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Publication
Gestão da dispneia na pessoa em situação crítica :
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.69 MB | Adobe PDF |
Advisor(s)
Abstract(s)
A dispneia é percebida como sendo semelhante à asfixia, sendo um dos
piores sintomas experimentados por doentes críticos, incluindo os que acabam
por ser ventilados mecanicamente. A dispneia é um preditor independente de
morbidade e mortalidade em populações específicas de doentes e não se limita
apenas a doenças de origem pulmonar.
Este trabalho expõe o culminar do percurso realizado no contexto do Curso
de Mestrado em Enfermagem na Área de especialização à Pessoa em Situação
Crítica da Escola Superior de Enfermagem de Lisboa, com o objetivo de
desenvolver competências especializadas de enfermagem no cuidado à pessoa
em situação crítica com dispneia.
Adotou-se a metodologia de projeto. Realizou-se uma RIL, um estágio em
Serviço de Urgência e outro em Unidade de Cuidados Intensivos. Participámos
em atividades de formação e disseminação de conhecimento científico. O meu
pensamento e ação foi sustentado pela filosofia de Laurie Gottlieb.
As atividades realizadas possibilitaram atingir os objetivos e o
desenvolvimento de competências de mestre e especializadas de enfermagem no
cuidado à pessoa em situação crítica com dispneia.
São várias as intervenções utilizadas para assistir os doentes na UCI e no
SU com dificuldade respiratória e que mostraram efeitos benéficos na gestão da
dispneia e dos fatores que a originam, como a ansiedade e a dor.
A elaboração deste relatório mostrou ser benéfico na aprendizagem
enquanto futura enfermeira especialista e mestre em enfermagem, havendo
repercussões consequentes na área da melhoria contínua da qualidade dos
cuidados.
Dyspnoea is perceived to be like asphyxia, being one of the worst symptoms experienced by critically ill patients, including those who end up being mechanically ventilated. Dyspnoea is an independent predictor of morbidity and mortality in specific patient populations and is not limited to diseases of pulmonary origin. This work exposes the culmination of the journey carried out in the context of the master’s Course in Nursing in the Specialization Area for the Person in Critical Situation at the Escola Superior de Enfermagem de Lisboa, with the objective of developing specialized nursing skills in the care of the person in critical situation with dyspnoea. The design methodology was adopted. There was an RIL, an internship in an Emergency Service and another in an Intensive Care Unit. We participated in training activities and dissemination of scientific knowledge. My thinking and action were underpinned by the philosophy of Laurie Gottlieb. The activities carried out made it possible to achieve the objectives and the development of master's and specialized nursing skills in caring for people in critical situations with dyspnoea. There are several interventions used to assist patients in the ICU and ER with breathing difficulties that have shown beneficial effects in the management of dyspnoea and the factors that cause it, such as anxiety and pain. The preparation of this report proved to be beneficial in learning as a future specialist nurse and master’s in nursing, with consequent repercussions in continuous improvement in the quality of care.
Dyspnoea is perceived to be like asphyxia, being one of the worst symptoms experienced by critically ill patients, including those who end up being mechanically ventilated. Dyspnoea is an independent predictor of morbidity and mortality in specific patient populations and is not limited to diseases of pulmonary origin. This work exposes the culmination of the journey carried out in the context of the master’s Course in Nursing in the Specialization Area for the Person in Critical Situation at the Escola Superior de Enfermagem de Lisboa, with the objective of developing specialized nursing skills in the care of the person in critical situation with dyspnoea. The design methodology was adopted. There was an RIL, an internship in an Emergency Service and another in an Intensive Care Unit. We participated in training activities and dissemination of scientific knowledge. My thinking and action were underpinned by the philosophy of Laurie Gottlieb. The activities carried out made it possible to achieve the objectives and the development of master's and specialized nursing skills in caring for people in critical situations with dyspnoea. There are several interventions used to assist patients in the ICU and ER with breathing difficulties that have shown beneficial effects in the management of dyspnoea and the factors that cause it, such as anxiety and pain. The preparation of this report proved to be beneficial in learning as a future specialist nurse and master’s in nursing, with consequent repercussions in continuous improvement in the quality of care.
Description
Keywords
Enfermagem de cuidados intensivos Dispneia Cuidados críticos