Drug users hosting in a Basic Health Unit

Abstract

Objective: to understand the care of drug users in a Basic Health Unit. Methods: a qualitative study through semi-structured interviews with 13 subjects in a Basic Care Unit of a health district. Results: after thematic analysis, three categories were revealed: Home as routing and factors that determine the practice, showing that factors such as feelings and personal characteristics of workers, lack of training and awareness of lower resoluteness by nursing professionals held a routing logic avoided accountability for the care, keeping its fragmentation; Host, link and routing, in which bond and co-responsibility were incipient practices, hindering the comprehensive care; and Home and predominant care models, showing that the host supported on the biomedical model, but contradictions were observed between different models and practices. Conclusion: it is necessary to overcome the biomedical model, from the expanded clinic and restructuring vocational training.

Embracement of the person with mental illness at an emergency hospital service: a qualitative research

“…However, the conduct they take is to refer these people to the psychiatrist, who they think are the most appropriate professionals to serve them. The same is evidenced in studies on embracement of people in mental distress in the PC, where they are referred to Psychological Care Centers (Centros de Atenção Psicossocial) (8)(9)(10) .…”

“…As in other studies, it is evident collection of clinical information valorization from a biological perspective, by complaint interrogation, symptoms search and severity classification (9,(20)(21) . Nursing can still present a fragmented understanding of its work process, diverting from its focus, which is the implementation of the bond with the patient and the attendance of their health needs (3,10,22) . The nurse-patient relationship has happened mechanically and superficially, mainly in embracement rooms, summarizing its action following risk classification protocols, transforming the so subjective "embracement" in the objective "triage".…”

“…Hence, it can be seen that the problem is not based on the lack of knowledge of nurses to identify psychiatric signs and symptoms, since their formation is predominantly biomedical, but rather on their difficulty in understanding the concept of embracement, as well as their care actions developed in their everyday world (8)(9)(10)(11)24) . Embracement, in the PNH, is not limited to isolated and punctual actions, such as the risk classification that is performed in a small room located at REU embracement.…”

“…Thus, EU is an option for the patient to have his complaint heard by a health professional, which, in his conception, can solve his process of seeking care. Furthermore, it is important that the health professional establish a warm and human relationship to promote health care at the individual and collective levels, reducing access difficulty, which can be perceived when these patients arrive at the hospital and come across a professional unprepared to meet their demands (8)(9)(10) .…”

Acolhimento à pessoa em sofrimento mental na atenção básica

“…It is known that one of the difficulties evidenced in the reception of PMS in AB refers to the absence of professionals trained to the demands in MS. 17,27,36 This reality has a direct impact on the quality not only of the reception, but, also of the assistance provided to these users when, due to their lack of professional training, their needs are not cured, generating inadequate demand for mental health care. 23 In addition to the inadequacy of care and care practices, it is inferred that due to lack of training, professionals are led to experience feelings such as fear and prejudice, which is the difficulty pointed out by the scientific literature as an obstacle to the reception of the person suffering from mental illness in primary care.…”