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A pessoa idosa com compromisso no andar: contributo do Enfermeiro Especialista em Enfermagem de Reabilitação - Desenvolvimento de competências clínicas especializadas na área de Enfermagem de Reabilitação
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O presente relatório de estágio foi elaborado no âmbito da unidade curricular “Estágio de Natureza
Profissional com Relatório – Módulo II”, integrada no plano de estudos do Curso de Mestrado em
Enfermagem de Reabilitação da Escola Superior de Enfermagem do Porto (ESEP).
Neste âmbito, este relatório decorre de um projeto individual, elaborado no módulo I, e resulta
de uma análise reflexiva e fundamentada do percurso formativo realizado, ancorado nos contextos
de estágio, no desenvolvimento de competências comuns e específicas do Enfermeiro Especialista
em Enfermagem de Reabilitação (EEER), bem como na consolidação do conhecimento teóricoprático
adquirido ao longo da unidade curricular.
O Enfermeiro Especialista em Enfermagem de Reabilitação assume um papel fundamental na
promoção da autonomia e funcionalidade da pessoa ao longo das várias fases da vida,
intervindo em alterações que comprometam o desempenho funcional e a participação ativa da
pessoa na sociedade. A sua prática é orientada para a identificação de necessidades, planeamento
e implementação de intervenções terapêuticas personalizadas, com vista à preservação ou
recuperação de capacidades, prevenção de complicações e apoio à reintegração no contexto
familiar e comunitário. Com formação diferenciada, aplica métodos e técnicas específicas de
reabilitação, intervindo em diferentes níveis de cuidados, hospitalar, domiciliário e comunitário,
promovendo, desta forma, uma abordagem contínua, centrada na pessoa e sustentada na melhor
evidência disponível.
Neste sentido, de forma particular, foi conferido destaque à intervenção do EEER na pessoa idosa
com compromisso no andar, atendendo à elevada prevalência de limitações da mobilidade nesta
população e ao contexto de envelhecimento demográfico crescente em Portugal. A dificuldade no
andar, representa uma das principais queixas reportadas pelas pessoas idosas, sendo fundamental
o investimento nesta área.
Assim, neste relatório, numa primeira fase, são caracterizados os contextos clínicos onde
decorreram os estágios. Posteriormente, será apresentado um estudo de caso e a conceção de
cuidados de enfermagem de reabilitação sustentada na melhor evidência e na ontologia. A terceira
parte, visa explanar o desenvolvimento das competências comuns e específicas de enfermagem de
reabilitação ao longo do percurso realizado e assente pela reflexão crítica. Por último, será
efetuada a síntese final do relatório.
This internship report was prepared as part of the curricular unit "Professional Nature Internship with Report – Module II", integrated into the study plan of the Master's Degree in Rehabilitation Nursing at the Escola Superior de Enfermagem do Porto (ESEP). In this context, the report stems from an individual project developed in Module I and results from a reflective and reasoned analysis of the training path undertaken. It is anchored in the internship contexts, in the development of the common and specific competencies of the Rehabilitation Nursing Specialist Nurse (EEER), as well as in the consolidation of the theoretical- practical knowledge acquired throughout the curricular unit. The Rehabilitation Nursing Specialist Nurse plays a key role in promoting the person’s autonomy and functionality throughout the different stages of life, intervening in alterations that compromise functional performance and active participation in society. Their practice is directed towards the identification of needs, planning, and implementation of personalized therapeutic interventions, aiming at the preservation or recovery of capabilities, prevention of complications, and support for reintegration into the family and community setting. With advanced training, the specialist applies specific rehabilitation methods and techniques, intervening across different levels of care, hospital, home, and community, thereby promoting a continuous, person-centered approach supported by the best available evidence. In this sense, particular emphasis was placed on the intervention of the EEER in older adults with impaired gait, given the high prevalence of mobility limitations in this population and the growing demographic aging in Portugal. Difficulty in walking is one of the main complaints reported by older adults, thus making investment in this area essential. This report is structured as follows: first, the clinical contexts in which the internships took place are described. Then, a case study is presented, along with the design of rehabilitation nursing care based on the best evidence and nursing ontology. The third part aims to explore the development of common and specific rehabilitation nursing competencies throughout the learning process, sustained by critical reflection. Finally, a concluding synthesis of the report is provided.
This internship report was prepared as part of the curricular unit "Professional Nature Internship with Report – Module II", integrated into the study plan of the Master's Degree in Rehabilitation Nursing at the Escola Superior de Enfermagem do Porto (ESEP). In this context, the report stems from an individual project developed in Module I and results from a reflective and reasoned analysis of the training path undertaken. It is anchored in the internship contexts, in the development of the common and specific competencies of the Rehabilitation Nursing Specialist Nurse (EEER), as well as in the consolidation of the theoretical- practical knowledge acquired throughout the curricular unit. The Rehabilitation Nursing Specialist Nurse plays a key role in promoting the person’s autonomy and functionality throughout the different stages of life, intervening in alterations that compromise functional performance and active participation in society. Their practice is directed towards the identification of needs, planning, and implementation of personalized therapeutic interventions, aiming at the preservation or recovery of capabilities, prevention of complications, and support for reintegration into the family and community setting. With advanced training, the specialist applies specific rehabilitation methods and techniques, intervening across different levels of care, hospital, home, and community, thereby promoting a continuous, person-centered approach supported by the best available evidence. In this sense, particular emphasis was placed on the intervention of the EEER in older adults with impaired gait, given the high prevalence of mobility limitations in this population and the growing demographic aging in Portugal. Difficulty in walking is one of the main complaints reported by older adults, thus making investment in this area essential. This report is structured as follows: first, the clinical contexts in which the internships took place are described. Then, a case study is presented, along with the design of rehabilitation nursing care based on the best evidence and nursing ontology. The third part aims to explore the development of common and specific rehabilitation nursing competencies throughout the learning process, sustained by critical reflection. Finally, a concluding synthesis of the report is provided.
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Enfermagem de Reabilitação Pessoa Idosa Andar Reabilitação