Family’s relations that interfere in health’s of a usf family


Evaluation of family’s relations that interfere in health’s of a usf family alto do maracanã on the recife in 2013


NÓBREGA, J.S.; SANTOS, K.F.; ARAÚJO, M.S.; SILVA, S.C.S.P.; GREGÓRIO, V.R.N.; SILVA, V.F.O.

Federal University of Pernambuco


Research Journal of Pharmacology and Pharmacy-2d Code

Health is a complete state physical wellbeing, mental and social and it is not merely the absence of disease. The sharp imbalance of these states is defined as a disease, the mission of the Health System is to control health imbalances, and its principles: universality that makes the system accessible to all citizens and the integrality that the make responsible for the care of all needs and demands of the people and the community, but the population still faces difficulties in accessing health services in addition to the system is restricted to the cure of diseases, there is an emphasis on a holistic view of the individual in assistance. The family is considered the basic unit of society. Is a primary social group, where strong and supportive relationships are observed. It consists of individuals with kinship in common or connected by bonding. These individuals who have an assigned role and living in the same house forming a home. The family even if there is a single structure having an interaction among a set of individuals. What about health family meets the basic needs in health situation, through a system of values, beliefs it protects the health of its members. This work aims to evaluate a family served by the Health Unit Alto do Maracana, identifying it the head-of-family, your health history using the history, their interaction with other family members and how this interaction interferes with the health-disease process the head of household. The type of study was descriptive, Calgary used the method of family assessment that evaluated the family of the health-disease M.M.Z.N. The study took place in the US Two neighborhood. Located in the micro area IV, an area linked Unity Health Alto do Maracana family. This survey was conducted between the period August to November 2013. The study population belongs to the Health Unit of the Alto do Maracana family. Where were three separate three risk families, using the risk scale COELHO and SAVASSI adapted by own USF, for the job. Among these families was selected to M.M.Z.N. Because of their greater vulnerability and identified problems. Thus necessitating this family a more detailed assessment to suggestions and interventions. Data´s collection occurred in two stages, initially through home visits in family M.M.Z.N. We carry out the implementation of the Calgary Model of Family Evaluation where we observe the family processes, its development and operation; as well as the use of Form A of the Basic Health Care Information System for demographic and sanitation data. In the second phase was the implementation of history, which we obtained the data and the history of the main complaint, personal and family history for evaluation. After this step elaborated the genogram and family eco-map for understanding the family processes, demonstrating the relationships between members. In addition to using the arc Maguerez and Curriculum Theory to systematize the problems and find interventions. In preparing the study, told with the theoretical support of the texts of some authors. The study obtained the consent of the Municipal Health Secretariat of Recife, along as the Sanitary District II, the Family Health Unit (USF) of the Alto do Maracana and Consent Agreement and Informed of the studied family. No activity performed brought harm to the family, as well as to respect the principle of ethical confidentiality of the data collected according to Ordinance 466/2012. With the application of Calgary model for family evaluation collected data about the family. In this there is the nuclear family and the extended interacting. The extended family is to consist of eight members, three of these members of the nuclear family. Previously there was also the sister of M.M.Z.N. who lived in the house, but a month ago died of multiple sclerosis. M.M.Z.N. is identified as head of the family, with 68 years is the mother of 10 children, two of these deceased. The head of the family reported that there was no planning for the birth of children, and also never was abortion. Parents of M.M.Z.N. They are not alive. And her husband G. died two years ago. He also had a sister with whom he had a very strong relationship, who died a month ago. The daughter more Arrival M.M.Z.N. is E., wife of N. Among the professionals involved with the family is Zelia nurse, ACS Neide and doctors that accompany it. The institutions that interact with the family are the Presbyterian Church of the Restoration Hospital, Health Unit Family Alto do Maracana, Hospital Albert Sabin, Cashew UPA, UPA Maria Lucinda, Julião Hospital. M.M.Z.N. considers health as “do what you love, walk, look after their children, take them to school.” Participant of the Presbyterian Church, in her belief influences their behavior in relation to health, as she recounts believe that God can cure her of her health problems. How has mobility problems due to numbness in the legs, it depends on neighbors and family to take her to the doctor. The daughter is major accompanying E.M.Z.N. When M.Z.N. recalls about her life and the things that she liked (when she could always go out when there was no such health problems) she regrets having these problems because they generate a dependency that prevents it from going out when you want. Also reports that on your leisure which is sing, pray, sew, turn to family and friends. It was the very M.M.Z.N. who noticed her symptoms, it shows careful to health, because their background. When she’s in trouble calls his children, primarily those in your home and your neighbor giving you a ride to take her to the hospital. M.M.Z.N. It has 68 year-old female, brown race, marital status is widowed. He is unemployed but lives pension. And your occupation is a housewife. Religious, between your leisure be going to church, sew, watch