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A via subcutânea para hidratação e administração de terapêutica na pessoa com patologia crónica e/ou paliativa
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Advisor(s)
Abstract(s)
Elaboramos o presente relatório no âmbito do 2º Mestrado em Enfermagem
Médico Cirúrgica, na Escola Superior de Saúde, do Instituto Politécnico de
Setúbal no ano lectivo de 2012/2013. Destina-se a apresentar o trabalho que
realizamos, utilizando a metodologia de projecto, bem como as reflexões e
aprendizagens efectuadas nos estágios. Salientamos que o percurso formativo se
iniciou com a 1ª Pós Graduação em Enfermagem Médico Cirúrgica – Cuidados
Paliativos no ano de 2007/2008. Posteriormente realizamos o 1º Curso de Pós
Licenciatura de Especialização em Enfermagem Médico - Cirúrgica no ano lectivo
de 2010/2011, onde foram efectuados os estágios e desenvolvido o projecto, que
apresentamos.
O número de pessoas com doença crónica e paliativa tem vindo a aumentar,
devendo-se em parte ao desenvolvimento mundial e vários outros factores tais
como um maior conhecimento que aumenta a longevidade, a hábitos de vida
relacionados com a má alimentação, o tabagismo, o stress, o sedentarismo, entre
outros, que contribuem para um aumento da morbilidade. Consequentemente,
nestes casos, as pessoas necessitam de apoio para manter o melhor estado de
saúde, tanto quanto for possível, assumindo como aspectos prioritários a
estabilização, adaptação e a manutenção da qualidade de vida.
Com o objectivo de melhorarmos a qualidade dos cuidados à pessoa com
patologia crónica e/ou paliativa, optámos por desenvolver o projecto cujo tema é a
utilização da via subcutânea para hidratação e administração de terapêutica, na
pessoa com patologia crónica e/ou paliativa. Atendendo a que as vias
preferenciais para administração de terapêutica poderão estar comprometidas,
por sintomatologia como náuseas, vómitos ou acessos venosos difíceis por vários
tratamentos, internamentos, e degradação do seu estado geral, este projecto
surge, como uma opção para administração de terapêutica ou hidratação na
pessoa com patologia crónica e/ou paliativa.
Para suportar a nossa decisão quanto ao tema a estudar, aplicamos um
questionário e análise SWOT para diagnóstico da situação. Destes salienta-se
que 62% dos enfermeiros não conhece a técnica da Hipodermoclise; 69% nunca
administrou soros por via SC; 62% nunca administrou terapêutica em perfusão
por via SC; 100% considera útil o desenvolvimento da técnica na Unidade.
Abstract: We prepared this report under the 2nd master's degree in medical surgical nursing, in the Escola Superior de Saúde, from the Instituto Politécnico de Setúbal, in the academic year 2012/2013. It is intended to present the work we did, using project methodology as well as the reflections and learning made in intership. We emphasize that the training path began with the 1st post graduation in medical surgical nursing - palliative care in the year 2007/2008. Later we held the 1st course of post graduate specialization in medical surgical nursing in the academic year 2010/2011, where the stages were made and developed the project, which we present. The number of people with chronic illness and palliative care is increasing and is partly due to global development, and various other factors such as increased knowledge that increases longevity, the lifestyle habits such as poor diet, smoking, stress, sedentary lifestyle, among others that contribute to increased morbidity. Consequently, in these cases, people need support to maintain the best state of health as much as possible, taking as priority aspects like stabilization, adaptation and maintenance of quality of life. Aiming to improve the quality of care for people with chronic disease and / or palliative, we decided to develop the project whose theme is the use of subcutaneous way for hydration and administration of therapy in people with chronic disease or palliative. Given that the preferred way to administer therapy may be impaired by symptoms such as nausea, vomiting or difficult venous access due to several treatments, hospitalizations, and deterioration in his general condition, this project emerges as an option for administering therapy or hydration in person with chronic disease and / or palliative. To support our decision to study on the subject, we apply a survey and SWOT analysis for diagnosis of the situation. Should be noted that 62% of nurses do not know the technique of hypodermoclysis, 69% never administered subcutaneous solution, 62% never administered infusion therapy subcutaneously; 100% considers the development of the technique useful in Unit. Keywords: hypodermoclysis, subcutaneous medication, nursing, palliative
Abstract: We prepared this report under the 2nd master's degree in medical surgical nursing, in the Escola Superior de Saúde, from the Instituto Politécnico de Setúbal, in the academic year 2012/2013. It is intended to present the work we did, using project methodology as well as the reflections and learning made in intership. We emphasize that the training path began with the 1st post graduation in medical surgical nursing - palliative care in the year 2007/2008. Later we held the 1st course of post graduate specialization in medical surgical nursing in the academic year 2010/2011, where the stages were made and developed the project, which we present. The number of people with chronic illness and palliative care is increasing and is partly due to global development, and various other factors such as increased knowledge that increases longevity, the lifestyle habits such as poor diet, smoking, stress, sedentary lifestyle, among others that contribute to increased morbidity. Consequently, in these cases, people need support to maintain the best state of health as much as possible, taking as priority aspects like stabilization, adaptation and maintenance of quality of life. Aiming to improve the quality of care for people with chronic disease and / or palliative, we decided to develop the project whose theme is the use of subcutaneous way for hydration and administration of therapy in people with chronic disease or palliative. Given that the preferred way to administer therapy may be impaired by symptoms such as nausea, vomiting or difficult venous access due to several treatments, hospitalizations, and deterioration in his general condition, this project emerges as an option for administering therapy or hydration in person with chronic disease and / or palliative. To support our decision to study on the subject, we apply a survey and SWOT analysis for diagnosis of the situation. Should be noted that 62% of nurses do not know the technique of hypodermoclysis, 69% never administered subcutaneous solution, 62% never administered infusion therapy subcutaneously; 100% considers the development of the technique useful in Unit. Keywords: hypodermoclysis, subcutaneous medication, nursing, palliative
Description
Dissertação de Mestrado em Enfermagem Médico-Cirúrgica
Keywords
Hipodermoclise Medicação Subcutânea Enfermagem Cuidados Paliativos Hypodermoclysis Subcutaneous Medication Nursing Palliative Care
Citation
Publisher
Escola Superior de Saúde do Instituto Politécnico de Setúbal