Andrea Gonçalves Bandeira

Redes sociais de portadores de lesão cutânea crônica : o cuidado de enfermagem

OBJECTIVE To describe the social networks of patients with chronic skin damages. METHOD A qualitative study conducted through semi-structured interviews with nine subjects with chronic skin lesions from June 2016 to March 2017; we used the theoretical-methodological framework of Lia Sanicolas Social Network. RESULTS The analysis of the relational maps revealed that the primary network was formed mainly by relatives and neighbors; its characteristics, such as: reduced size, low density and few exchanges/relationships, configures fragility in these links. The secondary network was essentially described by health services, and the nurse was cited as a linker in the therapeutic process. FINAL CONSIDERATIONS Faced with the fragility of the links and social isolation, the primary health care professionals are fundamental foundations for the construction of networks of social support and care for patients with chronic skin lesions.

Abordando o luto na escola : experiência em comunidade em situação de vulnerabilidade no sul do Brasil

O objetivo deste artigo e discutir uma acao de promocao em saude desenvolvida no âmbito do Programa de Saude na Escola abordando a tematica luto e morte. Trata-se de um relato de experiencia. A acao foi desencadeada por solicitacao da escola, diante da situacao de perda de uma professora. A revisao da literatura indicou a oportunidade do trabalho deste tema com jovens em situacao de vulnerabilidade. Foram realizadas oficinas em sala de aula, com desenvolvimento de dinâmica que visou a expressao de sentimentos perante a situacao vivenciada na escola ou na sua vida. A experiencia mostrou que a escola e um espaco no qual este processo pode ser compartilhado e explicitado.

Integralidade no cuidado a usuários com lesões de pele: percepção dos profissionais da atenção primária

Objective: To know the perception of nursing professionals inserted in Primary Health Care on the application of the principle of integrality in the care of users with skin lesions. Materials and Methods: This is a study with a qualitative approach. Data collection was performed in different services of Porto Alegre in 2012. The population comprised seven nurses and 14 nursing technicians, who work in health care units that were also the field of practice for a Multi-professional Residency Program in Family and Community Health. For the data collection, a semi-structured interview was conducted. The interviews were previously scheduled according to the availability of the individual professionals, with an average duration of 20 minutes. Results: Integrality in the care of skin lesions were organized around two categories: (1) integrality – knowledge versus distancing; (2) comprehensive care for users with skin lesions – from theory to practice. Conclusion: The participants were active protagonists of integrality in this field of practice, despite the criticisms to the difficulties of the health work process and the challenges encountered.

Developing Legacy: Health Planning in the Host City of Porto Alegre for the 2014 Football World Cup.

AIM To describe the process adopted to identify, classify, and evaluate legacy of health care planning in the host city of Porto Alegre for the Football World Cup 2014. BACKGROUND There is an emerging interest in the need to demonstrate a sustainable health legacy from mass gatherings investments. Leaving a public health legacy for future host cities and countries is now an important part of planning for these events. PROCESS The Ministry of Sports initiated and coordinated the development of projects in the host cities to identify actions, projects, and constructions to be developed to prepare for the World Cup. In Porto Alegre, a common structure was developed by the coordinating team to instruct legacy identification, classification, and evaluation. This structure was based on international documentary analysis (including official reports, policy documents, and web-based resources) and direct communication with recognized experts in the field. FINDINGS AND INTERPRETATION Sixteen total legacies were identified for health surveillance (5) and health services (11). They were classified according to the strategic area, organizations involved, dimension, typology, planned or unplanned, tangible or intangible, territorial coverage, and situation prior to the World Cup. Possible impacts were then assessed as positive, negative, and potentiating, and mitigating actions were indicated. CONCLUSIONS The project allowed the identification, classification, and development of health legacy, including risk analysis, surveillance, mitigation measures, and provision of emergency medical care. Although the project intended the development of indicators to measure the identified legacies, evaluation was not possible at the time of publication due to time.

Nursing care or wounded people’s relatives: boundaries and possibilities

ABSTRACT Objective : to identify the boundaries and possibilities experienced by families of wounded people who were assisted by a Wound Dressing Team. Methododology : descriptive and exploratory qualitative study, through simple observation. It was carried out with four family caregivers of patients who were treated by a major hospital’s Wound Dressing Team in southern Rio Grande do Sul, Brazil. Data was collected in October and November, 2008. After being grouped according to topics, it was analyzed. Results : results provided a better understanding of the resources regarding wound care deployed by families. It also allowed for identifying the hospital’s Wound Dressing Team’s credibility, for, despite not being in the institution anymore, patients still considered the hospital their first option concerning treatment. Conclusion : amid all the difficulties experienced by families concerned with wound care, the mutual support among family members was highlighted. This situation was fostered by the availability of a quality and reliable service for wound care. Descriptors : nursing; delivery of health care; adult health; wound healing. RESUMO Objetivo : identificar os limites e as possibilidades encontrados pelas familias frente ao cuidado de feridas a domicilio de clientes acompanhados por profissionais de um Grupo de Curativos. Metodologia : estudo descritivo e exploratorio, de abordagem qualitativa com uso da observacao simples. Foi realizado com quatro familiares cuidadores de clientes que utilizaram o servico do Grupo de Curativos de um hospital de grande porte da regiao sul do Rio Grande do Sul/Brasil. Os dados foram coletados nos meses de outubro e novembro de 2008 e analisados a partir de tematicas. Resultados : os resultados proporcionaram um entendimento maior sobre os recursos utilizados pelas familias no cuidado com as feridas, assim como proporcionou identificar a credibilidade sustentada pelo Grupo de Curativos do hospital palco do estudo, uma vez que os pacientes atendidos nao estavam mais internados na instituicao e esta continuava sendo a primeira escolha dos mesmos em relacao ao tratamento. Conclusao : em meio a todas as dificuldades, vividas pelas familias no cuidado de feridas, o que mais se destacou foi o apoio mutuo entre os membros do grupo familiar, ao estar em casa realizando os cuidados e por disponibilizarem de um servico de referencia e de confianca para o tratamento de feridas. Descritores : enfermagem; assistencia a saude; saude do adulto; cicatrizacao de feridas. RESUMEN Objetivo : identificar los limites y las posibilidades encontrados por las familias frente al cuidado de heridas en el domicilio de clientes acompanados por profesionales de un Grupo de Curativos. Metodologia : estudio descriptivo y exploratorio, de abordaje cualitativa con uso de la observacion simple. Fue realizado con cuatro familiares cuidadores de clientes que utilizaron el servicio del Grupo de Curativos de un hospital de grande porte de la region sur de Rio Grande do Sul/Brasil. Los datos fueron colectados en los meses de octubre y noviembre de 2008 y analizados a partir de tematicas. Resultados : los resultados proporcionaron un entendimiento mayor sobre los recursos utilizados por las familias en el cuidado de las heridas, asi como proporciono identificar la credibilidad sustentada por el Grupo de Curativos del hospital escenario del estudio, una vez que los pacientes atendidos no estaban mas internados en la institucion y esta seguia siendo la primera eleccion de los mismos en relacion al tratamiento. Conclusion : en medio del todas las dificultades, vividas por las familias en el cuidado de heridas, lo que mas se destaco fue el apoyo mutuo entre los miembros del grupo familiar, al estar en casa realizando los cuidados y por tener un servicio de referencia y de confianza para el tratamiento de heridas. Descriptores : enfermeria; prestacion de atencion de salud; salud del adulto; cicatrizacion de heridas; salud publica.