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Desenvolvimento de competências especializadas na prestação de cuidados psicoterapêuticos à pessoa com perturbação mental: O Relaxamento no Controlo da Ansiedade
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Abstract(s)
O presente relatório de estágio surge no âmbito do 1º Mestrado em Enfermagem de
Saúde Mental e Psiquiátrica da Escola Superior de Enfermagem São José de Cluny em
consórcio com a Escola Superior de Enfermagem S. Francisco das Misericórdias e com a
Escola Superior de Enfermagem da Cruz Vermelha Portuguesa do Alto Tâmega, tendo como
finalidade a apresentação e discussão pública a fim de obter o título de especialista e grau de
Mestre em Enfermagem de Saúde Mental e Psiquiátrica. Assim, este relatório intitulado
“Desenvolvimento de Competências Especializadas na Prestação de Cuidados
Psicoterapêuticos à Pessoa com Doença Mental: O Relaxamento no Controlo da Ansiedade”
pretende demonstrar o percurso realizado na aquisição de competências comuns do
enfermeiro especialista, competências específicas do enfermeiro de saúde mental e
psiquiátrica e também no desenvolvimento das competências de análise e raciocínio crítico reflexivo inerentes ao desenvolvimento das competências de Mestre, conforme o Decreto Lei nº 65/2018. Os meus objetivos específicos na concretização deste relatório são promover
a prática do relaxamento como estratégia de controlo da ansiedade; desenvolver
competências especializadas na prestação de cuidados psicoterapêuticos nas áreas do
relaxamento; implementar o relaxamento como estratégia psicoterapêutica no controlo da
ansiedade em jovens adultos; compreender o papel do relaxamento como estratégia de
controlo da ansiedade e demonstrar o efeito benéfico do relaxamento em pessoas com
problemas de ansiedade.
A concretização dos objetivos propostos foi possível graças à realização dos Ensinos
Clínicos em diversos campos de estágio que proporcionaram uma aprendizagem rica e
intensa, fundamental na consolidação de conhecimentos e habilidades. O Ensino Clínico I -
Contexto de Comunidade foi realizado num Centro de Saúde da Região Autónoma da
Madeira; o Ensino Clínico II – Contexto de Internamento de Psiquiatria (que compreende o
Módulo I da Unidade Curricular “Estágio com Relatório) que decorreu numa Unidade de
Internamento de Agudos de adultos de uma Casa de Saúde da Região Autónoma da Madeira
e o Ensino Clínico III – Contexto de Respostas Diferenciadas (referente ao Módulo II da
Unidade Curricular “Estágio com Relatório”) que aconteceu num serviço de internamento
diferenciado para adultos com problemas de adição. Ao longo destes ensinos clínicos, fui
acumulando experiências e saberes na prestação de cuidados a pessoas com problemas de
saúde mental, às suas famílias e comunidades e também tive a oportunidade de trabalhar na
promoção e otimização da saúde mental em indivíduos saudáveis. Esta caminhada foi sendo
realizada sob um prisma holístico na prestação de cuidados de enfermagem especializados
de qualidade e, ao mesmo tempo, procurando consolidar conhecimentos e habilidades
fundamentados na bibliografia atual, sustentando uma prática baseada na evidência.
O Módulo III da Unidade Curricular “Estágio com Relatório”, referiu-se a toda a
preparação, estudo e produção escrita do presente relatório, onde trabalhei as competências
de análise e raciocínio crítico-reflexivo inerentes às competências de Mestre, culminando na
sua apresentação e discussão públicas.
Na escolha do tema deste relatório optei pela utilização do relaxamento como técnica
de intervenção na ansiedade pelo seu potencial terapêutico no controlo dos seus sinais e
sintomas através da estimulação de sensações físicas e psicológicas de bem-estar,
tranquilidade e paz contribuindo assim para uma melhor saúde mental global. Destaco como
fruto desta aprendizagem: o desenvolvimento de competências específicas na
implementação de intervenções psicoterapêuticas na área do relaxamento; na aquisição de
competências de promoção da saúde mental e prevenção da doença mental em vários
contextos (à pessoa, ao grupo, à comunidade e à família) e também no aprimoramento de
competências de desenvolvimento pessoal e autoconhecimento por toda a componente
humana, sensível e atenta que a postura de um enfermeiro especialista nesta área exige.
Recorri à metodologia descritiva, analítica e crítico-reflexiva alicerçada na evidência
científica e nas experiências vividas ao longo do percurso realizado.
