Overview of falls in Brazilian public policies

Fonseca, Renata Francielle dos Reis; Matumoto, Silvia

doi:10.1590/S0103-73312021310327

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FREE THEME • Physis 31 (03) • 2021 • https://doi.org/10.1590/S0103-73312021310327 copy

Overview of falls in Brazilian public policies

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Public policies portray the proposals of actions on circumstances that affect the population unfavorably. Falls represent an important factor of morbidity and mortality and damage to aging. Thus, the objective of the research was to outline the panorama of falls in the governmental sphere by analyzing and identifying its relevance in official publications. The research, qualitative of document analysis, started with the content analysis of 14 documents and verified that falls are addressed concisely, in most of the documents, and aimed at health professionals. It is noteworthy that falls are highlighted as preventable occurrences and subject to intervention by the elderly themselves, family members, health professionals, and managers.

Keywords:
elderly; fall accidents; government document

Document	Objective	Citation
National Policy for the Elderly (May 2010 reprint version)	The national policy for the elderly aims to ensure the social rights of the elderly, creating conditions to promote their autonomy, integration and effective participation in society	BRAZIL. Law 8.842 of January 04, 1994. Provides on the national policy of the elderly, creates the national council of the elderly and other provisions. Official Gazette, Brasilia, DF, 05 Jan, 1994, p. 77.
Statute for the Elderly	The Statute for the Elderly is instituted, aimed at regulating the rights ensured to people aged 60 (sixty) years or more	BRAZIL, Law 10.741, of October 01, 2003. Provides on the Statute of the Elderly and other provisions. Official Gazette of the Union, Brasília, DF, Section 1, October 03, 2003, p.1.
International Plan of Action on Ageing	Instrument for the formulation of policies that guarantee aging with security, dignity, and participation with full rights.	UNITED NATIONS ORGANIZATION. International plan of action on ageing. Translation by Arlene Santos, revision of Portuguese by Alkmin Cunha; technical revision by Jurilza M.B. de Mendonça and Vitória Gois. - Brasília: Special Secretariat for Human Rights, 2003. 86 p.
Active Aging: a health policy	Health Policy Project seeks to provide information for discussion and formulation of action plans that promote active healthy aging.	World Health Organization. Active aging: a health policy / World Health Organization; translation Suzana Gontijo. - Brasília: Pan-American Health Organization, 2005. 60p.
National Health Policy for the Elderly	Approve the National Policy for the Health of the Elderly	BRAZIL. Ordinance No. 2.528, October 19, 2006. Approves the National Policy for the Health of the Elderly. Official Gazette of the Union, Brasília, DF, October 20, 2006. Section 1, p. 142.
Health care for the elderly and aging	Providing the basis for professionals, managers, students, and educational and research institutions involved with the theme and with the commitment to better care for the elderly and strengthens the commitments made by the 2006 Pact for Health	BRAZIL. Ministry of Health. Health Care Secretariat. Department of Programmatic and Strategic Actions. Health care for the elderly and aging. Brasília, 2010. 44 p.: il. - (Series B. Basic Health Texts) (Pacts for Health Series 2006, v. 12)
Basic Health Care Booklet: Aging and Health of the Elderly	Resolving the needs of the elderly population in Primary Care	BRAZIL. Ministry of Health. Secretariat of Health Care. Department of Basic Care. Aging and health of the elderly. Brasília: Ministry of Health, 2006. 192 p. il. - (Series A. Norms and Technical Manuals) ( Basic Health Care Booklets, n. 19)
Health Pact	Approve the Operational Guidelines of the 2006 Health Pact - Consolidation of the UHS with its three components: Pacts for Life, in Defense of UHS and Management.	BRAZIL. Ordinance No. 399 of February 22, 2006. Discloses the 2006 Health Pact - Consolidation of UHS and approves the Operational Guidelines of said Pact. Official Gazette of the Union, Brasilia, DF, 23 February 2006, section 1, p. 43.
State Law regarding the elderly	State legislation relating to the elderly	SÃO PAULO (State). Law 12.548 of February 27, 2007. Consolidates the legislation for the elderly. Official Gazette of the State of São Paulo, São Paulo, SP, 28 Feb. 2007, section I, vol. 117, n. 39, p. 1-4.
A Practical Guide for the Caregiver	To guide caregivers in the health care of people of any age, bedridden or with physical limitations who need special care	BRAZIL. Ministry of Health. Health Care Secretariat. Secretariat of Work Management and Health Education. Practical Guide for the Caregiver. Brasília: Ministry of Health, 2008. 64 p.: il. - (Series A. Norms and Technical Manuals)
Caring Better and Preventing Violence - Manual for the Caregiver of the Elderly	Instrumentalize formal and informal caregivers in their qualification and confrontation to violence against the elderly and help in the formation or training of caregivers	BRASIL. Special Secretariat for Human Rights, Undersecretariat for the Promotion and Defense of Human Rights. Better Caring and Avoiding Violence - Handbook for the Caregiver of the Elderly / Tomiko Born (organizer) - Brasília, 2008. 330 p.; 30 cm
Surveillance and prevention of falls in the elderly	Contribute to the development of models and techniques of action in the prevention of falls and the production of advances to face the situation related to the grievance and to impact on its reduction.	SÃO PAULO (State). Health Secretariat. Surveillance and prevention of falls in the elderly. Editors: Marilia C. P. Louvison and Tereza Etsuko da Costa Rosa - São Paulo: SES/SP, 2010.
National Commitment to Active Aging	Establishes the National Commitment to Active Aging and creates an Interministerial Commission to monitor and evaluate actions in its scope and to promote the articulation of public agencies and entities involved in its implementation.	BRAZIL. Decree 8,114 of September 30, 2013. Establishes the National Commitment to Active Aging and creates the Interministerial Commission to monitor and evaluate actions within its scope and promote the coordination of public agencies and entities involved in its implementation. Official Gazette of the Union, Brasília, DF, October 1, 2013, section 1, page 1.
Health Booklet for the Elderly	Qualify the care offered to the elderly in the Brazilian National Health System	BRAZIL. Ministry of Health. Health Care Secretariat. Department of Specialized and Thematic Care. Handbook of the Health of the Elderly. 4 ed. Brasília, 2017. 61 p.

