Maria da Graça Corso da Motta

Família em situação de risco e sua inserção no programa de saúde da família: uma reflexão necessária à prática profissional

This article is a reflection on the insertion of the family in different situations of risk, a proposal of the Program of Healthy of the Family. The object is to understand the family as integrated in the process of the new model of health construction, in which the professionals visualize and take part in the diversity and complexity of the family world. A theoretic reflection has been made, which points out the blanks in the know/make professional in caring the family as a whole, identifies some possible alternatives to the progression in the ways of nurse caring and to the conquests concerning the model of health. It has been considered the diversity of family structure, as well as the many risk circumstances lived by the individuals. The Program of the Health of the Family is a promising strategy to prompt meetings between the health staff and the families, in search of drawing near in caring which makes easy the evidences of risk possibilities lived by the family group.

Cuidado humanizado no ensino de enfermagem

Este relato de experiencia docente desarrolla contenidos, relacionados al cuidado humanizado al nino y al adolescente y a su familia, con los academicos del Curso de Graduacion en Enfermeria. Se utiliza como metodologia los talleres de Creatividad y Sensibilidad 1 que se han revelado adecuados para abordar temas complejos como prevencion de la violencia contra el nino y el adolescente y el cuidado a las familias que experimentan la enfermedad del hijo. Durante los talleres, uno busca crear un espacio para reflexionar sobre el cuidado humanizado a partir de las vivencias de los academicos. Uno constata la importancia de introducir metodologias alternativas en el proceso de ensenanza y aprendizaje del academico buscando la construccion del conocimiento y privilegiando su experiencia.

Vulnerabilidades socioeconômicas e o cotidiano da assistência de enfermagem pediátrica: relato de enfermeiras

El equipo de salud, cuando considera la vulnerabilidad en la cual estan inmersos el nino y su familia, puede planificar y brindarles un cuidado integral. Este estudio tuvo como objetivo comprender la percepcion que tienen los enfermeros sobre la influencia de la vulnerabilidad socioeconomica , en el cuidado del nino y la familia, en el ambito de las Unidades de Internacion Pediatrica en un Hospital Universitario en el Municipio de Porto Alegre. Se trata de una investigacion cualitativa desde la perspectiva de un estudio explorable descriptivo. La recopilacion de las informaciones se realizo con nueve participantes a traves de entrevistas individuales semiestructuradas, analizadas segun referencial del Analisis de Contenido. Surgieron tres categorias de analisis, de las cuales dos son analizadas aqui: Vulnerabilidad socioeconomica y cuidado cotidiano de la enfermeria pediatrica; Propuestas y alternativas para el manejo de situaciones de vulnerabilidad socioeconomica. Los resultados proporcionaron ejemplos practicos e ofrecieron soluciones para solventar la vulnerabilidad socioeconomica vinculada al cuidado que brinda la enfermeria al nino y su familia.

Criança e família convivendo com a doença crônica: mesossistema em ligação com a vulnerabilidade programática

This study was aimed at understanding the perceptions of families of children who live with chronic conditions concerning the components of their vulnerability situation and relating them with Socio-Ecological Theory. This is a qualitative, descriptive and exploratory study, involving nine families of children living with chronic conditions, who were admitted to a teaching hospital in the city of Porto Alegre, located in the state of Rio Grande do Sul, Brazil, using creativity and sensitivity dynamics and content analysis. Three categories emerged and the second of them, the vulnerability of programs and their insertion into the mesosystem of healthcare institutions, is explored herein. The institutional or programmatic component of vulnerability connects the individual and the social components, involving the monitoring of prevention and care programs. It can be noted that there is a link between the ecological environment systems and the components of vulnerability situations which, when identified, allows for the implementation of healthcare actions directed at children and their families.3 Ph.D. in Nursing Philosophy. Assistant Professor, School of Nursing, UFRGS. Rio Grande do Sul, Brazil. Email: mottinha@ enf.ufrgs.br ABSTRACT: This study was aimed at understanding the perceptions of families of children who live with chronic conditions concerning the components of their vulnerability situation and relating them with Socio-Ecological Theory. This is a qualitative, descriptive and exploratory study, involving nine families of children living with chronic conditions, who were admitted to a teaching hospital in the city of Porto Alegre, located in the state of Rio Grande do Sul, Brazil, using creativity and sensitivity dynamics and content analysis. Three categories emerged and the second of them, the vulnerability of programs and their insertion into the mesosystem of healthcare institutions, is explored herein. The institutional or programmatic component of vulnerability connects the individual and the social components, involving the monitoring of prevention and care programs. It can be noted that there is a link between the ecological environment systems and the components of vulnerability situations which, when identified, allows for the implementation of healthcare actions directed at children and their families. DESCRIPTORS: Vulnerability. Family. Pediatric nursing.

