RESUMO
En Argentina, el desarrollo de la Atención Primaria de la Salud (APS) y su vinculación con la salud mental han ido de la mano de los movimientos históricos y políticos. Tanto así que la reglamentación de la Ley Nacional de Salud Mental Nº 26.657 pretende afianzar ese vínculo. Relatamos el caso de una mujer con padecimiento mental severo que irrumpe en un centro de APS solicitando ayuda económica, y cómo esto dispara un plan de trabajo integral para su atención. Reflexionamos sobre el rol que ocupan los efectores de APS, así como dificultades y potencialidades.
In Argentina, the development of Primary Health Care (PHC) and its relation with mental health has been tied to historical and political movements. So much to that the passing of Act 26,657 on Mental Health intends to strengthen this link. We report the case of a woman with severe mental illness who breaks into a PHC center requesting financial help, and how this triggers a comprehensive work plan for her care. We reflect on the role of PHC providers, as well as some difficulties and potentialities.
Assuntos
Argentina , Acessibilidade aos Serviços de Saúde , Assistência à Saúde Mental , Relatos de Casos , Saúde Mental , Atenção Primária à SaúdeRESUMO
These consensus guidelines have been developed by a group of Latin American experts in pain management, to point out patterns and make practical recommendations to guide the diagnosis, identify warning signs (yellow and red flags), and establish comprehensive medical management (pharmacologic and nonpharmacologic treatment) and monitoring plans for patients enduring neuropathic pain. From the viewpoint of pharmacologic management, drugs are classified into groups according to efficacy, availability/accessibility, and safety criteria. Drugs are recommended for use depending on the disease and particular circumstances of each patient, with an approach that favors multimodal treatment while taking into consideration the idiosyncrasies of medical practice in Latin America.
