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Comportamento agressivo em contexto de saúde mental e psiquiatria: Projeto de desenvolvimento de competências clínicas especializadas na área de Enfermagem de Saúde Mental e Psiquiátrica
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| 15.84 MB | Adobe PDF |
Advisor(s)
Abstract(s)
O comportamento agressivo é um diagnóstico passível de intervenção por parte do Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica podendo ocorrer em pessoas com necessidade de cuidados de saúde mental. Pode estar associado a processos de doença, a perturbações da personalidade, assim como a respostas desadaptativas aos processos de transição da pessoa. Nos variados contextos de atuação do Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica, ao longo de todo o ciclo de vida, podem surgir comportamentos agressivos que interferem com o bem-estar da pessoa, família e comunidade. O presente relatório tem como finalidade descrever a aquisição e desenvolvimento de competências de Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica ao longo do estágio que decorreu em diferentes contextos: Internamento de Pessoas em Fase de Descompensação Clínica Aguda, Comunitário e de Respostas Diferenciadas. Procurou-se, nestes três contextos, intervir com particular relevo ao nível do comportamento agressivo, pelo que foi realizada uma pesquisa bibliográfica sobre o comportamento agressivo em contextos de saúde mental e as intervenções de Enfermagem perante este comportamento. No contexto de Internamento de Pessoas em Fase de Descompensação Clínica Aguda e no contexto Comunitário foram identificados diagnósticos de Enfermagem de potencial para melhorar o conhecimento sobre o comportamento agressivo, motivo pelo qual foi realizada intervenção psicoeducacional individual em ambos os contextos. No contexto de Respostas Diferenciadas foi identificado um diagnóstico de Enfermagem no âmbito do comportamento, nomeadamente o abuso de drogas, tendo sido realizada intervenção ao nível da modificação do comportamento. Em todos os contextos de estágio houve a intencionalidade da avaliação dos resultados obtidos. No contexto de Internamento de Pessoas em Fase de Descompensação Clínica Aguda não foi possível terminar a intervenção. No contexto Comunitário a intervenção teve de ser ajustada, inerente à alteração no diagnóstico de Enfermagem, pelo que não foi possível uma avaliação objetiva da efetividade da intervenção inicial. No contexto de Respostas Diferenciadas a intervenção não originou mudanças, tendo-se mantido o comportamento. O período de estágio em cada contexto foi breve e esteve sujeito a condicionantes que não dependiam apenas da intervenção por si, pelo que não se conseguiu atingir os resultados desejados para as intervenções. Todos os contextos de estágio contribuíram para o desenvolvimento de conhecimentos na área da Enfermagem de Saúde Mental e Psiquiátrica e para a aquisição e desenvolvimento de competências de Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica
Aggressive behavior is an area of intervention for the Specialist Nurse in Mental Health and Psychiatric Nursing, and it may occur in individuals requiring mental health care. It can be associated with illness processes, personality disorders, as well as maladaptive responses to transitional processes in individuals. In the various settings where the Specialist Nurse in Mental Health and Psychiatric Nursing works, throughout the lifespan, aggressive behaviors that interfere with the well-being of the individual, family, and community may arise. The purpose of this report is to describe the acquisition and development of competencies of the Specialist Nurse in Mental Health and Psychiatric Nursing during the internship held in different contexts: Inpatient Care for Individuals in Acute Clinical Decompensation, Community Care, and Differentiated Care. In these three contexts, particular emphasis was placed on intervening in aggressive behavior, leading to a literature review on aggressive behavior in mental health settings and nursing interventions for such behavior. In the context of Inpatient Care for Individuals in Acute Clinical Decompensation and in the Community Care setting, Nursing diagnoses with potential to enhance understanding of aggressive behavior were identified. This led to individual psychoeducational interventions in both contexts. In the Differentiated Care, a Nursing diagnosis related to behavior, specifically drug abuse, was identified, and behavior modification interventions were implemented. In all internship contexts, there was a deliberate effort to assess the outcomes achieved. In the Inpatient Care for Individuals in Acute Clinical Decompensation context, it was not possible to complete the intervention. In the Community Care setting, the intervention had to be adjusted due to changes in the Nursing diagnosis, making an objective evaluation of the initial intervention's effectiveness unfeasible. In the Differentiated Care, the intervention did not lead to changes, as the behavior persisted. The internship periods in each context were brief and subject to constraints not solely dependent on the intervention itself, thus the desired outcomes for the interventions were not achieved. All internship contexts contributed to the development of knowledge in the field of Mental Health and Psychiatric Nursing and to the acquisition and development of competencies for the Specialist Nurse in Mental Health and Psychiatric Nursing.
Aggressive behavior is an area of intervention for the Specialist Nurse in Mental Health and Psychiatric Nursing, and it may occur in individuals requiring mental health care. It can be associated with illness processes, personality disorders, as well as maladaptive responses to transitional processes in individuals. In the various settings where the Specialist Nurse in Mental Health and Psychiatric Nursing works, throughout the lifespan, aggressive behaviors that interfere with the well-being of the individual, family, and community may arise. The purpose of this report is to describe the acquisition and development of competencies of the Specialist Nurse in Mental Health and Psychiatric Nursing during the internship held in different contexts: Inpatient Care for Individuals in Acute Clinical Decompensation, Community Care, and Differentiated Care. In these three contexts, particular emphasis was placed on intervening in aggressive behavior, leading to a literature review on aggressive behavior in mental health settings and nursing interventions for such behavior. In the context of Inpatient Care for Individuals in Acute Clinical Decompensation and in the Community Care setting, Nursing diagnoses with potential to enhance understanding of aggressive behavior were identified. This led to individual psychoeducational interventions in both contexts. In the Differentiated Care, a Nursing diagnosis related to behavior, specifically drug abuse, was identified, and behavior modification interventions were implemented. In all internship contexts, there was a deliberate effort to assess the outcomes achieved. In the Inpatient Care for Individuals in Acute Clinical Decompensation context, it was not possible to complete the intervention. In the Community Care setting, the intervention had to be adjusted due to changes in the Nursing diagnosis, making an objective evaluation of the initial intervention's effectiveness unfeasible. In the Differentiated Care, the intervention did not lead to changes, as the behavior persisted. The internship periods in each context were brief and subject to constraints not solely dependent on the intervention itself, thus the desired outcomes for the interventions were not achieved. All internship contexts contributed to the development of knowledge in the field of Mental Health and Psychiatric Nursing and to the acquisition and development of competencies for the Specialist Nurse in Mental Health and Psychiatric Nursing.
Description
Keywords
Comportamento Agressivo Saúde Mental Doença Mental Enfermagem Enfermagem de Saúde Mental e Psiquiátrica Relatório de estágio