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A intervenção do enfermeiro especialista em enfermagem de reabilitação na promoção da readaptação funcional da pessoa submetida a amputação do membro inferior
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Resumo(s)
A cirurgia de amputação major, nomeadamente amputação do membro inferior, afeta
de forma irremediável o ser humano, originando limitação funcional.
A pessoa submetida a amputação do membro inferior enfrenta diversos desafios
decorrentes da cirurgia, nomeadamente, a perda da qualidade de vida em muitos domínios.
Estudos recentes destacam complicações relacionadas com a cirurgia de amputação do
membro inferior (MI), como a perda da função física, perda de autonomia, preocupação a nível
económico e preocupação com alteração da imagem corporal.
A literatura evidencia a importância da intervenção da Enfermagem de Reabilitação na
pessoa submetida a amputação do MI, referindo ganhos para a pessoa em todas as
dimensões afetadas, quer físicas, na reabilitação funcional, ou psicológicas na alteração de
imagem corporal.
O presente relatório pretende, com base na prática clínica, espelhar intervenções de
Enfermagem de Reabilitação na pessoa submetida a amputação do membro inferior, que
promovam ações preventivas, assegure a capacidade funcional, previnam complicações, que
minimizem o impacto das incapacidades instaladas.
Ressaltando que a abrangência da Enfermagem de Reabilitação não se esgota num
tema/projeto, foram realizadas intervenções e atividades em outras áreas de Enfermagem de
Reabilitação, que serão descritas no presente Relatório de Estágio. Nesse sentido, objetiva se a demonstração da aquisição e desenvolvimento das competências comuns e especificas
do EEER.
Para a elaboração e implementação dos processos de cuidados de ER foi selecionada
a teoria de Enfermagem Nursing as Caring. Esta é uma teoria de médio alcance, desenvolvida
por Anne Boykin e Savina Schoenhof.
Major amputation surgery, namely lower limb amputation, affects irremediably the human being, leading to functional limitation. The person who undergoes lower limb amputation faces several challenges arising from surgery, namely the loss of quality of life in many areas. Recent studies highlight complications related to lower limb (LL) amputation surgery, such as loss of physical function, loss of autonomy, economic concern and concern about body image alteration. The literature shows the importance of the Rehabilitation Nursing intervention in the person submitted to amputation of the LL, mentioning gains for the person submitted in all dimensions affected, whether physical, in functional rehabilitation, or psychological in the alteration of body image. The present report intends, based on clinical practice, to mirror Rehabilitation Nursing interventions in the person submitted to amputation of the lower limb, that promotes preventive actions, ensures functional capacity, prevents complications, reduces the impact of installed disabilities. Emphasizing that the scope of Rehabilitation Nursing is not limited to one theme/project, interventions and activities were carried out in other areas of Rehabilitation Nursing, which will be described in this Internship Report. In this sense, the objective is to demonstrate the acquisition and development of the common and specific competencies of Rehabilitation Nursing. For the elaboration and implementation of rehabilitation nursing care processes, the nursing theory Nursing as Caring – A model of transformation of practice was selected. This is a medium-range theory, developed by Anne Boykin and Savina Schoenhof.
Major amputation surgery, namely lower limb amputation, affects irremediably the human being, leading to functional limitation. The person who undergoes lower limb amputation faces several challenges arising from surgery, namely the loss of quality of life in many areas. Recent studies highlight complications related to lower limb (LL) amputation surgery, such as loss of physical function, loss of autonomy, economic concern and concern about body image alteration. The literature shows the importance of the Rehabilitation Nursing intervention in the person submitted to amputation of the LL, mentioning gains for the person submitted in all dimensions affected, whether physical, in functional rehabilitation, or psychological in the alteration of body image. The present report intends, based on clinical practice, to mirror Rehabilitation Nursing interventions in the person submitted to amputation of the lower limb, that promotes preventive actions, ensures functional capacity, prevents complications, reduces the impact of installed disabilities. Emphasizing that the scope of Rehabilitation Nursing is not limited to one theme/project, interventions and activities were carried out in other areas of Rehabilitation Nursing, which will be described in this Internship Report. In this sense, the objective is to demonstrate the acquisition and development of the common and specific competencies of Rehabilitation Nursing. For the elaboration and implementation of rehabilitation nursing care processes, the nursing theory Nursing as Caring – A model of transformation of practice was selected. This is a medium-range theory, developed by Anne Boykin and Savina Schoenhof.
Descrição
Palavras-chave
Enfermagem em reabilitação Reabilitação Amputação Extremidade inferior