Análise do Processo do Cuidar na Atenção Básica: Deslocando o Olhar do Eu-Trabalhador

Abstract

Primary Care (AB) is the main access of the population to the services of the Brazilian Unified Health System, it is in this field that the Family Health Strategy (FHS) works with the promotion, prevention, rehabilitation, producing care with the user belonging to its coverage area. The FHS comprise the territory of the users and the families are close and it is in these relationships that care is produced. Knowing this context, it is relevant to discuss the care practices carried out in these spaces, in order to contribute to the work process of these teams and support them in the production of health care. Objectives: to analyze the production of care provided by workers of a family health strategy team, in a large municipality, in the south of the country. Methods: This is an interference research, from a cartographic perspective, which used the citizen user tale guide and tent to access the ways care is produced. A citizen guide family was chosen based on the indications of the FHS team of a UBS. The monitoring took place between 2016 and 2017. The meetings were recorded through audio recordings and a field diary. The tale tent was a tool used in one of the team meetings as a trigger device for the reflection of the work. Results and conclusion: the complexity of the case presented by the citizen guide family raised the discussion of the subjectification process to which we are subject, and which produce an armed look at the user and his health needs in order to directly interfere in the production of care for this individual/family. We identified that a way to support the health worker in this deconstruction of the armed gaze is to encourage reflection on the daily work process. And permanent health education (EPS) is presented as an alternative in this process.