Document	Source characterization and general appearance	Nature/Characteristic	Target Audience	Specificity of the theme Falls
National Health Policy for the Elderly	Health - Ministry of Health	Health Policy/Management	Managers / health professionals	No reference to the topic
Elderly Statute	Social - Human Rights Secretariat	Juridical-Legal/ Human Rights	Managers/society	No reference to the topic
National Policy for the Elderly	Health - Legislative Branch	Health Policy/Management	Managers	The topic is the focus of a directive with relevance
A Practical Guide for the Caregiver	Health - Ministry of Health	Care Technique/ Guidance	Caregivers	The theme is a milestone pointed out in the document
Better Care and Prevention of Violence	Health - Human Rights Secretariat	Care Technique/ Guidance and Human Rights	Caregivers / health professionals	The theme is a milestone pointed out in the document
Health Care for the Elderly and Aging	Health - Ministry of Health	Health Policy and Technique/ Management	Managers / health professionals	The topic is the focus of a guideline
Health Booklet for the Elderly	Health - Ministry of Health	Assistance technique/ Guidance	Health professionals	The theme is a milestone pointed out in the document
Health Pact	Health - Ministry of Health	Health Policy/Management	Managers / health professionals	No reference to the topic
Surveillance and prevention of falls in the elderly	Health - Health Department of the State of São Paulo	Assistance technique/ Guidance	Health professionals	The objective of the document is to discuss the theme
Active Aging: a health policy	Health - Pan American Health Organization	Health Policy/Management	Health professionals / Managers	The theme is a milestone pointed out in the document
International Plan of Action on Ageing	Health - Human Rights Secretariat	Health Policy/Management	Managers	No reference to the topic
Decree 8.114/13	Health - Legislative Power	Health Policy/ Management and Human Rights	Managers	No reference to the topic
Law 12.548/07	Health - Legislative Assembly of the State of São Paulo	Juridical-Legal/Health Management	Managers	No reference to the topic
Basic Care Booklet	Health - Ministry of Health	Policy and Technical/Assistance Guidance	Health professionals	The theme is a milestone pointed out in the document in relevance

Document	Falls
Taking better care of and avoiding violence - Special Secretariat for Human Rights, 2008	Falls are frequent and bring several consequences. It presents the intrinsic and extrinsic causes.
National Health Policy for the Elderly - Ministry of Health, 2006	-
Statute for the Elderly - Legislative, 2003	-
Practical Guide for the Caregiver - Ministry of Health, 2008	These are the accidents that occur the most in the elderly
Health Care for the Elderly and Aging - Ministry of Health, 2010	Fall is a public health problem.
Health Booklet for the Elderly - Ministry of Health, 2014	They are frequent and can be avoided.
Health pact - Ministry of Health, 2006	-
Surveillance and prevention of falls in the elderly - State of São Paulo, 2010	Presents the epidemiology of falls and its relation to intrinsic and extrinsic risks.
Active aging: a health policy - World Health Organization, 2005	Falling is made up of many preventable causes and is responsible for frequent injuries, treatment costs, and deaths for this age group
International Plan of Action on Ageing - United Nations, 2003	-
National Commitment to Active Aging - Legislative, 2013	-
National Policy for the Elderly - Legislative, 1994	It approaches falls as a point of confluence between violence and accidents. Addresses the morbidity and mortality from falls in the country in a relevant way.
Law 12.548 de 2007 - State of São Paulo	-
Primary Care Booklet n. 19 - Ministry of Health, 2006	Specifies the epidemiology of falls and extrinsic and intrinsic causes

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R. F. M. dos R. Fonseca: manuscript conception and writing. S. Matumoto: research guidance.