Abstract
To understand the management of home care by family caregivers of dependent elderly people after hospital discharge. Qualitative research guided by hermeneutics-dialectic, anchored in the theory of communicative action. Data collection took place using a semi-structured interview with 11 participants. Two categories were constructed: Management of the many types of care by the caregiver and the relationship between family caregiver and health care network. Care and management actions carried out routinely cause major changes in the family caregiver's life. He/she does not recognize planning, home care periodicity or support in required procedures. The management of home care for dependent elderly people after hospital discharge is complex, involving physical and emotional overloads, as well as difficulties in getting support from health services. The planning shared between the health team and the family since the discharge is required, and the better visibility of the role of primary care when the patient is assisted by a home care service.
Highlights
The gradual increase in hospital admissions for the elderly due to acute causes or the worsening of chronic diseases is a phenomenon in the health scenario of contemporary societies, demanding the organization of services
The Atenção Domiciliar (AD) (Home Care), in the public policy form, joins the Rede de Atenção à Saúde (RAS), (Health Care Network) of the Sistema Único de Saúde (SUS), (Unified Health System), through the Serviços de Atenção Domiciliar (SADs) (Home Care Services), with potential to meet the demands of dependent elderly people, who still requires care needs after hospital discharge[3]
The nurse is the professional who dialogs/interacts with the nursing staff of the Estratégia de Saúde da Família (ESF) (Family Health Strategy), who, in the community, is co-participant in the care required by the patient and his family residing in his area of coverage[5]
Summary
The gradual increase in hospital admissions for the elderly due to acute causes or the worsening of chronic diseases is a phenomenon in the health scenario of contemporary societies, demanding the organization of services. In the scope of this care, the Equipe Multiprofissional de Atenção Domiciliar (Emad) (Multi-professional Home Care Team) nurse seeks to integrate his actions both with hospitals, intermediating the discharge process, and with other RAS services, with emphasis on Atenção Primária à Saúde (APS) (Primary Health Care) In this sense, the nurse is the professional who dialogs/interacts with the nursing staff of the Estratégia de Saúde da Família (ESF) (Family Health Strategy), who, in the community, is co-participant in the care required by the patient and his family residing in his area of coverage[5]
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