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A Pessoa com paresia na face: O contributo do enfermeiro especialista em Enfermagem de Reabilitação - Desenvolvimento de competências clínicas especializadas na área de Enfermagem de Reabilitação
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A realização do presente relatório surge no âmbito da unidade curricular ‘’Estágio de natureza
profissional com relatório – Módulo II’’, inserida no plano de estudos do Curso Mestrado em
Enfermagem de Reabilitação da Escola Superior de Enfermagem do Porto, no ano letivo
2024/2025, que decorreu entre 16 de setembro 2024 e 10 de janeiro 2025 em diferentes
contextos da prática clínica. Na unidade curricular "Estágio de natureza profissional - Módulo I",
foi elaborado um projeto de desenvolvimento de competências e, o relatório, resulta da
aprendizagem decorrente desse processo, onde é colocada em evidência a relevância das
competências clínicas diferenciadas adquiridas ao longo do módulo II.
A temática da paresia na face tem tido uma evolução favorável no que concerne à investigação,
apesar de nesta nem sempre ser evidente a intervenção do Enfermeiro Especialista em
Enfermagem de Reabilitação. Deste modo, face ao interesse pessoal, e face às competências
específicas do Enfermeiro Especialista em Enfermagem de Reabilitação, optou-se por dar mais
enfoque ao desenvolvimento de competências especializadas para a tomada de decisão clínica
de Enfermagem de Reabilitação no domínio da paresia na face, de forma a contribuir para o
desenvolvimento de conteúdos e, possivelmente, posterior investigação nesta área.
No que concerne às competência do Enfermeiro Especialista, foram definidos como objetivos
específicos: desenvolver competências comuns do EE no âmbito da responsabilidade
profissional, ética e legal, da melhoria contínua da qualidade, da gestão de cuidados e do
desenvolvimento das aprendizagens profissionais (Regulamento nº140/2019). Relativamente ao
desenvolvimento das competências específicas do Enfermeiro Especialista em Enfermagem de
Reabilitação, foram definidos três objetivos específicos, sendo eles: Desenvolver competências
específicas para cuidar de pessoas com necessidades especiais ao longo do ciclo de vida, em
todos os contextos da prática de cuidados; Desenvolver competências para capacitar a pessoa
com deficiência, limitação da atividade e/ou restrição da participação para a reinserção e
exercício da cidadania e desenvolver competências para maximizar a funcionalidade
desenvolvendo as capacidades da pessoa (Regulamento nº392/2019). Relativamente ao
desenvolvimento das competências especializadas no âmbito da paresia na face, foram
definidos os seguintes objetivos específicos: Desenvolver competências específicas para avaliar
e identificar alterações e dados relevantes na pessoa com paresia na face; Desenvolver
competências específicas para identificar diagnósticos na pessoa com paresia na
face; Desenvolver competências específicas para identificar objetivos e prescrever intervenções
na pessoa com paresia na face; Desenvolver competências específicas para implementar
intervenções na pessoa com paresia na face e desenvolver competências específicas para efetuar a avaliação das intervenções implementadas.
Este relatório visa o desenvolvimento das referidas competências ao longo dos estágios, nos
diferentes contextos clínicos.
Encontra-se dividido em cinco partes, nomeadamente parte introdutória, onde se apresentam os
objetivos e a metodologia; caracterização dos diferentes contextos da prática clínica, nomeando
os recursos humanos existentes, recursos físicos e materiais, projetos implementados e
abordando sucintamente como foram desenvolvidas determinadas competências; caso clínico,
conceção de cuidados desenvolvida na plataforma e4nursing e, por último, contributos para o
desenvolvimento de competências comuns do Enfermeiro Especialista, das competências
específicas do Enfermeiro Especialista em Enfermagem de Reabilitação e das competências
específicas dirigidas à problemática da paresia na face.
