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Gestão da dor na pessoa em situação crítica compancreatite aguda :
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| 2.61 MB | Adobe PDF |
Authors
Abstract(s)
Pancreatite Aguda é uma doença inflamatória do pâncreas que compreende
diversas etiologias, sendo as mais comuns a litíase biliar, o consumo excessivo de álcool,
hipertrigliceridémia e a Colangiopancreatografia Retrógrada Endoscópica (CPRE). Esta
patologia provoca aumento da morbilidade, internamentos prolongados e mortalidade,
que representa 5% a nível global (Taylor & Docking, 2020). Existem várias classificações, e
preditores, que podem ser mobilizados na avaliação da pancreatite aguda, sendo
imperativo que medidas sejam tomadas o mais precocemente possível. A literatura
preconiza a gestão da dor para a promoção da melhoria dos sintomas, dessa forma
abordarei a Gestão da Dor na Pessoa em Situação Crítica (PSC) com Pancreatite Aguda –
Intervenção Especializada de Enfermagem.
A relação estabelecida entre o enfermeiro, a pessoa e a família promove o
conforto, através de intervenções individualizadas na gestão da dor. A analgesia dirigida
à PSC com Pancreatite Aguda inclui intervenções farmacológicas e não farmacológicas.
A necessidade de desenvolver competências especializadas nesta área do cuidado
em enfermagem surge no âmbito do 12º Curso de Mestrado em Enfermagem na Área de
Especialização PSC, que me permitirá obter o grau de Mestre (Diário da República, 2006;
Diário da República, 2022; ESEL, 2022) e, de igual forma, obter o título de especialista
(Diário da República, 2018; Diário da República, 2019), através da Ordem dos Enfermeiros
(OE).
O percurso académico culmina neste relatório, que compreende as competências
por mim desenvolvidas nos contextos de cuidados intensivos e urgência. Neste sentido
serão apresentadas as principais atividades realizadas em contexto de estágio, à PSC, e
família, alvo dos meus cuidados, com vista ao meu desenvolvimento de competências
enquanto Enfermeira, com o principal objetivo de desenvolver competências
especializadas em enfermagem na gestão da dor da PSC com Pancreatite Aguda
Acute pancreatitis is an inflammatory disease of the pancreas with several etiologies, the most common being gallstones, excessive alcohol consumption, hypertriglyceridemia and Endoscopic Retrograde Cholangiopancreatography (ERCP). This pathology causes increased morbidity, prolonged hospitalisations and mortality, which accounts for 5% globally (Taylor & Docking, 2020). There are several classifications and predictors that can be used to assess acute pancreatitis, and it is imperative that measures are taken as early as possible. Literature recommend pain management to promote symptom improvement, thus I will address Pain Management in Critically Ill Patients with Acute Pancreatitis - Specialised Nursing Intervention. The relationship established between the nurse, the person and the family promotes comfort through individualised interventions in pain management. Analgesia directed to critically ill patients with Acute Pancreatitis includes pharmacological and nonpharmacological interventions. The need to develop specialized skills in this area of nursing care arises within the scope of the 12th Master's Degree Course in Nursing in the Specialization Area of Critically Ill patient, which will allow me to obtain a Master's degree (Diário da República, 2006; Diário da República, 2022; ESEL, 2022) and, likewise, obtain the title of specialist (Diário da República, 2018; Diário da República, 2019), through the Ordem dos Enfermeiros. The academic path culminates in this report, which comprises the skills developed by me in the intensive care and emergency settings. In this sense, the main activities carried out in the internship context will be presented to the critically ill patient and family who were the target of my care, with a view to developing my skills as a Nurse, with the main purpose of developing specialist nursing skills in pain management in critically ill patient with Acute Pancreatitis.
Acute pancreatitis is an inflammatory disease of the pancreas with several etiologies, the most common being gallstones, excessive alcohol consumption, hypertriglyceridemia and Endoscopic Retrograde Cholangiopancreatography (ERCP). This pathology causes increased morbidity, prolonged hospitalisations and mortality, which accounts for 5% globally (Taylor & Docking, 2020). There are several classifications and predictors that can be used to assess acute pancreatitis, and it is imperative that measures are taken as early as possible. Literature recommend pain management to promote symptom improvement, thus I will address Pain Management in Critically Ill Patients with Acute Pancreatitis - Specialised Nursing Intervention. The relationship established between the nurse, the person and the family promotes comfort through individualised interventions in pain management. Analgesia directed to critically ill patients with Acute Pancreatitis includes pharmacological and nonpharmacological interventions. The need to develop specialized skills in this area of nursing care arises within the scope of the 12th Master's Degree Course in Nursing in the Specialization Area of Critically Ill patient, which will allow me to obtain a Master's degree (Diário da República, 2006; Diário da República, 2022; ESEL, 2022) and, likewise, obtain the title of specialist (Diário da República, 2018; Diário da República, 2019), through the Ordem dos Enfermeiros. The academic path culminates in this report, which comprises the skills developed by me in the intensive care and emergency settings. In this sense, the main activities carried out in the internship context will be presented to the critically ill patient and family who were the target of my care, with a view to developing my skills as a Nurse, with the main purpose of developing specialist nursing skills in pain management in critically ill patient with Acute Pancreatitis.
Description
Keywords
Enfermagem de cuidados intensivos Cuidados de enfermagem Dor Pancreatite