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Conforto em situação de últimos dias/ horas de vida - Desenvolvimento das competências clínicas na área de enfermagem à pessoa em situação paliativa
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| 1.32 MB | Adobe PDF |
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Abstract(s)
Os cuidados paliativos apresentam-se como uma abordagem sistemática que visa a promoção da qualidade de vida dos clientes que estejam a viver situações de doença avançada, progressiva e limitante de vida, indutora de sofrimento e que acarrete sinais e sintomas que exijam uma abordagem integral e especializada. Em Portugal, estes cuidados encontram-se ainda em desenvolvimento sendo fulcral ser capaz de detetar as necessidades, físicas, sociais, psicoemocionais e espirituais, dos clientes forma precoce permitindo-lhes viverem com a melhor qualidade de vida possível. Neste sentido, surge a possibilidade de realizar o Mestrado em Enfermagem Médico-Cirúrgica, na área da Enfermagem à Pessoa em Situação Paliativa.
Com este relatório de estágio de natureza profissional procurou-se expor aquilo que foi o período de estágio, o desenvolvimento das competências profissionais, assim como perceber, partindo de uma revisão de literatura, em bases de dados, guidelines e autores considerados uma referência em cuidados paliativos, os conceitos de conforto, situação de últimos dias/ horas de vida e as intervenções promotoras de conforto nesta fase da vida para o binómio de cuidados que é o cliente-família.
Procurou-se, ainda, fazer uma reflexão crítica das atividades realizadas em contexto clínico, com vista a desenvolver as competências comuns e específicas do enfermeiro especialista em enfermagem médico-cirúrgica, na área da enfermagem à pessoa em situação paliativa indicadas pela Ordem dos Enfermeiros.
Os resultados obtidos da revisão de literatura permitem compreender que as intervenções promotoras de conforto, assim como o conceito em si mesmo são complexos e envolvem múltiplas dimensões, para as quais o enfermeiro especialista deve estar preparado a intervir; a situação de últimos dias/ horas de vida é também ela complexa e carece de cuidados especializados.
A reflexão crítica sobre as competências desenvolvidas configurou-se um processo importante para uma melhor compreensão dos cuidados desenvolvidos e uma base sustentada para uma melhoria contínua da qualidade dos cuidados.
Palliative care is presented as a systematic approach aimed at promoting the quality of life of clients and their families who are experiencing advanced, progressive, and life limiting illness situations that induce suffering and involve signs and symptoms requiring a comprehensive and specialized approach. In Portugal, these care practices are still in development, making it crucial to be able to detect the physical, social, psychosocial, and spiritual needs of clients and their families, allowing them to live with the best possible quality of life. In this context, the specialty of Medical Surgical Nursing in the field of Nursing for Pe ople in Palliative Situation has emerged. This professional internship report aims to expose what the internship period was like, the development of understanding, starting from a literature review in databases, guidelines, and authors considered as references in palliative care, the concepts of comfort, last days/ hours of life, and comfort-promoting interventions during this phase of life for the client-family dyad. Furthermore, a critical reflection on the activities carried out in a clinical setting was undertaken to develop the common and specific skills of the nurse specialist in medical-surgical nursing, in the field of nursing for individuals in palliative situations as indicated by the Portuguese Nurses Association. The results obtained from the literature review show that comfort promoting interventions, as well as the concept itself, are complex and involve multiple dimensions for which the nurse specialist must be prepared to intervene. The situation of the last days/hours of life is also complex and requires specialized care. Critical reflection on the developed expertise constituted an important process towards a better understanding of the care provided and a sustainable foundation for continuous improvement in the quality of care
Palliative care is presented as a systematic approach aimed at promoting the quality of life of clients and their families who are experiencing advanced, progressive, and life limiting illness situations that induce suffering and involve signs and symptoms requiring a comprehensive and specialized approach. In Portugal, these care practices are still in development, making it crucial to be able to detect the physical, social, psychosocial, and spiritual needs of clients and their families, allowing them to live with the best possible quality of life. In this context, the specialty of Medical Surgical Nursing in the field of Nursing for Pe ople in Palliative Situation has emerged. This professional internship report aims to expose what the internship period was like, the development of understanding, starting from a literature review in databases, guidelines, and authors considered as references in palliative care, the concepts of comfort, last days/ hours of life, and comfort-promoting interventions during this phase of life for the client-family dyad. Furthermore, a critical reflection on the activities carried out in a clinical setting was undertaken to develop the common and specific skills of the nurse specialist in medical-surgical nursing, in the field of nursing for individuals in palliative situations as indicated by the Portuguese Nurses Association. The results obtained from the literature review show that comfort promoting interventions, as well as the concept itself, are complex and involve multiple dimensions for which the nurse specialist must be prepared to intervene. The situation of the last days/hours of life is also complex and requires specialized care. Critical reflection on the developed expertise constituted an important process towards a better understanding of the care provided and a sustainable foundation for continuous improvement in the quality of care
Description
Keywords
Conforto Cuidados Paliativos Competências especializadas Relatório de estágio