The completion of this report arises within the scope of the curricular unit ‘Professional Internship with Report – Module II’, part of the study plan of the Master’s Degree in Rehabilitation Nursing at the Escola Superior de Enfermagem do Porto, in the academic year 2024/2025, which took place between September 16, 2024, and January 10, 2025, in different clinical practice contexts. In the curricular unit ‘Professional Internship – Module I’, a competency development project was created, and this report results from the learning derived from this process, highlighting the relevance of the differentiated clinical competencies acquired throughout Module II. The topic of facial paresis has seen favorable development in terms of research, although the intervention of the Rehabilitation Nurse Specialist (RNS) is not always evident in this area. Therefore, due to personal interest and in alignment with the specific competencies of the RNS, the focus was placed on the development of specialized competencies for clinical decisionmaking in Rehabilitation Nursing in the domain of facial paresis, in order to contribute to the development of content and possibly future research in this area. Regarding the competencies of the Rehabilitation Nurse, specific objectives were set: to develop common competencies in the areas of professional responsibility, ethics, and law, continuous quality improvement, care management, and the development of professional learning (Regulation No. 140/2019). With regard to the development of specific competencies of the Rehabilitation Nurse Specialist (RNS), three specific objectives were defined: to develop specific competencies to care for individuals with special needs throughout their life cycle, in all care contexts; to develop competencies to empower individuals with disabilities, activity limitations, and/or participation restrictions for reintegration and the exercise of citizenship; and to develop competencies to maximize functionality by developing the person’s abilities (Regulation No. 392/2019). For the development of specialized competencies in the context of facial paresis, the following specific objectives were defined: to develop specific competencies to assess and identify changes and relevant data in individuals with facial paresis; to develop specific competencies to identify diagnoses in individuals with facial paresis; to develop specific competencies to identify objectives and prescribe interventions for individuals with facial paresis; to develop specific competencies to implement interventions in individuals with facial paresis; and to develop specific competencies to evaluate the interventions implemented. This report aims to demonstrate the development of the mentioned competencies throughout the internships in different clinical contexts. It is divided into five parts: the introductory section, where the objectives and methodology are presented; characterization of different clinical practice contexts, naming available human resources, physical and material resources, implemented projects, and briefly discussing how certain competencies were developed; clinical case, care design developed on the e4nursing platform; and finally, contributions to the development of common competencies for the Rehabilitation Nurse, specific competencies for the Rehabilitation Nurse Specialist, and competencies related to the issue of facial paresis.
The completion of this report arises within the scope of the curricular unit ‘Professional Internship with Report – Module II’, part of the study plan of the Master’s Degree in Rehabilitation Nursing at the Escola Superior de Enfermagem do Porto, in the academic year 2024/2025, which took place between September 16, 2024, and January 10, 2025, in different clinical practice contexts. In the curricular unit ‘Professional Internship – Module I’, a competency development project was created, and this report results from the learning derived from this process, highlighting the relevance of the differentiated clinical competencies acquired throughout Module II. The topic of facial paresis has seen favorable development in terms of research, although the intervention of the Rehabilitation Nurse Specialist (RNS) is not always evident in this area. Therefore, due to personal interest and in alignment with the specific competencies of the RNS, the focus was placed on the development of specialized competencies for clinical decisionmaking in Rehabilitation Nursing in the domain of facial paresis, in order to contribute to the development of content and possibly future research in this area. Regarding the competencies of the Rehabilitation Nurse, specific objectives were set: to develop common competencies in the areas of professional responsibility, ethics, and law, continuous quality improvement, care management, and the development of professional learning (Regulation No. 140/2019). With regard to the development of specific competencies of the Rehabilitation Nurse Specialist (RNS), three specific objectives were defined: to develop specific competencies to care for individuals with special needs throughout their life cycle, in all care contexts; to develop competencies to empower individuals with disabilities, activity limitations, and/or participation restrictions for reintegration and the exercise of citizenship; and to develop competencies to maximize functionality by developing the person’s abilities (Regulation No. 392/2019). For the development of specialized competencies in the context of facial paresis, the following specific objectives were defined: to develop specific competencies to assess and identify changes and relevant data in individuals with facial paresis; to develop specific competencies to identify diagnoses in individuals with facial paresis; to develop specific competencies to identify objectives and prescribe interventions for individuals with facial paresis; to develop specific competencies to implement interventions in individuals with facial paresis; and to develop specific competencies to evaluate the interventions implemented. This report aims to demonstrate the development of the mentioned competencies throughout the internships in different clinical contexts. It is divided into five parts: the introductory section, where the objectives and methodology are presented; characterization of different clinical practice contexts, naming available human resources, physical and material resources, implemented projects, and briefly discussing how certain competencies were developed; clinical case, care design developed on the e4nursing platform; and finally, contributions to the development of common competencies for the Rehabilitation Nurse, specific competencies for the Rehabilitation Nurse Specialist, and competencies related to the issue of facial paresis.
Descrição
Palavras-chave
Parésia na face Enfermagem de Reabilitação Acidente Vascular Cerebral