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O impacto do isolamento na pessoa idosa, num serviço de urgência, em contexto da pandemia por sars-cov-2 :
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| 8.77 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
A pandemia por COVID-19 obrigou à adoção de medidas para a prevenção e controlo
da infeção, que tornou os cenários de cuidados mais hostis para as Pessoas idosas,
mais afetadas na fase inicial da pandemia. A Enfermagem encontrou uma janela de
oportunidade, para a melhoria da prestação de cuidados e condições de trabalho dos
profissionais de saúde, neste contexto. O presente relatório descreve as atividades
realizadas em estágio, num Serviço de Urgência (SU) de um Hospital Médico Cirúrgico e numa Unidade de Cuidados na Comunidade (UCC), ambos da área
metropolitana de Lisboa. Os objetivos estabelecidos foram: desenvolver
competências como enfermeira especialista e mestre na prestação de cuidados, em
Parceria com a Pessoa Idosa em isolamento pandémico por SARS-CoV-2, e sua
família, para a Promoção do Cuidado-de-Si, num SU; contribuir para o
desenvolvimento de competências na Equipa de Saúde para prestar cuidados em
Parceria com a Pessoa Idosa em isolamento pandémico por SARS-CoV-2, e sua
família, num SU. Foi adotada a metodologia de projeto, baseada numa investigação ação, desenvolvida entre Novembro de 2020 e Abril de 2021. Os instrumentos de
colheita de dados foram a entrevista semiestruturada a 20 Pessoas idosas, em
isolamento pandémico num SU, e o questionário aplicado a 50% dos enfermeiros e
médicos que prestam cuidados nesse contexto. Os dados obtidos foram submetidos
a análise de conteúdo, segundo Bardin (2016) e a análise estatística descritiva. Os
resultados das entrevistas demonstram sentimentos positivos e negativos face ao
isolamento, necessidade da presença da família e comunicação. Foi sugerida visita
de familiares, melhoria da comunicação e alterações no espaço físico. A análise dos
questionários, aplicados aos enfermeiros e médicos, revelou que a gestão dos
cuidados, a escassez de comunicação e o equipamento de proteção individual são as
principais dificuldades dos profissionais, que sugeriram melhorar a comunicação com
a Pessoa e sua família e alterações no ambiente. Conclui-se que a família e uma
comunicação eficaz são importantes pilares para a prestação e continuidade dos
cuidados. O projeto permitiu desenvolver competências como enfermeira especialista
e mestre no cuidado à Pessoa idosa, em contexto da pandemia, prestando cuidados
Centrados na Pessoa, alicerçados no Modelo de Parceria de Gomes (2021).
The COVID-19 pandemic forced the adoption of measures for the prevention and control of the infection, which made the care scenarios more hostile for the elderly, most affected in the initial phase of the pandemic. Nursing found a window of opportunity to improve the provision of health care and working conditions for health professionals in this context. This report describes the activities carried out in an internship, in an Emergency Department (ED) of a Medical-Surgical Hospital and in a Community Care Unit (CCU), both in the Lisbon metropolitan area. The established objectives were: to develop skills as a specialist nurse and master in the provision of care, in Partnership with the Elderly Person in pandemic isolation by SARS-CoV-2, and their family, for the Promotion of the Care-of-Oneself, in an ED; contribute to the development of skills in the Health Team to provide care in Partnership with the Elderly Person in pandemic isolation by SARS-CoV-2, and their family, in an ED. A project methodology, based on an action-research, developed between November 2020 and April 2021, was adopted. The data collection instruments were the semi structured interview with 20 Elderly People, in pandemic isolation in an ED, and the questionnaire applied to 50% of nurses and doctors who provide care in this context. The data obtained were subjected to content analysis, according to Bardin (2016) and descriptive statistical analysis. The results of the interviews demonstrate positive and negative feelings towards isolation, need for family presence and communication. Family visits, improved communication and changes in physical space were suggested. The analysis of the questionnaires, applied to nurses and doctors, revealed that the care management, the lack of communication and the personal protective equipment are the main difficulties of professionals, who suggested improving communication with the Person and their family and changes in the environment. It is concluded that the family and effective communication are important pillars for the provision and continuity of care. The project made it possible to develop skills as a specialist nurse and master in the care of the elderly, in the context of the pandemic, providing Person-Centered care, based on the Gomes Partnership Model (2021).
The COVID-19 pandemic forced the adoption of measures for the prevention and control of the infection, which made the care scenarios more hostile for the elderly, most affected in the initial phase of the pandemic. Nursing found a window of opportunity to improve the provision of health care and working conditions for health professionals in this context. This report describes the activities carried out in an internship, in an Emergency Department (ED) of a Medical-Surgical Hospital and in a Community Care Unit (CCU), both in the Lisbon metropolitan area. The established objectives were: to develop skills as a specialist nurse and master in the provision of care, in Partnership with the Elderly Person in pandemic isolation by SARS-CoV-2, and their family, for the Promotion of the Care-of-Oneself, in an ED; contribute to the development of skills in the Health Team to provide care in Partnership with the Elderly Person in pandemic isolation by SARS-CoV-2, and their family, in an ED. A project methodology, based on an action-research, developed between November 2020 and April 2021, was adopted. The data collection instruments were the semi structured interview with 20 Elderly People, in pandemic isolation in an ED, and the questionnaire applied to 50% of nurses and doctors who provide care in this context. The data obtained were subjected to content analysis, according to Bardin (2016) and descriptive statistical analysis. The results of the interviews demonstrate positive and negative feelings towards isolation, need for family presence and communication. Family visits, improved communication and changes in physical space were suggested. The analysis of the questionnaires, applied to nurses and doctors, revealed that the care management, the lack of communication and the personal protective equipment are the main difficulties of professionals, who suggested improving communication with the Person and their family and changes in the environment. It is concluded that the family and effective communication are important pillars for the provision and continuity of care. The project made it possible to develop skills as a specialist nurse and master in the care of the elderly, in the context of the pandemic, providing Person-Centered care, based on the Gomes Partnership Model (2021).
Description
Keywords
Enfermagem geriátrica Idoso Isolamento de pacientes SARS-CoV-2 Autocuidado