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O cuidado promotor de integridade cutânea no recém-nascido pré-termo
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Advisor(s)
Abstract(s)
O presente relatório reflete o percurso formativo realizado no âmbito do 9º
Curso de Mestrado em Enfermagem na área de Especialização de Enfermagem
de Saúde Infantil e Pediatria. Aqui, pretendo retratar as aprendizagens pessoais,
profissionais e académicas que contribuíram para o desenvolvimento das
competências comuns do enfermeiro especialista (EE) e específicas do
enfermeiro especialista em enfermagem de saúde infantil e pediatria (EEESIP).
Ao longo deste percurso passei pelas diferentes áreas da pediatria: saúde
comunitária, centro de desenvolvimento, internamento pediátrico, serviço de
urgência e unidade de neonatologia, de forma a adquirir conhecimento comum
e específico da área da pediatria e a desenvolver competências especificas do
EEESIP.
A metodologia utilizada para a elaboração deste documento foi a
descritiva, analítica e reflexiva, utilizando a evidência científica como base
fundamental e os contributos retirados da prática clínica. Neste processo
formativo, para sustentar teoricamente a problemática aqui exposta e orientar o
estudo, identifiquei o Modelo de Sistemas de Betty Neuman como o suporte
teórico primordial, guiando as boas práticas clínicas para os Cuidados para o
Desenvolvimento e apoiando-se nos Cuidados Centrados na Família e nos
Cuidados Não Traumáticos.
A inquietação sobre o tema O Cuidado Promotor de Integridade Cutânea
no Recém-Nascido (RN) Pré-Termo advém da minha experiência pessoal na
neonatologia e da necessidade crescente que existe de tratamento aos RN com
lesão da pele. A ausência de protocolos e de estudos que refletem esta prática
clínica, bem como das boas práticas que devem ser utilizadas, surgiram da
confirmação do aumento do número de feridas existentes, através do uso de
escalas de avaliação da integridade cutânea. A manutenção da integridade
cutânea é uma prática promotora da saúde e uma intervenção autónoma do
enfermeiro, esta deve estar presente diariamente nos cuidados ao RN pré-termo
de forma a promover o seu desenvolvimento neurossensorial, envolvendo toda
a equipa multidisciplinar e a família, promovendo os cuidados centrado na família
e o desenvolvimento pleno do RN pré-termo.
The present report reflet my formative journey within the framewok of the 9th Course in Nursing – Specialization in Child Nursing and Pediatrics. Therefore, aims to reproduce the personal, professional and acamedic learnings which contributed for the acquisition of the competencies as a specialized nurse and specialized nurse in pediatrics. During this academic program I went through all the different áreas: Pediatric Community Health, Development Pediatric Center, Pediatric Ward, Accident and Emergency Pediatric and Neonatology Ward, in order to get common and specific knowledge to develop specific skills as a Specialized nurse in pediatrics. The methodology used for the formulation of this report was descriptive, analitic and reflective, based on scientific evidence as the fundamental basis and contributions drawn from clinical practice. In this formative process, to theoretically sustain and to guide the study, I identified the Betty Neuman Systems Model as essential theorical support and guiding good clinical practice for development care and support the Family Centered Care and Non Traumatic Care. The concern about the topic of care promotor of skin integrity in the preterm newborn comes from my personal experience in neonatology and the increasing need for treatment of wounds in this population. The lack of protocols and studies to reflect this clinical practices, as well as the good practice which should be used to confirm the increased number of wounds, through the use of cutaneous integrity assessment scales. The maintenance of cutaneous integrity is a health promotion practice and an autonomous nurse intervention, that should be present daily during the cares to the preterm newborn to promote their sensorineural development, including the muldisciplinar team and family, fomenting the family Centered Care and the full development of the preterm newborn.
The present report reflet my formative journey within the framewok of the 9th Course in Nursing – Specialization in Child Nursing and Pediatrics. Therefore, aims to reproduce the personal, professional and acamedic learnings which contributed for the acquisition of the competencies as a specialized nurse and specialized nurse in pediatrics. During this academic program I went through all the different áreas: Pediatric Community Health, Development Pediatric Center, Pediatric Ward, Accident and Emergency Pediatric and Neonatology Ward, in order to get common and specific knowledge to develop specific skills as a Specialized nurse in pediatrics. The methodology used for the formulation of this report was descriptive, analitic and reflective, based on scientific evidence as the fundamental basis and contributions drawn from clinical practice. In this formative process, to theoretically sustain and to guide the study, I identified the Betty Neuman Systems Model as essential theorical support and guiding good clinical practice for development care and support the Family Centered Care and Non Traumatic Care. The concern about the topic of care promotor of skin integrity in the preterm newborn comes from my personal experience in neonatology and the increasing need for treatment of wounds in this population. The lack of protocols and studies to reflect this clinical practices, as well as the good practice which should be used to confirm the increased number of wounds, through the use of cutaneous integrity assessment scales. The maintenance of cutaneous integrity is a health promotion practice and an autonomous nurse intervention, that should be present daily during the cares to the preterm newborn to promote their sensorineural development, including the muldisciplinar team and family, fomenting the family Centered Care and the full development of the preterm newborn.
Description
Keywords
Enfermagem pediátrica Recém-nascido Recém-nascido prematuro Pele Ferimentos e lesões