CARE OF AN ELDERLY PATIENT WITH HYPERTENSIVE CRISIS: AN EXPERIENCE IN APPLYING THE CORE ATTRIBUTES OF PHC

Abstract

Care in Primary Health Care (PHC) represents a challenge that requires organization and integration of services to ensure continuity and comprehensiveness of care. Situations such as hypertensive crises demand the practical application of PHC principles, including first-contact access, coordination, longitudinality, and comprehensiveness. This case report addresses the care of an elderly patient with a severe hypertensive crisis, highlighting strategies for organizing care and ensuring appropriate referral. Objective: To describe the care provided at the Basic Health Unit (BHU), analyzing how PHC contributed to the coordination and continuity of care. The aim is to discuss the importance of proper referral and longitudinal follow-up to ensure safety and treatment effectiveness. Methodology: This is a case report based on the care of an elderly patient (M.L.S.). Management included immediate referral to the Emergency Care Unit (ECU), review of the medication prescription, and planning for longitudinal follow-up. Results: The application of PHC’s core attributes enabled effective management of the hypertensive crisis and organized long-term care. Coordination between the BHU and ECU ensured timely referral, and planning contributed to preventing complications. Continuous professional training is emphasized as necessary to improve the organization and integration of care. Conclusion: The care of patients with acute conditions in PHC requires efficient organization and the application of its fundamental principles. The experience described demonstrates how the appropriate use of PHC resources and coordination with other levels of care can strengthen comprehensiveness of care.