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Publication
Gestão da dor no doente sedado sob ventilação mecânica Invasiva em contexto pré-hospitalar
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 8.08 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Dor é uma experiência sensitiva e emocional desagradável associada a uma lesão
tecidual real ou potencial, sendo considerada como 5º sinal vital. Doentes submetidos a
sedação e ventilação mecânica invasiva, são incapazes de comunicar e de autoavaliar a
dor, tornando-se um desafio a avaliação da mesma, com a aplicação dos instrumentos em
uso, escala numérica e qualitativa. Neste âmbito, destaca-se a importância do uso de
escalas de avaliação da dor por meio subjetivo da observação de comportamentos
utilizando a Behavioral Pain Scale (BPS).
Entre as várias atividades desenvolvidas ao longo do Estágio Final do Mestrado em
Enfermagem, desenvolveu-se uma Intervenção Profissional Major, com o objetivo de
contribuir para a melhoria da gestão da dor no doente sedado sob ventilação mecânica
invasiva em contexto pré-hospitalar e que se apresenta de forma detalhada e fundamentada
neste relatório. Entre outros aspetos, neste trabalho destaca-se a fundamentação da
problemática, o enquadramento conceptual e teórico subjacente, bem como a descrição
pormenorizada das etapas da metodologia de projeto relativas ao desenvolvimento da
referida Intervenção.
Ao longo deste relatório sublinha-se também a realização de uma análise reflexiva e
fundamentada sobre o processo de aquisição e desenvolvimento das competências de
Mestre em Enfermagem, bem como das competências comuns e específicas do Enfermeiro
Especialista em Enfermagem Médico-Cirúrgica – a Pessoa em Situação Crítica.
Pain is a unpleasant sensory and emotional experience associated with actual or potential tissue injury and it is considered the 5th vital sign. Patients undergoing sedation and invasive mechanical ventilation are unable to communicate na self-assess pain, making it challenge to assess it with the application of the instruments in use, numerical and qualitative scale. In this contexto, the importance of using pain assessment scales through subjective behavior observation using the behavior pain scale (BPS). Among the various activities carried out during this stage, of the master’s degree in nursing, a major professional intervention was developed with the objective of contributing to the imporvement of pain management in patients sedated under invasive mechanical ventilation in a pre-hospital context, wich is presented in detail and based on this report. Among other aspects of this work include the Foundation of the problema, the underlying conceptual and theoretical framework, as well as detailed description of the stages of the project methodology related to the development of the said intervention. Throughout this report, emphasis is also placed on the carrying out of a reflective and reasone analysis of the process of acquiring and developing the competencies of the master’s degree in nursing, as well as common and specific competencies of the nurse specializing in medical surgical nursing – the person in a critical situation.
Pain is a unpleasant sensory and emotional experience associated with actual or potential tissue injury and it is considered the 5th vital sign. Patients undergoing sedation and invasive mechanical ventilation are unable to communicate na self-assess pain, making it challenge to assess it with the application of the instruments in use, numerical and qualitative scale. In this contexto, the importance of using pain assessment scales through subjective behavior observation using the behavior pain scale (BPS). Among the various activities carried out during this stage, of the master’s degree in nursing, a major professional intervention was developed with the objective of contributing to the imporvement of pain management in patients sedated under invasive mechanical ventilation in a pre-hospital context, wich is presented in detail and based on this report. Among other aspects of this work include the Foundation of the problema, the underlying conceptual and theoretical framework, as well as detailed description of the stages of the project methodology related to the development of the said intervention. Throughout this report, emphasis is also placed on the carrying out of a reflective and reasone analysis of the process of acquiring and developing the competencies of the master’s degree in nursing, as well as common and specific competencies of the nurse specializing in medical surgical nursing – the person in a critical situation.
Description
Keywords
Enfermagem médico-cirúrgica Ventilação mecânica invasiva Gestão da dor Behavioral pain scale Pré-hospitalar Medical surgical nursing Invasive mechanical ventilation Pain management Pre-hospital