O uso de caixas de medicamentos para melhoria da adesão medicamentosa de pacientes idosos hipertensos e diabéticos analfabetos na comunidade do loteamento Palmar

Abstract

INTRODUCTION: Since the 1990s, with the creation of the Family Health Program (PSF), poor communities were able to participate of a health care model aimed at promotion and prevention, with Agents from Community Health as links between the team and the population. Through home visits, these agents can identify problems common to certain groups and plan, as a team, interventions that can favor the largest number of users willing to accept as guidelines made by this group. Due to their vulnerability, the elderly tend to have greater difficulties in maintaining their autonomy, which may be related to social factors, such as illiteracy; cognitive deficit, such as dementia; or related to the situation of multimorbidities, where systemic arterial hypertension (SAH) and diabetes mellitus (DM) affect most of these and can cause many problems related to the correct use and medication adherence of the drugs used in the agreements. OBJECTIVE: To present an intervention plan to improve the adherence to drug treatment of illiterate hypertensive and diabetic elderly, from the Loteamento Palmar community, with guidance on the use of medication with time symbols. METHODOLOGY: This is an intervention project, based on the Situational Strategic Planning (PES) and elaborated from the situational diagnosis and survey of the obligated nodes of the USF José Bernardes Neto's assigned territory. In it, they were listed as difficulties related to the use of medications for continuous use by the elderly with SAH and DM, especially the illiterate, causing the compromise of treatment and unnecessary risks to their health. FINAL CONSIDERATIONS: According to this survey, it was possible to carry out the planning of educational actions, providing opportunities for the team to bond with the community and providing solutions to other problems such as regularizing consultations and re-registering users in Hiperdia. In addition, the main critical node has become a health intervention project aimed at assisting illiterate elderly people, SAH and DM, individually, respecting their autonomy and encouraging their ability to manage their self-care.