Özet:

Abstract It is a descriptive-narrative case study, guided by the Calgary model of family evaluation, and its aim was analyzing the implementation of the family approach in the family health strategy and the elaboration of the individualized therapeutic project. Home visits were carried out; six Community Health agents were interviewed and the indicators of the team, between June and August 2017, were analyzed. The case examined was that of a family of elderly people who care for other elders. Two categories were found: “the socio-epidemiological context of the territory” and “the family and the individualized therapeutic project”. Were found: precarious personal hygiene and house cleaning, difficulties in the management of the drugs, fragile and conflictual ties with the extended family, lack of integration in community activities. Shared collective constructions guided the elaboration of the individualized therapeutic project. Family reunions, dialogues that generated commitment, panel with domestic activities, integration with the community group of gymnastic and bond creation with the health team were the discussed interventions. It was concluded that the reported case contributes to orienting inter-professional work with families for the provision of care in the Primary health care.

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