Abstract Food processing allows a wide variation in the final quality of the product, which directly depends on the quality of the raw material used, the processing conditions, storage and commercialization. Salting, for example, is one of the oldest methods used to preserve meat. In the meat industry, the incorporation of salts into products is commonly used to improve dietary functionality and ensure food safety. Thus, the objective of this review was to understand that the discarded matrix meat can be used to make jerky meat, adding value to the final product. The processing of jerked beef is based on the osmotic dehydration process in counter flow, promoted by the penetration of salt with consequent exit of water from the inter and extra fibrillar compartments to the surface, with subsequent drying. At the same time, myosin denaturation occurs as a result of high temperatures, as well as myoglobin oxidation, promoted by salt, increasing the susceptibility to protein oxidation. The use of discarded animal meat to make jerky adds value to the by-product, improving sensory quality.

RESUMO Objetivo analisar o conceito Cuidados de Transição no contexto da gestão da alta hospitalar. Método reflexão analítica utilizando-se a análise conceitual de Walker e Avant: seleção do conceito; definição do objetivo, identificação do uso do conceito (busca na literatura e dicionários entre setembro-dezembro/2019 nas bases de dados: PubMed, Biblioteca Virtual em Saúde e SCOPUS. Consideraram-se 77 artigos que contemplaram conceito e outros termos que corroboraram o estudo; para fins metodológicos, 12 estudos possibilitaram a análise); definição dos atributos; descrição de caso modelo; descrição de casos adicionais; definição de antecedentes e consequentes; definição de indicadores empíricos. Resultados os antecedentes cuidados fragmentados e reinternação são comuns ao conceito. Identificaram-se atributos cuidado integrado, colaboração profissional, coordenação, planejamento da alta, comunicação, integração profissional e gerenciamento de casos. Conclusão e implicações para a prática foi oportuno analisar o conceito em conjunto com termos relacionados ao contexto da alta hospitalar. Cuidados de Transição são práticas coordenadas e eficazes para a Continuidade dos Cuidados na transferência do usuário na alta hospitalar; nesse contexto, as Enfermeiras de Ligação são potenciais protagonistas para estar à frente nesse processo de Integração. As especificidades do conceito poderão favorecer a sua compreensão e a construção de conhecimentos que repercutam no cuidado coordenado e contínuo.

ABSTRACT Objective to analyze the concept of Transitional Care in the context of hospital discharge management. Method analytical reflection using the Walker and Avant's conceptual analysis: concept selection; definition of the objective, identification of the use of the concept (literature search and dictionaries between September-December/2019 in the databases: PubMed, Virtual Health Library and SCOPUS. A total of 77 articles that contemplated the concept and other terms that corroborated the study were considered; for methodological purposes, 12 studies enabled the analysis); definition of attributes; description of model case; description of additional cases; definition of antecedents and consequents; definition of empirical indicators. Results the fragmented care and readmission antecedents are common to the concept. The attributes integrated care, professional collaboration, coordination, discharge planning, communication, professional integration, and case management were identified. Conclusion and Implications for practice it was opportune to analyze the concept together with terms related to the context of hospital discharge. Transitional Care is coordinated and effective practices for the Continuity of Care in the transference of the user at hospital discharge; in this context, Liaison Nurses are potential protagonists to be ahead in this Integration process. The specificities of the concept may favor its understanding and the construction of knowledge that has repercussions on coordinated and continuous care.

RESUMEN Objetivo analizar el concepto de Atención Transicional en el contexto de la gestión del alta hospitalaria. Método reflexión analítica utilizando el análisis conceptual de Walker y Avant: selección de conceptos; definición del objetivo, identificación del uso del concepto (búsqueda en la literatura y diccionarios entre septiembre-diciembre / 2019 en las bases de datos: PubMed, Virtual Health Library y SCOPUS. Se consideraron 77 artículos que contemplaban el concepto y otros términos que corroboraban el estudio; a efectos metodológicos, 12 estudios permitieron el análisis); definición de atributos; descripción del caso modelo; descripción de casos adicionales; definición de antecedentes y consecuencias; definición de indicadores empíricos. Resultados la atención fragmentada y los antecedentes de readmisión son comunes al concepto. Se identificaron los atributos atención integral, colaboración profesional, coordinación, planificación del alta, comunicación, integración profesional y manejo de casos. Conclusión e implicaciones para la práctica fue apropiado analizar el concepto junto con términos relacionados con el contexto del alta hospitalaria. Transition Care son prácticas coordinadas y efectivas para la Continuidad de la Atención en el traslado del usuario al alta hospitalaria; en este contexto, las Enfermeras de Enlace son potenciales protagonistas para estar a la vanguardia de este proceso de integración. La especificidad del concepto puede favorecer su comprensión y la construcción de conocimientos que inciden en la atención coordinada y continuada.

