NARRATIVES OF RESILIENCE, VULNERABILITY AND HOME CARE ASSISTANCE: CASE REPORT IN A LOW-INCOME COMMUNITY IN THE CITY OF RIO DE JANEIRO

Resilience, a physics arising concept has been increasingly adopted in Health. In this area, can be defined as the human ability to face health problems and day-to-day adversities in a positive way, overcoming them and, moreover, positively transformed by them, developing the ability to a more appropriate response when facing new life challenges. It is not an acquired state, but a process that is built through the development of certain characteristics, considered pillars of resilience: Insight, Independence; Ability to relate; Initiative; Humor; Creativity; Morality and consistent Self-Esteem. This report aims to identify and discuss the health resilience factors, observed in an elderly with a history of thromboangiitis obliterans, amputated of both legs, which presents significant degree of physical limitation. A resident of a low-income community in the city of Rio de Janeiro, is accompanied by a Family Health Program team through home care (Visitas Domiciliares - VDs). The study of resilience was through consent narrative record, obtained during VDs by a family doctor and community (Medico de Familia e Comunidade - MFC). Resilience was measured by Wagnild and Young resilience analytical scale. The result was positive, highlighting five components: Perseverance, Self-confidence, serenity, life direction and self-sufficiency. Being resilient is an important factor for the health protection and recovery. Everyone has the ability to become resilient. The MFC needs to develop skills to identify and support the resilience development as part of its diagnostic and therapeutic approach.