Dos desafios às estratégias de superação do fisioterapeuta do NASF: um olhar do residente

Abstract

As a part of the Family Health Support Center (FHSC), the Primary Healthcare physical therapist should promote health and prevent diseases, which includes actions of matrix support, strategic planning, situational analysis, territorialization, individual, shared visits, home visits, among others. We seek to describe the skills and discuss the challenges of performing physical therapy assignments of the FHSC according to the reality of a county in Ceará, based on the perspective of a physical therapist resident in Family Health. This experience report used the narrative-analytical method based on the reports and the daily life experienced by the author in the city of Horizonte, Ceará. In order to properly perform these tasks, the professional needs a technical and logistical apparatus that many municipalities cannot offer, such as material for practical intervention, adequate means of transport and a multiprofessional team that meets the needs of the area. In Horizonte, considering its demography and its recently-founded nature, there was no possibility of performing the previously mentioned attributions. One can report the difficulty in using transportation for home visits and other external activities, the rigor of the physical therapist’s training with a clinical focus, and barriers in performing the matrix support. However, the professional created strategies for performing the service adequately and managed multidisciplinary intervention groups and activities. In order to minimize these challenges, it is necessary for managers to provide institutional support to the physical therapist, to call for a more competitive public tender to cover the territory, and to offer specific training according to the FHSC healthcare guidelines.