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Prevenção e controlo do delirium da pessoa com doença oncológica em situação paliativa :
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Advisor(s)
Abstract(s)
Ao exercer funções num hospital de referência no tratamento do cancro, em que
grande parte das pessoas internadas se encontram em situação paliativa e
frequentemente desenvolvem delirium, a problemática do delirium nesta população
torna-se premente. Acresce o facto da equipa de enfermagem necessitar de
aprofundar o conhecimento no que se refere à intervenção nesta problemática. Surge
assim a questão de partida do Projeto: “Qual a intervenção do enfermeiro na
prevenção e controlo do delirium da pessoa com doença oncológica em situação
paliativa?”. O percurso realizado teve como finalidade desenvolver competências de
enfermeiro especialista em enfermagem médico-cirúrgica no domínio da prevenção e
controlo do delirium da pessoa com doença oncológica em situação paliativa e
contribuir para melhoria da qualidade dos cuidados de enfermagem a esta população,
promovendo a capacitação da equipa de enfermagem. O presente Relatório, que se
insere no âmbito do 12º Curso de Mestrado em Enfermagem, na área de
especialização em Enfermagem Médico-Cirúrgica, na área de intervenção em
Enfermagem Oncológica, espelha o percurso feito durante a implementação e
avaliação deste Projeto, em três locais de estágio (Equipa Intra-Hospitalar de Suporte
em Cuidados Paliativos, Unidade de Cuidados Continuados e Paliativos e Serviço de
Ginecologia, Urologia, Plástica e Pneumologia). Neste percurso foi utilizada a
metodologia de Projeto. As estratégias utilizadas foram: realização de questionários
escritos para aplicar à equipa de enfermagem; consulta de documentos dos serviços;
entrevista a enfermeiros dos serviços; pesquisa bibliográfica; elaboração de uma
Revisão Scoping; observação da prática clínica; prestação de cuidados; consulta de
registos de enfermagem; reflexão sobre a prática clínica adotada; realização de
sessões de formação; elaboração de documentos de apoio à prática clínica; consulta
de peritos. Com este percurso considero que atingi a finalidade a que me propus,
encontrando-se explicito neste Relatório os resultados obtidos nesta área temática.
When working in a referral hospital in the treatment of cancer, where most of the people hospitalized are in a palliative situation and often develop delirium, the problem of delirium in this population becomes urgent. In addition, the nursing team needs to deepen its knowledge regarding intervention in this problem. Thus, the starting question of the Project arises: “What is the nurse’s intervention in the prevention and control of delirium in people with oncological disease in palliative situation?”. The course carried out aimed to develop skills of a specialist nurse in medical-surgical nursing in the field of prevention and control of delirium in people with oncological disease in a palliative situation and to contribute to improving the quality of nursing care for this population, promoting the training of nursing team. This Report, which is part of the 12th Master's Course in Nursing, in specialization in Medical-Surgical Nursing, in intervention in Oncology Nursing, reflects the path taken during the implementation and evaluation of this Project, in three locations internship (Intra Hospital Palliative Care Support Team, Continuing and Palliative Care Unit and Gynecology, Urology, Plastics and Pulmonology Service). In this route, the Project methodology was used. The strategies used were completion of written questionnaires to apply to the nursing team; consultation of service documents; interview with service nurses; bibliographic research; elaboration of a Scoping Review; observation of clinical practice; provision of care; consultation of nursing records; reflection on the adopted clinical practice; holding training sessions; preparation of documents to support clinical practice; expert consultation. With this path, I consider that I have reached the goal I set out to achieve, and the results obtained in this thematic area are made explicit in this Report.
When working in a referral hospital in the treatment of cancer, where most of the people hospitalized are in a palliative situation and often develop delirium, the problem of delirium in this population becomes urgent. In addition, the nursing team needs to deepen its knowledge regarding intervention in this problem. Thus, the starting question of the Project arises: “What is the nurse’s intervention in the prevention and control of delirium in people with oncological disease in palliative situation?”. The course carried out aimed to develop skills of a specialist nurse in medical-surgical nursing in the field of prevention and control of delirium in people with oncological disease in a palliative situation and to contribute to improving the quality of nursing care for this population, promoting the training of nursing team. This Report, which is part of the 12th Master's Course in Nursing, in specialization in Medical-Surgical Nursing, in intervention in Oncology Nursing, reflects the path taken during the implementation and evaluation of this Project, in three locations internship (Intra Hospital Palliative Care Support Team, Continuing and Palliative Care Unit and Gynecology, Urology, Plastics and Pulmonology Service). In this route, the Project methodology was used. The strategies used were completion of written questionnaires to apply to the nursing team; consultation of service documents; interview with service nurses; bibliographic research; elaboration of a Scoping Review; observation of clinical practice; provision of care; consultation of nursing records; reflection on the adopted clinical practice; holding training sessions; preparation of documents to support clinical practice; expert consultation. With this path, I consider that I have reached the goal I set out to achieve, and the results obtained in this thematic area are made explicit in this Report.
Description
Keywords
Enfermagem oncológica Cuidados paliativos Delírio Cuidados de enfermagem