Abstract The objective of this study was carried out to evaluating the productive performance, the physical-chemical quality of the milk, the physical-chemical and sensorial quality of rennet cheeses obtained from the milk of goats submitted to diets with diferente levels of guava agroindustrial waste (GAW). The goats were randomly distributed in a Latin square (4x4) according to the substitution levels (0, 14, 28, and 42%) of inclusion GAW in the diet. The consumption of natural and dry matter increased with the increase in hay substitution. However, the physical-chemical requirements of milk and cheese were not altered.

Abstract The study aimed to evaluate the influence of Crotonblanchetianus Baill essential oil on the sensory parameters of fermented milk drinks with yellow mombin pulp. The milk drinks analyzed contained milk and whey from goat origin, water-soluble soy extract, yellow mombin pulp, and Crotonblanchetianus Baill essential oil (CBEO) in the following proportions: 0.0, 0.0035; 0.0070, and 0.0105 g/L according to the Artemia salina toxicity test. The extraction of essential oil from the Crotonblanchetianus Baill leaves was carried out using hydrodistillation by steam. The sensory profile of the fermented milk drink was obtained through Quantitative Descriptive Analysis. The CBEO influenced the color of yellow mombin, brightness, viscosity, woody flavor, appearance, and flavor attributes. The samples were also approved in the acceptance test, with no statistical difference between treatments. Therefore, it was concluded that the addition of CBEO promoted changes in the sensory characteristics of the fermented milk drink with yellow mombin pulp for the appearance and flavor attributes. However, it did not negatively influence the acceptance of the analyzed product.

Abstract The objective of this study was to evaluate the production, fat and fatty acids of milk as well as the diameter, classification and quantity of the milk fat globules (MFG) of goats consuming a diet with 15% of crude glycerin. Twelve multiparous Saanen goats weighing 40 ± 6 kg and 90 ± 5 days of lactation were used. The experimental design was completely randomized with two treatments (0 and 15% inclusion of glycerin). In this way, each milk sample is classified according to the percentage of milk fat globules that were included in these three size categories. For the variables milk production, fat, diameter, medium and large fat globules and amount of globules showed a significant effect of the inclusion of glycerin in the diet (p < 0.05). Fifteen fatty acids were found, mostly saturated. For caprylic, palmitic, and linoleic fatty acids, there was no significant influence of the inclusion of glycerin (p > 0.05). Can recommend the use of 15% double-distilled glycerin in the feeding of lactating goats increased milk production, the amount of fat, increased the size of the milk fat globule. Regarding the saturated and polyunsaturated fatty acids, they kept the level of 15% of glycerin.

Abstract The objective of this research was to evaluate the physicochemical quality of milk and cheese from goats-fed diets containing different concentrations of flaxseed oil in replacement of corn. Eight multiparous Saanen goats weighing 51.0 ± 8.0 kg and 67.0 ± 18.0 days of lactation were used. According to the concentrations of linseed oil inclusion in the diet, the goats were randomly distributed in a latin square (4 x 4), according to the concentrations of linseed oil inclusion in the diet (0, 1, 2, and 3%). Milk samples from each animal were collected twice a day, at regular times, during the three days of data collection in each period, for subsequent physicochemical and fatty acid profile analysis employing gas chromatography. The non-fat solids (P = 0.0302) and density (P = 0.0327) variables sgnificantly affected linseed oil in the goats' feed. Regressive effects (linear and quadratic) were not observed for other variables studied, except for lactose and density. Thus, 20 fatty acids have been identified in goat milk, which gives us an essential source of information about animal diet and milk quality concerning human health benefits. Furthermore, there were changes in the lipid profile of milk, decreasing saturated fatty acids and increasing unsaturated fatty acids, resulting in health-promoting effects.

