O CUIDADO ÀS CRIANÇAS E ADOLESCENTES COM NECESSIDADES ESPECIAIS DE SAÚDE NOS SERVIÇOS DE ATENÇÃO DOMICILIAR

Abstract

Introduction. Technological advances and the growing qualification of health professionals contributed to a significant drop in infant mortality rates. Consequently, there was an increase in chronic conditions in childhood, as children currently survive the advent of health and often need special care. Children with chronic health conditions require special care, such as the use of devices, technologies, drugs, psychomotor and social rehabilitation, leading to changes in the family context. Home Care (DH) favors meeting the demands of children with chronic illness and their families. Among the challenges that arise in the context of AD are the low quality of information provided by professionals, non-standard instruments for child care, and the demands of Children with Special Health Needs (CRIANES) and their families who need a organized service that meets your needs. Objective. Describe the care provided to Children with Special Health Needs (CSHCN) in Home Care Services (SAD) in the State of Mato Grosso do Sul (MS).Methodology. Descriptive and exploratory research with a quantitative approach. A form was applied, via Google forms, to the professionals of the SAD of MS containing questions about the characterization of the services and the care carried out with the CSHCN. Results. Eight SAD from MS participated in the study, three from the capital, one from Aquidauana, one from Coxim, one from Corumbá, one from Ponta Porã and one from São Gabriel do Oeste, totaling 14 teams. The services have between six and 10 active professionals. Professionals performed guidelines, procedures and clinical evaluation during the visits, carried out weekly. At the time of the study, the SAD who participated in the study attended to 25 children with different diagnoses, predominantly cerebral palsy. Most children were classified as AD2 (medium complexity) according to their care demands. The services do not have a specific flow protocol for the service. Conclusion. SAD has great potential for offering multidisciplinary care with the completion of the Single Therapeutic Project. In addition to the expansion of services, the implementation of flow protocols for child care is necessary, as well as professional updating to care for families. Keywords: Home Care Service; Family; Nursing; Special needs. Descriptors: Child Health; Home Assistance Services; Nursing; Chronic disease.