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Acolhimento à Família do Doente na Unidade de Cuidados Intermédios
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| 9.75 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
O presente relatório de trabalho projeto é o produto final resultante da frequência do 2º
Curso de Mestrado em Enfermagem Médico – Cirúrgica da Escola Superior de Saúde do
Instituto Politécnico de Setúbal. Incide sobre as atividades desenvolvidas ao longo deste
percurso, que me permitiram adquirir as competências comuns e especificas de Enfermeiro
Especialista em Enfermagem Médico-Cirúrgica, bem como as competências de Mestre.
Para a persecução de tais objetivos ao longo dos estágios, foram abordadas duas
dimensões. O Projeto de Intervenção em Serviço (PIS) e o Projeto de Aprendizagem de
Competências (PAC).
De forma a dar suporte e consistência científica às intervenções de enfermagem foi
realizado o enquadramento conceptual, abordando numa primeira fase a Teoria da
Incerteza na Doença de Merle Mishel e numa segunda a problemática do acolhimento à
família do doente agudo.
Ao longo deste processo foi utilizada a metodologia de projeto. A realização do
diagnóstico de situação, a definição de objetivos, o planeamento bem como a sua execução
e avaliação culminaram no Projeto de Intervenção em Serviço denominado “Acolhimento
à família do doente numa unidade de cuidados intermédios.” Uma comunicação eficaz e o
estabelecimento de uma relação de ajuda com os familiares dos doentes são componentes
vitais da qualidade de cuidados (Azoulay, 2002). A reflexão sobre as aprendizagens
decorrentes do PIS permitiram-me alcançar as competências comuns de Enfermeiro
Especialista.
A realização da formação “Abordagem ao doente em Insuficiência respiratória”, onde foi
incluída a temática da prevenção da pneumonia associada à ventilação mecânica e a
construção do Poster Intitulado “Instruções perante suspeita / deteção de incêndio”,
consistiram nas intervenções realizadas de forma a dar resposta ao Projeto de Aquisição de
Competências, que visou a aquisição / aprofundamento das competências específicas de
Enfermeiro Especialista em Enfermagem médico-cirúrgica.
A análise crítica às intervenções realizadas ao longo deste percurso permitem-nos observar
uma especialização de natureza profissional bem como a aquisição de um conhecimento
aprofundado no domínio da Enfermagem Médico-cirúrgica.
Abstract:This report is the result of the frequency of the 2nd Master in Medical-Surgical Nursing at the Health School of the Polytechnic Institute of Setúbal. It focuses on the activities along this route, which enabled me to achieve the common and specific skills of a Specialist Nurse in Medical-Surgical Nursing as well as the skills of a Master. To achieve those goals in the clinical practice along the internships, two dimensions were addressed, the Project of Intervention in Service (PIS) and the Competencies Learning Project (PLC). In order to give scientific consistency to the nursing interventions we present the conceptual framework that first explains the Theories of Uncertainty in Illness (Merle Mishel) and in second a literature review regarding the host to the family of the critical patient. During this process we used the project methodology. The realization of the diagnosis of the situation, the goal setting, the planning, as well as the execution and evaluation, ended in the PIS named "Reception to the patient's family in intermediate care unit". An effective communication and the establishment of a relationship with the patients family are vital parts of the quality care (Azoulay 2002). The reflection regarding the PIS allowed me to acquire the common skills of a Specialist Nurse. The realization of the training "Management of the patient with respiratory distress", where we approach the prevention of the pneumonia associated with mechanical ventilation and the elaboration of the poster "Instructions facing suspicion/detection of fire", consists in the interventions done to give response to the specific skills of a Medical - Surgical Specialist Nurse. The critical analysis to the interventions done along this route allow to observe a professional specialization as well as an acquisition of a deep knowledge regarding Medical Surgical nursing.
Abstract:This report is the result of the frequency of the 2nd Master in Medical-Surgical Nursing at the Health School of the Polytechnic Institute of Setúbal. It focuses on the activities along this route, which enabled me to achieve the common and specific skills of a Specialist Nurse in Medical-Surgical Nursing as well as the skills of a Master. To achieve those goals in the clinical practice along the internships, two dimensions were addressed, the Project of Intervention in Service (PIS) and the Competencies Learning Project (PLC). In order to give scientific consistency to the nursing interventions we present the conceptual framework that first explains the Theories of Uncertainty in Illness (Merle Mishel) and in second a literature review regarding the host to the family of the critical patient. During this process we used the project methodology. The realization of the diagnosis of the situation, the goal setting, the planning, as well as the execution and evaluation, ended in the PIS named "Reception to the patient's family in intermediate care unit". An effective communication and the establishment of a relationship with the patients family are vital parts of the quality care (Azoulay 2002). The reflection regarding the PIS allowed me to acquire the common skills of a Specialist Nurse. The realization of the training "Management of the patient with respiratory distress", where we approach the prevention of the pneumonia associated with mechanical ventilation and the elaboration of the poster "Instructions facing suspicion/detection of fire", consists in the interventions done to give response to the specific skills of a Medical - Surgical Specialist Nurse. The critical analysis to the interventions done along this route allow to observe a professional specialization as well as an acquisition of a deep knowledge regarding Medical Surgical nursing.
Description
Keywords
Teoria da Incerteza na Doença Metodologia de Projeto Família Insuficiência Respiratória Uncertainty Illness Theory Project Methodology Family Respiratory distress