Loading...
Publication
Planeamento de alta e follow-up do doente hepatobiliopancreƔtico submetido a cirurgia :
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.78 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
A alta hospitalar Ć© um momento de transiĆ§Ć£o crĆtica na gestĆ£o da saĆŗde dos
doentes. A precocidade com que as altas sĆ£o dadas apĆ³s cirurgia tende a complicar
a sua preparaĆ§Ć£o, devendo os enfermeiros serem capazes de recolher e analisar
informaĆ§Ć£o pertinente para uma adequada organizaĆ§Ć£o da alta de enfermagem. Os
enfermeiros devem ter um papel ativo nas estratĆ©gias de transiĆ§Ć£o dos cuidados a
fim de aprimorar a preparaĆ§Ć£o da alta e garantir a continuidade dos cuidados no
domicĆlio.
Este projeto Ć© desenvolvido no Ć¢mbito da unidade curricular de EstĆ”gio com
RelatĆ³rio do 12Āŗ Curso de Mestrado na Ć”rea de EspecializaĆ§Ć£o em Enfermagem
MĆ©dico-CirĆŗrgica, vertente Enfermagem OncolĆ³gica. Pretende dar visibilidade Ć s
intervenƧƵes autĆ³nomas do enfermeiro especialista na capacitaĆ§Ć£o para o
autocuidado do doente hepato-bilio-pancreƔtico, constituindo ainda um importante
contributo na construĆ§Ć£o de estratĆ©gias de melhoria de cuidados no perĆodo
perioperatĆ³rio. A sua finalidade Ć© promover o autocuidado na preparaĆ§Ć£o para a alta
do doente hepato-bilio-pancreƔtico submetido a cirurgia, implementar uma consulta
de enfermagem de follow-up telefĆ³nica e prevenir reinternamentos hospitalares.
Neste sentido, pretendo dar resposta Ć seguinte questĆ£o de investigaĆ§Ć£o: āQuais as
intervenƧƵes de enfermagem que permitem capacitar o doente hepato-bilio pancreĆ”tico submetido a cirurgia, com vista a uma alta segura para a comunidade?ā
A metodologia foi sustentada pela pesquisa bibliogrĆ”fica e a realizaĆ§Ć£o dos estĆ”gios
onde adquiri e consolidei conhecimentos e estratƩgias adotadas para a
implementaĆ§Ć£o da consulta de enfermagem follow-up telefĆ³nica.
A capacitaĆ§Ć£o do doente para o autocuidado, desde a admissĆ£o, perĆodo
perioperatĆ³rio e acompanhamento pĆ³s-alta revela-se uma intervenĆ§Ć£o de
enfermagem decisiva. A consulta de enfermagem de follow-up telefĆ³nica e a
avaliaĆ§Ć£o do enfermeiro sobre os problemas ou necessidades identificados mostrou se eficaz na sua resoluĆ§Ć£o. Ć considerada pertinente nos benefĆcios que proporciona
ao doente e famĆlia e no desempenho dos enfermeiros, que assumem um papel
dinamizador relativamente ao ensino, Ć promoĆ§Ć£o do autocuidado ao longo da
preparaĆ§Ć£o para a alta hospitalar e continuidade dos cuidados.
Hospital discharge is a time of critical transition in patient health management. The precocity with which discharges are given after surgery tends to complicate their preparation, and nurses should be able to collect and analyse pertinent information for an adequate organization of nursing discharge. Nurses should play an active role in care transition strategies to improve discharge preparation and ensure continuity of care at home. This project is developed within the scope of the curricular unit of internship with report of the 12th Master in Medical Surgery Nursing Specialization, Oncological Nursing branch, for the Nurse Specialist and Master degree title. It intends to give visibility to the autonomous interventions of the specialist nurse in the training for the self-care of the hepatic-bile-pancreatic patient, constituting an important contribution in the construction of strategies to improve care in the perioperative period. The purpose is to promote self-care in preparation for the discharge of hepatic-bile pancreatic patients undergoing surgery, to implement a telephone follow-up nursing consultation and to prevent hospital readmissions. In this sense, I intend to answer the following research question: āWhat are the nursing interventions that allow training the hepatic- bile- pancreatic patient undergoing surgery, with a view to a safe discharge to the community?ā The methodology was supported by bibliographic research and the completion of internships where I acquired and consolidated knowledge and strategies adopted for the implementation of the telephone follow-up nursing consultation. Patient empowerment for self-care, from admission, perioperative period and post discharge follow-up, proves to be a decisive nursing intervention. The telephone follow-up nursing consultation and the nurse's assessment of the identified problems or needs proved to be effective in their resolution. It is considered relevant in the benefits it provides to the patient and family and in the performance of nurses, who assume a dynamic role in terms of teaching, promoting self-care throughout the preparation for hospital discharge and continuity of care.
Hospital discharge is a time of critical transition in patient health management. The precocity with which discharges are given after surgery tends to complicate their preparation, and nurses should be able to collect and analyse pertinent information for an adequate organization of nursing discharge. Nurses should play an active role in care transition strategies to improve discharge preparation and ensure continuity of care at home. This project is developed within the scope of the curricular unit of internship with report of the 12th Master in Medical Surgery Nursing Specialization, Oncological Nursing branch, for the Nurse Specialist and Master degree title. It intends to give visibility to the autonomous interventions of the specialist nurse in the training for the self-care of the hepatic-bile-pancreatic patient, constituting an important contribution in the construction of strategies to improve care in the perioperative period. The purpose is to promote self-care in preparation for the discharge of hepatic-bile pancreatic patients undergoing surgery, to implement a telephone follow-up nursing consultation and to prevent hospital readmissions. In this sense, I intend to answer the following research question: āWhat are the nursing interventions that allow training the hepatic- bile- pancreatic patient undergoing surgery, with a view to a safe discharge to the community?ā The methodology was supported by bibliographic research and the completion of internships where I acquired and consolidated knowledge and strategies adopted for the implementation of the telephone follow-up nursing consultation. Patient empowerment for self-care, from admission, perioperative period and post discharge follow-up, proves to be a decisive nursing intervention. The telephone follow-up nursing consultation and the nurse's assessment of the identified problems or needs proved to be effective in their resolution. It is considered relevant in the benefits it provides to the patient and family and in the performance of nurses, who assume a dynamic role in terms of teaching, promoting self-care throughout the preparation for hospital discharge and continuity of care.
Description
Keywords
Enfermagem oncolĆ³gica Neoplasias hepĆ”ticas Neoplasias do sistema biliar Alta do paciente Cuidados de enfermagem Oncologia cirĆŗrgica ComplicaƧƵes pĆ³s-operatĆ³rias