Elaboration of a flowchart for healthcare quality improvement of patients with diabetic foot ulcer

Objective: The aim of this study is to map the work process of a Municipal Centre for the care of diabetic foot ulcer, in order to elaborate a multi-professional flowchart for the management of these patients. Methods: Qualitative study, developed by means of Bizagi software version 3.7.0.107, for the purpose to map the flow of activities encompassing the first attendance for people with diabetic foot ulcer, through observational record, elaborating a multi-professional flowchart for improving quality of care. Results: The investigation, mapping and comparison between two flowcharts, current and future directions, highlighted the need to offer multi-professional care for patients, besides of implementing improvements in the quality of care, emphasizing the importance of holistic approach over the  chronic wound carrier, avoiding, consequently, futures complications. Conclusion: Finally, it was elaborated a new map of work process to consolidating the presence of multi-professional team for treatment of people with diabetic foot ulcer

Elaboration of a flowchart for healthcare quality improvement of patients with diabetic foot ulcer

Trabalho de Conclusão de Curso (Graduação)Objective: The aim of this study is to map the work process of a Municipal Centre forthe care of diabetic foot ulcer, in order to elaborate a multi-professional flowchart for the management of these patients. Methods: Qualitative study, developed by means of Bizagi software version 3.7.0.107, for the purpose to map the flow of activities encompassing the first attendance for people with diabetic foot ulcer, through observational record, elaborating a multi-professional flowchart for improving quality of care. Results: The investigation, mapping and comparison between two flowcharts, current and future directions, highlighted the need to offer multiprofessional care for patients, besides of implementing improvements in the quality of care, emphasizing the importance of holistic approach over the chronic wound carrier, avoiding, consequently, futures complications. Conclusion: Finally, it was elaborated a new map of work process to consolidating the presence of multi-professional team for treatment of people with diabetic foot ulcer

Women in Vulnerability: Perceptions About Family and Reproductive Planning Policy

Introduction: The family and reproductive planning program is offered in the instances of the Unified Health System (SUS), and makes free contraceptive methods and devices available to the entire population, seeking to make people aware of the advantages and disadvantages of each method. Despite citizens' rights, some communities live in a situation of vulnerability and have greater difficulty in accessing public services, as in that program. Objective: To analyze the knowledge and adherence of women to the family and reproductive planning program and contraceptive methods, in addition to carrying out health education activities on the subject, focusing on the copper IUD. Methodology: This is an action research, with random sampling and a quantitative-descriptive approach for data analysis and description. The target population is made up of women of childbearing age, or who have already started sex. The collection was carried out in the field by means of a questionnaire prepared by the researchers based on a literature review. Results: 195 (98%) women reported not knowing the reproductive planning program and, of these, 116 (59.5%) had at least one unwanted pregnancy; The contraceptive method of most frequent choice among women is ligation, of the 200 women 60 (30.5%) opted for it; and 30% of the population has had at least one abortion in their lifetime. Conclusion: There was little knowledge and low adherence to reproductive planning and contraceptive methods in this population, possibly due to the segregation of low-income, mixed-race and black women, with low education, who are marginalized, suggesting difficulty in accessing health services, lack knowledge and family structure, in addition to demonstrating gaps in the health system.&nbsp