Loading...
Publication
Intervenções especializadas de enfermagem no período perioperatório para a prevenção de complicações na cirurgia reconstrutiva da mama
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 6.44 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O presente relatório de estágio foi elaborado no âmbito do Mestrado em Enfermagem Médico-Cirúrgica, na área de Enfermagem à Pessoa em Situação Perioperatória, da Escola Superior de Saúde Egas Moniz.
O cancro da mama é a neoplasia maligna mais prevalente e incidente entre as mulheres em Portugal, sendo a cirurgia o principal método de tratamento. O seu impacto físico, emocional e social é significativo. A reconstrução mamária surge, assim, como uma etapa fundamental na recuperação biopsicossocial da mulher.
A realização da Scoping Review, aliada à Teoria das Transições de Afaf Meleis, permitiu-nos evidenciar o contributo da cirurgia reconstrutiva da mama no processo de transição vivenciado pelas mulheres submetidas a mastectomia ou a cirurgia oncoplástica. Foram igualmente identificadas intervenções de enfermagem com impacto na prevenção de complicações associadas a este tipo de procedimento.
Destaca-se a importância do enfermeiro especialista na prestação de cuidados seguros, humanizados e sustentados na melhor evidência científica, promovendo uma experiência cirúrgica mais positiva e uma melhoria na qualidade de vida das mulheres submetidas a cirurgia reconstrutiva da mama.
O relatório integra uma análise crítico-reflexiva sobre o processo de aquisição e desenvolvimento de competências preconizadas pela Ordem dos Enfermeiros (Regulamentos n.º 429/2018 e n.º 140/2019), incluindo-se assim as competências comuns do enfermeiro especialista e as competências específicas para o cuidado à pessoa em situação perioperatória e respetiva família/pessoa significativa. Esta reflexão é orientada pelo modelo de desenvolvimento profissional de Patrícia Benner e fundamentada nas experiências de estágio realizadas em dois blocos operatórios de duas Unidades Locais de Saúde da região de Lisboa e Vale do Tejo.
Este percurso evidenciou a consolidação de competências técnicas, científicas, éticas e relacionais essenciais para um cuidado especializado e de excelência.
This internship report was prepared as part of the master’s program in Medical-Surgical Nursing, in the specialty of Nursing for People in Perioperative Situations, at the Egas Moniz School of Health and Science. Breast cancer is the most prevalent and incident malignant neoplasm among women in Portugal, with surgery being the main treatment method. It encompasses significant physical, emotional and social toll on women. Hence, breast reconstruction becomes a fundamental step in the biopsychosocial recovery of women. The previously written Scoping Review, combined with the Afaf Meleis' Theory of Transitions, allowed us to highlight the contribution of breast reconstructive surgery in the transition process experienced by women undergoing mastectomy or oncoplastic surgery. Nursing interventions with an impact on the prevention of complications associated with this type of procedure were also identified. The importance of specialist nurses in providing safe, humane care based on the best scientific evidence is highlighted, promoting a more positive surgical experience and an improvement in the quality of life of women undergoing breast reconstructive surgery. The report includes a critical-reflective analysis of the process of acquiring and developing skills recommended by the Portuguese Nursing Association (Regulations No. 429/2018 and No. 140/2019), including the essential competences of specialist nurses and the specific skills in caring for people in perioperative stages and their families. This reflection is guided by Patrícia Benner's professional development model and based on internship experiences carried out in two operating rooms of two Local Health Units in the Lisbon and Tagus Valley region. This experience demonstrated the consolidation of technical, scientific, ethical and relational skills essential for specialized and excellent care.
This internship report was prepared as part of the master’s program in Medical-Surgical Nursing, in the specialty of Nursing for People in Perioperative Situations, at the Egas Moniz School of Health and Science. Breast cancer is the most prevalent and incident malignant neoplasm among women in Portugal, with surgery being the main treatment method. It encompasses significant physical, emotional and social toll on women. Hence, breast reconstruction becomes a fundamental step in the biopsychosocial recovery of women. The previously written Scoping Review, combined with the Afaf Meleis' Theory of Transitions, allowed us to highlight the contribution of breast reconstructive surgery in the transition process experienced by women undergoing mastectomy or oncoplastic surgery. Nursing interventions with an impact on the prevention of complications associated with this type of procedure were also identified. The importance of specialist nurses in providing safe, humane care based on the best scientific evidence is highlighted, promoting a more positive surgical experience and an improvement in the quality of life of women undergoing breast reconstructive surgery. The report includes a critical-reflective analysis of the process of acquiring and developing skills recommended by the Portuguese Nursing Association (Regulations No. 429/2018 and No. 140/2019), including the essential competences of specialist nurses and the specific skills in caring for people in perioperative stages and their families. This reflection is guided by Patrícia Benner's professional development model and based on internship experiences carried out in two operating rooms of two Local Health Units in the Lisbon and Tagus Valley region. This experience demonstrated the consolidation of technical, scientific, ethical and relational skills essential for specialized and excellent care.
Description
Relatório de Estágio para obtenção do grau de mestre na Escola Superior de Saúde Egas Moniz
Keywords
Intervenções de enfermagem no período perioperatório Cirurgia reconstrutiva da mama Prevenção de complicações Enfermeiro especialista Aquisição e desenvolvimento de competências