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Publication
Gestão Hídrica na Pessoa em Situação Crítica com Insuficiência Cardíaca:
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| 2.24 MB | Adobe PDF |
Authors
Abstract(s)
A restrição hídrica para a pessoa com Insuficiência Cardíaca (IC) é uma das recomendações mais conhecida histórica e bibliograficamente nos cuidados de saúde. Todavia, as diretivas e guidelines atuais sobre o tratamento e gestão da IC contestam esta recomendação. O enfermeiro, enquanto elemento dinamizador de cuidados, tem um papel fundamental no controlo da administração e eliminação de fluidos durante a prestação de cuidados à pessoa com IC. Esta gestão hídrica tem ainda maior preponderância quando a pessoa alvo de cuidados é uma Pessoa em Situação Crítica (PSC), pois permite ao enfermeiro conhecer o estado hidroeletrolítico, detetar sinais de deterioração e identificar focos de instabilidade, proporcionando um leque de intervenções, além do mero registo do balanço hídrico (BH). Assim, impera sob os enfermeiros a necessidade de um domínio amplo de conhecimentos à luz duma prática baseada na evidência.
A elaboração deste Relatório de Estágio abordará a Gestão hídrica na Pessoa em Situação Crítica com Insuficiência Cardíaca: Intervenção Especializada em Enfermagem. E, para estruturar o meu percurso de aquisição e desenvolvimento de competências, a minha linha orientadora foi baseada nos referenciais teóricos de Dreyfus de aquisição de competências, adaptado por Benner (2001) para a prática de Enfermagem - “Excelência e Poder na Prática Clínica de Enfermagem” e na teoria de Meyer & Lavin (2005) – “Vigilance: The Essence of Nursing”.
Estruturado sobre a metodologia de projeto, o principal objetivo deste Relatório de Estágio é demonstrar, reflexiva e criticamente, a aquisição e desenvolvimento de competências adquiridas como mestre em Enfermagem, enfermeira especialista (EE) na área de especialização pessoa em situação crítica; assim como, evidenciar a vigilância e perícia
obtidas na temática da Gestão hídrica na PSC com IC, conquistadas durante a realização do estágio em Unidade de Cuidados Intensivos (UCI) e Serviço de Urgência (SU).
Fluid restriction for people with heart failure is one of the best known recommendations historically and bibliographically in health care. However, current directives and guidelines on the treatment and management of heart failure contest this recommendation. The nurse, as a facilitator of care, has a fundamental role in controlling the administration and elimination of fluids during the provision of care to people with heart failure. Fluid management has an even greater preponderance when the person receiving care is a person in critical situation, as it allows the nurse to know the hydroelectrolyte status, detect signs of deterioration and identify focus of instability, providing a range of interventions, in addition to mere recording of the fluid balance. Thus, the need for nurses to have a broad domain of knowledge based on evidence based practice. The preparation of this report will address Fluid management in Critically Ill Patient with Heart Failure: Specialized Nursing Intervention. And, to structure my path of acquiring and developing skills, my guideline was based on Dreyfus's theoretical references for acquiring capabilities, adapted by Benner (2001) for nursing practice - “Excellence and Power in Clinical Practice of Nursing” and in the theory of Meyer & Lavin (2005) - "Vigilance: The Essence of Nursing“. Structured around the project methodology, the main objective of this report is to demonstrate, reflectively and critically, the acquisition and development of skills acquired as a master in Nursing, specialist nurse in the area of people in critical situations; as well as highlighting the vigilance and expertise obtained in the subject of fluid management in Critically Ill Patients with Heart Failure, achieved during the internship in the Intensive Care Unit and Emergency Department.
Fluid restriction for people with heart failure is one of the best known recommendations historically and bibliographically in health care. However, current directives and guidelines on the treatment and management of heart failure contest this recommendation. The nurse, as a facilitator of care, has a fundamental role in controlling the administration and elimination of fluids during the provision of care to people with heart failure. Fluid management has an even greater preponderance when the person receiving care is a person in critical situation, as it allows the nurse to know the hydroelectrolyte status, detect signs of deterioration and identify focus of instability, providing a range of interventions, in addition to mere recording of the fluid balance. Thus, the need for nurses to have a broad domain of knowledge based on evidence based practice. The preparation of this report will address Fluid management in Critically Ill Patient with Heart Failure: Specialized Nursing Intervention. And, to structure my path of acquiring and developing skills, my guideline was based on Dreyfus's theoretical references for acquiring capabilities, adapted by Benner (2001) for nursing practice - “Excellence and Power in Clinical Practice of Nursing” and in the theory of Meyer & Lavin (2005) - "Vigilance: The Essence of Nursing“. Structured around the project methodology, the main objective of this report is to demonstrate, reflectively and critically, the acquisition and development of skills acquired as a master in Nursing, specialist nurse in the area of people in critical situations; as well as highlighting the vigilance and expertise obtained in the subject of fluid management in Critically Ill Patients with Heart Failure, achieved during the internship in the Intensive Care Unit and Emergency Department.
Description
Não contempla as correções resultantes da discussão pública
Keywords
Enfermagem de Cuidados Críticos Cuidados críticos Insuficiência cardíaca Equilíbrio Hídroeletrolítico Estado terminal