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Controlo da dor na promoção do conforto do doente oncológico em situação paliativa :
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| 8.92 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
A dor é um dos sintomas mais frequentemente associados ao cancro e, como tal,
mais temido por quem o experiencia, dado o sofrimento que provoca. É considerada uma
experiência pessoal, cujo significado varia de pessoa para pessoa e impacta no conforto
e bem-estar do doente oncológico em situação paliativa, condicionando as suas decisões
e comportamentos. Ademais, a dor é subjetiva e multidimensional, pelo que dada a sua
complexidade, a intervenção do enfermeiro no controlo da dor deve ser multifatorial,
centrada na pessoa, atendendo à singularidade e individualidade de cada um, com vista
à promoção do conforto. A formação diferenciada nesta área revela-se essencial. Assim,
e tendo em conta as minhas necessidades formativas e da equipa onde me insiro, face
ao controlo da dor do doente oncológico em situação paliativa, com vista à promoção do
conforto, delineei um projeto de formação e intervenção com o intuito de desenvolver
competências científicas, técnicas e relacionais de enfermeiro especialista e de mestre
no âmbito da intervenção do enfermeiro no controlo da dor como medida promotora de
conforto à pessoa com doença oncológica e família em situação paliativa e contribuir
para a melhoria contínua dos cuidados de enfermagem neste âmbito. Para isso, realizei
estágio em quatro contextos clínicos diferenciados: Unidade de Cuidados Paliativos A
(UCP), Unidade de Dor A, UCP B e Unidade de Dor B, desenvolvendo a minha prática
reflexiva face à intervenção do enfermeiro na prevenção e controlo da dor do doente
oncológico em situação paliativa, através da observação da prática de cuidados de
peritos e dos resultados obtidos na revisão de scoping realizada. A operacionalização do
projeto de intervenção foi delineada de acordo com a metodologia de projeto. O presente
relatório constitui uma análise crítica ao meu percurso, fundamentado com evidência
científica, e alicerçado pelo Modelo de Cuidados Centrado na Pessoa de McCormack e
McCance (2006) e pela Teoria do Conforto de Kolcaba (2003), demonstrando as atividades
realizadas e as competências de enfermeira especialista e mestre, bem como as
competências descritas pela European Oncology Nursing Society desenvolvidas.
Pain is one of the symptoms most often associated with cancer and, as such, most feared by those who experience it, given the suffering it causes. It is considered a personal experience, the meaning of which varies from person to person and impacts the comfort and well-being of cancer patients in a palliative situation, conditioning their decisions and behaviors. In addition, pain is subjective and multidimensional, so, given its complexity, the nurse's intervention in pain control should be multi-factorial, centered on the person, considering the uniqueness and individuality of each one, with a view to promoting comfort. Differentiated training in this area is essential. Thus, and taking into account my training needs and those of the team where I work with, having in mind pain control of cancer patients in palliative situations, with a view to promoting comfort, I designed a training and intervention project with the aim of developing scientific, technical and relational skills of specialist nurses and masters, within the scope of the nurse's intervention in pain control as a measure that promotes comfort to the person with oncological disease and family and contributes to the continuous improvement of nursing care in this context. To this end, I carried out an internship in four different clinical contexts: Palliative Care Unit A (PCU), Pain Unit A, PCU B and Pain Unit B, developing my reflective practice with regard to the nurse's intervention in the prevention and control of pain in the cancer patient in a palliative situation, through the observation of the practice of expert care and the results obtained in the scoping review I carried out. The operationalization of the intervention project was outlined according to the project methodology. This report is a critical analysis of my formation journey, based on scientific evidence, and based on the Person-Centered Care Model of McCormack and McCance (2006) and the Kolcaba Comfort Theory (2003), demonstrating the activities performed and the competencies of specialist and master nurses, as well as the competencies developed according to the European Oncology Nursing Society developed.
Pain is one of the symptoms most often associated with cancer and, as such, most feared by those who experience it, given the suffering it causes. It is considered a personal experience, the meaning of which varies from person to person and impacts the comfort and well-being of cancer patients in a palliative situation, conditioning their decisions and behaviors. In addition, pain is subjective and multidimensional, so, given its complexity, the nurse's intervention in pain control should be multi-factorial, centered on the person, considering the uniqueness and individuality of each one, with a view to promoting comfort. Differentiated training in this area is essential. Thus, and taking into account my training needs and those of the team where I work with, having in mind pain control of cancer patients in palliative situations, with a view to promoting comfort, I designed a training and intervention project with the aim of developing scientific, technical and relational skills of specialist nurses and masters, within the scope of the nurse's intervention in pain control as a measure that promotes comfort to the person with oncological disease and family and contributes to the continuous improvement of nursing care in this context. To this end, I carried out an internship in four different clinical contexts: Palliative Care Unit A (PCU), Pain Unit A, PCU B and Pain Unit B, developing my reflective practice with regard to the nurse's intervention in the prevention and control of pain in the cancer patient in a palliative situation, through the observation of the practice of expert care and the results obtained in the scoping review I carried out. The operationalization of the intervention project was outlined according to the project methodology. This report is a critical analysis of my formation journey, based on scientific evidence, and based on the Person-Centered Care Model of McCormack and McCance (2006) and the Kolcaba Comfort Theory (2003), demonstrating the activities performed and the competencies of specialist and master nurses, as well as the competencies developed according to the European Oncology Nursing Society developed.
Description
Keywords
Enfermagem oncológica Pacientes Oncologia Dor Cuidados de enfermagem Terapia da dor Conforto do paciente Cuidados paliativos