A equipe multiprofissional em gerontologia e a produção do cuidado
Arquivos
Data
2012
Autores
Besse, Mariela 
Orientadores
Cecilio, Luiz Carlos de Oliveira
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Apreender de que forma os conceitos teoricos da Gerontologia, em particular a enfase na interdisciplinaridade, sao colocados na pratica da Gestão clinica do cuidado a Saúde do idoso. Metodos: Trata-se de um estudo qualitativo com base na metodologia de estudo de caso, com amostra intencional, onde o estudo de campo foi realizado num programa de atendimento domiciliar ao idoso de uma universidade federal no municipio de São Paulo, entre os meses de setembro a dezembro de 2010. Para a coleta de dados utilizamos a tecnica de observacao participante, a qual se deu em dois espacos simultaneamente. O primeiro foi a reuniao semanal da equipe e tinha como objetivo entender como uma equipe multiprofissional se organiza para operar a producao do cuidado aos idosos, em particular a contribuicao de cada profissao visando a producao do projeto terapeutico para cada paciente e suas necessidades especificas. O segundo foi o momento da visita da equipe aos domicilios e tinha como objetivo observar diretamente o relacionamento da equipe com os pacientes e com os cuidadores, em particular a divisao de tarefas entre os profissionais. As reunioes foram gravadas e posteriormente transcritas. A medida que as categorias empiricas iam se delineando, adotamos a uma sistematizacao das multiplas dimensoes da Gestão do cuidado por meio de uma de grade analitica, partindo da premissa de que a Gestão do cuidado em Saúde se realiza em multiplas dimensoes que, imanentes entre si, apresentam, todas e cada uma delas, uma especificidade que pode ser conhecida para fins de reflexao, pesquisa e intervencao Resultados: Foram identificadas sete categorias empiricas: tutela x autonomia: um embate cotidiano, o estresse do cuidador, cuidado tecnico x cuidado leigo, campo e nucleo de saberes e praticas: cotidianos exercicios de interdisciplinaridade, a enfermeira como gestora do cuidado, a regulacao profissional do acesso aos servicos de Saúde, quando as carencias dificultam o bom cuidado, por meio das quais foi possivel verificar o impacto da tutela sobre a pessoa idosa, a importancia da conjuncao do cuidado tecnico com o cuidado leigo realizado no domicilio para a implementacao do plano de cuidados, que o desenvolvimento de uma pratica interdisciplinar depende intensamente da interacao entre as especialidades, propiciando assim deslocamentos dos nucleos profissionais de modo que existe uma construcao conjunta frente as necessidades dos usuarios e mesmo diante de uma elaborada politica publica pacientes, familiares e programa enfrentam diversas dificuldade para a realizacao de um cuidado integral. Conclusao: a partir dos resultados pode-se observar producao do cuidado por meio do trabalho interdisciplinar e a necessidade de uma maior valorizacao da pessoa idosa e de suas demandas para a concretizacao das politicas publicas vigentes
Objective: understand how the theoretical concepts of Gerontology, in particular the emphasis on interdisciplinarity, are placed in the practice of clinical management of elderly people health care. Methodology: This is a qualitative study based on case study methodology, with purposeful sampling, whose the field study was conducted in a home care program to the elderly in a federal university in São Paulo city, from September, 2010 to December, 2010. To collect the data, we used the technique of participant observation, which took place in two situations. The first one was during the weekly staff meeting and was aimed to understand how a multidisciplinary team organizes itself to execute the production of elderly health care, in particular the contribution of each profession in order to produce the therapeutic plan for each patient and his/her specific needs. The second situation was during team visitation to households and aimed to directly observe the relationship of staff among patients and caregivers, in particular the division of tasks among professionals. The meetings were recorded and later transcribed. As the empirical categories were delineated, we adopted a classification of the multiple dimensions of care management through an analytical grid, with the premise that the management of health care takes place in multiple dimensions, immanent to each other, each and all of them, specificity that can be known for purposes of reflection, research and intervention. Results: We identified seven empirical categories: supervision x autonomy: struggle daily life, caregiver stress, technical care x bedside care, field and core knowledge and practice: interdisciplinary daily exercises, the nurse as manager of care giving, professional regulation of access to health services, when shortages hamper the proper care, through which it was possible to verify the impact of protection for elderly, the importance of technical care conjunction with careful layperson performed at home for the implementation of the plan of care that developing an interdisciplinary practice depends heavily on the interaction among the specialties, thereby providing displacements of the professional groups in order to create a joint construction ahead to the users needs and even for a complex public policy patients, families and the program face several difficulties for a comprehensive caregiving. Conclusion: From the results, we can observe the production of care through interdisciplinary work and the need for a greater appreciation of elderly people and their demands for the implementation of public policies.
Objective: understand how the theoretical concepts of Gerontology, in particular the emphasis on interdisciplinarity, are placed in the practice of clinical management of elderly people health care. Methodology: This is a qualitative study based on case study methodology, with purposeful sampling, whose the field study was conducted in a home care program to the elderly in a federal university in São Paulo city, from September, 2010 to December, 2010. To collect the data, we used the technique of participant observation, which took place in two situations. The first one was during the weekly staff meeting and was aimed to understand how a multidisciplinary team organizes itself to execute the production of elderly health care, in particular the contribution of each profession in order to produce the therapeutic plan for each patient and his/her specific needs. The second situation was during team visitation to households and aimed to directly observe the relationship of staff among patients and caregivers, in particular the division of tasks among professionals. The meetings were recorded and later transcribed. As the empirical categories were delineated, we adopted a classification of the multiple dimensions of care management through an analytical grid, with the premise that the management of health care takes place in multiple dimensions, immanent to each other, each and all of them, specificity that can be known for purposes of reflection, research and intervention. Results: We identified seven empirical categories: supervision x autonomy: struggle daily life, caregiver stress, technical care x bedside care, field and core knowledge and practice: interdisciplinary daily exercises, the nurse as manager of care giving, professional regulation of access to health services, when shortages hamper the proper care, through which it was possible to verify the impact of protection for elderly, the importance of technical care conjunction with careful layperson performed at home for the implementation of the plan of care that developing an interdisciplinary practice depends heavily on the interaction among the specialties, thereby providing displacements of the professional groups in order to create a joint construction ahead to the users needs and even for a complex public policy patients, families and the program face several difficulties for a comprehensive caregiving. Conclusion: From the results, we can observe the production of care through interdisciplinary work and the need for a greater appreciation of elderly people and their demands for the implementation of public policies.
Descrição
Citação
BESSE, Mariela. A equipe multiprofissional em gerontologia e a produção do cuidado: um estudo de caso. 2012. 173 f. Dissertação (Mestrado) – Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 2012.