Mariana Cristina Lobato dos Santos Ribeiro Silva

A abordagem à família na Estratégia Saúde da Família: uma revisão integrativa da literatura

Today there is consensus regarding the idea that there is mutual influence between the health-disease conditions of family members and family union. Establishing health practice centered on family care is a way to revert the hegemonic disease-centered model, which divides individuals and separate them from their context and socio-cultural values. The Family Health Strategy (FHS) was implemented to reorganize the Brazilian public health system (Sistema Unico de Saude), an each of its teams becomes acquainted with the true situation of the families for which they are responsible. In this sense, an integrative literature was performed to identify the concept of family and the factors associated with the family approach in the FHS. The review identified aspects that contribute to maintaining the fragmented approach in the FHS, as well as aspects that could help overcome towards a model using a family-centered approached.Today there is consensus regarding the idea that there is mutual influence between the health-disease conditions of family members and family union. Establishing health practice centered on family care is a way to revert the hegemonic disease-centered model, which divides individuals and separate them from their context and socio-cultural values. The Family Health Strategy (FHS) was implemented to reorganize the Brazilian public health system (Sistema Único de Saúde), an each of its teams becomes acquainted with the true situation of the families for which they are responsible. In this sense, an integrative literature was performed to identify the concept of family and the factors associated with the family approach in the FHS. The review identified aspects that contribute to maintaining the fragmented approach in the FHS, as well as aspects that could help overcome towards a model using a family-centered approached.

Approaching the family in the Family Health Strategy: an integrative literature review

Today there is consensus regarding the idea that there is mutual influence between the health-disease conditions of family members and family union. Establishing health practice centered on family care is a way to revert the hegemonic disease-centered model, which divides individuals and separate them from their context and socio-cultural values. The Family Health Strategy (FHS) was implemented to reorganize the Brazilian public health system (Sistema Unico de Saude), an each of its teams becomes acquainted with the true situation of the families for which they are responsible. In this sense, an integrative literature was performed to identify the concept of family and the factors associated with the family approach in the FHS. The review identified aspects that contribute to maintaining the fragmented approach in the FHS, as well as aspects that could help overcome towards a model using a family-centered approached.Today there is consensus regarding the idea that there is mutual influence between the health-disease conditions of family members and family union. Establishing health practice centered on family care is a way to revert the hegemonic disease-centered model, which divides individuals and separate them from their context and socio-cultural values. The Family Health Strategy (FHS) was implemented to reorganize the Brazilian public health system (Sistema Único de Saúde), an each of its teams becomes acquainted with the true situation of the families for which they are responsible. In this sense, an integrative literature was performed to identify the concept of family and the factors associated with the family approach in the FHS. The review identified aspects that contribute to maintaining the fragmented approach in the FHS, as well as aspects that could help overcome towards a model using a family-centered approached.

Biophysical and biological characterization of intraoral multilayer membranes as potential carriers: A new drug delivery system for dentistry

The current study developed through layer-by-layer deposition a multilayer membrane for intraoral drug delivery and analyzed the biochemical, functional, and biological properties of this membrane. For that purpose, we designed a three-layer chlorhexidine-incorporated membrane composed by pure chitosan and alginate. The biochemical, functional, and biological properties were analyzed by the following tests: degradation in saliva medium; controlled drug release; water absorption, mass loss; pH analysis; and biocompatibility through fibroblast cell viability by MTT assay. All tests were conducted at three different periods (24, 48 and 72hours). The results demonstrated that hybrid membranes composed by alginate and chitosan with glycerol had greater water absorption and mass loss in buffer solution and in artificial saliva. The controlled drug release test revealed that the hybrid membrane exhibited greater drug release (0.075%). All chlorhexidine-incorporated membranes reduced the cell viability, and chitosan membranes with and without glycerol did not interfere with fibroblast viability. The biochemical and biophysical characteristics of the designed membranes and the findings of cell viability tests indicate great potential for application in Dentistry.

The process of end-of-life care delivery to the families of elderly patients according to the Family Health Strategy

OBJECTIVE To understand the process of end-of-life care delivery to the families of elderly patients according to a Family Health Strategy (FHS) team, to identify the meanings the team attributes to the experience and to build a theoretical model. METHOD Symbolic Interactionism and Grounded Theory were applied. Fourteen professionals working in an FHS located in a country town in the state of São Paulo were interviewed. RESULTS Through comparative analysis, the core category overcoming challenges to assist the family and the elderly during the dying process was identified, and it was composed of the following sub-processes: Identifying situational problems, Planning a new care strategy, Managing the care and Evaluating the care process. CONCLUSION the team faces difficulties to achieve better performance in attending to the biological and emotional needs of families, seeking to ensure dignity to the elderly at the end of their lives and expand access to healthcare.OBJETIVOS: compreender o processo de cuidar de familias de idosos em situacao de final de vida para a equipe da Estrategia Saude da Familia (ESF), identificar os significados que a equipe atribui a experiencia e construir um modelo teorico. METODO: utilizaram-se o interacionismo simbolico e a teoria fundamentada nos dados. Foram entrevistados 14 profissionais da ESF de um municipio do interior paulista. RESULTADOS: a analise comparativa identificou a categoria central superando os desafios para acolher a familia e o idoso durante o processo de morrer, composta pelos subprocessos: identificando a problematica da situacao, planejando uma nova estrategia para o cuidar, manejando o cuidado e avaliando a sua trajetoria de cuidado. CONCLUSAO: a equipe enfrenta dificuldades para alcancar melhor desempenho, acolhendo as necessidades biologicas e emocionais das familias e buscando oferecer dignidade aos idosos em situacao de final de vida, ampliando o acesso a saude.

