Acompanhamento integral a pessoas idosas na UBS Manoel José de Lima: construindo uma rede de apoio multidisciplinar e promovendo acessibilidade aos serviços de saúde

Abstract

Introduction: The municipality of Carneiros in the backlands of Alagoas faces health challenges such as limited infrastructure and dependency on public policies for development, especially for its elderly population (Approximately 9.2% of the population is over 60 years old), requiring special attention to their health-related needs. During the research, it was found that the elderly face difficulties in accessing health care, resulting in late diagnoses and impairing their quality of life. Objectives: To develop and implement comprehensive care for the elderly at UBS Manoel José de Lima; To promote accessibility to health services for the elderly by implementing strategies; To educate and train healthcare professionals, caregivers, and family members on the importance of regular monitoring of the elderly, as well as on the management of common chronic diseases in this age group. Method: Literature review methods and situation analysis were used, including an extensive review of scientific literature on the monitoring of the elderly in the community, consulting academic databases, scientific journals, and official documents from health organizations. In addition, a detailed analysis of the current situation of the elderly in the community of UBS Manoel José de Lima was carried out through interviews, questionnaires, and direct observations, identifying the main health problems, barriers to accessing health services, and specific needs of the elderly. Literature review: It evidenced the aging of the population and the quality of life of the elderly. With the increase in longevity, there is a growing demand for specific health services for the elderly, especially in community settings. Non-communicable chronic diseases represent a significant challenge, highlighting the importance of preventing and managing these conditions. Adequate medical care, balanced nutrition, regular physical exercise, and emotional support are fundamental to promoting the health and functional autonomy of the elderly, emphasizing the importance of policies and programs aimed at the well-being of this population. Intervention plan: The proposed intervention aims to address the problem of inadequate monitoring of the elderly in Primary Health Care (PHC). This includes improvements in preventive care, management of chronic conditions, and promotion of quality of life. For this, it will be essential to train healthcare professionals, improve access to health services, and integrate care among different professionals. A comprehensive program will be implemented at UBS Manoel José de Lima, aiming to promote preventive health, monitor chronic conditions, and ensure access to medical care. Ongoing evaluation will be conducted to improve intervention strategies over time. Critical nodes identified include lack of access to health services, inadequate communication, and lack of adequate attention from caregivers. Final considerations: In summary, difficulty accessing health services and inadequate communication impair elderly care. Integrated approaches are essential to improve the quality of care. By addressing these challenges, we can establish a strong support network and improve communication among stakeholders. The importance of collaboration among healthcare professionals, caregivers, and the elderly to adapt services to their specific needs is emphasized.