Resumo: Objetivo: Este estudo descritivo apresenta um panorama geral da organização da vigilância em saúde do trabalhador rural, objetivando descrever a estrutura agrária e as condições de trabalho no cultivo da laranja do município de Lagarto-SE, refletindo a relação do trabalho na citricultura com a saúde mental do trabalhador, expresso por meio do abuso de álcool. Método: Trata-se de um estudo exploratório de natureza empírica com abordagem qualitativa, desenvolvida a partir de estudo documental, observação e entrevistas em quatro serviços existentes no município que, de forma direta ou indireta, estariam envolvidos no escopo da atenção integral à saúde do trabalhador. A coleta de dados ocorreu no período de dezembro de 2014 a março de 2015. Resultados: A pesquisa evidenciou a inexistência de um banco de dados com informações sobre os citricultores do município, demonstrando uma fragilidade na efetividade das ações destinadas à saúde do trabalhador. A discussão pontuou a Psicodinâmica do Trabalho trazida por Dejours, refletindo os aspectos da organização do trabalho que afeta o psiquismo dos trabalhadores. Conclusão: Faz-se necessário um olhar quanto ao nexo da saúde mental com o trabalho, pois o processo de adoecer é específico para cada indivíduo, envolvendo o seu cotidiano. Infere-se que o terapeuta ocupacional exerce um papel diferenciado na atenção à saúde do trabalhador, pois a entende a partir da compreensão do mundo do trabalho em suas dimensões históricas, econômicas e sociais. Finaliza com reflexões que visam a despertar um novo olhar para a saúde do trabalhador rural, bem como mudanças em nível local.
This text deals with the experience of seven students fromthe supervised curricular stage on Occupational Therapy in Collective Health, produced in "Vila Brejal-Levada" in Maceio, State of Alagoas. This experience aimed at providing students with a look into the community based on territory, institutions present in that neighborhood, and on their relationships with the alteration perspectives on the dynamics of the everyday lives of the people who participate in actions by these institutions. Besides, we propose a look into how the community presents itself before the challenging situational context found there. The methodological aspects aim at three movements: live experience, project follow up and socialization in conversation circles. The live experience occurred through a contact with the local Basic Health Unit, having health community agents as partners. The project follow up was possible with the participation of residents in a multi-professional family health specialization, which develops actions together with NGOs acting in the area. The socialization in conversation circles provided a window for thestudents to learn aboutthe vulnerable situation of the community, making it possible to visualize the action of occupational therapy in the collective health area. Results show that this experience enhances students' capacity of identifying the dynamics of a community, recognizing social support networks and developing abilities to act in the territory.
Resumo: Este artigo propõe uma reflexão crítica e se inscreve no campo de análise dos fatores que constroem, naturalizam e reproduzem as desigualdades sociais na estruturação e no desenvolvimento da sociedade brasileira atual. Especificamente, realiza tal desafio através de percepções da manutenção da relação de papéis entre mulheres, partindo das relações existentes entre a questão de gênero, sistema de proteção social e papel de poder. Toma como campo privilegiado para essa reflexão a análise de mulheres beneficiárias do Programa Bolsa Família enquanto locus de desafio de atuação da Terapia Ocupacional, considerando os aspectos históricos e sociais decorrentes do cenário em que essas mulheres se inserem e a consequente fragilidade dos vínculos relacionais. Analisa, também, os objetivos propostos pelo programa e as possíveis contribuições dele para o empoderamento daquelas mulheres, além de pautar-se na recente inserção do terapeuta ocupacional no Sistema Único da Assistência Social -SUAS, legitimando sua prática em tal campo e abrindo possibilidades para a sua atuação nesse sistema. Palavras-chave:Gênero, Terapia Ocupacional, Política Social. The "Bolsa Familia" program and the matter of gender: Challenges and perceptions for the role of occupational therapistsAbstract: This article proposes a critical reflection and analyzes the factors that build, naturalize and reproduce social inequalities in the structuring and development of the current Brazilian society. Specifically, it faces this challenge through perceptions of maintenance on the relationships between women's roles, based on the relationship between the matter of gender, the social protection system, and the role of power. This paper uses a privileged field for this reflection -the analysis of women beneficiary of the "Bolsa Familia" program as a locus of challenge for the action of Occupational Therapy -considering the historical and social consequences of the scenario in which these women are included and the consequent fragility with relational ties. It also analyzes the objectives proposed by the program and its possible contributions to the empowerment of women in the social context, besides being guided by the recent inclusion of the occupational therapist in the Unified Social Assistance System (SUAS), legitimizing its practice in the social field and opening possibilities for action in this system.
The formation of the occupational therapist for health care management: a study in curricular bases Abstract: Introduction: Occupational Therapy encompasses several fields besides health and engages in a broader bio psychosocial approach. Understanding its complexity, the contributions are evident in participation with the multidisciplinary teams, as well as the joints in the level of health care management. Objective: From this perspective, it was aimed to meet among the Occupational Therapy courses of federal public universities, which are the contents that are available for occupational therapist training, so that it can act in the area. Method: The research is a documentary study conducted by analysis of the Political Pedagogical Projects, Curricular Grade and Emendations of Federal IES. Results: were found 27 IES of the public school system that are registered in MEC and out of these, 10 were analyzed in this research. According to the Political Pedagogical Project of the analyzed courses in this study, those institutions that apply the contents relating to Public Health Policy, Public Health and Health System, there is more emphasis to these than to the contents involving the principles of basic health services management. Conclusion: it was concluded that the contents related to the management of health services are poorly studied in most federal public universities that participated in this research, which is equivalent to less than 2% of the total workload of the courses.
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