TV. His main complaint is severe pain and numbness in the legs which prevents her from leaving home alone, so dependent on their families. Is currently in a process of examination to identify the cause of these pains and numbness. M.M.Z.N. complains of numbness in the legs and feet; and severe pain. She also reports that two years ago began these symptoms, followed the Health Unit of the Alto do Maracana´s family, where she had medical attention and was referred to an orthopedist. The orthopedic requested an X-ray of the knee cap and this has been given a diagnosis of arthritis and osteoarthritis. The pains continued and M.M.Z.N. followed for the Restoration of the hospital where she is being accompanied by a group of experts (vascular, orthopedic surgeon and rheumatologist). The doctor diagnosed vascularization vascular problems. The current diagnosis is herniated disc, the cause of numbness in the legs. In symptomatic interrogation, she reported joint pain, back pain. The lower limbs are present swelling in the legs due to vascular problems and also the presence of varicose veins that cause you severe pain, burning and numbness. He complained of severe stomach pain, suspected gastritis. Featuring also a renal failure, by an infection which affected his right kidney. Personal history: M.M.Z.N. leprosy showed two years; the treatment was performed for a year, again perform follow-up examinations of the case. This leprosy may have been transmitted by a neighbor who also had the disease three years ago, and this neighbor she had much contact. Her children did not perform tests for diagnosis. Five months ago also had erysipelas and how treatment uses Benzetacil monthly. Family history: M.M.Z.N. She reported that the father had hypertension and kidney problems. Her father died of a heart attack and her mother had breast cancer and even die. Vulnerability and social risks: one of the vulnerabilities of this family is the access to the Family Health Unit. She reported the difficulty of reaching USF because the place where you live is far away in a lower part of the community. Access is by a grand staircase and slope, making it difficult to have the same access to public health.Her children did not perform tests for diagnosis. Five months ago also had erysipelas and how treatment uses Benzetacil monthly. Family history: M.M.Z.N. She reported that the father had hypertension and kidney problems. Her father died of a heart attack and her mother had breast cancer and even die. Vulnerability and social risks: one of the vulnerabilities of this family is the access to the Family Health Unit. She reported the difficulty of reaching USF because the place where you live is far away in a lower part of the community. Access is by a grand staircase and slope, making it difficult to have the same access to public health. Health is not only to have the disease, it is influenced by emotional and social, one of the diseases that owner is M.M.Z.N. has high blood pressure and gastritis are caused by changes in emotional and stress. Leprosy is an infectious disease caused by Mycobacterium leprae. It mainly affects the skin and nerve end of the body. Transmission occurs through breathing, but requires prolonged contact with a person with a communicable form of the disease and untreated. As soon as you start treatment for the infected person to pass. It has a high incidence in developing countries, therefore, among the predisposing factors include low socioeconomic status. The erysipelas is an infectious skin disease, which affects the fat tissue, caused by a bacteria that spreads through lymphatic vessels, being more suitable for people with movement disability veins of the lower limbs, the bacteria gateway is almost always a fungal infection between the toes, but any injury can trigger evil, is more favorable in skins and swollen legs, especially in older patients and can be the cause of severe pain and numbness in the legs of the lady M.M.Z.N. By knowing the family of MLM we were blown away by the strength and courage of the head of the house, even her story being marked by suffering, losses and struggles she never lost her smile from her face. M.M.Z.N. It has many health problems, however she defines as the main complaint the limited mobility, making it impossible to walk alone, this difficulty to prevent them from attending spaces other than your home. To enter the territory realize that she does not have to walk in space She inhabits as this has huge staircases, open streams and holes amid the pavement. To reach such a conclusion it was necessary for adentrássemos the territory, because only then it was possible to accurately describe the situation of this resident. Even with the problems we can not help but notice that the USF meets greedily his role making home visits for those who can not go there, paying attention to those most in need, maintaining strong ties with the locals and foremost assisting demand of the population. Always remembering that disease is not just the fact of being affected by a disease, but the interference of the environment in their personal life. Finally it is considered that this work has the main purpose of assessing the health – of MMZN family disease not targeting only the disease, but the human being who has dreams, desires and sufferings.


Keywords: Health-disease process; family; health facility; Health Unic System.

Free Full-text PDF

REFERENCES
1. Brazil. Federal Constitution. Brasilia: Federal Government, 1988; FIOCRUZ (Rio de Janeiro). Neglected diseases. Available in: <http://www.cdts.fiocruz.br/inct idn/index.php?option=com_k2&view=item&layout=item&id=112&Itemid=61>.Access on: 12 November 2013;
2. Virtual Health Library (Rio de Janeiro). Ministry of Health. Erysipelas. Available in: <http://bvsms.saude.gov.br/bvs/dicas./248_erisipela.html>. Access on: 12 November 2013;
3. Monken, M.; Christovam, B. Health surveillance and geography: Theoretical and methodological possibilities. Cad Public Health, Rio de Janeiro, 21 (3): 898-906 May-June, 2005; BOFF, L. Saber caring. Ethics of human – compassion for the earth. Publisher Voices. Petrópolis – RJ, 2003.