Mulher climatérica: uma proposta de cuidado clínico de enfermagem baseada em ideias freireanas

Abstract

The study aims to discuss the concepts of caring and education and propose a strategy for health education as a possibility for clinical nursing care for women in menopause based on the educational principles of Paulo Freire. Over the years, different paradigms of Health Education are conditioned by different strategies, many of them reductionists, which require questioning and implementation of more integral and participatory actions. From this thought, we seek an opportunity for education that includes the "Other" in their complexity, enabling the women in their climacteric phase can also be assisted in full. In this scenario, we visualize the principles of Paulo Freire as a framework to guide this development; it shows a dialectic education, solidarity, without arrogance, articulating the scientific knowledge and popular knowledge, translating his method in a collective work.

Paulo Freire in the nursing academic production: a bibliometric study Paulo Freire na produção acadêmica de enfermagem: estudo bibliométrico

“…Therefore, it is necessary to take into account the individual experiences, favoring their participation and contribution to the achievement of satisfactory responses and, together, to reach a balance regarding their health. 1 For this to occur, a pedagogical foundation is needed to promote health education with higher quality and more effective resources for the resolution of the population health problems. …”

“…The principles found in Paulo Freire's works are guiding principles for the development of these actions, since they represent a model of education that contemplates dialogue, solidarity and absence of arrogance, characterizing this method as a collective work. 1 According to this educational method, the participation of the patient is essential, as it favors awareness-raising processes on the ways of caring for oneself, opening paths to improve one's health and well-being. Due to that, information sharing between nurses and clients generates reflection and analysis of certain practices, which, if considered inadequate to the context of the client, give rise to a process of mobilization towards the change.…”

Social representations elaborated by nurses about climacteric women in primary health care

“…The social representation of nurses about the care developed with women in the climacteric period showed that the biomedical model remains dominant, with focus on health recovery actions, aimed at curing diseases, because health representations are still under construction, which will consider its broad concept (6) . In this perspective, the fragmented and reductionist approach of the type consultation/request of exams/ prescription, reinforces in women's imagination the perception of climacteric as a symbol of aging and existential weakening, increasing women's suffering.…”

“…Sometimes women's pain are investigated through tests, when in fact the diagnosis could be made looking in their eyes (7) . Despite the progress in the health sector in relation to the pursuit of full attention, in terms of assistance, fragmented actions are still reproduced in the traditional programs and campaigns without reflecting in the improvement of women's care (6) . Given this, nurses have performed nursing consultations similar to medical consultations, which values only the physical processes, such as the pathology and physiology of a disease (8) .…”

Práticas De Cuidado À Saúde Realizadas Por Enfermeiros Às Mulheres No Climatério: Uma Revisão Narrativa

“…Diante da subjetividade da prática vivenciada pelo profissional de enfermagem, adicionada às inúmeras atividades de rotina, este pode se ver diante de um impasse, tendo dificuldades em abranger as múltiplas faces deste constructo (Vidal et al, 2012). Nessa ótica, é preciso destacar que o cuidado é cultural, pois cada comunidade e cada contexto possui seus modos de compreender e realizar o cuidado (Silva et al, 2013).…”