Cavalcanti Maria de Lourdes Tavares, de Souza Edinilsa Ramos
Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ.
Cien Saude Colet. 2010 Sep;15(6):2699-708. doi: 10.1590/s1413-81232010000600008.
This article presents the vision of managers and health professionals about the care of elderly victims of violence in Rio de Janeiro, showing the specificities of this attention in pre-hospital, hospital and rehabilitation areas, including mental health services. Based on a qualitative methodology, 20 semi-structured interviews with managers and health professionals were produced. The analysis considered the perceptions about violence against elderly, and the specificities of attention provided by SUS services to elderly victims. The State, the family and the social support organizations emerged as structuring categories of the network of care for elderly victims of violence. All attention areas presented insufficient care services or specific programs for the elderly victims of accidents and violence. Also there was a precarious network of social support for care of dependent elderly. With few exceptions elderly are treated as anyone else in public health services, without the priority set by the Statute of the Elderly. The family is called to participate in the care for the elderly in all areas of care. Abandonment, neglect, physical and psychological abuse against seniors cases were reported.
本文展示了里约热内卢的管理人员和卫生专业人员对暴力侵害老年受害者护理的看法,呈现了在院前、医院和康复领域(包括心理健康服务)这种护理的特殊性。基于定性研究方法,对管理人员和卫生专业人员进行了20次半结构化访谈。分析考虑了对暴力侵害老年人行为的看法,以及统一卫生系统(SUS)服务为老年受害者提供护理的特殊性。国家、家庭和社会支持组织成为暴力侵害老年受害者护理网络的结构性类别。所有护理领域都存在针对事故和暴力老年受害者的护理服务或特定项目不足的情况。此外,照顾依赖他人的老年人的社会支持网络也很薄弱。除了少数例外情况,老年人在公共卫生服务中被当作其他人对待,没有得到《老年人法规》规定的优先待遇。在所有护理领域,家庭都被要求参与对老年人的护理。报告了针对老年人的遗弃、忽视、身体和心理虐待案件。