Abstract The objective of this research was to evaluate the production, milk quality, consumption and financial analysis of milk from goats consuming diets with different levels of double-distilled glycerin. Twelve multiparous Saanen goats, weighing 40 ± 6 kg and 30 ± 5 days of lactation, kept in a confinement system for 60 days were used. The goats were randomly distributed in a Latin square (4 x 4), according to the levels of double-distilled glycerin. The ingredients used were tifton hay, ground corn grain, soybean meal, vitamin/mineral supplement, urea, and double-distilled glycerin levels (0, 6, 12 and 18%) to replace corn in the diets. The milk fat of goats fed with double-distilled glycerin in the diet showed a decreasing linear regressive effect (P = 0.001). Dry matter intake showed a quadratic regressive effect (P = 0.033). Evaluating the total cost of each diet, it was observed that the level containing 0% glycerin was the diet with the lowest cost per kilogram. The use of double-distilled glycerin in the feeding of dairy goats can be recommended up to the level of 18% of corn replacement without harming milk production, however, it is necessary to verify the economic viability, considering that there will be losses in the quality of the milk produced.

Abstract This study's objective was to evaluate the physical-chemical, microbiological, and sensory aspects of pork meat with different levels of salting. Pork from the Duroc and Landrace breeds, with an average live weight of 281 ± 15.72 kg, were used. The physicochemical data were analyzed following a completely randomized design with four salt addition levels (30, 50, 70, and 90%). Sensory analysis was performed through a completely randomized design, observing the influence of salt levels in meat. The physical-chemical and sensory variables did not significantly affect (P>0.05) salt addition, except for cooking loss and water retention capacity. It was concluded that the salt introduction levels of 30 and 50% are the most appreciated by consumers. The addition of salt levels in the pork meat does not modify the physical-chemical characteristics and the meat's sensory analysis.

Abstract The objective of this study was to evaluate the effects of replacing corn by double-distilled glycerin, a co-product of the biodiesel industry, on goat curd cheese in terms of physical-chemical, microbiological and sensory aspects. Twelve multiparas Saanen goats weighing 47.07 ± 2.41 kg and at 90 ± 5 days of lactation. The experimental design was completely randomized with two treatments (0 and 15% inclusion of glycerin). The physicochemical parameters analyzed were: fat (%), non-fat solids (%), protein (%), lactose (%), salts (%), relative density at 15/15 °C (gmL-1), index cryoscopic (°C), electrical conductivity (mScm-1), pH and acidity. The milk from each treatment was used to make the rennet cheese. The fat had a significant effect (P < 0.05) with inclusion of glycerin in the diet. The physicochemical characteristics of the cheese were influenced (P < 0.05) by feeding up to 15% of glycerin. Regarding sensory attributes, only firmness was influenced (P < 0.05) by the inclusion of glycerin in the diet of dairy goats. Bidistilled glycerin, when inserted in the diet of dairy goats at a level of 15%, causes a reduction in the lipid content of milk and cheese, consequently affecting the cheese yield, and the parameter of firmness in the sensory of the evaluated cheeses.

Abstract The objective of this study was to evaluate the effects of replacing corn with bidistilled glycerin from the biodiesel industry on the physicochemical, microbiological, and sensory quality of milk and goat cheese. Twelve Saanen multiparous goats weighing 40 ± 6 kg and 30 ± 5 days of lactation were used. The physicochemical parameters analyzed were: fat (%), non-fat solids (%), protein (%), lactose (%), salts (%), relative density at 15/15 °C (gmL-1), index cryoscopic (°C), electrical conductivity (mScm-1), pH and acidity. The milk from each treatment was used to make the rennet cheese. The physicochemical variables: pH, lipids, ESD, and cheese yield had a significant effect (P < 0.05) for the increasing use of bidistilled glycerin in the goat feeding. The pH, acidity, EST, ESD, and yield variables presented linear regressive effect and lipids quadratic regressive effect. The softness sensory attribute had a significant effect (P < 0.05) for the increasing levels of bidistilled glycerin in the goat diet; the softness decreased as the glycerin level increased. Bi-distilled glycerin, when inserted in the diets of dairy goats at increasing levels, promotes a reduction in the lipid content of milk, consequently affecting the cheese yield and the sensory softness parameter.

