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Advisor(s)
Abstract(s)
O trabalho desenvolvido ao longo dos estágios, culminaram neste relatório de trabalho de
projeto, este teve por base uma metodologia de investigação, centrada num problema real identificado,
tendo a posteriori sido implementadas estratégias e intervenções com o objetivo da sua resolução. A
metodologia aplicada atravessou varias etapas entres elas, o diagnóstico da situação, planeamento,
execução, avaliação e divulgação tendo sempre como ponto de partida pesquisa e analise baseados
numa pratica fundamentada na evidencia.
Os acidentes por queimadura são bastante frequentes e estão associados a elevada
morbilidade e mortalidade. O número de doentes portugueses queimados é elevado. A identificação e
tratamento precoce das lesões de queimadura, a ressuscitação hemodinâmica, o controlo da dor e a
referenciação para centros com experiência no tratamento do grande queimado podem melhorar o
prognóstico dos doentes.
É de extrema importância uma prestação de cuidados de elevada qualidade ao grande
queimado na sala de reanimação, como tal a primeira abordagem deve ser iniciada o mais precocemente
possível, uma vez que aumenta consideravelmente a sobrevida dos utentes e diminui possíveis sequelas.
Por ser uma área de interesse, onde após terem sido efetuadas entrevistas não estruturadas
com a chefe e sub-chefe de serviço, assim como aplicados questionários aos enfermeiros do serviço,
constatou-se que havia uma lacuna de conhecimentos na abordagem ao grande queimado.
Este relatório traduz, o trabalho desenvolvido no conjunto dos estágios que permitiu
desenvolver competências comuns e específicas do enfermeiro especialista e de mestre em
enfermagem médico-cirúrgica.
Abstract: The work developed during internship, culminated in this report. It has in it's basis a research methodology, centered in a real life situation, having subsequently been implemented strategies and interventions with the goal of resolution. The methodology applied had several stages like: the diagnosis of the situation, planning, implementation, evaluation always taking as a starting point research and analysis based on a evidence fundamented practice. Burn accidents are quite common and are associated with high morbidity and mortality. The number of burned Portuguese patients is high. The early identification and treatment of burn injuries, hemodynamic resuscitation, pain control and referral to centers experienced in the treatment of severe burn can improve the prognosis of patients. It is very important the provision of high quality care to the major burn in the resuscitation room, such as the first approach should be initiated as early as possible, since it significantly increases the survival rate of patients and decreases possible after-effects. Since it is an area of interest, which after being made unstructured interviews with the chief and deputy chief of service, as well as questionnaires to the service nurses, it was found that there was a knowledge gap in addressing the major burn. This report represents the work in the interships that allowed the development of common and specific skills of the nurse specialist and master in medical-surgical nursing.
Abstract: The work developed during internship, culminated in this report. It has in it's basis a research methodology, centered in a real life situation, having subsequently been implemented strategies and interventions with the goal of resolution. The methodology applied had several stages like: the diagnosis of the situation, planning, implementation, evaluation always taking as a starting point research and analysis based on a evidence fundamented practice. Burn accidents are quite common and are associated with high morbidity and mortality. The number of burned Portuguese patients is high. The early identification and treatment of burn injuries, hemodynamic resuscitation, pain control and referral to centers experienced in the treatment of severe burn can improve the prognosis of patients. It is very important the provision of high quality care to the major burn in the resuscitation room, such as the first approach should be initiated as early as possible, since it significantly increases the survival rate of patients and decreases possible after-effects. Since it is an area of interest, which after being made unstructured interviews with the chief and deputy chief of service, as well as questionnaires to the service nurses, it was found that there was a knowledge gap in addressing the major burn. This report represents the work in the interships that allowed the development of common and specific skills of the nurse specialist and master in medical-surgical nursing.
Description
Relatório de Trabalho de Projeto apresentado
para cumprimento dos requisitos necessários à
obtenção do grau de Mestre em Enfermagem Médicocirúrgica
Keywords
Queimadura Cliente Abordagem ao Grande Queimado Especialista em Médico-Cirurgica Trabalho de projeto Burn Customer Approach to the Major Burn Specialist in Medical-Surgical Project Work
Citation
Publisher
Instituto Politécnico de Setúbal. Escola Superior de Saúde