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Promoção do conforto da pessoa com cancro de cabeça e pescoço em fim de vida e família :
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Abstract(s)
O presente relatório foi desenvolvido no âmbito da unidade curricular de estágio com relatório
do 3º semestre do 12º Curso de Mestrado/Especialidade em Enfermagem Médico-Cirúrgica
na vertente de Enfermagem Oncológica. Exercendo funções num Serviço de
Otorrinolaringologia e, contatando diariamente com pessoas com CCP, verifico, após reflexão
pessoal, que esta população sofre um enorme impacto no seu conforto, em particular, no fim
de vida, sendo uma perceção igualmente partilhada pelos colegas do serviço. Além disso, a
equipa de enfermagem refere sentir dificuldades na prestação de cuidados promotores do
conforto, nomeadamente, no controlo de sintomas do foro físico, psicológico, social e espiritual
a esta população e sua família. Deste modo, com a elaboração deste relatório, pretendo
demonstrar o processo de desenvolvimento de competências de enfermeiro especialista na
intervenção de enfermagem à pessoa com CCP em fim de vida e sua família, contribuir para
a melhoria da qualidade dos cuidados prestados e promover o seuconforto. Sustentada na
metodologia de projeto, realizei três estágios onde, nos dois primeiros, potenciou-se um
processo de desenvolvimento de competências técnicas, relacionais e pessoais para o cuidar
da pessoa em fim de vida. No último estágio, apliquei o que foi desenvolvido em termos de
competências de enfermeiro especialista bem como capacitei a equipa de enfermagem através
da realização de duas formações onde foram apresentadas as intervenções de enfermagem
promotoras do conforto à pessoa com CCP em fim de vida e família, conteúdos acedidos através da
revisão da literatura e observação da prática de cuidados. Foram ainda elaborados e apresentados
um guia orientador de cuidados dirigido aos enfermeiros do Serviço de ORL que será uma ferramenta
chave para a prática bem como um protocolo de articulação com a EIHSCP que permitirá
estruturar a resposta às necessidades de cuidados paliativos da pessoa com CCP através da
parceria entre as equipas de enfermagem dos Serviços ORL – internamento e da EIHSCP,
sendo que ambos irãopotenciar uma resposta mais precoce e de qualidade pela equipa de
enfermagem e contribuir para a promoção do conforto da pessoa em fim de vida e família.
This report was developed within the internship curricular unit with report of the 3rd semester of the 12th Course of Master/Specialty in Medical-Surgical Nursing in the Oncological Nursing field. Performing functions in an Otorhinolaryngologist Service and contacting daily with CCP patients, I verified after a personal reflection, that this population suffers an enormous impact in its comfort, particularly, in the end of life. This perception is equally shared by the co-workers. Furthermore, the nursing team refers to have difficulties in the provision of care that maximize comfort, namely the control of symptoms of the physical, psychological, social and spiritual forum to this population and its family. This way, with the elaboration of this report, I intend to demonstrate the development process of skills of a specialist nurse in the nursing intervention to the person with CCP in end of life and its family, contributing to the improvement of the quality of the provided care and promotion of their comfort. Supported by the project methodology, three internships were made where, in the first two, it was strengthened a development process of technical, relationship and personal skills to the care of a person in end of life. In the last internship, I applied what was developed in terms of skills of specialist nurse as well as I enabled the nursing team through two trainings where it was disclosed the nursing interventions promoters of comfort to the person with CCP in end of life and family, contents assessed through the literature review and observation of practical cares. It was also made and presented a guiding guide of cares addressed to the nurses of the ORL Service which will be a key tool for the practicing as well as an articulation protocol with the EIHSCP, which will allow to organize the answer to the needs of palliative care of the person with CCP through the partnership between the nursing teams of the ORL Services – internment and the EIHSCP, both of which will potentiate an earlier and with more quality action by the nursing team as well as promote the comfort of the person in end of life and its family.
This report was developed within the internship curricular unit with report of the 3rd semester of the 12th Course of Master/Specialty in Medical-Surgical Nursing in the Oncological Nursing field. Performing functions in an Otorhinolaryngologist Service and contacting daily with CCP patients, I verified after a personal reflection, that this population suffers an enormous impact in its comfort, particularly, in the end of life. This perception is equally shared by the co-workers. Furthermore, the nursing team refers to have difficulties in the provision of care that maximize comfort, namely the control of symptoms of the physical, psychological, social and spiritual forum to this population and its family. This way, with the elaboration of this report, I intend to demonstrate the development process of skills of a specialist nurse in the nursing intervention to the person with CCP in end of life and its family, contributing to the improvement of the quality of the provided care and promotion of their comfort. Supported by the project methodology, three internships were made where, in the first two, it was strengthened a development process of technical, relationship and personal skills to the care of a person in end of life. In the last internship, I applied what was developed in terms of skills of specialist nurse as well as I enabled the nursing team through two trainings where it was disclosed the nursing interventions promoters of comfort to the person with CCP in end of life and family, contents assessed through the literature review and observation of practical cares. It was also made and presented a guiding guide of cares addressed to the nurses of the ORL Service which will be a key tool for the practicing as well as an articulation protocol with the EIHSCP, which will allow to organize the answer to the needs of palliative care of the person with CCP through the partnership between the nursing teams of the ORL Services – internment and the EIHSCP, both of which will potentiate an earlier and with more quality action by the nursing team as well as promote the comfort of the person in end of life and its family.
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Keywords
Enfermagem oncológica Neoplasias de cabeça e pescoço Cuidados paliativos em fim de vida Cuidados de enfermagem Conforto do paciente