O amor ágape e o cuidado na construção do cuidado em uma unidade de saúde da família

Abstract

The production of health care is mapped against the backdrop of a Family Health Unit (USF) and under the tension of the proposals for transformation of care towards safety and integrality, as promulgated in the Sistema Único de Saúde (SUS). Integrality is linked to the relevance of an approach that understands the individual beyond a biological perspective, in the manner of a performance focused on the complexity of the determinants of users' needs, as well as the territories in which they are inserted, associated with a performance that get involved with these demands, aiming at prevention, care, rehabilitation and health promotion actions. Seeking to analyze the integral care construction in a Unidade de Saúde da Família (USF), focusing on the practices of health professionals. Its importance lies in highlighting ways to facilitate, in professional qualification and permanent education, in the understanding of the complexity of demands and in the construction of competence to be involved and act on them. Care situations were mapped according to the propositions of Deleuze and Guatarry (1995). The analyzer were the situations considered as difficult to take care of. The concept of integral care acted as a device concept to problematize with the actors the actions experienced in USF‟s daily life at the invitation of health team professionals. The notion of care in the health field is reflected in the relationship between biomedicine, biopower, and the notions that are structuring from integrality. The meanings attributed to care and the practices that enable them are described, analyzed and finally problematize scenes from the USF's daily life, which work process still focuses on diagnosis, prescription and procedures. Then, the analysis of these logics, the knowledges and the powers involved in the construction of the care of a severely malnourished child makes it possible to describe how her team produces new learnings on how to take care of her and other subjectivities for the recognition of the caregiving mother and the ways to explain her context. Care is evidenced as a power device, therefore productive, shifting from the logic of "being able to say about it", focusing on procedures, to the notion of power as the production of new ways of being and living in the face of the necessities presented. Finally, care images are mapped showing action states of the actors characterized within the biomedical and integral logics. It is verified that they are articulated with the affections produced in the professionals and the ways in which the user is recognized. The scenes of care that were characterized by the absence of need for reciprocity and equivalence were categorized as the state of agape. This action state, although articulating mainly with integral logic, is not set and can be built as a competence; either through a reflection on the subject's production, such as the case of the family of the malnourished child, or through the production of the link related to the longitudinality of care and the proximity of people's existential territories, favored by the registration model of ESF. In this case, the user's evaluation was not based on a standardization of a way of being or living, but on the universalization of access to the possibilities of a good living.