Cotidianos de famílias de crianças convivendo com doenças crônicas: microssistemas em intersecção com vulnerabilidades individuais

Situaciones de vulnerabilidad del entorno donde el nino y su familia estan integrados se pueden manifestar en condiciones de vida y desarrollo. Este estudio tiene como objetivo conocer las percepciones de los familiares acerca de las situaciones de vulnerabilidad y sus componentes, relacionados con el ambiente ecologico, de ninos que conviven con enfermedades cronicas, hospitalizados en un Hospital Universitario en la ciudad de Porto Alegre, Estado de Rio Grande do Sul, Brasil. Se trata de una investigacion cualitativa en la perspectiva de un estudio exploratorio descriptivo. La recopilacion de informaciones abarco nueve participantes, utilizando dinamicas de creatividad y sensibilidad, analizadas teniendo como referencia el analisis de contenido. Surgieron tres categorias de analisis, siendo aqui explorado el microsistema familiar como objeto de la construccion del componente individual de la vulnerabilidad. La busqueda de una interseccion muestra que un componente individual de la vulnerabilidad tiene reflejos en la constitucion del microsistema, lo que reafirma la importancia de visualizar el individuo como el objeto de la construccion y tambien como el constructor del ambiente donde transcurre su existencia.Situations of vulnerability of the environment in which a child and their family are inserted may be translated into life and development conditions. The objective of this study is to know how families perceive the situations of vulnerability and their components, related to the ecological environment, experienced by children who face chronic diseases and are hospitalized in a School Hospital in Porto Alegre, Rio Grande do Sul, Brazil. This is a quantitative research from the perspective of a descriptive exploratory study. Data was collected from nine participants. Dynamic activities of creativity and sensibility were used and analyzed according to the Content Analysis referential. Three categories of analysis emerged; the familiar microsystem is here explored as a construct of the individual component of vulnerability. The search for an intersection demonstrates that an individual component of vulnerability reflects on the microsystem constitution, reinforcing the importance of envisioning the individual as a construct and a constructor of the environment in which their existence takes place.

Criança com HIV/AIDS: percepção do tratamento antirretroviral

This article presents a cutting from the multicentric study carried out in the municipalities of Porto Alegre and Santa Maria/ RS with the objective of unveiling the perception and the life experience of the child regarding the antiretroviral treatment. With qualitative approach, the study was carried out with seven children of five to ten years of age, in the period from 2006 to 2010, after approval by Committee National for Ethics in research and the Committees of Ethics in research. Based on the thematic analysis was obtained the results: the day-to-day life of the child with medicines; the family care upon the adhesion to the antiretroviral treatment; the professional care:perception of children with infection. Observation showed that the children face adversities, know and appreciate the treatment in spite of the paradoxical movement of rejection/acceptance expressed by the fight against the syndrome.Neste artigo, faz-se um recorte do estudo multicentrico, realizado nos municipios de Porto Alegre e Santa Maria/ RS, com o objetivo de desvelar a percepcao e a vivencia da crianca quanto ao tratamento antirretroviral. Com abordagem qualitativa, o estudo foi realizado com sete criancas, com idade entre cinco e 10 anos de idade, no periodo de 2006 a 2010, apos aprovacao pela Comissao Nacional de Etica em Pesquisa e pelos Comites de Etica em pesquisa. A partir da analise tematica, foram obtidos os resultados: Cotidiano medicamentoso da crianca; Cuidado familial na adesao ao tratamento antirretroviral; Cuidado Profissional: percepcao da crianca com a infeccao. Observou-se que as criancas enfrentam adversidades, conhecem e valorizam o tratamento apesar do movimento paradoxal de rejeicao/aceitacao manifestados pela luta contra a sindrome.

A compreensão das vulnerabilidades sócio-econômicas no cenário da assistência de enfermagem pediátrica

Vulnerability factors that affect the environment where children and their families are can be translated as inadequate life conditions and development. This study aimed to understand nurses’ perceptions of the influences of social and economic vulnerabilities upon the care given to children and their families within the environment of Pediatrics Admittance Units in a University Hospital from Porto Alegre, Rio Grande do Sul, Brazil. This is a qualitative research with an exploratory and descriptive approach. The collection of information was performed with nine participants through individual semi-structured interviews, examined through Content Analysis technique. Three analytical categories have emerged. The one referring to the comprehension of the social and economic vulnerability concept was explored in this work. Results showed that whenever conditions of vulnerability are correctly identified the nursing professional has conditions of establishing actions that favor the healthy growth and development of the sick child and his or her family. Descriptors: Vulnerability. Family. Pediatric nursing. Title: Comprehension of social and economic vulnerability in the scenario of pediatrics nursing care.

