Home care in rehabilitation and family-centered practice: approaching theories to improve results

Abstract

This narrative review presents and discusses the assumptions of Family-Centered Practice (FCP) and the influences of this approach in the context of Home Care (HC) in rehabilitation in the Brazilian Unified Health System (SUS). HC and FCP were analyzed from the information obtained, allowing to discuss the potential impact of the assumptions of the FCP in HC of the Brazilian public health system. HC has an important role in networks, producing new ways of caring. However, some problems in the organization of this service generates discontinuity of care and overload of all levels of attention, hampering the bond between professionals/user/ family. FCP proposes that home programs be targeted at family members, especially caregivers, so that they develop the skills required for the provision of care, thus enabling comprehensive, contextualized and humanized assistance to the user. The use of FCP in the context of HC in the Brazilian Unified Health System, considering user empowerment and his family, may favor the establishment of emotional and co-responsibility bonds between professionals/user/family, impacting on the quality of the assistance provided and the results expected.