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Publication
Relatório de estágio Cuidar da pessoa em situação crítica com status neurológico comprometido
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Relatório Final Licínia Barreto | 1.95 MB | Adobe PDF | ||
| 1.27 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
É cientificamente relevante que os enfermeiros que prestam cuidados à pessoa em situação crítica com status neurológico comprometido, adotem intervenções preventivas de hipertensão intracraniana, promotoras de oxigenação e perfusão cerebral e consequentemente impulsionadoras de um melhor outcome neurológico.
Acreditamos e advogamos a existência de um guia orientador de boas práticas dos cuidados de Enfermagem como forma de uniformizar procedimentos e impulsionar mudanças qualitativas a nível profissional, organizacional e das políticas de cuidados.
O guia desenvolvido teve como principais objetivos contribuir para a melhoria da qualidade dos cuidados de Enfermagem e uniformizar as intervenções de Enfermagem à pessoa em situação crítica com status neurológico comprometido cuidada no Bloco Operatório (BO), no Serviço de Medicina Intensiva (SMI) e no Serviço de Urgência (SU) do Serviço de Saúde da Região Autónoma da Madeira (SESARAM, E.P.E).
Foi elaborado segundo as recomendações da Ordem dos Enfermeiros, sendo constituído pelas diferentes partes: fundamentação, plano de cuidados tipo & algoritmo de atuação, operacionalização das práticas, equipamento clínico de apoio às intervenções de Enfermagem e a questão de investigação.
A fim de enriquecer, adequar e validar a síntese teórica, este foi submetido à apreciação por um painel de 15 peritos, enfermeiros especialistas em Enfermagem Médico-Cirúrgica.
No que concerne à pertinência das orientações do guia, estas foram avaliadas maioritariamente entre pertinente a muito pertinente. Da análise dos resultados, depreende-se que o guia constitui um suporte: à decisão da prescrição de Enfermagem; à orientação do algoritmo de prevenção e controlo de hipertensão intracraniana; à organização do equipamento clínico necessário à otimização do estado fisiológico; e à compreensão da complexidade do status neurológico do doente no seu todo.
Acreditamos que o trabalho técnico-científico e organizacional que envolveu a elaboração deste guia mobilizou e impulsionou mudanças qualitativas que farão diferença a nível do cuidar da pessoa em situação crítica com status neurológico comprometido num futuro próximo.
It´s scientifically relevant that nurses, who provide care of people with neurological status compromised, engage preventive actions of intracranial hypertension that promote oxygenation and cerebral perfusion and consequently boost into a better neurological outcome. We believe and promote the existence of a guideline of good nursing practice as a way to standardize procedures and increase quality changes both professionally and organizationally, and policies treatment. This guideline had as a main purpose contribute to the development of the quality of nursing procedures and standardize the nursing interventions to people in critical stage suffering from neurological status compromised, that were taken care in the Operating Room (OR), Critical Care Medicine (CCM) and Emergency Room (ER) from the Health System of Região Autónoma da Madeira (SESARAM, E.P.E). It was produced according to the recommendations of “Ordem dos Enfermeiros” and it is divided in different sections: substantiation, plan of health care & performance algorithm, operationalization of methods, clinical material support equipment to the nursing interventions and to the research. In order to enrich, adjust and corroborate the theoretical synthesis, the guideline was submitted to an assessment by a group of 15 experts, specialist nurses in Nursing Medical-Surgical. As to the relevance of the guideline orientations, these were assessed mostly between relevant and much relevant. From the analysis of the results, we can reassure that the guideline represents a support to: the nursing prescription; a guidance to the algorithm of prevention and control of the intracranial hypertension; organization of the clinical equipment needed to the optimization of the physiological condition; and to the understanding of the complexity of the neurological status of the patient in its entirety. We believe that both the scientific-technical and organizational work entailed in the production of this guideline, mobilized and instigated quality changes that will make a significant difference in the earlier future of taking care of people with neurological status compromised.
It´s scientifically relevant that nurses, who provide care of people with neurological status compromised, engage preventive actions of intracranial hypertension that promote oxygenation and cerebral perfusion and consequently boost into a better neurological outcome. We believe and promote the existence of a guideline of good nursing practice as a way to standardize procedures and increase quality changes both professionally and organizationally, and policies treatment. This guideline had as a main purpose contribute to the development of the quality of nursing procedures and standardize the nursing interventions to people in critical stage suffering from neurological status compromised, that were taken care in the Operating Room (OR), Critical Care Medicine (CCM) and Emergency Room (ER) from the Health System of Região Autónoma da Madeira (SESARAM, E.P.E). It was produced according to the recommendations of “Ordem dos Enfermeiros” and it is divided in different sections: substantiation, plan of health care & performance algorithm, operationalization of methods, clinical material support equipment to the nursing interventions and to the research. In order to enrich, adjust and corroborate the theoretical synthesis, the guideline was submitted to an assessment by a group of 15 experts, specialist nurses in Nursing Medical-Surgical. As to the relevance of the guideline orientations, these were assessed mostly between relevant and much relevant. From the analysis of the results, we can reassure that the guideline represents a support to: the nursing prescription; a guidance to the algorithm of prevention and control of the intracranial hypertension; organization of the clinical equipment needed to the optimization of the physiological condition; and to the understanding of the complexity of the neurological status of the patient in its entirety. We believe that both the scientific-technical and organizational work entailed in the production of this guideline, mobilized and instigated quality changes that will make a significant difference in the earlier future of taking care of people with neurological status compromised.
Description
Keywords
Status neurológico comprometido Guia orientador.