title: [The construction of care by the health team and the caretaker within a home-care program for bedridden patients in Porto Alegre (RS, Brazil)].
abstract: The main objective of this case study was to understand the construction of care in the Homecare Program for Bedridden Patients (PADA) of a basic health unit (UBS) in Porto Alegre, RS. Data were obtained from 13 caretaker groups in the UBS, and participating observation recorded in field diary in the patient's homes. An analysis of the discourse practices was performed inspired in Foucault's discourse concepts speeches and in studies on ethics and self-care. In the groups, the caretaker occupied a space that we metaphorically called the Delphic Oracle, a place for acceptance, listening and support. Hearing the dialogues that took place between the team and the caretakers made us face the contradiction present in the institutional discourse, which both stimulates self-care, and imposes rules, duties, tasks. Care as a citizenship right opposite to care as submission and subjugation created tension inside the group several times. Foucault's notion of care comprises a synthesis of the exercise of a person over his- or herself, making him or her better as a human being and, at the same time, capacitating him or her to become a better citizen.
authors.affiliation: Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, 93022-000. ivanifreitas@terra.com.br
authors.forename: Ivani Bueno
authors.initials: IB
authors.lastname: de Almeida Freitas
authors.forename: Stela Nazareth
authors.initials: SN
authors.lastname: Meneghel
authors.forename: Lucilda
authors.initials: L
authors.lastname: Selli
mesh_terms: D001938:Brazil; D018575:Home Care Services, Hospital-Based / Q000592:standards; D006801:Humans; D007103:Immobilization; D010348:Patient Care Team