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Aplicabilidade da maca de vácuo e plano duro no transporte do adulto com traumatismo vertebro medular / suspeita traumatismo vertebro medular
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Abstract(s)
O trauma é uma manifestação ou conjunto de manifestações locais ou generalizadas provocadas por uma ação violenta ou um agente traumático no corpo. O traumatismo vertebro-medular ocorre quando essas forças são exercidas de forma direta ou indireta na coluna vertebral, podendo causar alterações estruturais ou fisiológicas na pessoa, com impacto significativo na vida da mesma e sua família.
Como futuro enfermeiro especialista a exigência de acompanhar a evidência científica neste domínio, atualmente instituída em inúmeros países torna-se crucial. O desuso de macas de restrição de movimentos da coluna no transporte da pessoa vítima de trauma, utilizando apenas a própria maca com colchão da ambulância, mantendo o menor tempo possível em superfícies duras é fundamental. Este estudo, para além de contribuir para atualização de protocolos intra-hospitalares e extra-hospitalares é fundamental para reduzir lesões associadas à imobilização, bem como diversas consequências que daí advém.
O objetivo deste relatório é refletir criticamente acerca da aprendizagem e desenvolvimento de competências comuns e específicas do enfermeiro especialista em enfermagem médico-cirúrgica na área de especialização da pessoa em situação crítica.
Na realização do presente relatório de estágio foi utilizada uma metodologia reflexiva com uma análise crítica do percurso académico e a evolução pessoal e profissional necessária à aquisição e desenvolvimento de competências preconizadas para a atribuição do título de enfermeiro mestre e especialista em enfermagem médico-cirúrgica na área da pessoa em situação crítica. Percurso, desenvolvido em contexto de estágio nos serviços de urgência geral, medicina intensiva e extra-hospitalar. Foi utilizado como referencial teórico a teoria da incerteza na doença de Merle Mishel.
Trauma is a manifestation or set of local or generalized manifestations caused by a violent action or a traumatic agent in the body. Spinal cord trauma occurs when these forces are exerted directly or indirectly on the spine, which can cause structural or physiological changes in the person, with a significant impact on the life of the person and their family. As a future specialist nurse, the requirement to follow the scientific evidence in this field, currently instituted in many countries, becomes crucial. It is essential to disuse stretchers to restrict spinal movements in the transport of trauma victims, using only the stretcher with the ambulance's mattress, maintaining the shortest possible time on hard surfaces. This study to update in-hospital and pre-hospital protocols is essential to reduce injuries associated with immobilization, as well as several consequences that arise from it. The objective of this report is to critically reflect on the learning and development of common and specific competencies of the nurse specialist in medical-surgical nursing in the area of specialization of critically ill person. In the preparation of this internship report, a reflective methodology was used with a critical analysis of the academic path and the personal and professional evolution necessary for the acquisition and development of skills recommended for the attribution of the title of master and specialist in medical-surgical nursing in the area of the critically ill person. This path was developed in the context of an internship in general emergency, intensive care and pre-hospital services. The theory of uncertainty in disease by Merle Mishel was used as a theoretical framework.
Trauma is a manifestation or set of local or generalized manifestations caused by a violent action or a traumatic agent in the body. Spinal cord trauma occurs when these forces are exerted directly or indirectly on the spine, which can cause structural or physiological changes in the person, with a significant impact on the life of the person and their family. As a future specialist nurse, the requirement to follow the scientific evidence in this field, currently instituted in many countries, becomes crucial. It is essential to disuse stretchers to restrict spinal movements in the transport of trauma victims, using only the stretcher with the ambulance's mattress, maintaining the shortest possible time on hard surfaces. This study to update in-hospital and pre-hospital protocols is essential to reduce injuries associated with immobilization, as well as several consequences that arise from it. The objective of this report is to critically reflect on the learning and development of common and specific competencies of the nurse specialist in medical-surgical nursing in the area of specialization of critically ill person. In the preparation of this internship report, a reflective methodology was used with a critical analysis of the academic path and the personal and professional evolution necessary for the acquisition and development of skills recommended for the attribution of the title of master and specialist in medical-surgical nursing in the area of the critically ill person. This path was developed in the context of an internship in general emergency, intensive care and pre-hospital services. The theory of uncertainty in disease by Merle Mishel was used as a theoretical framework.
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traumatismo vertebro-medular síndrome medular central macas imobilização transporte de doentes enfermeiro spinal cord trauma central spinal cord syndrome stretchers immobilization patient transport nurse
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