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Material in the kitchen and living room which he may

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material in the kitchen and living room, which hemay pick up from the streets, although he deniedthis activity.Pedro survives from his retirement gains extra asa bricklayer and carpenter. He affirmed that theextra work was necessary because his retirementbenefit was not sufficient to buy food and evenless to buy some medicines the primary healthcare network does not offer. He also reported that,sometimes, he needed to ask his nephew for helpto pay his bills, and sometimes to buy food. At thetime of the visits, however, the lack of food he
mentioned could not be perceived, as there wasalways food, including plenty of fruit.MarriageManWomanDeathFigure 3 – Genogram of Family 2. Maringá-PR-Brasil, 2012Cogitare Enferm. 2014 Jul/Set; 19(3):493-501497Index personSeparationConflictSystemic arterial hypertensionMental disorderCloseCerebrovascular accidentSuperficial bond Conflicting bond Distant bondEnergy flow
Primary Health CenterCommunity health agentFigure 4 - Ecomap of Family 2. Maringá-PR-Brazil,2012DISCUSSIONThe two families were of different types. The firstwas a nuclear family, represented by the mother,father and single son, while the second includedonly one person. Together with aging, challengesemerge the individual needs to overcome. Forelderly people living alone, these confrontationsget worse, due to the fact that they are deprivedof any company that can help them to accomplishtheir activities. These challenges are related toself-care, the diseases they need to cope with,economic insufficiency, among others(4).Thus, when elderly individuals live alone, mainlywithout family contact, they tend to experiencegreater difficulties to recover their healthcondition. In fact, elderly people who live withothers, whether family members or not, seem toget more support with regard to the attention paidto their health problems(4). Solitude interferes inthe person’s quality of life, as the deprival of
contact and social isolation cause suffering,making them sad and limited(2,5). This fact wasobserved in the second family, as Pedro did notget company in his daily life.Pedro did not get support from his family of originbecause they lived far off, nor from his ownfamily, as he did not build one. That hampers thecoping with the chronic condition498and the accomplishment of activities of dailyliving, like the preparation of appropriate mealsfor example, the correct administration ofcontinuous prescription drugs, the monitoring ofhealth conditions through regular consultations;aspects that hamper the disease control, healthmaintenance, quality of life and prevention ofillnesses(2,5).Therefore, family support to chronic patients isfundamental, as becoming ill includes theexperience of series of personal and familychanges, highlighting that, depending on thegravity of the disease, changes in the family’sway of life are needed. At the same time, thechanges are often considered unnecessary,especially in those cases when the diseases haveno evident signs and symptoms(2).

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