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Publication
A pessoa com alteração cognitiva resultante de acidente vascular cerebral :
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 6.17 MB | Adobe PDF |
Advisor(s)
Abstract(s)
A cognição é uma complexa coleção de funções mentais que incluem atenção,
perceção, compreensão, aprendizagem, memória, resolução de problemas e
raciocínio, que permitem ao homem compreender e relacionar-se com o mundo e seus
elementos. O compromisso de tais funções tem consequências funcionais
importantes, independentemente do compromisso motor existente, sendo o Acidente
Vascular Cerebral (AVC) um dos eventos responsáveis e do qual poderão decorrer
alterações nos domínios motor, sensorial e cognitivo que impõem mudanças e
desencadeiam necessidades de adaptação que sendo superiores à capacidade de se
autocuidar geram um défice de autocuidado (AC). Considerando a pessoa com
alteração cognitiva após AVC é provável que essa capacidade esteja limitada,
constituindo-se a teoria do deficit do autocuidado de Orem fundamental na
estruturação da atuação do Enfermeiro Especialista de Enfermagem de Reabilitação
(EEER).
A intervenção do EEER à pessoa com alteração cognitiva resultante de AVC
alicerça-se na capacidade neuro plástica do cérebro. Provavelmente a recuperação
ocorre mediante uma combinação de processos espontâneos e dependentes de
aprendizagem, incluindo restituição, substituição e compensação, promovida por
intervenções que consideram o enriquecimento do ambiente e a regulação sensorial
como coadjuvantes do plano de reabilitação.
Este relatório tem como propósito expor a análise crítica das atividades
desenvolvidas nos campos de estágio e reflexão sobre as aprendizagens que
permitiram alcançar as competências preconizadas pela Ordem dos Enfermeiros (OE)
para o EE, EEER e Descritores de Dublin.
Conclui-se que ação do EEER, dirigida a pessoas com diagnóstico de AVC,
deve considerar as alterações cognitivas e físicas, contemplando intervenções
promotoras da estimulação dos processos cognitivos. A inclusão de um programa de
regulação sensorial estruturado revelou-se como promotor da reabilitação para
reverter as alterações observadas e concorreu para incrementar a motivação, a
autonomia, o conforto e bem-estar.
Cognition is a complex collection of mental functions that include attention, perception, comprehension, learning, memory, problem-solving, and reasoning, which allow humans to understand and relate to the world around them and its elements. The impairment of such functions has important functional consequences, regardless of the existing motor impairment. A Cerebrovascular accident (CVA/stroke) is one of the events responsible for such a thing to occur. The alterations that result from this are visible in the motor, sensory, and cognitive domains. The resulting squeals impose changes that trigger the need for adaptation. In the face of an imbalance, if the person's needs are greater than their ability to self-care, a self-care deficit (SC) arises. Considering the person with cognitive impairment, after a CVA this ability is likely to be limited. Thus, Orem's theory of self-care deficit is essential in structuring the performance of a Specialist Nurse in Rehabilitation (SNR). The SNR’s intervention regarding the person with cognitive impairment resulting from a CVA is based on the neuroplastic capacity of the brain. Recovery is likely to occur through a combination of spontaneous and learning-dependent processes, including restitution; replacement, and compensation, promoted by interventions that consider environmental enrichment and sensory regulation as coadjutants in the rehabilitation plan. The purpose of this study is to present a critical analysis of the activities developed in the internship fields and reflect on the learning experiences that allowed achieving the competencies recommended by the "Ordem dos Enfermeiros" (OE) for the NRS and Descriptors de Dublin We can conclude that the action of the NSR, directed at people diagnosed with a stroke should consider both cognitive and physical changes, contemplating interventions that promote the stimulation of cognitive processes. The inclusion of a structured sensory regulation programme has proved to promote rehabilitation to reverse the effects of the stroke and contributed to increase motivation, autonomy, comfort, and well-being of the patient.
Cognition is a complex collection of mental functions that include attention, perception, comprehension, learning, memory, problem-solving, and reasoning, which allow humans to understand and relate to the world around them and its elements. The impairment of such functions has important functional consequences, regardless of the existing motor impairment. A Cerebrovascular accident (CVA/stroke) is one of the events responsible for such a thing to occur. The alterations that result from this are visible in the motor, sensory, and cognitive domains. The resulting squeals impose changes that trigger the need for adaptation. In the face of an imbalance, if the person's needs are greater than their ability to self-care, a self-care deficit (SC) arises. Considering the person with cognitive impairment, after a CVA this ability is likely to be limited. Thus, Orem's theory of self-care deficit is essential in structuring the performance of a Specialist Nurse in Rehabilitation (SNR). The SNR’s intervention regarding the person with cognitive impairment resulting from a CVA is based on the neuroplastic capacity of the brain. Recovery is likely to occur through a combination of spontaneous and learning-dependent processes, including restitution; replacement, and compensation, promoted by interventions that consider environmental enrichment and sensory regulation as coadjutants in the rehabilitation plan. The purpose of this study is to present a critical analysis of the activities developed in the internship fields and reflect on the learning experiences that allowed achieving the competencies recommended by the "Ordem dos Enfermeiros" (OE) for the NRS and Descriptors de Dublin We can conclude that the action of the NSR, directed at people diagnosed with a stroke should consider both cognitive and physical changes, contemplating interventions that promote the stimulation of cognitive processes. The inclusion of a structured sensory regulation programme has proved to promote rehabilitation to reverse the effects of the stroke and contributed to increase motivation, autonomy, comfort, and well-being of the patient.
Description
Keywords
Enfermagem em reabilitação Acidente vascular cerebral Autocuidado