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Dermatologic Assistance in Primary Health Care: A Nursing Approach

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Dermatology in Public Health Environments

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Abstract

This chapter provides descriptive, exploratory, and reflective text about the role of nurses in the care of the person with skin lesions in the services that are part of the Brazilian healthcare network, particularly in primary care. The following data collection techniques were used: field diary, empirical observation, consultation of secondary data and records from clinical care, participation in clinical and management activities, and life stories. The development of the analysis was oriented based on the life experiences of the authors in their care of persons with skin lesions, constituting itself as a theoretical and empirical essay. The chapter includes results from the research entitled “Integrated research on work organization and integrality of the services: new technologies in the care of the client with skin lesion on the health care network in the state of Rio Grande do Sul, Brazil.” The narrative contributes with discussions and reflections on the importance of the nursing professional in the care of persons with skin lesion, witnessing the evolution of its performance at different levels of health care, with emphasis on primary health care as a resolute point of attention and as the basis for the management flow in dermatology, aiming to overcome cloistered practice in hospitals and the training of staff to care for the skin at different levels of the healthcare network. The report also aims to encourage the participation of the patients and families to take responsibility for their care, strengthening the nursing role in favor of the healthcare network.

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Notes

  1. 1.

    Although they have distinct meanings and epistemological origins, both expressions (“primary” and “basic”) will be used in this text, as synonyms, given that, to the subject in question, do not apply the discussion about technological density, cost and nature of the procedure. In this case, it is an act of care that is listed on the scope of practices of the primary health care policy of the Brazilian National Health System and is not developed in all teams, involving matters related to the training of professionals and insufficient technical and material resources, as discussed below.

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Authors and Affiliations

  1. School of Nursing from the Federal University of Rio Grande do Sul (EENF/UFRGS), Porto Alegre, RS, Brazil

    Erica Rosalba Mallmann Duarte, Dagmar Elaine Kaiser & Alcindo Antônio Ferla

  2. Ambulatory Nursing Service and Coordinator of the Commission for Prevention and Treatment of Wounds at the HCPA, Brazilian Society of Dermatology Nursing (SOBENDE), Porto Alegre, RS, Brazil

    Doris Baratz Menegon

  3. Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil

    Silvete Maria Brandão Schneider

Authors
  1. Erica Rosalba Mallmann Duarte
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  2. Dagmar Elaine Kaiser
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  3. Doris Baratz Menegon
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  4. Silvete Maria Brandão Schneider
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  5. Alcindo Antônio Ferla
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Corresponding author

Correspondence to Erica Rosalba Mallmann Duarte .

Editor information

Editors and Affiliations

  1. Dermatology Service of Clinical, Hospital of Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil

    Renan Rangel Bonamigo

  2. Health Secretary of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

    Sergio Ivan Torres Dornelles

Glossary

Health Network Care (HNC)

The organizational arrangements of health actions and services of different technological densities, integrated through technical support systems, logistics, and management, which seek to ensure care with integrality.

National Primary Care Policy

The result of the accumulated experience of several historical actors involved with the development and consolidation of the SUS, such as social movements, users, workers, and managers of the three levels of government (federal, state, and municipal) developed with a high degree of decentralization, capillarity, and closeness to people’s lives.

Sistema Único de Saúde (SUS)

Unified Health System, the name of the Brazilian National Health System.

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Duarte, E.R.M., Kaiser, D.E., Menegon, D.B., Schneider, S.M.B., Ferla, A.A. (2018). Dermatologic Assistance in Primary Health Care: A Nursing Approach. In: Bonamigo, R., Dornelles, S. (eds) Dermatology in Public Health Environments. Springer, Cham. https://doi.org/10.1007/978-3-319-33919-1_71

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  • DOI: https://doi.org/10.1007/978-3-319-33919-1_71

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33917-7

  • Online ISBN: 978-3-319-33919-1

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