Instituições de longa permanência para idosos (ILPIs): uma análise dos riscos à saúde dos residentes a partir da caracterização das irregularidades sanitárias

Abstract

Introduction: Long-stay Institutions for the Elderly (LTCIs) are residential establishments and seniors aged 60 or over can reside in them. These institutions must follow what is laid down in legislation and norms and it is up to the Health Surveillance to identify inadequacies to prevent and minimize possible risks to the health of residents. Objectives: To characterize the sanitary irregularities prevalent in LTCIs in the city of Caxias do Sul in the last five years, based on documents issued by the sanitary inspection and relate them to possible consequences to the health of the elderly living in them. Methodology: This is a documentary research, which uses secondary data found in the Notices of Violation, Notices of Summons and in the Reports contained in the Sanitary Administrative Processes of the Sanitary Surveillance. Results: The sanitary irregularities found in the Notices of Violation and Terms of Summons were classified according to categories, namely: Work Process, Materials and Equipment, Documents, Structural and Human Resources. 197 irregularities were found in the Infraction Notices, while the Notices of Summons have 1776 irregularities pointed out, the latter being less serious than the former. The category that most presents irregularities in both sources is related to work processes. Altogether, these irregularities represent risks such as carrying out wrong procedures and conduct due to the lack of rules and routines, difficulty in implementing investigative measures in possible cases of food poisoning due to the lack of food samples, or even the risk of medication errors . Conclusion: In both types of documents, the greatest number of sanitary irregularities was related to the category of work processes. 81 items were found in the Infraction Notices, while in the Notices of Notice 559. This may suggest that the work processes are aspects that deserve special attention from the managers of the LSIEs and the inspection teams of the Health Surveillance, since they contribute significantly for the safety of residents of the Municipality's institutions. It is hoped that these results can contribute to providing the elderly population with safe environments in this type of residence. [resumo fornecido pelo autor]