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Enfermagem de reabilitação à pessoa com doença pulmonar obstrutiva crónica sob ventilação não invasiva, no regresso a casa
| Name: | Description: | Size: | Format: | |
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| 6.05 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
A Doença Pulmonar Obstrutiva Crónica é uma das principais causas de
incapacidade e morbimortalidade a nível nacional e mundial, com impacto significativo
a nível económico e na saúde publica. Os momentos de agudização subjacentes a
esta patologia levam a uma diminuição progressiva da funcionalidade, um
compromisso no autocuidado e na qualidade de vida da pessoa.
Dada a condição de hipercapnia crónica, surge a necessidade de Ventilação Não
Invasiva e da adaptação a esta nova condição, que irá acompanhar a pessoa no
regresso a casa, tornando-se essencial investir na melhoria dos cuidados prestados
nesta área.
Torna-se preponderante a intervenção do Enfermeiro Especialista em Enfermagem
de Reabilitação, que com as suas competências acrescidas, tem a capacidade de
promover a adesão à VNI, aleando a reeducação funcional respiratória, para o
controlo sintomático, melhoria da capacidade funcional e do autocuidado, e
estabilização da doença. O regresso a casa é um momento crucial, no que se refere
à aquisição de novas habilidades daí a importância de um follow-up ou referenciação
adequados.
Foram definidos objetivos com vista ao desenvolvimento das competências comuns
e especificas do EEER que teve uma componente prática, em dois locais de estágio.
Adotaram-se estratégias promotoras de adesão à VNI resultando em ganhos ao
nível da melhoria da dispneia, conservação de energia, reeducação ao esforço. Foram
também desenvolvidos os cuidados de enfermagem de reabilitação à pessoa com
alterações cognitiva, sensoriomotora, da deglutição e da eliminação, verificando-se
ganhos ao nível da melhoria da força muscular, do equilíbrio, da amplitude articular,
deglutição, treino de Atividades de Vida Diária e maximização da funcionalidade.
Recorreu-se à Teoria do Autocuidado de Dorothea Orem como filosofia de cuidados
neste processo de aprendizagem e de desenvolvimento pessoal e profissional.
Chronic Obstructive Pulmonary Disease is one of the main causes of disability and morbidity and mortality, nationally and globally, with a significant impact at an economic level and on public health. The moments of aggravation underlying this pathology lead to a progressive decrease in functionality, a compromise of self-care and the person's quality of life. Given the condition of chronic hypercapnia, there is a need for Non-Invasive Ventilation and adaptation to this new condition, which will accompany the person back home, making it essential to invest in improving the care provided in this area. The intervention of the Specialist Nurse in Rehabilitation Nursing becomes preponderant, who, with his added competences, has the ability to promote adherence to NIV, combining functional respiratory re-education, for symptomatic control, improvement of functional capacity and self-care, and stabilization of the disease. The return home is a crucial moment, about the acquisition of new skills, hence the importance of adequate follow-up or referral. Objectives were defined with a view to developing the common and specific skills of the EEER, which had a practical component, in two internship locations. Strategies were adopted to promote adherence to NIV resulting in gains in the improvement of dyspnea, energy conservation, re-education to effort. Nursing rehabilitation care for people with cognitive, sensorimotor, swallowing and elimination disorders was also developed, with gains in terms of improving muscle strength, balance, joint amplitude, swallowing, activity daily living training and maximizing functionality. Dorothea Orem's Theory of Self-Care was used as a philosophy of care in this process of learning and personal and professional development.
Chronic Obstructive Pulmonary Disease is one of the main causes of disability and morbidity and mortality, nationally and globally, with a significant impact at an economic level and on public health. The moments of aggravation underlying this pathology lead to a progressive decrease in functionality, a compromise of self-care and the person's quality of life. Given the condition of chronic hypercapnia, there is a need for Non-Invasive Ventilation and adaptation to this new condition, which will accompany the person back home, making it essential to invest in improving the care provided in this area. The intervention of the Specialist Nurse in Rehabilitation Nursing becomes preponderant, who, with his added competences, has the ability to promote adherence to NIV, combining functional respiratory re-education, for symptomatic control, improvement of functional capacity and self-care, and stabilization of the disease. The return home is a crucial moment, about the acquisition of new skills, hence the importance of adequate follow-up or referral. Objectives were defined with a view to developing the common and specific skills of the EEER, which had a practical component, in two internship locations. Strategies were adopted to promote adherence to NIV resulting in gains in the improvement of dyspnea, energy conservation, re-education to effort. Nursing rehabilitation care for people with cognitive, sensorimotor, swallowing and elimination disorders was also developed, with gains in terms of improving muscle strength, balance, joint amplitude, swallowing, activity daily living training and maximizing functionality. Dorothea Orem's Theory of Self-Care was used as a philosophy of care in this process of learning and personal and professional development.
Description
Keywords
Enfermagem em reabilitação Doença pulmonar obstrutiva crónica Ventilação não invasiva Cooperação e adesão ao tratamento