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Tornar a dor visível: aplicação da escala de avaliação de dor Doloplus 2
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| 6.81 MB | Adobe PDF |
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Abstract(s)
O presente relatório consiste na apresentação do Trabalho de Projeto desenvolvido no âmbito do 4º Mestrado em Enfermagem Médico-Cirúrgica da Escola Superior de Saúde de Setúbal do Instituto Politécnico de Setúbal. Foi no decorrer de três estágios numa Unidade de Acidente Vascular Cerebral de um Centro Hospitalar na Margem Sul do Tejo, que desenvolvemos duas vertentes de aprendizagem através da utilização da metodologia de projeto, um Projeto de Intervenção em Serviço (PIS) e um Projeto de Aprendizagem Clínica (PAC), visando a aquisição de competências comuns e específicas do Enfermeiro Especialista e de Mestre em Enfermagem Médico-Cirúrgica.
No decorrer do nosso exercício profissional damos especial atenção a compreender as dificuldades de avaliar a Dor em clientes com alteração da comunicação verbal, incapacitados do auto relato da Dor e, à importância de desenvolver estratégias que promovam a qualidade dos cuidados de enfermagem a este grupo específico de clientes, sendo estes os alicerces da escolha da área temática do PIS. A aplicação de um questionário à equipa de Enfermagem, a construção de uma FMEA e a aplicação de uma grelha de observação aos registos de Enfermagem relativamente ao foco de atenção Dor, permitiram identificar o problema perante o qual planeámos e desenvolvemos estratégias, tendo o PIS o objetivo geral de Uniformizar a avaliação da Dor ao cliente com patologia vascular não comunicante verbalmente, através da aplicação da escala de avaliação comportamental de Dor, Doloplus 2.
A nível do PAC, projetaram-se atividades específicas que passaram pela efetivação de um simulacro de incêndio com necessidade de evacuação de clientes, elaborar um procedimento de sobre algaliação de curta duração, produzir um artigo sobre Conspiração de Silêncio e realizar um estágio opcional numa Unidade de Cuidados Paliativos. Neste documento analisamos crítica e reflexivamente ambos os projetos, e os contributos dos mesmos no desenvolvimento das competências supracitadas.
This report is the presentation of the project work developed under the 4th Masters Degree in Medical-Surgical Nursing in the College of Health Education of Setúbal of the Polytechnic Institute of Setúbal. It was during three traineeships in a Stroke Unit of a Medical Establishment in the South bank of Tagus, that we developed two aspects of learning through the use of project work methodology, an Intervention in Service Project (ISP) and a Clinic Learning Project (CLP), in order to acquire the common and specific skills of the Specialist and Master in Medical-Surgical Nursing. In the course of our professional practice we pay special attention to understand the difficulties of assessing pain in patients with impaired verbal communication, disabled of self reporting pain, and to the importance of developing strategies that promote the quality of nursing care to these specific patients, which were the foundations for the choice of the ISP’s theme. Through the application of a questionnaire to the nursing team, the construction of a FMEA and the application of a grid of observation to nursing records regarding the focus of attention Pain, we were able to diagnose the problem before which we planned and developed strategies with the general purpose of standardize the assessment of pain to the patients with vascular pathology non-communicating verbally, through the application of behavioral rating pain scale, Doloplus 2. Within the CLP, specific activities were designed namely, to collaborate in a fire simulation with need to evacuate patients, to draw up a procedure on short-term urinary catheterisation, to produce an article on the subject of Silence Conspiracy and to perform an optional traineeship in a Palliative Unit Care. In this paper we analyze critically and reflectively both projects and, their contributions to the acquisition of the above - mentioned skills.
This report is the presentation of the project work developed under the 4th Masters Degree in Medical-Surgical Nursing in the College of Health Education of Setúbal of the Polytechnic Institute of Setúbal. It was during three traineeships in a Stroke Unit of a Medical Establishment in the South bank of Tagus, that we developed two aspects of learning through the use of project work methodology, an Intervention in Service Project (ISP) and a Clinic Learning Project (CLP), in order to acquire the common and specific skills of the Specialist and Master in Medical-Surgical Nursing. In the course of our professional practice we pay special attention to understand the difficulties of assessing pain in patients with impaired verbal communication, disabled of self reporting pain, and to the importance of developing strategies that promote the quality of nursing care to these specific patients, which were the foundations for the choice of the ISP’s theme. Through the application of a questionnaire to the nursing team, the construction of a FMEA and the application of a grid of observation to nursing records regarding the focus of attention Pain, we were able to diagnose the problem before which we planned and developed strategies with the general purpose of standardize the assessment of pain to the patients with vascular pathology non-communicating verbally, through the application of behavioral rating pain scale, Doloplus 2. Within the CLP, specific activities were designed namely, to collaborate in a fire simulation with need to evacuate patients, to draw up a procedure on short-term urinary catheterisation, to produce an article on the subject of Silence Conspiracy and to perform an optional traineeship in a Palliative Unit Care. In this paper we analyze critically and reflectively both projects and, their contributions to the acquisition of the above - mentioned skills.
Description
Relatório de Trabalho de Projeto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-Cirúrgica
Keywords
Competências Cliente não comunicante verbalmente Doloplus 2 Dor Enfermagem Médico-cirúrgica Metodologia de Trabalho de Projeto Skills Non-communicating verbally patient Pain Medical Surgical Nursing Project Work Methodology
Citation
Publisher
Instituto Politécnico de Setúbal. Escola Superior de Saúde