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Implementação da teleconsulta de enfermagem ao doente oncológico submetido a terapêuticas antineoplásicas orais
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| 76.61 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
A doença oncológica mantém-se como a segunda causa de morte em Portugal. Os
avanços no tratamento do cancro permitem que um grande número de drogas sejam
administradas por via oral. A modificação na forma como os doentes recebem a terapêutica
alterou a forma de cuidar em oncologia. Despertou a atenção dos profissionais de saúde para
a monitorização da adesão à terapêutica e despiste de efeitos adversos, o que pressupõe uma
mudança na forma como os enfermeiros educam, monitorizam e realizam o follow up dos
doentes.
Na procura de colmatar uma lacuna identificada no contexto da prática clínica, aliando
a evidência científica, surgiu a possibilidade de desenvolver um projeto que respondesse à
questão de investigação: Quais as intervenções de enfermagem, ao doente oncológico
submetido a terapêuticas antineoplásicas orais, no âmbito da teleconsulta de enfermagem?.
Este projeto tem como objetivo promover a melhoria dos cuidados no serviço onde
desempenho funções e desenvolver competências de Enfermeira Especialista em Enfermagem
Médico-Cirúrgica, vertente Enfermagem Oncológica e mestre. A metodologia aplicada foi a de
projeto, tendo-se procedido a uma revisão scoping e posteriormente à realização de três
estágios, em contextos de hospital de dia de hemato-oncologia, que realizam consultas de
enfermagem presenciais e follow up telefónico. As estratégias utilizadas passaram pela
observação participante da prática de enfermagem; colaboração e realização de consultas de
primeira vez presenciais e teleconsultas de enfermagem subsequentes (follow up); partilha de
experiências; estudo de caso; e reflexão sobre acontecimentos significativos. No último estágio
procedeu-se à implementação da teleconsulta de enfermagem ao doente oncológico
submetido a terapêuticas antineoplásicas orais, formou-se a equipa de enfermagem neste
âmbito, elaborou-se um procedimento específico e um manual de apoio para a equipa de
enfermagem (aprovados pelo gabinete da qualidade), culminando no presente relatório de
estágio.
Cancer disease remains the second leading cause of death in Portugal. Advances in cancer treatment allow a large number of drugs to be administered orally. The change in the way patients receive their therapy has altered the way of caring in oncology. It has drawn the attention of health professionals to monitoring adherence to therapy and screening for adverse effects, which requires a change in the way nurses educate, monitor, and follow up on patients. Responding to a gap identified in clinical practice, and combining scientific evidence, the possibility emerged to develop a project that would answer the research question: What are the nursing interventions for cancer patients undergoing oral antineoplastic therapies in nursing teleconsultation? This project aims to promote the improvement of care in the servisse where | work and develop competencies as a Nurse Specialist in Medical-Surgical Nursing, with a focus on Oncology Nursing and Master's Degree. The methodology applied was the project methodology, with a scoping review and the completion of three internships in a hemato- oncology day hospital setting, which included face-to-face nursing consultations and telephone follow-up. The strategies used included participant observation of nursing practice; collaboration and performance of first face-to-face consultations and subsequent nursing consultations (follow-up); sharing of experiences and reflection on significant events. In the last internship, the implementation of the nursing teleconsultation to cancer patients undergoing oral antineoplastic therapies was carried out in the servisse where | work, with the development of a specific procedure and a support manual for the nursing team (approved by the quality office), culminating in this internship report.
Cancer disease remains the second leading cause of death in Portugal. Advances in cancer treatment allow a large number of drugs to be administered orally. The change in the way patients receive their therapy has altered the way of caring in oncology. It has drawn the attention of health professionals to monitoring adherence to therapy and screening for adverse effects, which requires a change in the way nurses educate, monitor, and follow up on patients. Responding to a gap identified in clinical practice, and combining scientific evidence, the possibility emerged to develop a project that would answer the research question: What are the nursing interventions for cancer patients undergoing oral antineoplastic therapies in nursing teleconsultation? This project aims to promote the improvement of care in the servisse where | work and develop competencies as a Nurse Specialist in Medical-Surgical Nursing, with a focus on Oncology Nursing and Master's Degree. The methodology applied was the project methodology, with a scoping review and the completion of three internships in a hemato- oncology day hospital setting, which included face-to-face nursing consultations and telephone follow-up. The strategies used included participant observation of nursing practice; collaboration and performance of first face-to-face consultations and subsequent nursing consultations (follow-up); sharing of experiences and reflection on significant events. In the last internship, the implementation of the nursing teleconsultation to cancer patients undergoing oral antineoplastic therapies was carried out in the servisse where | work, with the development of a specific procedure and a support manual for the nursing team (approved by the quality office), culminating in this internship report.
Description
Keywords
Enfermagem oncológica Tratamento farmacológico Cuidados de enfermagem Consulta de enfermagem Telenfermagem