Name: Liliana Pereira Coelho
Type: MSc dissertation
Publication date: 19/10/2016

Namesort descending Role
Paulete Maria Ambrosio Maciel Advisor *

Examining board:

Namesort descending Role
Lavinia Santos de Souza Oliveira External Examiner *
Leila Massaroni Co advisor *
Maria Carlota Rezende Coelho External Alternate *
Paula Cristina de Andrade Pires Olympio Internal Alternate *
Paulete Maria Ambrosio Maciel Advisor *
Sheilla Diniz Silveira Bicudo Internal Examiner *

Summary: The Brazil has an ethnic plurality, sheltering in its territory a large number of citizens with a history peculiar cultural partner, from other parts of the continent, outside of this or natives of this region. The indigenous population is distributed in this huge territory, bringing quite challenging intercultural issues. Demographically, the Brazilian indigenous population is estimated at 896,917 people, which corresponds to approximately 0.47% of the total population of the country, belonging to 305 ethnic groups speaking more than 274 languages identified. The Holy Spirit, on indigenous lands of Aracruz, there are 3.654 individuals, distributed in two ethnic groups: Guarani Mbyá 248 people and Tupinikim people with about 3.406 people. In this context, it registers about 178 people sixty years or more, which corresponds to 5% of the enrolled indigenous population in both ethnic groups. Thus the objectives of this research are: Understanding the health care practices performed by nurses to elderly indigenous and identify the challenges to implement the actions of health care for the elderly indigenous. It is a study of qualitative approach, with exploratory descriptive characteristics WHERE data collection was conducted through semi-structured with a sample of 05 nurses interviews. All the material produced was submitted to thematic analysis as proposed by Minayo (2013) which allowed the construction of four thematic categories: The professional qualification; professional activities on indigenous territories; transcultural approach and gerontology look. The results showed that academic qualification is underpinned by a curriculum that contains content that discuss technical procedures, leaving often reduced or not existing space for the discussion of the indigenous and the elderly. That the great challenge of health professionals is to assist the elderly indigenous transiting within this express cultural diversity through language, colors, customs, namely cultures whose actors are living daily with the challenge of intercultural communication, history, the worldview among other factors. That respect to the premise of cultural care consisting of values, beliefs that help the individual or group to maintain the welfare should be important bases for nursing develop geriatric care, promoting the planning of actions in the experiences of the individual and also the professional. We conclude that nurses in primary care that engaged in Indigenous Basic Health Units (UBSI) also has knowledge inaccurate about the need of elderly indigenous because the actions are restricted to activities under the Ministry of Health programs (MS), as for example, hypertensive and diabetic groups among others. Such programs do not
respond to the complexity of the determinants of the health-disease of the elderly indigenous, since they are still made of standard, vertical and prescriptive way, modulated by factors of biological, psychological, economic and political, without however meet the aspect of indigenous culture. It is essential that nurses understand the reality in which it operates and reflect on their practice, so you can meet in full the elderly indigenous, planning and scheduling actions to deal with the issues of the aging process, always seeking maximum autonomy of users, knowing the lifestyle, cultural, ethical and religious values of the elderly, their families and the community.
Keywords: Indigenous; Elderly, Health; Nursing.

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