Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

This case report is referring to the summary care of a patient with history. Lower limb pain. that had initially made the diagnosis of osteoarthritis in a service of Attendance. The post was evaluated at the Family Health Unit and together with the local Health Department and Reference Center in another municipality, where he established a conclusive diagnosis of acute arterial insufficiency and abdominal aortic aneurysm. The trajectory of the patient until the diagnosis and enca-spect to timely and appropriate interventions demonstrates the importance of customer service based on the principles of bonding, continuity, comprehensiveness, with the rear of a reference system and cross-reference structured. Health services need to be organized into levels of increasing complexity, with appropriate technology for each level, increasing the resolution. The Primary Health Care-guard mutually complementary relationship of authority with other levels of health care, and therefore not independent. When seeking to guide the organization of health services by the principles of completeness, what is sought is to increase awareness of the needs of groups and wonder about the best ways to respond to these needs. Thus, the Family Health should work closely with other levels of health care that can address the problems adequately.

This paper addresses different aspects of pregnancy in adolescence from the perspective of the teen mothers. It aims to study the adolescent’s level of information with regard to the gestation period, the relationship with her relatives as a possible stressing factor, the beginning of the menstruation period and the possibility of early sexual activity directly interfering in the pregnancy. Furthermore, we compared the life ambitions before and after the pregnancy and indagated if the pregnancy was wanted or not. These variables were studied in a group of twelve pregnant adolescents that attend the Ferraria Health Unit of Campo Largo. The results show that the adolescents didn’t want to become pregnant but ended up accepting their condition. These adolescents grew up in unstable homes with extremely weak bonds among family members, engaged early in sexual activity, had low educational level, and personal ambitions always more difficult to achieve.

Public policies directed towards the woman begin with an anatomical pathological and regulative approach to feminine nature. The formulation of concepts about gender and health allied to the women’s social movement are progressively modifying our understanding on their health-care needs. This paper describes this process and analyzes why certain goals with regard to granting to women the right of integrated health assistance were not yet achieved.

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