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Publication
Implementação da consulta de enfermagem pós-operatória à pessoa idosa e família
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| 3.83 MB | Adobe PDF |
Advisor(s)
Abstract(s)
A proporção de pessoas idosas a serem submetidas a cirurgia tem vindo a aumentar
exponencialmente. Uma população cada vez mais envelhecida, com grande probabilidade de
desenvolver complicações pós-operatórias obriga a uma adaptação dos serviços de saúde e a
que os profissionais de saúde, nomeadamente os enfermeiros, estejam capacitados para a
prestação de cuidados a este grupo etário em contexto perioperatório.
O procedimento cirúrgico é essencial para melhorar a funcionalidade e a qualidade de
vida da pessoa idosa e família. Da mesma forma que os cuidados de enfermagem na fase pré operatória se encontram estruturados de modo a dar resposta às necessidades da pessoa idosa e
família, importa agora refletir de que forma é possível otimizar os resultados em saúde pós cirúrgicos após alta hospitalar. Qual será a melhor estratégia a implementar em contexto de
consulta pós-operatória, de forma a responder às necessidades da pessoa idosa e família em
termos de recuperação funcional global?
Perante estas preocupações, desenvolveu-se o projeto de intervenção, que aqui relato de
forma crítica e fundamentada, no estágio da unidade curricular Estágio com Relatório do
Mestrado em Enfermagem Médico-Cirúrgica, Área de Intervenção da Pessoa Idosa.
O percurso realizado durante este estágio, na Unidade de Cuidados na Comunidade
Almeirim - Alpiarça, em Almeirim e no Serviço de Consultas Externas do Hospital Cuf
Santarém, em Santarém, permitiu o desenvolvimento quer de competências específicas para a
atribuição do grau de mestre, quer de competências comuns e específicas de enfermeiro
especialista em enfermagem médico-cirúrgica no cuidado à pessoa idosa e família,
particularmente no contexto de Consulta de Enfermagem Pós-operatória.
Este relatório teve por base a metodologia de projeto e a prática baseada na evidência.
Foi realizada uma revisão scoping segundo as orientações de Joanna Briggs Institute (2015) de
forma a mapear toda a evidência científica relevante acerca da temática. Concluiu-se assim, que
o plano de cuidados de enfermagem a implementar à pessoa idosa e família em contexto de
consulta pós-operatória, após alta hospitalar, deve assentar em intervenções multidisciplinares
que otimizem a sua capacidade e autonomia funcional.
The proportion of elderly people undergoing surgery has been increasing exponentially. An increasingly aging population, with a high probability of developing postoperative complications requires an adaptation of health services and that health professionals, including nurses, are trained to provide care to this age group in the perioperative context. The surgical procedure is essential to improve functionality and quality of life for the elderly and their families. In the same way that nursing care in the preoperative phase is structured in order to respond to the needs of the elderly person and their family, it is now important to reflect on how it is possible to optimize post-surgical health outcomes after hospital discharge. What will be the best strategy to implement in the context of postoperative consultation, in order to respond to the needs of the elderly person and their family in terms of global functional recovery? In view of these concerns, the intervention project was developed, which I report here in a critical and grounded manner, in the internship of the Internship with Report of the Master's Degree in Medical-Surgical Nursing, Intervention Area for the Elderly. The path taken during this internship, at the Community Care Unit Almeirim - Alpiarça, in Almeirim and at the External Consultation Service of the Hospital Cuf Santarém, in Santarém, allowed the development of both specific skills for the attribution of a master's degree and common and specific competences of a specialist nurse in medical-surgical nursing in the care of the elderly and family, particularly in the context of Postoperative Nursing Consultation. This report was based on design methodology and evidence-based practice. A scoping review was carried out according to the guidelines of the Joanna Briggs Institute (2015) in order to map all the relevant scientific evidence on the subject. Thus, it was concluded that the nursing care plan to be implemented for the elderly person and family in the context of postoperative consultation, after hospital discharge, should be based on multidisciplinary interventions that optimize their capacity and functional autonomy.
The proportion of elderly people undergoing surgery has been increasing exponentially. An increasingly aging population, with a high probability of developing postoperative complications requires an adaptation of health services and that health professionals, including nurses, are trained to provide care to this age group in the perioperative context. The surgical procedure is essential to improve functionality and quality of life for the elderly and their families. In the same way that nursing care in the preoperative phase is structured in order to respond to the needs of the elderly person and their family, it is now important to reflect on how it is possible to optimize post-surgical health outcomes after hospital discharge. What will be the best strategy to implement in the context of postoperative consultation, in order to respond to the needs of the elderly person and their family in terms of global functional recovery? In view of these concerns, the intervention project was developed, which I report here in a critical and grounded manner, in the internship of the Internship with Report of the Master's Degree in Medical-Surgical Nursing, Intervention Area for the Elderly. The path taken during this internship, at the Community Care Unit Almeirim - Alpiarça, in Almeirim and at the External Consultation Service of the Hospital Cuf Santarém, in Santarém, allowed the development of both specific skills for the attribution of a master's degree and common and specific competences of a specialist nurse in medical-surgical nursing in the care of the elderly and family, particularly in the context of Postoperative Nursing Consultation. This report was based on design methodology and evidence-based practice. A scoping review was carried out according to the guidelines of the Joanna Briggs Institute (2015) in order to map all the relevant scientific evidence on the subject. Thus, it was concluded that the nursing care plan to be implemented for the elderly person and family in the context of postoperative consultation, after hospital discharge, should be based on multidisciplinary interventions that optimize their capacity and functional autonomy.
Description
Keywords
Enfermagem geriátrica Família Idoso Cuidados de enfermagem Consulta de enfermagem