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Um Caminho na Enfermagem Perioperatória
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Advisor(s)
Abstract(s)
O presente relatório de estágio contempla uma metodologia de projeto focada na evidência científica sobre os efeitos da musicoterapia no alívio da dor pós-operatória no cliente cirúrgico e o estágio realizado no âmbito perioperatório, ambos com vista ao desenvolvimento de competências para a aquisição do grau de Mestre em Enfermagem Perioperatória.
A dor corresponde a um dos primeiros desconfortos referidos pelo cliente no período pós-operatório imediato. Quando não tratada, quer por métodos farmacológicos e/ou não farmacológicos, como a musicoterapia, pode resultar noutras complicações pós-cirúrgicas. Através da revisão sistemática provou-se com evidência científica os benefícios do uso da musicoterapia no alívio da dor pós-operatória, promovendo-se o bem-estar do cliente cirúrgico. Através de ações de formação às equipas de enfermagem da Unidade de Cuidados Pós-Anestésicos e da Clínica Pré-Anestésica de um hospital do sul do país transmitiram-se os resultados da revisão sistemática, definindo-se estratégias para a futura implementação desta terapia na Unidade, como método adjuvante no combate à dor pós-operatória. No sentido de motivar a equipa na implementação desta terapia foi ainda elaborado um cartaz para a Unidade, alusivo aos benefícios desta técnica tanto para o cliente, como para o profissional de saúde.
Respeitante ao estágio, este foi efetuado na Unidade de Cuidados Pós-Anestésicos e no Bloco Operatório de um hospital do sul do país, tendo sido prestados cuidados de enfermagem nas quatro áreas de enfermagem perioperatória – enfermagem de anestesia, de circulação, de instrumentação e de cuidados pós-anestésicos; assim como realizadas outras funções, nomeadamente no âmbito da gestão.
Através desta dinâmica de trabalho foi possível desenvolver competências em contexto de enfermagem perioperatória, onde por meio de uma prática baseada na evidência científica se promoveu um ambiente seguro, respondendo eficazmente a situações complexas, desenvolvendo deste modo, um processo de aprendizagem autónomo e auto-orientado que continuará ao longo da vida profissional.
Abstract:The current progress report concerns to the practice period and contemplates a project methodology based in scientific evidence reporting on the effects of musical therapy in alleviating post-operatory pain and stress in the chirurgic patient and the practice period occurred in the peri-operatory period which included all stages of chirurgical interventions, both contributing to the development of skills and acquiring knowledge in achieving the Master degree in peri-operatory nursing care. In the immediate post-operatory period the patient identifies pain as one of the most current reasons for discomfort. When said pain is not treated, either by pharmacological and/or non-pharmacological methods, such as musical therapy, it can result in posterior post-chirurgical complications. Through a systemic review has been proved with scientific evidence that musical therapy is beneficial in alleviating post-operatory pain and promoting the client’s wellbeing. Throught a short seminar, the nursing teams of the Postanesthesia Care Unit and the Clinical Pre-anesthetic of an hospital located in the south of the country, were informed of the achieved results, and a strategy was developed in order to accommodate the future implementation of musical therapy in the unit, as an added method of dealing with post-operatory pain. Integrated in this seminar a poster was developed and affixed in the Postanesthesia Care Unit, in an effort to motivate the team and informing on the benefits of this technique to the client and the health care giver. Concerning the practice period, it took place in the Postanesthesia Care Unit and in the Operation theatre of the same hospital in which the seminar took place, and it included nursing care in the four stages of peri-operatory health care – anaesthesia, circulating, instrumentalist nurse and post-anaesthetic care – as well as having carried out other functions namely service management. By means of this work dynamic it was possible to develop skills related to the peri-operatory nursing care, whereas using a methodology supported in scientific evidence a safe environment was promoted, answering complex situations and developing an autonomous and self-oriented learning process, which will progress side by side with the lifelong professional practice.
Abstract:The current progress report concerns to the practice period and contemplates a project methodology based in scientific evidence reporting on the effects of musical therapy in alleviating post-operatory pain and stress in the chirurgic patient and the practice period occurred in the peri-operatory period which included all stages of chirurgical interventions, both contributing to the development of skills and acquiring knowledge in achieving the Master degree in peri-operatory nursing care. In the immediate post-operatory period the patient identifies pain as one of the most current reasons for discomfort. When said pain is not treated, either by pharmacological and/or non-pharmacological methods, such as musical therapy, it can result in posterior post-chirurgical complications. Through a systemic review has been proved with scientific evidence that musical therapy is beneficial in alleviating post-operatory pain and promoting the client’s wellbeing. Throught a short seminar, the nursing teams of the Postanesthesia Care Unit and the Clinical Pre-anesthetic of an hospital located in the south of the country, were informed of the achieved results, and a strategy was developed in order to accommodate the future implementation of musical therapy in the unit, as an added method of dealing with post-operatory pain. Integrated in this seminar a poster was developed and affixed in the Postanesthesia Care Unit, in an effort to motivate the team and informing on the benefits of this technique to the client and the health care giver. Concerning the practice period, it took place in the Postanesthesia Care Unit and in the Operation theatre of the same hospital in which the seminar took place, and it included nursing care in the four stages of peri-operatory health care – anaesthesia, circulating, instrumentalist nurse and post-anaesthetic care – as well as having carried out other functions namely service management. By means of this work dynamic it was possible to develop skills related to the peri-operatory nursing care, whereas using a methodology supported in scientific evidence a safe environment was promoted, answering complex situations and developing an autonomous and self-oriented learning process, which will progress side by side with the lifelong professional practice.
Description
Relatório de Estágio de Mestrado em Enfermagem Perioperatória
Keywords
Dor Pós-Operatória Enfermagem Perioperatória Metodologia de Projeto Musicoterapia Revisão Sistemática Music Therapy Perioperative Nursing Postoperative Pain Project Methodology Systematic review
Pedagogical Context
Citation
Publisher
Instituto Politécnico de Setúbal. Escola Superior de Saúde