THE "VIVA SAÚDE" GROUP AND THE PROMOTION OF AUTONOMY FOR OLDER ADULTS IN PRIMARY CARE: AN EXPERIENCE REPORT
DOI:
https://doi.org/10.56238/levv17n60-056Keywords:
Older Adults, Primary Health Care, Health Promotion, AutonomyAbstract
Population aging in Brazil is occurring rapidly and unevenly, posing increasing challenges to the Unified Health System (SUS), especially in the context of Primary Health Care (PHC). According to data from the Brazilian Institute of Geography and Statistics (IBGE, 2023), there is a progressive increase in the proportion of elderly people, with direct impacts on the demand for actions promoting health, preventing health problems, and maintaining functional autonomy. Among these health problems, falls are a significant public health issue, associated with loss of independence, fear of falling, social isolation, and increased morbidity. This study aims to report the experience of the "Viva Saúde" group, developed in a Family Health Unit in the municipality of Jaboatão dos Guararapes, Pernambuco, describing the experiences and perceptions associated with collective practices in the care of the elderly, with an emphasis on promoting autonomy and addressing factors associated with the risk of falls. This is an experience report, with a qualitative approach and descriptive elements, based on systematic field diary entries, participant observation, and a review of recent scientific literature. The activities took place in weekly meetings held in public spaces within the community, involving functional exercises focused on muscle strengthening, balance, mobility, and gait, with adaptations according to individual capabilities. The results showed high adherence, increased body confidence, positive perceptions related to movement safety, expansion of functional repertoire, greater engagement in activities of daily living, and strengthening of social bonds, even in the face of structural and funding limitations. It is concluded that collective body practices, when developed in a territorially-based manner within Primary Health Care, constitute a powerful strategy for promoting autonomy, preventing falls, and providing comprehensive care for older adults.
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References
BRASIL. Conselho Nacional de Saúde. Resolução nº 510, de 7 de abril de 2016. Dispõe sobre as normas aplicáveis a pesquisas em Ciências Humanas e Sociais. Brasília: CNS, 2016.
BRASIL. Ministério da Saúde. Política Nacional de Atenção Básica. Brasília: Ministério da Saúde, 2017.
BRASIL. Ministério da Saúde. Política Nacional de Saúde da Pessoa Idosa. Portaria nº 2.528, de 19 de outubro de 2006. Brasília: Ministério da Saúde, 2006.
DELBAERE, K.; CLOSE, J. C. T.; BRODATY, H.; PERNICE, M.; SACHDEV, P.; LORD, S. R. Determinants of disparities between perceived and physiological risk of falling among elderly people: cohort study. BMJ, Londres, v. 341, p. c4165, 2010.
IBGE - INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA. Censo Demográfico 2022: Resultados preliminares – população por idade e sexo. Rio de Janeiro: IBGE, 2023.
NERI, A. L. Qualidade de vida na velhice: enfoque multidisciplinar. Campinas: Alínea, 2013.
ORGANIZAÇÃO MUNDIAL DA SAÚDE (OMS). Envelhecimento ativo: uma política de saúde. Brasília: Organização Pan-Americana da Saúde, 2005.
SHERRINGTON, C.; FAIRHALL, N.; WALLBANK, G.; TIEDEMANN, A.; MICHALSKI, B.; HOWE, T.; LORD, S. R. Exercise for preventing falls in older people living in the community: an abridged Cochrane systematic review. British Journal of Sports Medicine, Londres, v. 53, n. 17, p. 905–911, 2019.
VERAS, R.; OLIVEIRA, M. Envelhecer no Brasil: a construção de um modelo de cuidado. Ciência & Saúde Coletiva, Rio de Janeiro, v. 23, n. 6, p. 1929-1936, 2018.
WORLD HEALTH ORGANIZATION (WHO). Integrated care for older people (ICOPE): guidelines on community-level interventions to manage declines in intrinsic capacity. Geneva: WHO, 2019.
WORLD HEALTH ORGANIZATION (WHO). WHO global report on falls prevention in older age. Geneva: World Health Organization, 2017.