RESUMO Objetivos: identificar as estratégias para a integração dos cuidados utilizadas no contexto das Doenças Crônicas não Transmissíveis em um Distrito Sanitário. Métodos: estudo de caso desenvolvido em um distrito de um município da região Sul do Brasil, com 34 participantes (coordenadores e enfermeiros assistenciais). Os dados foram coletados entre agosto/2016 e junho/2017, por meio de entrevistas, documentos e arquivos computadorizados. Para organização dos dados, utilizou-se o software MAXQDA®. A análise ocorreu mediante o modelo de Rede Integrada de Cuidados. Resultados: destacaram-se estratégias de integração nas dimensões sistêmica, normativa e funcional, como as coordenações, organização do Distrito, Plano Operativo Anual, sistema de informação e serviço de gestão para o usuário. Considerações Finais: o distrito compreende uma estrutura que possibilita interações por meio de várias ferramentas; dentre essas, a coordenação representa uma estratégia eficaz para potencializar o cuidado, impulsionar a cooperação entre os profissionais e ser apoio e gestão ao distrito.

ABSTRACT Objectives: to identify the strategies for integrated care used regarding Chronic Noncommunicable Diseases in a Health District. Methods: a case study developed in a district of a municipality in southern Brazil, with 34 participants (coordinators and nursing assistants). Data were collected between August 2016 and June 2017, through interviews, documents and computerized files. To organize the data, the MAXQDA® software was used. Analysis took place using the Integrated Care Network model. Results: integration strategies were highlighted in the systemic, normative and functional dimensions, such as coordination, district organization, Annual Operating Plan, information system, and user management service. Final Considerations: the district comprises a structure that enables interactions through various tools; among these, coordination represents an effective strategy to enhance care, boost cooperation among professionals and support and manage the district.

RESUMEN Objetivos: identificar las estrategias de integración de la atención utilizadas en el contexto de las Enfermedades Crónicas No Transmisibles en un Distrito de Salud. Métodos: estudio de caso desarrollado en un distrito de un municipio de la región sur de Brasil, con 34 participantes (coordinadores y auxiliares de enfermería). Los datos fueron recolectados entre agosto/2016 y junio/2017, a través de entrevistas, documentos y archivos computarizados. Para organizar los datos se utilizó el software MAXQDA®. El análisis se realizó utilizando el modelo Red de Atención Integrada. Consideraciones Finales: el distrito comprende una estructura que permite interacciones a través de varias herramientas; entre estos, la coordinación representa una estrategia eficaz para potenciar la atención, impulsar la cooperación entre profesionales y ser soporte y gestión del distrito.

RESUMO Objetivo: Descrever a atuação do enfermeiro na integração dos cuidados às pessoas com Doenças Crônicas não Transmissíveis. Método: Estudo de caso único integrado realizado com coordenadores e enfermeiros assistenciais, selecionados intencionalmente, tendo como fontes de evidências entrevistas, análise documental e arquivos computadorizados. Utilizou-se análise categorial a partir da organização dos dados com o software MAXQDA®, versão 2018. Resultados: Participaram 34 profissionais. A composição dos profissionais que exercem a coordenação é essencialmente de enfermeiros. As categorias Integração da Equipe Clínica e Integração dos Cuidados e suas respectivas subcategorias favoreceram o entendimento acerca da atuação do enfermeiro. Conclusão: A atuação do enfermeiro na integração dos cuidados às pessoas com Doenças Crônicas não Transmissíveis se concentra principalmente na coordenação do cuidado, possibilitada por meio de diferentes cargos assumidos que lhe conferem autonomia para tomada de decisão, além de ele estar na linha de frente para contribuir com situações que exigem posicionamentos assertivos, como o direcionamento dos usuários na rede de cuidados.

ABSTRACT Objective: To describe the role of nurses in the integration of care for people with chronic noncommunicable diseases. Method: This was an integrated single-case study conducted with care coordinators and nurses, purposefully selected, with interviews, documentary analysis and computerized files as sources of evidence. Categorical analysis was used based on data organization using MAXQDA® software, version 2018. Results: Thirty-four professionals participated. Most of the professionals who held coordination positions were nurses. The categories clinical team integration and care integration and their subcategories increased understanding of the roles of nurses. Conclusion: The role of nurses in integrating care for people with chronic noncommunicable diseases was mainly focused on coordination of care, which occurred because of the different roles that they play and that give them autonomy to make decisions and place them in the front line to contribute to situations that required assertive attitudes, such as directing users within the care network.

