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Intervenção precoce no primeiro surto psicótico
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Abstract(s)
As perturbações mentais tornaram-se, nos últimos anos, a principal causa de incapacidade e uma das principais causas de morbilidade nas sociedades. O primeiro episódio psicótico pode afetar as várias áreas da vida humana, psicológica, social, emocional e física. É particularmente stressante, tanto para a pessoa que o vivencia, como para a família. A intervenção precoce com a pessoa com primeiro surto psicótico, pode ser aplicada em dois momentos, numa fase prévia ao primeiro episódio psicótico, no âmbito da promoção da saúde mental e prevenção da doença mental. E após surgir o primeiro episódio psicótico, com intervenções especializadas dirigidas a esta fase. O Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica pode desenvolver dentro da área de competência, intervenções especializadas, ao nível da prevenção, recuperação e reabilitação, integrado numa equipa multidisciplinar. O presente relatório visa demonstrar o percurso formativo realizado ao longo do estágio, num serviço de psiquiatria de internamento de crise e num contexto comunitário, onde se implementou um projeto com o objetivo central de realizar uma intervenção precoce com a pessoa com primeiro surto psicótico. Incide sobre a análise reflexiva das intervenções implementadas no âmbito da intervenção precoce com a pessoa com primeiro episódio psicótico, valorizando-se a excelência relacional. Utilizou-se uma abordagem descritiva e reflexiva, de forma a realizar uma análise crítica do percurso traçado na aquisição e desenvolvimento de competências do Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica e de Mestre.
Mental disorders have become, in recent years, the leading cause of disability and one of the main causes of morbidity in societies. The first psychotic episode can affect various areas of human life, including psychological, social, emotional, and physical aspects. It is particularly stressful for both the individual experiencing it and their family. Early intervention with a person experiencing their first psychotic episode can be applied at two stages: prior to the first psychotic episode, within the scope of mental health promotion and mental illness prevention; and after the first psychotic episode has occurred, with specialized interventions directed at this phase. The Specialist Nurse in Mental Health and Psychiatric Nursing can develop specialized interventions within their area of competence, at the levels of prevention, recovery, and rehabilitation, as part of a multidisciplinary team. This report aims to demonstrate the training path undertaken during the internship, in an inpatient crisis psychiatry service and in a community context, where a project was implemented with the central objective of early intervention with individuals experiencing their first psychotic episode. It focuses on the reflective analysis of the interventions implemented in the context of early intervention with individuals experiencing their first psychotic episode, emphasizing relational excellence. A descriptive and reflective approach was used to conduct a critical analysis of the path taken in the acquisition and development of competencies by the Specialist Nurse in Mental Health and Psychiatric Nursing and as a Master's degree holder.
Mental disorders have become, in recent years, the leading cause of disability and one of the main causes of morbidity in societies. The first psychotic episode can affect various areas of human life, including psychological, social, emotional, and physical aspects. It is particularly stressful for both the individual experiencing it and their family. Early intervention with a person experiencing their first psychotic episode can be applied at two stages: prior to the first psychotic episode, within the scope of mental health promotion and mental illness prevention; and after the first psychotic episode has occurred, with specialized interventions directed at this phase. The Specialist Nurse in Mental Health and Psychiatric Nursing can develop specialized interventions within their area of competence, at the levels of prevention, recovery, and rehabilitation, as part of a multidisciplinary team. This report aims to demonstrate the training path undertaken during the internship, in an inpatient crisis psychiatry service and in a community context, where a project was implemented with the central objective of early intervention with individuals experiencing their first psychotic episode. It focuses on the reflective analysis of the interventions implemented in the context of early intervention with individuals experiencing their first psychotic episode, emphasizing relational excellence. A descriptive and reflective approach was used to conduct a critical analysis of the path taken in the acquisition and development of competencies by the Specialist Nurse in Mental Health and Psychiatric Nursing and as a Master's degree holder.
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Keywords
Enfermagem psiquiátrica Transtornos psicóticos Saúde mental Competência profissional Psicoterapia