Genograma e Ecomapa - Abordagem familiar na atenção primária à saúde

Summary

The script discusses the importance of family in primary health care, emphasizing the use of genograms and ecomaps as tools for understanding patient health within the family context. Genograms graphically represent family generations and relationships, while ecomaps illustrate the family's connections with their community. The case of patient Marina is used to demonstrate how these tools can identify health needs and vulnerabilities, leading to tailored healthcare approaches within the Family Health Strategy.

Takeaways

• 🏥 The script discusses the importance of the family in healthcare, particularly within the context of the Family Health Strategy model.
• 👨‍👩‍👧‍👦 The 'genogram' is introduced as a key tool for visualizing family relationships and health patterns across generations.
• 📊 Symbols are used in genograms to represent family members, relationships, and health conditions, such as squares for men, circles for women, and lines to indicate relationships.
• 👴 The script uses a case study of a patient named Marina to illustrate how a genogram can be constructed and used in practice.
• 🏠 The 'ecomap' is another tool discussed, which helps to understand the family's interactions with their community and social environment.
• 🔍 The ecomap can reveal the presence or absence of social, economic, and cultural resources, and their impact on the family's health.
• 👨‍⚕️ The healthcare team uses both genograms and ecomaps to provide comprehensive care, identifying family dynamics and potential vulnerabilities.
• 📝 The script highlights the practical application of these tools in a real-life scenario, showing how they can guide healthcare interventions.
• 🤝 The importance of understanding family relationships and community ties is emphasized for providing appropriate and effective healthcare services.
• 📈 These tools are expected to enhance diagnostic accuracy, treatment, and patient follow-up within the Family Health Strategy.

Q & A

What is the significance of the term 'assistencial' in the context of the Family Health Strategy?

The term 'assistencial' in the context of the Family Health Strategy emphasizes the importance of the family's role in health care. It suggests a holistic approach where the family's context is considered crucial for understanding and addressing the health needs of individual patients.

What is the purpose of using a genogram in health care?

A genogram is used to visually represent the family structure across generations, including relationships and health patterns. It helps health teams to understand the patient's context better, identify potential health vulnerabilities, and plan appropriate interventions.

How are men and women represented in a genogram?

In a genogram, men are represented by squares and women by circles. Deceased individuals are indicated by an X through the symbol, with a square crossed by an X for deceased men and a circle crossed by an X for deceased women.

What symbol is used to represent a marriage or partnership in a genogram?

A solid line is used to represent a marriage or partnership between two individuals in a genogram.

How is a separation or divorce depicted in a genogram?

A separation is represented by a line with one dash, while a divorce is indicated by a line with two dashes in a genogram.

What does the zigzag line represent in a genogram?

A zigzag line in a genogram is used to represent a conflictual relationship between family members.

What is the role of an ecomapa in understanding a patient's family dynamics?

An ecomapa is an instrument that helps to understand the family's relationship with its social, economic, and cultural environment. It complements the genogram by identifying the family's connections and resources within the community.

How does the ecomapa differ from a genogram?

While a genogram focuses on relationships and connections within the family system, an ecomapa explores the family's interactions with the external environment, including social networks and community resources.

What is the significance of the family's strong connection with the church in the case of Marina's family?

The strong connection with the church is significant as it indicates a potential support system and a place where the family can access resources and social interactions. This information can be crucial for health care providers when planning interventions and understanding the family's social dynamics.

How did the health team use the ecomapa to schedule a family registration for Marina's family?

The health team recognized the family's strong involvement with the church from the ecomapa and suggested scheduling the family registration after a religious activity when all family members would be available, demonstrating the practical application of the ecomapa in health care planning.

What health issues were identified for Marina and her family through the genogram and ecomapa analysis?

Marina had high blood sugar levels and an unhealed ophthalmological issue. Her father José de Arimatéia had an amputation and used insulin. Her mother Maria de Lourdes had suffered from a heart attack and had hypertension and diabetes. The analysis also revealed the need for updating the children's vaccination schedules and addressing Carlos's health needs.