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Efetividade da aplicação de um programa de reeducação funcional respiratória no idoso sob ventilação mecânica invasiva
| Name: | Description: | Size: | Format: | |
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| 9.63 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
Enquadramento: É crucial reduzir o tempo de VMI pelo que o doente ventilado requer que o
enfermeiro de reabilitação desenvolva um plano de intervenção individualizado com base nas
suas competências específicas que permita diminuir as complicações, otimizando o desmame
ventilatório o sucesso da extubação Objetivo: Analisar o percurso realizado durante os estágios, conducente ao desenvolvimento de competências gerais, específicas e de mestre, atra vés da aplicação do projeto de intervenção. Metodologia: Foi implementado um programa de
enfermagem de reabilitação, com enfase na reabilitação funcional respiratória em seis doentes submetidos a ventilação mecânica invasiva, com a metodologia de estudo de caso múltiplo.
Resultados: O programa de reabilitação é seguro e eficaz e deve ser iniciado o mais precocemente possível. Constataram-se resultados positivos da sua implementação no desmame
ventilatório e extubação bem-sucedida na maioria dos doentes.
Conclusão: a implementação do programa de reabilitação promoveu a melhoria dos predito res do sucesso da extubação, a permeabilidade das vias aéreas, o desmame ventilatório mais
célere e a extubação com sucesso, garantindo uma melhoria da independência funcional dos
doentes, com posterior reintegração na família e comunidade. Foi possível desenvolver competências de gerais e específicas do enfermeiro especialista em enfermagem de reabilitação
e as competências de mestre
Background: It is crucial to reduce the time on IMV, which is why the ventilated patient requires the rehabilitation nurse to develop an individualized intervention plan based on their specific skills that allows reducing complications, optimizing ventilatory weaning and successful extubation. Objective: To analyze the path taken during the internships, leading to the development of general, specific and master's skills, through the application of the intervention project. Methodology: A rehabilitation nursing program was implemented, with an emphasis on func tional respiratory rehabilitation in six patients undergoing invasive mechanical ventilation, with the adoption of a multiple case study methodology. Results: The rehabilitation program is safe and effective and should be started as early as possible. There were positive results from its implementation in terms of ventilatory weaning and successful extubation in most patients. Conclusion: the implementation of the rehabilitation program promoted the improvement of extubation success predictors, airway patency, faster ventilatory weaning and successful extubation, ensuring an improvement in the patients' functional independence, with subsequent reintegration of the person into the family and community. It was possible to develop general and specific competences of specialist nurses in rehabilitation nursing and master's competences
Background: It is crucial to reduce the time on IMV, which is why the ventilated patient requires the rehabilitation nurse to develop an individualized intervention plan based on their specific skills that allows reducing complications, optimizing ventilatory weaning and successful extubation. Objective: To analyze the path taken during the internships, leading to the development of general, specific and master's skills, through the application of the intervention project. Methodology: A rehabilitation nursing program was implemented, with an emphasis on func tional respiratory rehabilitation in six patients undergoing invasive mechanical ventilation, with the adoption of a multiple case study methodology. Results: The rehabilitation program is safe and effective and should be started as early as possible. There were positive results from its implementation in terms of ventilatory weaning and successful extubation in most patients. Conclusion: the implementation of the rehabilitation program promoted the improvement of extubation success predictors, airway patency, faster ventilatory weaning and successful extubation, ensuring an improvement in the patients' functional independence, with subsequent reintegration of the person into the family and community. It was possible to develop general and specific competences of specialist nurses in rehabilitation nursing and master's competences
Description
Keywords
Desmame ventilatório Efetividade Enfermagem Ventilação pulmonar Reabilitação Ventilatory weaning Effectiveness Nursing Pulmonary ventilation Rehabilitation