Movimento de redes vivas na produção do cuidado a pessoas idosas com demência e seus cuidadores: a perspectiva de profissionais que atuam na estratégia de saúde da família

Abstract

Brazil has seen a sharp increase in the elderly population in recent decades. One of the consequences is the increase in chronic non-communicable diseases, including dementia. The object of this study is the production of care for elderly people with dementia followed by a Family Clinic. The following objectives were formulated: General: Analyze the production of care for elderly people with dementia and their caregivers based on Living Network Movements (MRV) and Social Network Analysis (ARS) in a Family Clinic unit in the Municipality of Rio de Janeiro. January. Specific: Investigate the care flows of the elderly person with dementia and their caregivers described by the professionals of the Family Clinic; Describe the movements of living networks of the elderly person with dementia through their established existential connections, through cartography from the perspective of the professionals who accompany them in the territory; Describe the configuration of care for the elderly with dementia and their caregivers, according to the Social Network Analysis, highlighting the position of different health professionals in Primary Care; To characterize the existing relationships/interactions in Primary Care formed in a network by the care provided by PHC professionals to elderly people with dementia and their caregivers. Methodology: A mixed methodology was designed where qualitative and quantitative data were collected concomitantly. In the qualitative stage, the Cartography method was used and in the quantitative stage, the Social Network Analysis method was used. Results: In the qualitative part we had the description of Analyzing Flowcharts, of Team A (Dona Praiana's trajectory) and Team B (Dona Aparecida's trajectory). The results of the quantitative approach were organized using sociograms, density and centrality indicator. Finally, we present the integration of the results of the two approaches. Conclusion: including the elderly and their family members in the production of care, as protagonists in the construction of this network, opens up space for expanded care. The construction of their own networks in an existential territory must be combined with a set of actions to be offered by professionals through of a live work in action.