FAMILY APPROACH IN PRIMARY HEALTH CARE: REFLECTIONS FROM A CASE REPORT

FAMILY APPROACH IN PRIMARY HEALTH CARE: REFLECTIONS FROM A CASE REPORT INTRODUCTION AND OBJECTIVE The Primary Health Care set up as a care model that focuses attention on the family, considering the environment, lifestyle and health promotion as its basic fundamentals.The objective is, through a case study, highlighting the relevance of teaching / use of specific tools in order to understand the structure and family dynamics, favoring the expansion of the clinic. METHOD A descriptive research from structured case report during internship activities in Family and Community Medicine of the medical course. From family home visits were applied: Genogram, PRACTICE, ECOMAP and FIRO. Then analyzed the results in the light of systemic and family psychoanalytic theories. RESULTS AND CONCLUSIONS The household consisted of mother (45), son (11) and the child's caregiver (25) and family demand was the child's behavior change, with school and low income aggression after birth of twins of a caregiver.By psychoanalytic family approach, it is inferred using mechanisms by the child as the fixation and regression, as well as an Oedipal complex unresolved.Systemic family approach instruments inform a distortion of family roles with the caregiver assuming the role of mother and the child, referring sometimes as brother, now a father of twins.Therefore, a theoretical foundation of family-centered care offers subsidy for the construction of meaning and significance to complaints or dysfunctional behavior changes in the family.