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O conforto da pessoa com cancro bilio-pancreƔtico em fim de vida, no hospital :
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Advisor(s)
Abstract(s)
O presente trabalho insere-se no Ć¢mbito da Unidade Curricular de EstĆ”gio
com relatĆ³rio do Mestrado em Enfermagem na Ćrea de EspecializaĆ§Ć£o de
Enfermagem MĆ©dico-CirĆŗrgica na OpĆ§Ć£o de Enfermagem OncolĆ³gica. Este
documento tem como principal objetivo documentar e expor o trabalho realizado e
o percurso de desenvolvimento das competĆŖncias de enfermeiro especialista e
mestre.
O cancro do pĆ¢ncreas e o cancro das vias biliares apresentam das mais
baixas taxas de sobrevivĆŖncia aos 5 anos, estando associados a um prognĆ³stico
muito pobre. Os cuidados paliativos constituem-se como uma componente chave
na gestĆ£o destas doenƧas, sendo que, no Ć¢mbito da doenƧa oncolĆ³gica, estes
cuidados podem ser providenciados em qualquer fase no decorrer do continuum
da doenƧa oncolĆ³gica, do momento do diagnĆ³stico, ao final de vida.
No entanto, cuidar de pessoas com cancro do pĆ¢ncreas e vias biliares em
fim de vida, sobretudo em serviƧos de internamento hospitalar nĆ£o especializados
e multidisciplinares, Ć© um desafio para os profissionais de saĆŗde. Nesse sentido,
de modo a contribuir para melhorar a qualidade na prestaĆ§Ć£o de cuidados de
enfermagem a esta populaĆ§Ć£o, enquanto sĆ£o desenvolvidas competĆŖncias de
enfermeiro especialista, foi elaborado um projeto. Este projeto foi desenvolvido em
trĆŖs campos de estĆ”gio e as atividades implementadas incluĆram a elaboraĆ§Ć£o de
uma revisĆ£o scoping, entrevistas, reflexƵes crĆticas, estudos de caso, colaboraĆ§Ć£o
em cuidados de enfermagem e criaĆ§Ć£o de documentos de apoio Ć prĆ”tica de
enfermagem. Destaca-se o guia orientador elaborado com a grelha de
intervenƧƵes de enfermagem direcionada para o conforto da pessoa com cancro
bilio-pancreĆ”tico em fim de vida, no Hospital e utilizaĆ§Ć£o da checklist de
observaĆ§Ć£o de comportamentos de conforto, tendo como referencial teĆ³rico a
Teoria do Conforto de Kolcaba, bem como formaƧƵes em serviƧo para divulgaĆ§Ć£o
destes documentos, sendo estes aspetos que contribuĆram para a melhoraria da
qualidade dos cuidados de enfermagem Ć s pessoas com cancro bilio-pancreĆ”tico
em fim de vida, no Hospital. Salientamos o cumprimento dos princĆpios Ć©ticos
inerentes. No entanto existiram atividades que nĆ£o foram passĆveis de ser
executadas por ausĆŖncia de internamentos de doentes com cancro do pĆ¢ncreas e
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vias biliares em fim de vida no perĆodo apĆ³s a formaĆ§Ć£o, e consequente realizaĆ§Ć£o
de auditorias dos cuidados de enfermagem e dos registos de enfermagem, que
poderĆ£o contribuir para o aumento do conhecimento na disciplina de Enfermagem.
This paper belongs to the Internship Curricular Unit with a report of the Master's in Nursing with the specialization in the medical-surgical area in the oncological field. This paperās main goal is to document the and exhibit the carried out work and describe the development of the nursing specialist skills and competences as well as masterās degree competences. Pancreatic and biliary cancer are diseases associated with poor prognosis, having some of the lowest survival rates at five years. Palliative care is a key component in the management of these diseases and in the cancer treatment this type of care can be provided at any point during the continuum of care, from the moment of diagnosis to the end of life. However, caring of people with pancreatic and biliary cancer at the end of life, especially in a non-specialized multidisciplinary ward, is a challenge to health care professionals. Considering that, to contribute to improve the quality of the provided care to this population, while developing nurse specialist competences, a project was created. This project was developed while doing three internships in distinct locations. The executed activities include a scoping review, interviews, critical reflections, case studies, collaborative nurse care and the creation of a nursing practice guide. This guide was built using a nursing intervention grid, whose interventions can contribute to improve the comfort of the hospitalized people with pancreatic and biliary cancer at the end of life, and workplace educational sessions to peers about the guide were conducted. A comfort behavior checklist was also used. This checklist is based on Kolcabaās Comfort Theory, which played a major role to support this project. It is believed that these activities have contributed to the improvement of nursing care quality. The compliance with the inherent ethical principles throughout the project should be emphasized. However, some of the proposed activities werenāt executed because during the time of the internship no patients with pancreatic and biliary cancer were admitted. These activities include auditing nursing care and nurse records, and they can in the future contribute to the improvement of nursing knowledge.
This paper belongs to the Internship Curricular Unit with a report of the Master's in Nursing with the specialization in the medical-surgical area in the oncological field. This paperās main goal is to document the and exhibit the carried out work and describe the development of the nursing specialist skills and competences as well as masterās degree competences. Pancreatic and biliary cancer are diseases associated with poor prognosis, having some of the lowest survival rates at five years. Palliative care is a key component in the management of these diseases and in the cancer treatment this type of care can be provided at any point during the continuum of care, from the moment of diagnosis to the end of life. However, caring of people with pancreatic and biliary cancer at the end of life, especially in a non-specialized multidisciplinary ward, is a challenge to health care professionals. Considering that, to contribute to improve the quality of the provided care to this population, while developing nurse specialist competences, a project was created. This project was developed while doing three internships in distinct locations. The executed activities include a scoping review, interviews, critical reflections, case studies, collaborative nurse care and the creation of a nursing practice guide. This guide was built using a nursing intervention grid, whose interventions can contribute to improve the comfort of the hospitalized people with pancreatic and biliary cancer at the end of life, and workplace educational sessions to peers about the guide were conducted. A comfort behavior checklist was also used. This checklist is based on Kolcabaās Comfort Theory, which played a major role to support this project. It is believed that these activities have contributed to the improvement of nursing care quality. The compliance with the inherent ethical principles throughout the project should be emphasized. However, some of the proposed activities werenāt executed because during the time of the internship no patients with pancreatic and biliary cancer were admitted. These activities include auditing nursing care and nurse records, and they can in the future contribute to the improvement of nursing knowledge.
Description
Keywords
Enfermagem oncolĆ³gica Conforto do paciente Neoplasias do sistema biliar Cuidados de enfermagem Neoplasias pancreĆ”ticas Doente terminal