RESUMEN Objetivo: Describir la actuación del enfermero en la integración de cuidados a personas con Enfermedades Crónicas No Transmisibles. Método: Estudio de caso único integrado realizado con coordinadores y enfermeros asistenciales elegidos intencionalmente, con fuentes de evidencias en entrevistas, análisis documental y archivos informáticos. Aplicado análisis categorial sobre datos organizados con software MAXQDA® versión 2018. Resultados: Participaron 34 profesionales. La composición de profesionales con rol de coordinación es esencialmente de enfermeros. Las categorías Integración del equipo clínico e Integración de cuidados, y sus respectivas subcategorías, favorecen entender la actuación del enfermero. Conclusión: La actuación del enfermero en la integración de cuidados a personas con Enfermedades Crónicas No Transmisibles se concentra en coordinar el cuidado, con respaldo en los cargos asumidos que confieren autonomía para toma de decisiones, además de estar en primera línea para contribuir en situaciones que exigen posturas asertivas, como la derivación de pacientes.

RESUMO Objetivo: relatar a experiência de implementação de estratégias de gestão do cuidado no enfrentamento à pandemia de COVID-19 em hospital de Ensino Método: trata-se de relato de experiência dos gestores que atuam no maior hospital público do Paraná, tendo como funções a Chefia de Divisão de Gestão do Cuidado, Chefia de Setor de Gestão das Linhas de Cuidado, Chefia da Unidade de Infectologia e equipe de apoio. Resultados: as estratégias de gestão do cuidado foram estruturadas a partir da dinâmica de atendimento, estrutura física, recursos humanos, segurança do profissional e do usuário. Considerações finais: a preparação para uma pandemia envolve medidas que incluem modificação de infraestrutura e processos, gerenciamento de funcionários e usuários, estratégias de prevenção de infecções e recomendações clínicas. Essas medidas são necessárias para otimizar a qualidade dos cuidados prestados aos usuários com COVID-19 e reduzir o risco de transmissão viral a outros usuários ou profissionais de saúde.

ABSTRACT Objective: to report the experience of implementing care management strategies in coping with the COVID-19 pandemic in a teaching hospital. Method: this is an experience report of the managers who work at the largest public hospital in Paraná with functions as Head of the Care Management Division, Head of the Care Lines Management Sector, Head of the Infectiology Unit and support team. Results: care management strategies were structured based on the service dynamics; physical structure; human Resources; professional and user safety. Final considerations: preparing for a pandemic involves measures that include modifying infrastructure and processes, managing employees and users, infection prevention strategies, and clinical recommendations. These measures are necessary to optimize the quality of care provided to users with COVID-19 and to reduce the risk of viral transmission to other users or health professionals.

RESUMEN Objetivo: reportar la experiencia de implementar estrategias de gestión de la atención en el afrontamiento de la pandemia de COVID-19 en un hospital docente Método: este es un reporte de experiencia de los gerentes que laboran en el hospital público más grande de Paraná, con el Jefe de División de Gestión Asistencial, Jefe del Sector Gestión de las Líneas de Atención, Jefe de la Unidad de Enfermedades Infecciosas y equipo de apoyo. Resultados: las estrategias de gestión del cuidado se estructuraron con base en la dinámica del cuidado, la estructura física, los recursos humanos, la seguridad del profesional y del usuario. Consideraciones finales: la preparación para una pandemia implica medidas que incluyen la modificación de la infraestructura y los procesos, la gestión de empleados y usuarios, estrategias de prevención de infecciones y recomendaciones clínicas. Estas medidas son necesarias para optimizar la calidad de la atención brindada a los usuarios con COVID-19 y para reducir el riesgo de transmisión viral a otros usuarios o profesionales de la salud.

RESUMO A goiaba é um fruto susceptível ao ataque de pragas e doenças na pré e na pós-colheita, tornando-se importante a utilização de técnicas para manutenção da sua qualidade, como o uso de produtos à base de nim e a utilização de quitosana, associados ao armazenamento refrigerado. Objetivou-se no presente estudo avaliar o uso de óleo de nim e quitosana na pré-colheita e qualidade pós-colheita de goiaba ‘Paluma’. O experimento foi conduzido em propriedade localizada no município de Mamanguape - PB. Selecionaram-se 18 goiabeiras para aplicação dos tratamentos: controle; óleo de nim 0,5%; óleo de nim 1%; quitosana 0,5%; quitosana 1%; óleo de nim 0,5% + quitosana 0,5%; óleo de nim 0,5% + quitosana 1%; óleo de nim 1% + quitosana 0,5% e óleo de nim 1% + quitosana 1%. Os frutos foram colhidos quando apresentavam estádio de maturação comercial, acondicionados em caixa de colheita e transportados para o Laboratório de Fisiologia Pós-Colheita (CCHSA/UFPB). Realizou-se a seleção, seguida de armazenamento sob temperatura de 24 ± 1 °C, avaliado durante 10 dias, e de 10 ± 1 °C, avaliado durante 20 dias, sendo os frutos submetidos às análises físicas, químicas e enzimáticas. O uso dos revestimentos com óleo de nim (0,5%) + quitosana (1%) na pré-colheita demonstrou ser eficaz em prolongar a preservação e qualidade dos frutos de goiaba ‘Paluma’, durante 8 dias e 16 dias de armazenamento à temperatura de 24 ± 1 °C e 10 ± 1 °C, respectivamente.

