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O enfermeiro especialista como promotor da adesão do adolescente com diabetes mellitus tipo 1 ao regime terapêutico
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Abstract(s)
O presente relatório visa refletir sobre as aprendizagens pessoais, profissionais e
académicas vivenciadas ao longo do 3º semestre do 9º Curso de Mestrado em
Enfermagem na Área de Especialização de Saúde Infantil e Pediatria, procurando
descrever e analisar os objetivos e atividades projetadas, relacionando-as com as
competências desenvolvidas.
Todo este percurso foi sustentado numa prática reflexiva, pensamento crítico e
construtivo alicerçado nos importantes contributos da teoria das transições de Afaf
Meleis, da Filosofia de Cuidados Centrados na Família, Cuidados Não Traumáticos
e das teorias de Adesão ao Regime Terapêutico mais especificamente no
adolescente com Diabetes Mellitus tipo 1 (DM1) e possibilitou a aquisição e
desenvolvimento de competências atribuídas áquele que possui grau de mestre,
assim como das competências comuns e as específicas do Enfermeiro Especialista
em Saúde Infantil e Pediátrica definidas pela Ordem dos Enfermeiros.
A DM1 é a forma mais frequente de diabetes na criança e no jovem. A otimização da
terapêutica e a promoção do autocontrolo são basilares para alcançar o bom
controlo metabólico. Os sistemas de Perfusão Subcutânea Contínua de Insulina
(PSCI) apresentam-se como o método mais seguro, flexível e exato de
administração de insulina na pediatria. Um adolescente com DM1 controlada e
competente na gestão da terapêutica, associada à alimentação e atividade física,
torna-se num adulto potencialmente saudável, diminuindo o risco de complicações
secundárias associadas à DM1.
Este percurso de aprendizagem impulsionou também o início de um processo de
mudança e transformação do real através da construção de um Programa de
Intervenção no processo de Adesão dos adolescentes com DM1 aos sistemas de
PSCI a implementar em contexto de campo de férias e na consulta de forma a
promover uma transição para a vida adulta o mais harmoniosa possível, e contribuir
para a melhoria da qualidade de vida não só do adolescente, mas também da sua
família.
This report aims to reflect on the personal, professional and academic learning experienced during the 3rd semester of the 9th Master's Degree of Nursing in the area of Specialization in Infant and Pediatrics Health. It assumes a reflexive character, trying to describe and analyze the projected objectives and activities, relating them to the competences developed. This whole course was based on a reflexive practice, critical and constructive thinking based on the important contributions of Afaf Meleis transitions theory, the Philosophy of Family-Centered Care, Non-Traumatic Care and the theories of adherence to the therapeutic regimen more specifically in the adolescent with Type 1 Diabetes and made possible the acquisition and development of competencies attributed to the one who has master's degree, as well as the common and specific competences of the Specialist Nurse in Infant and Pediatric Health defined by the Nurses' Order. Type 1 Diabetes (T1D) is the most common form of diabetes in children and young people. Optimization of therapy and promotion of self-control are essential to achieve good metabolic control. Continuous Subcutaneous Insulin Infusin (CSII) are the safest, most flexible and accurate method of insulin administration in pediatrics. A T1D adolescent with controlled and competent management of therapy, associated with food and physical activity, becomes a potentially healthy adult, decreasing the risk of secondary complications associated to T1D. This learning process stimulated the beginning of a process of change and transformation of the real through the construction of an Intervention Program in the Adherence Process of the adolescents with T1D to the CSII to be implemented in summer camp context. The aim is to promote a transition to adult life as harmonious as possible, and to contribute to the improvement of the quality of life not only of the adolescent, but also of his family.
This report aims to reflect on the personal, professional and academic learning experienced during the 3rd semester of the 9th Master's Degree of Nursing in the area of Specialization in Infant and Pediatrics Health. It assumes a reflexive character, trying to describe and analyze the projected objectives and activities, relating them to the competences developed. This whole course was based on a reflexive practice, critical and constructive thinking based on the important contributions of Afaf Meleis transitions theory, the Philosophy of Family-Centered Care, Non-Traumatic Care and the theories of adherence to the therapeutic regimen more specifically in the adolescent with Type 1 Diabetes and made possible the acquisition and development of competencies attributed to the one who has master's degree, as well as the common and specific competences of the Specialist Nurse in Infant and Pediatric Health defined by the Nurses' Order. Type 1 Diabetes (T1D) is the most common form of diabetes in children and young people. Optimization of therapy and promotion of self-control are essential to achieve good metabolic control. Continuous Subcutaneous Insulin Infusin (CSII) are the safest, most flexible and accurate method of insulin administration in pediatrics. A T1D adolescent with controlled and competent management of therapy, associated with food and physical activity, becomes a potentially healthy adult, decreasing the risk of secondary complications associated to T1D. This learning process stimulated the beginning of a process of change and transformation of the real through the construction of an Intervention Program in the Adherence Process of the adolescents with T1D to the CSII to be implemented in summer camp context. The aim is to promote a transition to adult life as harmonious as possible, and to contribute to the improvement of the quality of life not only of the adolescent, but also of his family.
Description
Keywords
Enfermagem pediátrica Adolescente Diabetes mellitus tipo 1 Cooperação e adesão ao tratamento Sistemas de infusão de insulina