Singular therapeutic project in the care of an elderly woman with hypertension in a situation of social vulnerability: an experience report in primary health care

Abstract

Objective: This study aims to report the experience of developing and implementing a Singular Therapeutic Project focused on comprehensive care for an elderly woman in a situation of social vulnerability, followed in Primary Health Care. Methods: This is an experience report developed by medical students during community health practical activities carried out in the municipality of Bragança, Pará, Brazil. The follow-up was conducted through home visits, qualified listening, observation of the family and territorial context, and the use of family assessment tools, including genogram, ecomap, and Family APGAR. Results: The follow-up allowed the identification of vulnerabilities related to functional limitations resulting from stroke, hypertension, difficulties in accessing health services, accessibility barriers, social isolation, and family fragilities. On the other hand, important strengths were observed, such as the presence of a family support network, connection with health services, and strong religious support. The implementation of the therapeutic plan involved health education actions, strengthening treatment adherence, prevention of complications, encouragement of family participation, and promotion of possible autonomy. The delivery of the project was accompanied by light technologies aimed at organizing care and strengthening the bond between the user, family, and health team. Conclusions: The experience showed that the Singular Therapeutic Project is an essential tool for organizing comprehensive, humanized, and person-centered care, favoring the articulation between individual needs and territorial resources, as well as contributing to academic training by developing skills such as qualified listening, teamwork, and family-centered care.