Navegando por Palavras-chave "Serviços de assistência domiciliar"

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    A assistência domiciliar ao idoso: um processo em distintas perspectivas
    (Universidade Federal de São Paulo (UNIFESP), 2001) Moura, Almerinda [UNIFESP]; Sarti, Cynthia Andersen [UNIFESP]
    Este trabalho busca compreender o processo da assistência domiciliar em distintas perspectivas, a dos profissionais e a das cuidadoras, que compoem o Programa de Assistência Domiciliar ao Idoso, de uma universidade pública em Sao Paulo. Levanta questoes sobre a forma como as atrizes deste processo de assistência - pensado como uma prática social - o vivenciam e como expressam e constroem seu significado. Evidencia a necessidade de se rever alguns pontos da realidade concreta da assistência domiciliar, entre os quais, as inter-relaçoes da equipe de saúde com as cuidadoras e os usuários; a linguagem técnica; as informaçoes escassas ou truncadas e o despreparo dos profissionais e das cuidadoras para trabalharem com a especificidade desta assistência, pontos que vêm ocasionando inflexoes neste processo. Destaca, ainda, a capacidade de construçao e reconstruçao dos profissionais e das cuidadoras que se aventuram nos caminhos da assistência domiciliar ao idoso, tao cheios de conflitos e contradiçoes. O estudo nao pretende dar conta de todas as questoes desta assistência, mas estimular uma reflexao sobre as opçoes que se vislumbram para o futuro.
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    Cartografia do Processo de Cuidado num Serviço de Atenção Domiciliar
    (Universidade Federal de São Paulo (UNIFESP), 2017-08-03) Pozzoli, Sandra Maria Luciano [UNIFESP]; Cecilio, Luiz Carlos de Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: The practice of caring for sick people in their homes refers to immemorial times. Since the last century, due to the aging of the population, there has been a growing institutionalization of such practice in home care services, which had assumed very different models and work processes in different countries. The main objective of this research was to know the process of care in the Home Care Service (SAD) of a medium-sized municipality in the State of São Paulo as a component of the Emergency and Urgency Network (RUE). Method: It is a case in which I take on a cartographic ethos in every way of the research, participating in the routine of SAD and recording in a field diary the daily scenes. I also have recorded interviews with caregivers and a hospital nurse, and I have conducted a focus group with Primary Care nurses (AB). As a data analysis strategy, the first approximation of the empirical material was the definition of Cutting Plans, that is, intentional cuts made from elements or components of home care policy. In the second analytical approach, there are the Visibility Plans, that are scenes of the daily life that reveal the complex relationships between the prescribed work (that the official policy defines) and the actual work (that is how care is performed by the teams in their concrete conditions of work). Results and Discussion: Through the cutting plans and visibility plans, it was possible to identify problems related to management, in particular those that establish limits for the team work; limitations in the use of the information system; the positive aspects and also the tensions present in the multiprofessional work; the conflicts present in the daily work; deficiencies in the training of workers; the isolation of SAD in relation to other health equipment; the limitations of AB to effectively support SAD; the overload of the caregiver and the inescapable need of strategies to support their work and elements of the patient universe, marked by the loss of autonomy and often by the lack of perspective of future building, showing human vulnerability in different perspectives and the sense that each family gives to the suffering experienced by the dependent family member of long-term care. Conclusions: The study evidenced that home care is a model of innovative care, if assumed by the health system with sufficient human resources, materials, equipment, transportation and agile and flexible information system to include real information. Caregivers suggested that care must to be integrated among professionals and with other points of the Health Care Network (RAS). There are difficulties for AB to assume this model of care, and the experience indicated the need of social support services to contribute to the quality of life of the caregiver.
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    Concordância de observações sobre a capacidade funcional de idosos em assistência domiciliar
    (Faculdade de Saúde Pública da Universidade de São Paulo, 2005-08-01) Ricci, Natalia Aquaroni [UNIFESP]; Kubota, Maristela Tiemi [UNIFESP]; Cordeiro, Renata Cereda [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To assess the agreement between measures of caregiver's perception and health provider's direct observation of performance in daily living activities among home care elderly patients. METHODS: Performance observations were carried out among 40 elderly patients and their respective caregivers were interviewed. During home visits, data on caregiver's perception were collected by an independent observer using the Functional Independence Measure (FIM) instrument. Health providers evaluated elderly patients on their functional capacity in six dimensions: self-care, sphincter control, mobility, walking, communication and social cognitive skills. RESULTS: Intraclass correlation coefficient (ICC) showed an excellent agreement in all dimensions and the highest total FIM score was 0.95. Only the dimensions self-care and mobility showed a bias error between measures (signal test: p<0.001). Bias errors were not found when Bland-Altman graphic was applied. CONCLUSIONS: The agreement between health provider's and caregiver's measures demonstrated a good interaction between program team and caregivers, which is of great importance on evaluating and treating elderly patients. The results also suggest that when a valid and reliable instrument such as FIM is used, there is a high reproducibility of measures, even for different types of evaluations.