Protocolo fisioterapêutico de atendimento à pessoa idosa em situação de violência

Violence against the old person develops in the context of the vulnerability of interpersonal relationships, and health professionals are able to trigger effective prevention and protection mechanisms. The physiotherapist has the potential to intervene in the entire dynamics of the situation, because it acts in health promotion, disease prevention and rehabilitation of the old person, besides establishing an intimate and prolonged bond with these people. However, no care therapy protocol has been identified in the literature. Objectives: To identify physical therapy interventions aimed at the old person in situations of violence; propose a physiotherapeutic protocol directed to these people; and validate the contents of the protocol. Method: This is a study conducted in three stages: scope review, elaboration and validation of a protocol (methodological study). The scope review involved research in databases, libraries, search engines and gray literature on physical therapy interventions aimed at the old person in situations of violence. For the preparation of the document, the results obtained in the scope review were considered; recommendations of guides for the development of protocols; government publications and professional associations; and scientific studies in common with the subject. The validation comprised the evaluation of the protocol by 6 expert judges, through 23 items distributed in 6 domains, and two general classification items, described in the Appraisal of Guidelines for Research and Evaluation II instrument (AGREE II). For each domain, a percentage of quality was calculated according to the formula established in the tool. Results: The approaches included in the protocol involved: prevention (health education; evaluation and interventions in caregiver stress; social bonds and community resources, maintenance of functional independence and screening/triage); diagnosis (identification, evaluation and notification of cases); therapeutic plan and rehabilitation; and follow-up. In the validation ...