Loading...
Publication
Intervenções do enfermeiro especialista em enfermagem de reabilitação na promoção da autonomia da criança escolar com disfunção miccional neurogénica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 3.78 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O presente relatório almeja revelar a trajetória de aprendizagem desenvolvida, baseado na melhor evidência científica disponível, no referencial teórico de enfermagem, no enquadramento profissional do exercício de enfermagem e na análise reflexiva da prática clínica ao longo do Estágio, que contribuíram para o desenvolvimento das competências comuns de Enfermeiro Especialista (EE) e específicas de Enfermeiro Especialista em Enfermagem de Reabilitação (EEER), definidos pelos padrões da Ordem dos Enfermeiros.
A abordagem central do trabalho se direciona às intervenções do EEER na promoção do autocuidado urológico a crianças em idade escolar portadoras de mielomeningocele (MMC) e disfunção miccional neurogénica (DMN). A MMC é a malformação do tubo neural mais comumente encontrada e pode acarretar diversas alterações físicas, cognitivas, ortopédicas, vesicais, intestinais, sexuais, socio-comportamentais, entre outras. A DMN (comumente designada de bexiga neurogênica) é uma das sequelas mais frequentemente associadas e engloba as alterações do funcionamento do trato urinário inferior que, quando não tratadas de forma adequada, podem levar a diversas complicações clínicas que ameaçam a vida. A criança com DMN necessita de cuidados específicos da função urológica, geralmente realizados pelos pais ou cuidadores próximos. Durante a idade escolar, pelo próprio desenvolvimento humano e social inerentes, a criança gradualmente assume maior responsabilidade no seu autocuidado e consequentemente no cuidado urológico. Em parceria com a família, o EEER exerce papel fundamental na promoção e desenvolvimento das competências de autogestão urológica à criança em idade escolar, ao capacitar a mesma para a aquisição de sua independência e autonomia, quesitos essenciais para o seu desenvolvimento, maximização da sua saúde e garantia de melhor qualidade de vida. De forma estrutural, o relatório está organizado em introdução, enquadramento concetual, descrição e análise das atividades realizadas de acordo com as competências específicas e comuns definidas pela OE e as previstas para o Segundo Ciclo de Estudos, avaliação e considerações finais.
This report aims to reveal the learning trajectory developed, based on the best available scientific evidence, the theoretical nursing framework, the professional framework of nursing practice and the reflective analysis of clinical practice throughout the internship for the development of the Common Specialist Nurse’s Competencies (EE) and Specific Rehabilitation Nursing Specialist’s Competencies (EEER), defined by the standards of the Order of Nurses. The central approach of the work is aimed at EEER interventions to promote urological self-care in school-age children with myelomeningocele (MMC) and neurogenic voiding dysfunction (DMN). MMC is the most commonly found malformation of the neural tube and can cause various physical, cognitive, orthopedic, bladder, intestinal, sexual, socio-behavioral changes, among others. DMN (commonly referred to as neurogenic bladder) is one of the most frequently associated sequelae and encompasses changes in the functioning of the lower urinary tract which, when not treated appropriately, can lead to several life-threatening clinical complications. A child with DMN requires specific care for urological function, generally provided by parents or close caregivers. During school age, due to human development and social implications, the child gradually assumes greater responsibility in their self-care and consequently in urological care. In partnership with the family, EEER plays a fundamental role in promoting and developing the urological self-management skills of school-aged children, by enabling them to acquire independence and autonomy, essential issues for their development and maximizing their health and guaranteeing a better quality of life. Structurally, the report is organized into an introduction, conceptual framework, description and analysis of the activities carried out in accordance with the specific and common competencies defined by the OE and those foreseen for the Second Cycle of Studies, evaluation and final considerations.
This report aims to reveal the learning trajectory developed, based on the best available scientific evidence, the theoretical nursing framework, the professional framework of nursing practice and the reflective analysis of clinical practice throughout the internship for the development of the Common Specialist Nurse’s Competencies (EE) and Specific Rehabilitation Nursing Specialist’s Competencies (EEER), defined by the standards of the Order of Nurses. The central approach of the work is aimed at EEER interventions to promote urological self-care in school-age children with myelomeningocele (MMC) and neurogenic voiding dysfunction (DMN). MMC is the most commonly found malformation of the neural tube and can cause various physical, cognitive, orthopedic, bladder, intestinal, sexual, socio-behavioral changes, among others. DMN (commonly referred to as neurogenic bladder) is one of the most frequently associated sequelae and encompasses changes in the functioning of the lower urinary tract which, when not treated appropriately, can lead to several life-threatening clinical complications. A child with DMN requires specific care for urological function, generally provided by parents or close caregivers. During school age, due to human development and social implications, the child gradually assumes greater responsibility in their self-care and consequently in urological care. In partnership with the family, EEER plays a fundamental role in promoting and developing the urological self-management skills of school-aged children, by enabling them to acquire independence and autonomy, essential issues for their development and maximizing their health and guaranteeing a better quality of life. Structurally, the report is organized into an introduction, conceptual framework, description and analysis of the activities carried out in accordance with the specific and common competencies defined by the OE and those foreseen for the Second Cycle of Studies, evaluation and final considerations.
Description
Keywords
Enfermagem em reabilitação Criança Bexiga urinaria neurogénica Autonomia pessoal Reabilitação