The present report appears in the aim of the 1st Masters Degree in Mental Health and Psychiatric Nursing of the Escola Superior de Enfermagem São José de Cluny in consortium with the Escola Superior de Enfermagem S. Francisco das Misericórdias and Escola Superior de Enfermagem da Cruz Vermelha Portuguesa do Alto Tâmega, with the goal of presenting and publicly discussing it in order to obtain the title of specialist and the Master's degree in Mental Health and Psychiatric Nursing. Thus, this report, titled "Development of Specialized Competencies in Providing Psychotherapeutic Care to People with Mental Illness: Relaxation in Anxiety Control," aims to demonstrate the journey undertaken throughout this course in acquiring the common competencies of a specialist nurse, the specific competencies of a mental health and psychiatric nurse, and the Master's competencies, as outlined in Decree-Law No. 65/2018. My specific objectives in the completion of this report are to promote the practice of relaxation as a strategy for anxiety control; develop specialized skills in psychotherapeutic care in the relaxation areas; implement relaxation as a psychotherapeutic strategy for anxiety control in young adults; understand the role of relaxation as a self-control strategy for anxiety; and demonstrate the beneficial effect of relaxation in people with anxiety disorders. The achievement of the proposed objectives was made possible through the completion of Clinical Teachings in various internship settings that provided rich and intense learning, which was fundamental in consolidating knowledge and skills. Clinical Teaching I – Community Context was conducted at a Health Center in the Autonomous Region of Madeira; Clinical Teaching II – Psychiatric Inpatient Context (which includes Module I of the “Internship with Report” Course Unit) took place in an Acute Inpatient Unit of a Health House in the Autonomous Region of Madeira; and Clinical Teaching III – Context of Differentiated Responses (related to Module II of the “Internship with Report” Course Unit) was carried out in a differentiated inpatient service for people with addiction problems. Throughout these clinical teachings, I accumulated experiences and knowledge in providing care to people with mental health problems, their families, and communities, and had the opportunity to work towards the promotion and optimization of mental health in healthy individuals. This journey was carried out from a holistic perspective in the provision of specialized nursing care of high quality while seeking to consolidate knowledge and skills in a way that is grounded in the current literature. In Module III of the Course Unit "Internship with Report," related to the entire preparation, study, and written production of this report, I aimed to work on the competencies of analysis and critical-reflective reasoning and emphasize these Master's competencies throughout the public presentation and discussion. In choosing the theme of this report, I opted for the use of relaxation as an intervention technique for anxiety due to its therapeutic potential in controlling its signs and symptoms by stimulating physical and psychological sensations of well-being, tranquility, and peace, thus contributing to better overall mental health. As a result of this learning, I highlight: the development of specific competencies in implementing psychotherapeutic interventions in the area of relaxation; the acquisition of skills in promoting mental health and preventing mental illness in various contexts (individuals, groups, communities, and families); and also the enhancement of personal development and self-awareness competencies through the human, sensitive, and attentive approach that a specialist nurse in this field requires. The methodology used is descriptive, analytical, and critical-reflective, grounded in scientific evidence and the experiences lived throughout the journey.
The present report appears in the aim of the 1st Masters Degree in Mental Health and Psychiatric Nursing of the Escola Superior de Enfermagem São José de Cluny in consortium with the Escola Superior de Enfermagem S. Francisco das Misericórdias and Escola Superior de Enfermagem da Cruz Vermelha Portuguesa do Alto Tâmega, with the goal of presenting and publicly discussing it in order to obtain the title of specialist and the Master's degree in Mental Health and Psychiatric Nursing. Thus, this report, titled "Development of Specialized Competencies in Providing Psychotherapeutic Care to People with Mental Illness: Relaxation in Anxiety Control," aims to demonstrate the journey undertaken throughout this course in acquiring the common competencies of a specialist nurse, the specific competencies of a mental health and psychiatric nurse, and the Master's competencies, as outlined in Decree-Law No. 65/2018. My specific objectives in the completion of this report are to promote the practice of relaxation as a strategy for anxiety control; develop specialized skills in psychotherapeutic care in the relaxation areas; implement relaxation as a psychotherapeutic strategy for anxiety control in young adults; understand the role of relaxation as a self-control strategy for anxiety; and demonstrate the beneficial effect of relaxation in people with anxiety disorders. The achievement of the proposed objectives was made possible through the completion of Clinical Teachings in various internship settings that provided rich and intense learning, which was fundamental in consolidating knowledge and skills. Clinical Teaching I – Community Context was conducted at a Health Center in the Autonomous Region of Madeira; Clinical Teaching II – Psychiatric Inpatient Context (which includes Module I of the “Internship with Report” Course Unit) took place in an Acute Inpatient Unit of a Health House in the Autonomous Region of Madeira; and Clinical Teaching III – Context of Differentiated Responses (related to Module II of the “Internship with Report” Course Unit) was carried out in a differentiated inpatient service for people with addiction problems. Throughout these clinical teachings, I accumulated experiences and knowledge in providing care to people with mental health problems, their families, and communities, and had the opportunity to work towards the promotion and optimization of mental health in healthy individuals. This journey was carried out from a holistic perspective in the provision of specialized nursing care of high quality while seeking to consolidate knowledge and skills in a way that is grounded in the current literature. In Module III of the Course Unit "Internship with Report," related to the entire preparation, study, and written production of this report, I aimed to work on the competencies of analysis and critical-reflective reasoning and emphasize these Master's competencies throughout the public presentation and discussion. In choosing the theme of this report, I opted for the use of relaxation as an intervention technique for anxiety due to its therapeutic potential in controlling its signs and symptoms by stimulating physical and psychological sensations of well-being, tranquility, and peace, thus contributing to better overall mental health. As a result of this learning, I highlight: the development of specific competencies in implementing psychotherapeutic interventions in the area of relaxation; the acquisition of skills in promoting mental health and preventing mental illness in various contexts (individuals, groups, communities, and families); and also the enhancement of personal development and self-awareness competencies through the human, sensitive, and attentive approach that a specialist nurse in this field requires. The methodology used is descriptive, analytical, and critical-reflective, grounded in scientific evidence and the experiences lived throughout the journey.
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Enfermagem saúde mental ansiedade relaxamento
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