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Confusão Aguda/Delirium, no doente crítico em contexto de cuidados intensivos
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Abstract(s)
A confusão aguda/delirium surge na pessoa vulnerável que vivencia um processo de doença aguda, pela exposição a condições ambientais e iatrogénicas que lhe são desconhecidas. As evidências manifestam, perante a temática, aumentos da taxa de mortalidade, do tempo de internamento e de alterações na cognição do doente. Importa, portanto, que os profissionais de saúde que maior contactam com o doente crítico, permaneçam conscientes da problemática e utilizem o instrumento de avaliação CAM-ICU, que se demonstra vantajoso na prevenção e controlo da confusão aguda/delirium.
Assim, desenvolveu-se um projeto de intervenção numa Unidade de Cuidados Intensivos, baseado na metodologia de projeto, onde se fundamenta a elaboração do presente relatório. Este último, apresenta como principal objetivo demonstrar a aquisição de competências especializadas e de mestre na área da Enfermagem Médico-Cirúrgica - A pessoa em Situação Crítica no decorrer do percurso letivo, com referência major ao Estágio Final desenvolvido nessa Unidade de Cuidados Intensivos
Acute confusion/delirium arises in the vulnerable person who experiences an acute disease process, due to exposure to environmental and iatrogenic conditions that are unknown to him. The evidence shows, in view of the theme, increases in the mortality rate, in the length of hospitalization and in changes in the patient's cognition. It is important, therefore, that health professionals who have the greatest contact with critically ill patients remain aware of the problem and use the CAM-ICU assessment instrument, which has been shown to be advantageous in the prevention and control of acute confusion/delirium. Thus, an intervention project was developed in an Intensive Care Unit, based on the project methodology, on which the preparation of this report is based. The latter's main objective is to demonstrate the acquisition of specialized skills and a master's degree in the area of Medical-Surgical Nursing - The Person in Critical Situation during the academic path, with major reference to the Final Stage developed in this Intensive Care Unit
Acute confusion/delirium arises in the vulnerable person who experiences an acute disease process, due to exposure to environmental and iatrogenic conditions that are unknown to him. The evidence shows, in view of the theme, increases in the mortality rate, in the length of hospitalization and in changes in the patient's cognition. It is important, therefore, that health professionals who have the greatest contact with critically ill patients remain aware of the problem and use the CAM-ICU assessment instrument, which has been shown to be advantageous in the prevention and control of acute confusion/delirium. Thus, an intervention project was developed in an Intensive Care Unit, based on the project methodology, on which the preparation of this report is based. The latter's main objective is to demonstrate the acquisition of specialized skills and a master's degree in the area of Medical-Surgical Nursing - The Person in Critical Situation during the academic path, with major reference to the Final Stage developed in this Intensive Care Unit
Description
Keywords
Confusão Aguda Cuidados Intensivos CAM-ICU Enfermagem Médico-Cirúgica Acute Confusion Delirium Critical care Medical-Surgical Nursing