensed, causing in many cases non-adherence to treatment. As barriers were encountered, difficulties arose in the formation of the groups and in the presence of a larger number of professionals from the teams to increase co-management. As a suggestion for new studies the topic of medicalization can be more discussed in the teams as a way of overcoming the assistance model, which has so far been established especially with regard to the use of medicines.