Desospitalizar é preciso: atuação do Serviço Social junto a pacientes crônicos dependentes de cuidados

• Autor(a) principal: Costa, Francimar Felipa da Silva
• Data de Publicação: 2022
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://repositorio.pucsp.br/jspui/handle/handle/26554
• topic: CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL; Desospitalização; Alta hospitalar; Paciente crônico-dependente; Cuidados domiciliares; Rede de apoio social; Transição hospital-domicílio; COVID-19; Dehospitalization; Hospital discharge transition; Chronic-dependent patient; Home care; Family and social support network; Hospital-home transition; COVID-19

The objective of this investigation is to bring reflections, implications and respective conclusions, about the intervention practices of professionals, specifically the Social Worker, in their role of coordinating, in an institution, or contributing to a qualified management of the dehospitalization process, in the present case of chronically dependent elderly patients, in the context of a pandemic brought about by Covid-19. The guiding question was: “What aspects have been explored by the literature as relevant and that need to be rethought, from an interdisciplinary perspective and with a focus on Social Work, so that the de-hospitalization of already stabilized chronically dependente elderly patients takes place in a more efficient way, faster, more efficient and well-oriented, which can improve the quality, in the community, of the care of these patients, avoiding readmissions, including those affected by the pandemic?”. Initially, we sought to identify the scientific evidence on the process of dehospitalization of elderly people, in transition from hospital to home spaces. Then, through semi-structured interviews, following the qualitative methodology, we tried to collect data on the process of de-hospitalization according to the words of the Social Work professionals, subsidizing the reflections in the light of the theoretical conceptual reference and the dialogue with the revised literature. Data that were analyzed using the content analysis technique, which allowed the exposed categories to be inferred. The "findings" of this research show: - de-hospitalization, in fact, is necessary; - the central role of the Social Worker in a multidisciplinary team focused on dehospitalization; -dehospitalization starts from the hospitalization of an elderly person in an acute condition; -the family and the essential social support network for the care of the chronically dependentelderly person; - the need to implement public policies for care