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    Quando A Boca Fala Mais Que A Boca: A Construção De Uma Ação Educativa Em Saúde Bucal Em Um Ambulatório De Ist/Aids Na Baixada Santista - São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2017-08-03) Parola, Gustavo Barbosa [UNIFESP]; Zihlmann, Karina Franco [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    People living with HIV/Aids (PVHA) have an oral health vulnerable due to characteristics of the infection. Most patients live with poor oral health, which is particularly harmful to PVHA. The professional training of dentistry, which is traditionally objective, technical and procedure-centered – can result in numbness/indifference subjective demands of patients, especially those who live with a infectious and contagious disease with complex interfaces of psychological, social, emotional, economic, legal, among others. With this, the proposal of Permanent Education showed up as a coherent frame of reference that can bring contributions to positive changes in how those involved in the process of oral health care of PVHA understand the notion of care and health care. Objectives: To investigate the perception of adults living with HIV/Aids, users of an outpatient service in IST/Aids the Baixada Santista area, about your oral health, as well as your perception about the role and expectations established with the dental professional and the relationship of care established with this health care professional. From the survey, propose a educational action with the dental professionals in general, especially addressed to professionals who serve patients living with HIV/Aids, in order to allow for a reflection on their daily practices, difficulties and limitations of your work and, in addition, allow theconstruction of welfare practices that comprise the unique needs of these subject, beyond the perspective traditionally adopted in this field to know. Methods: We used the qualitative method with the use of various strategies, research and desk research, focus groups, semi-structured interviews and diaries of field. Were selected in a convenience sample of 12 (twelve) PVHA of a dentistry service IST/Aids clinic of the Baixada Santista, in two groups: PSBP (PVHA with poor oral health) and PSBA (PVHA with proper oral health). The research data were categorised from the thematic analysis of content of Bardin (1977). Results and discussion: The PSBA presented greater recognition of the importance of oral health with more complete and complex concepts. However the PSBP, although present simpler notions, reported basic knowledge and the consequences of carelessness. Therefore the PSBP had access to information, but not necessarily adopted practical measures of oral care. This requires a reflection about the actual effects of information when it is offered to purely technical, objective manner or context. In addition, both as reported their PSBA and PSBP experiences with HIV, being that the PSBP were unanimous in feeling that the oral health worsened after diagnosis of HIV/Aids, while PSBA were divided. There was a subtle distinction in speeches about self- care because PSBP have a higher tendency to clear accountability for own oral health, with highest expression of passivity, fear and shame of being judged, while the PSBA have less tendency toward passivity and more commitment to self-care, as well as a more critical about the rights of PVHA. Final considerations: The purpose of this work is a process of idealization technical disruption of the care and the ability to look beyond the mouth organ, recognising that it is necessary to allow the mouth can also "speak" and, thus, from the speech of the subject, take a real position of oral health care. It is a quest to meet those people – care targets – in what they actually need and it makes sense for them, considering their experiences and views.