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Publication
A mulher submetida a procedimentos invasivos da mama :
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 5.11 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Em Portugal, o cancro é um dos problemas de saúde de maior magnitude, no qual
o cancro de mama se destaca pela sua elevada prevalência e incidência. A constante
evolução e progresso da medicina e da tecnologia, no âmbito do rastreio, da deteção
precoce e do tratamento do cancro de mama, têm permitido classificar os procedimentos
realizados, em imagiologia de intervenção, como minimamente invasivos. Embora de
natureza “mínima”, estes procedimentos encontram-se envoltos em ansiedade, medo,
stress, incerteza associada ao procedimento, ao possível diagnóstico de um cancro ou até
mesmo ao sucesso dos tratamentos. A intervenção dos enfermeiros oncológicos nas
unidades especializadas é fundamental, fornecendo aconselhamento, informação e
apoio à pessoa e família, no entanto, este acompanhamento tem início após a
confirmação diagnóstica. Identificando-se na prática clínica esta problemática e com o
intuito de contribuir para a melhoria da qualidade e segurança dos cuidados de
enfermagem à mulher submetida a procedimentos invasivos da mama e sua família, foi
projetada uma consulta de enfermagem de acolhimento e follow up, sustentada na
filosofia de cuidados da Teoria da Incerteza na Doença de Merle Mishel. O presente
relatório de estágio, decorrido em duas unidades de mama certificadas pela EUSOMA e
na instituição onde trabalho, pretende documentar o percurso realizado para a aquisição
de Competências Comuns de Enfermeiro Especialista, Específicas de Especialista em
Enfermagem Médico-Cirúrgica, à Pessoa em Situação Crónica, as competências descritas
pela European Oncology Nursing Society (EONS) e de Mestre, no âmbito do cuidado à
mulher com suspeita e/ou diagnóstico de patologia maligna da mama e os resultados
obtidos. Assim, considero que a pesquisa realizada sobre um tema pouco desenvolvido,
a observação e prestação de cuidados, refletida criticamente nos respetivos locais de
estágio, os instrumentos de apoio à prática construídos, a satisfação das
mulheres/famílias na avaliação dos cuidados e o reconhecimento recebido pela
instituição, me permitem concluir que me foi possível desenvolver as competências
propostas, atingindo o nível de perito, mantendo a vontade de continuar a aprofundar a
formação nesta área e melhorar os cuidados prestados na minha instituição.
In Portugal, cancer is one of the health problems of greatest magnitude, in which breast cancer stands out due to its high prevalence and incidence. The constant evolution and progress of medicine and technology, in the context of screening, early detection and treatment of breast cancer, have made it possible to classify the procedures performed, in interventional imaging, as minimally invasive. Although “minimal” in nature, these procedures are surrounded by anxiety, fear, stress, uncertainty associated with the procedure, the possible diagnosis of cancer or even the success of the treatments. The intervention of oncology nurses in specialized units is fundamental, providing pratical advice, information and support to the person and family, however, this support begins after diagnostic confirmation. Identifying this problem in clinical practice and with the aim of contributing to improving the quality and safety of nursing care for women undergoing invasive breast procedures and their families, a inicial and follow-up nursing consultation was designed, supported in the care philosophy of Merle Mishel's Theories of Uncertainty in illness. This internship report, which took place in two breast units certified by EUSOMA and in the institution where I work, aims to document the journey taken to acquire common skills as a specialist nurse, specific to a specialist in medical-surgical nursing, for people with a chronic condition, the skills described by the European Oncology Nursing Society (EONS) and master's degree, within the scope of care for women with suspicion and/or diagnosis of malignant breast pathology and the results obtained. Therefore, I consider that the research carried out on a topic underdeveloped, the observation and provision of care, critically reflected in the respective internship locations, the practice support instruments constructed, the satisfaction of women/families in the evaluation of care and the recognition received by my institution, allow me to conclude that it was possible for me to develop the proposed skills, reaching the expert level, maintaining the desire to continue to deepen training in this area and continue to improve the care provided in my institution.
In Portugal, cancer is one of the health problems of greatest magnitude, in which breast cancer stands out due to its high prevalence and incidence. The constant evolution and progress of medicine and technology, in the context of screening, early detection and treatment of breast cancer, have made it possible to classify the procedures performed, in interventional imaging, as minimally invasive. Although “minimal” in nature, these procedures are surrounded by anxiety, fear, stress, uncertainty associated with the procedure, the possible diagnosis of cancer or even the success of the treatments. The intervention of oncology nurses in specialized units is fundamental, providing pratical advice, information and support to the person and family, however, this support begins after diagnostic confirmation. Identifying this problem in clinical practice and with the aim of contributing to improving the quality and safety of nursing care for women undergoing invasive breast procedures and their families, a inicial and follow-up nursing consultation was designed, supported in the care philosophy of Merle Mishel's Theories of Uncertainty in illness. This internship report, which took place in two breast units certified by EUSOMA and in the institution where I work, aims to document the journey taken to acquire common skills as a specialist nurse, specific to a specialist in medical-surgical nursing, for people with a chronic condition, the skills described by the European Oncology Nursing Society (EONS) and master's degree, within the scope of care for women with suspicion and/or diagnosis of malignant breast pathology and the results obtained. Therefore, I consider that the research carried out on a topic underdeveloped, the observation and provision of care, critically reflected in the respective internship locations, the practice support instruments constructed, the satisfaction of women/families in the evaluation of care and the recognition received by my institution, allow me to conclude that it was possible for me to develop the proposed skills, reaching the expert level, maintaining the desire to continue to deepen training in this area and continue to improve the care provided in my institution.
Description
Keywords
Enfermagem oncológica Mulheres Rastreio Neoplasias da mama Cuidados de enfermagem