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Cuidar da pessoa a vivenciar processos médicos e/ou cirúrgicos complexos: Do cuidado urgente ao cuidado paliativo
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Abstract(s)
O presente Relatório de Mestrado, intitulado de “Cuidar da pessoa a vivenciar processos médicos e/ou cirúrgicos complexos: do cuidado urgente ao cuidado paliativo” surge no âmbito do IV Curso de Mestrado em Enfermagem Médico-Cirúrgica e tem como objetivo primordial, relatar de forma fundamentada e refletida, todo o percurso realizado, na aquisição das competências comuns e específicas do enfermeiro especialista em Enfermagem Médico-Cirúrgica, nas áreas de enfermagem à pessoa em situação crítica e em situação paliativa e das competências do grau académico de mestre.
Este percurso iniciou-se com toda a preparação teórica e com as práticas simuladas necessárias para cuidar da pessoa em situação crítica e paliativa, seguindo-se os estágios onde a mobilização de conhecimentos e desenvolvimento de competências especializadas atingiu o seu auge.
Os Estágio I - Urgência e Estágio II - Cuidados Intensivos, foram contextos em que se privilegiou o desenvolvimento das competências relativas à área de enfermagem à pessoa em situação crítica, competências focadas nos cuidados à pessoa e família a vivenciar processos médicos e/ou cirúrgicos complexos, em situação crítica e/ou falência orgânica, na dinamização da resposta em situações de emergência, exceção e catástrofe e na prevenção e controlo de infeção e resistência a antimicrobianos.
No Estágio III - Opção, dei continuidade ao desenvolvimento de competências no cuidar da pessoa e família a vivenciar processos médicos e/ou cirúrgicos complexos, focando neste último estágio, nas competências específicas relativas à área de enfermagem à pessoa em situação paliativa. Estas competências referem-se ao cuidar da pessoa com doença incurável ou grave, em fase avançada, progressiva e terminal, da sua família, em todos os contextos da prática clínica, com o objetivo de aliviar o sofrimento e promover o bem-estar, conforto e qualidade de vida e ainda, a estabelecer uma relação terapêutica com a pessoa doente e família, proporcionando suporte no processo de adaptação às perdas sucessivas, à morte e acompanhamento no luto.
The present Master’s Report, entitles “Taking care for the person experiencing complex medical and/or surgical processes: from urgent care to palliative care” appears within the scope of the IV Master’s Course in Medical-Surgical Nursing and has as its primary goal, to report in a reasoned an reflective way about the entire course, in the acquisition of common and specific skills of the specialist nurse in Medical-Surgical Nursing, in the areas of nursing to the person in critical situation and in palliative situation and the skills of the academic master’s degree. This path began with all the theoretical preparation and simulated practices necessary to take care of the person in a critical and palliative situation, followed by the internships, where the mobilization of knowledge and the development of specialized skills reached its peak. The Internship I - Urgency and the Internship II - Intensive Care, were contexts in which the development of skills related to the nursing area for the person in a critical situation was privileged, skills focused on caring for the person and family experiencing complex medical and/or surgical processes, in critical illness and/or organ failure, in boosting the response in emergency, exception and the catastrophe situations and in the prevention and control of infection and antimicrobial resistance. In the Internship III - Option, I continued to develop skills in caring for the person and family experiencing complex medical and/or surgical processes, focusing on this last internship, in the specific skills related to the nursing area for the person in a palliative situation. These skills refer to caring for the person with an incurable or serious illness, in an advanced, progressive and terminal phase, of their family, in all contexts of the clinical practice, with the aim of relieving suffering and promoting well-being, comfort and quality of life, and also to establish a therapeutic relationship with the sick person and family, providing support in the process of adapting to successive losses, death and monitoring in mourning.
The present Master’s Report, entitles “Taking care for the person experiencing complex medical and/or surgical processes: from urgent care to palliative care” appears within the scope of the IV Master’s Course in Medical-Surgical Nursing and has as its primary goal, to report in a reasoned an reflective way about the entire course, in the acquisition of common and specific skills of the specialist nurse in Medical-Surgical Nursing, in the areas of nursing to the person in critical situation and in palliative situation and the skills of the academic master’s degree. This path began with all the theoretical preparation and simulated practices necessary to take care of the person in a critical and palliative situation, followed by the internships, where the mobilization of knowledge and the development of specialized skills reached its peak. The Internship I - Urgency and the Internship II - Intensive Care, were contexts in which the development of skills related to the nursing area for the person in a critical situation was privileged, skills focused on caring for the person and family experiencing complex medical and/or surgical processes, in critical illness and/or organ failure, in boosting the response in emergency, exception and the catastrophe situations and in the prevention and control of infection and antimicrobial resistance. In the Internship III - Option, I continued to develop skills in caring for the person and family experiencing complex medical and/or surgical processes, focusing on this last internship, in the specific skills related to the nursing area for the person in a palliative situation. These skills refer to caring for the person with an incurable or serious illness, in an advanced, progressive and terminal phase, of their family, in all contexts of the clinical practice, with the aim of relieving suffering and promoting well-being, comfort and quality of life, and also to establish a therapeutic relationship with the sick person and family, providing support in the process of adapting to successive losses, death and monitoring in mourning.
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Keywords
Mestrado Cuidados Especializados Processos Médicos e/ou Cirúrgicos Complexos Pessoa em Situação Crítica Pessoa em Situação Paliativa