O lúdico e o desenvolvimento infantil: um enfoque na música e no cuidado de enfermagem

The imaginary world is important for the comprehension and insertion of the child in her surrounding world. Being this way, the ludicrous nursing care arises, assuring an integral and careful asssitance, where games, plays, songs, and dances are present to subsidize the care. Music and all its involving and instructing sonority must be highlighted, being its musicality inserted in her environment. The child establishes herself as to be for to interact with other and the world, being the playing necessary for her growth and development. Descriptors: Child development; Nursing care; Music RESUMEN El mundo imaginario es muy importante a la compreension y insercion del nino en el mundo alderredor. Con eso, el cuidar ludico en enfermeria emerge, garantindo el cuidar cauteloso, donde los juegos, cantos y las danzas estan presentes con este cuidar. Salientase la musica y su sonoridad envolvente, estando su musicalidad en nuestro medio. El nino se hace un ser al tener interacion con los otros, mientras el juego se hace necesario a su crecimiento y desarrollo. Descriptores: Desarrollo infantil; Atencion de enfermeria; Musica The ludicrous and child development: an approach in music and in nursing care El ludico y el desarrollo del nino: un enfoque en la musica y en la atencion de enfermeriaThe imaginary world is important for the comprehension and insertion of the child in her surrounding world. Being this way, the ludicrous nursing care arises, assuring an integral and careful asssitance, where games, plays, songs, and dances are present to subsidize the care. Music and all its involving and instructing sonority must be highlighted, being its musicality inserted in her environment. The child establishes herself as to be for to interact with other and the world, being the playing necessary for her growth and development. Descriptors: Child development; Nursing care; Music

O silêncio no cotidiano do adolescente com HIV/AIDS

This study is characterized as a qualitative research with the objective of unveiling the perception and experience regarding the antiretroviral treatment of the adolescent with acquired immunodeficiency syndrome. The research was carried out within reference health care centers in two municipalities from the southern region of Brazil. The data production was developed through the creativity and sensitiveness dynamics of talking map type by a group of five participants. One applied the technique of content thematic analysis. The artistic productions and testimonies evidenced their daily experience with use of medications and the silence on the diagnosis of the disease and its treatment that implies the health care. The conclusion drawn is that the involvement of health professionals is needed since it opens spaces for the family besides promoting the dialogue of its members with the adolescent aiming at the adhesion to the treatment.This study is characterized as a qualitative research with the objective of unveiling the perception and experience regarding the antiretroviral treatment of the adolescent with acquired immunodeficiency syndrome. The research was carried out within reference health care centers in two municipalities from the southern region of Brazil. The data production was developed through the creativity and sensitiveness dynamics of talking map type by a group of five participants. One applied the technique of content thematic analysis. The artistic productions and testimonies evidenced their daily experience with use of medications and the silence on the diagnosis of the disease and its treatment that implies the health care. The conclusion drawn is that the involvement of health professionals is needed since it opens spaces for the family besides promoting the dialogue of its members with the adolescent aiming at the adhesion to the treatment.

Família da criança com paralisia cerebral: percepção sobre as orientações da equipe de saúde

O tornar-se familia de uma crianca com paralisia cerebral e um processo complexo. Exige da equipe de saude, preparo profissional, alem dos aspectos eticos e esteticos do processo de cuidar dessa familia. Sob este prisma, objetivou-se conhecer como a familia de criancas com paralisia cerebral percebe a transmissao das orientacoes da equipe de saude para o cuidado a crianca com a paralisia cerebral. O estudo foi fundamentado com base na perspectiva de Heidegger e Gadamer. Consiste em um estudo qualitativo, exploratorio-descritivo, realizado na cidade do Rio Grande-RS, tendo como participantes seis familias, totalizando nove sujeitos. Utilizou-se entrevistas semiestruturadas para a coleta das informacoes, as quais foram analisadas segundo Analise Tematica. Na interpretacao das informacoes foram encontradas incongruencias entre as orientacoes proferidas pela equipe de saude e as demandas apresentadas pelas familias para prestar o cuidado a crianca com necessidades especiais. Constatou-se a relevância de uma equipe de saude instrumentalizada para o cuidado integral, focado nas necessidades dessas criancas e suas familias.