Terapia ocupacional na atenção básica em saúde: um relato de experiência a partir da abordagem familiar

Abstract

Introduction: Primary Health Care was proposed to expand access to health care, providing equal conditions for users, focusing on health promotion and prevention actions, emphasizing the importance of professionals relating to the individual, family, community and territory. Occupational Therapy can act in the health area at all levels of care with demands related to occupational performance. This study sought to understand the approach to the family through the work of Occupational Therapy in Primary Health Care based on the report of the care management of a user. Methodology: This study consists of a qualitative, descriptive, naturalistic and cross-sectional research with an experience report through the strategy of records in a field diary and participant observation. Data were obtained from the development of internship activities in Occupational Therapy during the period from January to May 2022 in a Family Health Unit in the city of São Carlos. The records described in field diaries and medical records were triggers for carrying out this work. Results and discussion: Primary Health Care contemplates the principles of universality, accessibility, comprehensiveness, continuity of care, accountability, humanization, equity and social participation. The Family Health Strategy provides opportunities for the relationship with the family, with different ways of life. The occupational therapist can carry out several actions in the field of the Family Health Strategy, in order to analyze the occupational performance and promote better health conditions, autonomy and independence of the users, bringing the daily perspective of the community to the center of the discussion. Occupational Therapy approaches and contributes to the perspectives linked to the principles of Primary Health Care, since these principles are present in the professional's academic training. Conclusion: The study provided an opportunity to look into the family's perspective and how Occupational Therapy helps defend this principle at this level of health care. Due to the complex understanding of daily life and proximity to the principles of Primary Health Care, the action of the occupational therapist has real possibilities of effectiveness and positive impact on the daily lives of users, and when this professional is present there is a greater chance of putting these principles into effect in the practice.