Cuidar de familias de ancianos en final de vida en la Estrategia Salud de la Familia

OBJECTIVE To understand the process of end-of-life care delivery to the families of elderly patients according to a Family Health Strategy (FHS) team, to identify the meanings the team attributes to the experience and to build a theoretical model. METHOD Symbolic Interactionism and Grounded Theory were applied. Fourteen professionals working in an FHS located in a country town in the state of São Paulo were interviewed. RESULTS Through comparative analysis, the core category overcoming challenges to assist the family and the elderly during the dying process was identified, and it was composed of the following sub-processes: Identifying situational problems, Planning a new care strategy, Managing the care and Evaluating the care process. CONCLUSION the team faces difficulties to achieve better performance in attending to the biological and emotional needs of families, seeking to ensure dignity to the elderly at the end of their lives and expand access to healthcare.OBJETIVOS: compreender o processo de cuidar de familias de idosos em situacao de final de vida para a equipe da Estrategia Saude da Familia (ESF), identificar os significados que a equipe atribui a experiencia e construir um modelo teorico. METODO: utilizaram-se o interacionismo simbolico e a teoria fundamentada nos dados. Foram entrevistados 14 profissionais da ESF de um municipio do interior paulista. RESULTADOS: a analise comparativa identificou a categoria central superando os desafios para acolher a familia e o idoso durante o processo de morrer, composta pelos subprocessos: identificando a problematica da situacao, planejando uma nova estrategia para o cuidar, manejando o cuidado e avaliando a sua trajetoria de cuidado. CONCLUSAO: a equipe enfrenta dificuldades para alcancar melhor desempenho, acolhendo as necessidades biologicas e emocionais das familias e buscando oferecer dignidade aos idosos em situacao de final de vida, ampliando o acesso a saude.

Cuidar de famílias de idosos em final de vida na Estratégia Saúde da Família

OBJECTIVE To understand the process of end-of-life care delivery to the families of elderly patients according to a Family Health Strategy (FHS) team, to identify the meanings the team attributes to the experience and to build a theoretical model. METHOD Symbolic Interactionism and Grounded Theory were applied. Fourteen professionals working in an FHS located in a country town in the state of São Paulo were interviewed. RESULTS Through comparative analysis, the core category overcoming challenges to assist the family and the elderly during the dying process was identified, and it was composed of the following sub-processes: Identifying situational problems, Planning a new care strategy, Managing the care and Evaluating the care process. CONCLUSION the team faces difficulties to achieve better performance in attending to the biological and emotional needs of families, seeking to ensure dignity to the elderly at the end of their lives and expand access to healthcare.OBJETIVOS: compreender o processo de cuidar de familias de idosos em situacao de final de vida para a equipe da Estrategia Saude da Familia (ESF), identificar os significados que a equipe atribui a experiencia e construir um modelo teorico. METODO: utilizaram-se o interacionismo simbolico e a teoria fundamentada nos dados. Foram entrevistados 14 profissionais da ESF de um municipio do interior paulista. RESULTADOS: a analise comparativa identificou a categoria central superando os desafios para acolher a familia e o idoso durante o processo de morrer, composta pelos subprocessos: identificando a problematica da situacao, planejando uma nova estrategia para o cuidar, manejando o cuidado e avaliando a sua trajetoria de cuidado. CONCLUSAO: a equipe enfrenta dificuldades para alcancar melhor desempenho, acolhendo as necessidades biologicas e emocionais das familias e buscando oferecer dignidade aos idosos em situacao de final de vida, ampliando o acesso a saude.

El abordaje a la familia en la estrategia de salud de la familia: una revisión integradora de la literatura

Today there is consensus regarding the idea that there is mutual influence between the health-disease conditions of family members and family union. Establishing health practice centered on family care is a way to revert the hegemonic disease-centered model, which divides individuals and separate them from their context and socio-cultural values. The Family Health Strategy (FHS) was implemented to reorganize the Brazilian public health system (Sistema Unico de Saude), an each of its teams becomes acquainted with the true situation of the families for which they are responsible. In this sense, an integrative literature was performed to identify the concept of family and the factors associated with the family approach in the FHS. The review identified aspects that contribute to maintaining the fragmented approach in the FHS, as well as aspects that could help overcome towards a model using a family-centered approached.Today there is consensus regarding the idea that there is mutual influence between the health-disease conditions of family members and family union. Establishing health practice centered on family care is a way to revert the hegemonic disease-centered model, which divides individuals and separate them from their context and socio-cultural values. The Family Health Strategy (FHS) was implemented to reorganize the Brazilian public health system (Sistema Único de Saúde), an each of its teams becomes acquainted with the true situation of the families for which they are responsible. In this sense, an integrative literature was performed to identify the concept of family and the factors associated with the family approach in the FHS. The review identified aspects that contribute to maintaining the fragmented approach in the FHS, as well as aspects that could help overcome towards a model using a family-centered approached.