The community health agent in the implementation of the overweight and obesity care line: An experience report with the doctor

Abstract

INTRODUCTION: The prevention and early diagnosis of obesity are important aspects for promoting health and reducing morbidity and mortality, not only because obesity is an important risk factor for other diseases, but also because it interferes with the duration and quality of life and , still, have direct implications on the mental health of individuals (BRASIL, 2014b). Thus, it is fundamental for the Community Health Agent (CHA) to have strengthened ties with the community, in order to understand the cultural and socioeconomic characteristics of the assigned population in order to build critical thinking and promote personalized coping in the medium and long term with the challenges that begin and continue within each home. OBJECTIVE: This is an experience report between the medical professional of the Family Health Strategy (ESF), community health agent and a family from the territory, whose objective is to describe the outcome of the first consultation and reception after carrying out the stratification of risk, chronic noncommunicable diseases (NCDs) of multifactorial and complex origin and with high cardiovascular risk due to overweight and obesity in the municipality of Parnamirim/RN were taken into account. METHODOLOGY: During FortaleceRAS training, 01 family with characteristics of high risk of social vulnerability and cardiovascular diseases was selected to implement the line of care using the Coelho Savassi Scale (=19) in the home visit of the CHA and the Framingham Score in the clinic doctor at the Basic Unit of Monte Castelo located in the city of Parnamirim/RN for the implementation and individual monitoring of the Care Line for Overweight and Obesity. In a meeting with the doctor and the health agent of the ESF, the case was discussed and an action plan was implemented for the individual follow-up of each risk sentinel. The CHA carried out an active search to schedule a medical appointment and observed their positive response in collaborating with the initial proposal. At the appointment were both professionals and the couple, Mr A.J.F.F, 61 years old and Mrs M.Z.S., 55 years old. Welcoming, qualified listening, assessment of the clinical condition and referrals to other Health Care Networks in the municipality were carried out. Guidelines on the importance of changing thinking for quality of life. CONCLUSION: It was possible to observe that the couple started to implement the first self-care goals the very next day: 30 minutes of walking daily, eliminating the consumption of soft drinks in the diet, believing that it is possible to live better and that persistence is fundamental in the process. Support makes the difference. Long-term longitudinal care, with continuous professional support, is essential for maintaining the new lifestyle, as it contributes to an increase in individuals' alertness, motivation, encouragement and support. In addition, self-monitoring of both diet and weight is effective for maintaining body weight.