Cuidado de enfermagem domiciliar ao idoso: Abordagem à luz do modelo de cuidado transpessoal

Abstract

Home care emerges as a powerful strategy to offer better health care. However, it is necessary to consider technical, ethical and legal aspects for offering care at home, requiring professionals with competence and a network of attention that supports, involving the nuclear family. The research aimed to analyze the contribution of the model of transpersonal care in home nursing, in the care of the elderly restricted to the domicile. This study has qualitative approach, with research-careful design. It occurred in Sobral/CE, in the context of The Best program At Home. The participants were five elderly restricted to bed and their caregivers. For the operation of the research, instruments that made possible the application of the model and the use of the Clinical Caritas process were used. For the collection of information, a daily journal was built and the moments of care were recorded. The data obtained were organized and analyzed by May, through content analysis technique. The study was governed by resolution 466/12 of the National Health Council. The application of the model and the use of the Aritas Clinical process provided me with understanding the importance of being present at all times of care, in building a strong relationship, a bond of trust, having a look beyond the needs of Survival, consider and respect the knowledge, beliefs and individuality of the human being. When analyzing the needs of care, I realized a greater number of higher order needs. Through the speeches, during the process of care, it was possible to organize five categories: caregiver overload, pleasure in caring, religiosity as a strategy of confronting, perceptions about the program and perceptions about transpersonal care. In one of the researched beingscare, the relationship of care has not evolved, not reaching the transpersonal encounter. The application of the model itself does not guarantee the scope of the transpersonal care, as there are contextual issues that influence or can strongly influence the provision of care. However, the model is a doable and knowable instrument capable of systematizing the operation of the Clinical Caritas process, which increases the possibility of achieving transpersonal care. I believe that it brings important contribution to the change of the model of attention, as it qualifies home care, a dimension of care still fragile in Brazil.