The elderly present a set of specific needs arising from the aging process, both physical and psychological and social. When it comes to elderly people living in the rural context, this specificity in the health care of these people should be considered. To reduce the difficulty faced by rural elderly people in health care, the Family Health Strategy (FHS) seeks to expand users' access to health services, acting as a gateway to the Brazilian health system. The FHS maintains and ratifies the guidelines and principles of the Unified Health System (SUS), as well as impacts favourably on the population enrolled in the territory of coverage, prioritizing the creation of a bond between health teams and the community. The workers of the FHS work in a multidisciplinary way, forming the teams that are constituted by distinct and distinctly valued knowledge. Creating spaces for dialogue to understand the potentiality of differences makes it possible to think and practice health promotion to the non-centred elderly, only, in the perspectives of a single professional, but based on clinical and individual issues related to the field of knowledge of each worker. The culture and values seized by workers can act to expand or restrict the possibilities of perspective in relation to health promotion for elderly people living in rural areas. Ordinance 2436 of 2017 approved the National Primary Care Policy (NPCP) and established the revision of the guidelines for the organization of Primary Care, within the scope of the SUS, highlighting the challenge in overcoming the simplistic understandings existing between health care and promotion. However, while indicating possibilities, the NPCP also brought limitations regarding the financing of Primary Health Care, signalling a change in the care model. Therefore, workers have another challenge to experience in daily life, which makes increasingly necessary a space for reflection and strengthening of the care practice offered. So, the Circles of Culture, methodological devices belonging to Paulo Freire's Research Itinerary can be a tool capable of inducing reflections about reality and showing the perspective of the FHS worker on health promotion. Collectively, they can unveil and identify possibilities for changes in the work process in primary care and the elderly public. The participants of the Culture Circles, in this study, the health teams, through the process of action-reflection-action are led to recognize themselves as authors of their stories and, thus, become aware and strengthened to modify their praxis in health promotion. This process of reflection values the cultural and historical sources of these participants. Therefore, starting from the perspective that changes occur in the practical field and require the action of workers to happen, this article aims to describe the Culture Circles as a powerful device for dialogue on the promotion of the health of the rural elderly, by the workers of the Family Health Strategy.

This is a qualitative study, of the participant action type, articulated with the methodological framework of Paulo Freire and comprising three distinct phases, dialectically interconnected: thematic research; encoding/decoding; and critical undo. As a theoretical framework, Jaime Breilh's concepts of value, countervalue, death economy and cartesian compass were used. The value is constituted as a good of use, something that provides improvement, while the countervalue is something deteriorated, harmful to the health/disease process. The concept of economy of death is marked by the logic of man at the centre of everything, it apart the human being from nature, creating the owner-commodity relationship. Production is not considered only an economic movement; the author treats it with a broader view, conceiving it as the sum of other processes of use, distribution, transformation and excretion. The concept of cartesian compass addresses the illusion of knowledge based on the positivist paradigm, which believes that the reality of health is a reality of fragments, of parts that relate to each other. Positivism constructs its hypotheses with the empirical data of reality, without connecting them, without producing analyses considering a society based on the accumulation of wealth and systematic social exclusion.