ABSTRACT Guava is a fruit that is susceptible to attack by pests and diseases both pre- and post-harvest, making it important to employ techniques which maintain its quality, such as the use of neem-based products and chitosan together with cold storage. The aim of the present study was to evaluate the use of neem oil and chitosan during pre-harvest and in the post-harvest quality of the ‘Paluma’ guava. The experiment was conducted on a property in the district of Mamanguape, Paraíba. Eighteen guava trees were selected, and the following treatments were applied: a control; neem oil 0.5%; neem oil 1%; chitosan 0.5%; chitosan 1%; neem oil 0.5% + chitosan 0.5%; neem oil 0.5% + chitosan 1%; neem oil 1% + chitosan 0.5% and neem oil 1% + chitosan 1%. When at the commercially mature stage, the fruit was harvested, packed in a harvesting crate and transported to the Post-Harvest Physiology Laboratory (CCHSA/UFPB). The fruit was selected, stored at 24 ± 1 °C and evaluated for 10 days, and then stored at 10 ± 1 °C and evaluated for 20 days, followed by physical, chemical and enzymatic analysis. Coating with neem oil (0.5%) + chitosan (1%) during pre-harvest proved to be effective in preserving and prolonging the quality of the ‘Paluma’ guava during storage for 8 days at 24 ± 1 °C, and 16 days at 10 ± 1 °C.

RESUMO Objetivo: buscar um entendimento pela consubstanciação entre o conceito de continuidade do cuidado ao referencial teórico do interacionismo simbólico, no sentido de agregar uma possibilidade de fortalecê-lo como conceito indispensável ao cuidado prestado aos usuários do sistema de saúde e provocar uma necessária reflexão sobre este. Método: estudo teórico-reflexivo, organizado em quatro seções, sobre a continuidade do Cuidado analisado sob a luz do referencial do interacionismo simbólico. Resultados: o interacionismo simbólico busca compreender a ação humana em grupo e acredita que os indivíduos ajam tendo como base os significados que as coisas têm para eles. Esta é uma construção social que se desenvolve na medida em que as pessoas agem e interagem consigo mesmas e com os outros. A continuidade do cuidado, trabalhada a partir das dimensões relacional, informacional e de gestão, coaduna com o proposto, por representar um produto social resultante das interações entre os envolvidos no cuidado, que se expressa segundo sua ação e reação, como uma constante para um conjunto de práticas de diferentes profissionais que buscam garantir o cuidado integral e coerente ao usuário. Conclusão: este trabalho possibilitou apresentar a continuidade do cuidado, dentro do contexto das interações sociais, não como algo concreto, mas como um objeto social decorrente do agir de cada um dos envolvidos com o cuidado, embora, ainda assim, se perceba a necessidade de sensibilizar profissionais e usuários a respeito de seu significado e intencionalidade no agir da cada um.

ABSTRACT Objective: to look for an understanding through the co-substantiation between the concept of continuity of care and the theoretical reference of the symbolic interactionism, in the sense of adding a possibility to strengthen it as an indispensable concept to the care provided to the health system users and to incite a necessary reflection regarding this care. Method: a theoretical-reflective study, organized in four sections, about the continuity of care analyzed through the symbolic interactionism referential. Results: the symbolic interactionism intends to understand the human action in a group and believes that individuals act based on the meanings that the things have for them. This is a social construction that develops as people act and interact among themselves and with others. The continuity of care, seen from the relational, informational and management dimensions, is in line with the proposed, since it represents a social product that results from the interactions between those involved in care, which is expressed according to their action and reaction, as a constant for a set of practices of different professionals that intend to guarantee the comprehensive and coherent care to the user. Conclusion: this study has made it possible to present the continuity of care within the social interactions context, not as something concrete, but as a social object arising from the actions of each of those involved in care, although it is still possible to perceive the need to sensitize professionals and users about their meaning and intentionality in acting.