| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 773.15 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O presente Relatório procura explanar o meu percurso de aquisição e
desenvolvimento de competências especializadas em enfermagem, no âmbito da
Unidade Curricular de Estágio com Relatório, do 10º Curso de Mestrado em
Enfermagem na Área de Especialização à Pessoa em Situação Crítica, da Escola
Superior de Enfermagem de Lisboa, particularmente na área da vigilância da
pessoa em situação crítica vítima de traumatismo torácico, à luz do referencial
teórico de Meyer e Lavin (2005) e de Benner (2001).
A vigilância de enfermagem é baseada em conhecimentos e constitui um
exercício mental da profissão de enfermagem, que requer perícia e representa
um constante estado de atenção sustentada e de constante verificação (Meyer &
Lavin, 2005). A primeira forma de defesa do doente é a vigilância prudente e a
deteção precoce dos problemas, sendo imprescindível que o enfermeiro tenha
capacidade de perceção e de reconhecimento, para conseguir detetar
precocemente sinais de alarme e agir em conformidade (Benner, 2001).
A mortalidade em pessoas com traumatismo torácico é significantemente
influenciada pela ocorrência de lesões ocultas, atraso na realização de
tratamentos definitivos e pelo desenvolvimento de complicações (Nyangena &
Bruce, 2000), sendo que o enfermeiro deve ser capaz de antever quais as lesões
torácicas potencialmente mortais e intervir rapidamente, prevenindo eventos
adversos (Sheehy, 2011).
As diversas atividades realizadas nos dois contextos de estágio, consolidadas
na evidência científica e na prática reflexiva, permitiram-me a aquisição e
desenvolvimento de competências na prestação de cuidados especializados de
enfermagem à pessoa em situação crítica, nomeadamente na vigilância da vítima
de traumatismo torácico.
This Report seeks to explain my path of acquisition and development of specialized skills in nursing, within the scope of the Curricular Unit of Internship with Report, of the 10th Master's Course in Nursing in the Area of Specialization for Person in Critical Ill Situation, of the Lisbon College School of Nursing, particularly in the area of vigilance of the critically ill patient who are victims of thoracic trauma, in the eyes of the theoretical framework of Meyer and Lavin (2005) and Benner (2001). Nursing vigilance is based on knowledge and constitutes a mental exercise of the nursing profession that requires expertise and represents a constant state of sustained attention and constant verification (Meyer & Lavin, 2005). The first form of patient defense is prudent vigilance and early detection of problems, and it is essential that nurses can perceive and recognize, to be able to detect early warning signs and act accordingly (Benner, 2001). Mortality in people with thoracic trauma is significantly influenced by the occurrence of occult injuries, delay in performing definitive treatments and the development of complications (Nyangena & Bruce, 2000), and the nurse must be able to foresee which thoracic injuries are potentially life-threatening and intervene quickly to prevent adverse events (Sheehy, 2011). The various activities carried out in the two internship contexts, consolidated in the scientific evidence and in the reflective practice, allowed me to acquire and develop skills in the provision of specialized nursing care to the person in a critical situation, namely in the vigilance of the victim of thoracic trauma.
This Report seeks to explain my path of acquisition and development of specialized skills in nursing, within the scope of the Curricular Unit of Internship with Report, of the 10th Master's Course in Nursing in the Area of Specialization for Person in Critical Ill Situation, of the Lisbon College School of Nursing, particularly in the area of vigilance of the critically ill patient who are victims of thoracic trauma, in the eyes of the theoretical framework of Meyer and Lavin (2005) and Benner (2001). Nursing vigilance is based on knowledge and constitutes a mental exercise of the nursing profession that requires expertise and represents a constant state of sustained attention and constant verification (Meyer & Lavin, 2005). The first form of patient defense is prudent vigilance and early detection of problems, and it is essential that nurses can perceive and recognize, to be able to detect early warning signs and act accordingly (Benner, 2001). Mortality in people with thoracic trauma is significantly influenced by the occurrence of occult injuries, delay in performing definitive treatments and the development of complications (Nyangena & Bruce, 2000), and the nurse must be able to foresee which thoracic injuries are potentially life-threatening and intervene quickly to prevent adverse events (Sheehy, 2011). The various activities carried out in the two internship contexts, consolidated in the scientific evidence and in the reflective practice, allowed me to acquire and develop skills in the provision of specialized nursing care to the person in a critical situation, namely in the vigilance of the victim of thoracic trauma.
Description
Keywords
Enfermagem de cuidados intensivos Traumatismos torácicos Cuidados críticos
