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Acompanhamento da criança/jovem no período perioperatório
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Abstract(s)
O relatório de estágio demonstra a aquisição de conhecimentos e competências ao longo do percurso formativo vivenciado nos contextos de estágio e tem como foco a criança/jovem submetida a uma intervenção cirúrgica e a sua família através da elaboração de um projeto intitulado “Acompanhamento da criança/jovem no período perioperatório”.
A escolha deste tema deve-se à importância que a pessoa significativa tem junto da criança/jovem hospitalizada aquando de uma intervenção cirúrgica. A vivência deste evento é difícil pois a criança/jovem e a sua família sentem-se vulneráveis, com medo, ansiedade e stress devido ao desconhecido, à cirurgia, à presença no hospital, à separação parental, à perda de controlo, ao risco de lesão corporal e probabilidade de dor. A gestão da segurança e a prestação de cuidados humanizados e de qualidade à criança/jovem e pessoa significativa é o foco da nossa intervenção como enfermeira perioperatória.
A nossa atuação como enfermeira perioperatória contribui para a minimização destes agentes geradores de stress, facilitando todo o processo de acolhimento e cuidados de enfermagem prestados à criança/jovem e família. O facto da presença da família ou pessoa significativa junto da criança/jovem aliviar todos estes sentimentos negativos, torna imprescindível o seu acompanhamento no período perioperatório.
Este relatório tem como objetivos: demonstrar competências de Mestre em Enfermagem Perioperatória e explicitar o projeto de implementação com o tema “Acompanhamento da criança/jovem no período perioperatório”.
Para a elaboração do projeto em contexto de estágio, realizado no Bloco Operatório Central de um Hospital de Lisboa e Vale do Tejo, utilizámos a metodologia de projeto de modo a definir o problema de investigação, realizámos o diagnóstico de situação através da análise SWOT, ou seja, identificação de pontos fracos, pontos fortes, oportunidades e ameaças existentes no BO e foram realizadas entrevistas semiestruturadas à enfermeira gestora e diretor de serviço do mesmo. A 2 de Agosto de 2017 foi emitido o Despacho nº 6668/2017, série II, em Diário da República que estabelece que as instituições hospitalares devem assegurar as condições necessárias para o acompanhamento da criança/jovem com idade inferior a 18 anos, ou portador de deficiência ou dependente com idade superior a 18 anos, até à indução anestésica e recobro. Assim, esta recomendação tornou possível e necessária a realização e implementação deste projeto, como ponto forte e oportunidade. O Despacho também estabelece que deve existir um plano de preparação préoperatória com o propósito de explicar, apoiar e acompanhar a pessoa significativa neste processo. Para tal foi realizado um folheto informativo para fornecer à criança/jovem e seu acompanhante de modo a esclarecer dúvidas e com sugestões de atividades que minimizem o medo e a ansiedade pré-operatória, um poster informativo que será afixado nos locais necessários e uma instrução de trabalho que descreverá o que é necessário para o processo de acompanhamento da criança/jovem pela pessoa significativa ser realizado com sucesso.
Com a finalização do projeto está prevista a sua implementação e, consequentemente, a possibilidade da pessoa significativa acompanhar a criança/jovem antes e após a intervenção cirúrgica e no momento da indução anestésica, visando a melhor experiência possível através da criação de parcerias entre a tríade: criança, enfermeiro e acompanhante, com foco na criança e na família.
The traineeship report demonstrates the acquisition of knowledge and skills along the training pathway experienced in the training contexts and focuses on the pediatric client submitted to a surgical intervention and his family through the elaboration of an implementation project with the theme "Accompanying of child/young person in the perioperative period". The choice of this topic is due to the importance that the significant person has with child/young person hospitalized during a surgical intervention. The experience of this event is difficult because child/young person and his family feel vulnerable, with fear, anxiety and stress due to unknown, surgery, hospital presence, parental separation, loss of control, risk of injury body and likelihood of pain. The management of safety and the provision of humanized and quality care to the child/young person and significant person is the focus of our intervention as a perioperative nurse. Our intervention as a perioperative nurse contributes to the minimization of these stress-generating agents, facilitating the entire process of nursing care provided to child/young person and family. The presence of family or significant person with child/young person alleviates all these negative feelings, makes it essential to be monitored during the perioperative period. The objective of this report is to demonstrate Master's competences in Perioperative Nursing and to explain the implementation project with the theme "Accompanying of child/young person in the perioperative period". In order to elaborate the project in the context of an internship, carried out in the Central Operative Block of a Hospital de Lisboa e Vale do Tejo, we used the project methodology to define the research problem, we performed the situation diagnosis through SWOT analysis, identifying weaknesses, strengths, opportunities and threats in the BO, and semi-structured interviews were conducted with the nurse manager and service director of the same. On August 2, 2017, Order N. 6668/2017, series II, was issued in Diário da República, which establishes that hospital institutions must ensure the necessary conditions for the accompanying of the child / young person under the age of 18, or deficient or dependent patient over the age of 18 years until induction of anesthesia and recovery. Thus, this recommendation made possible and necessary the realization and implementation of this project as a strength and opportunity. The Order also establishes that there must be a pre-operative preparation plan with the purpose of explaining, supporting and accompanying the significant person in this process. For this purpose, an information leaflet was given to provide the child/young person and his / her companion in order to clarify doubts and suggestions of activities that minimize preoperative fear and anxiety, an informative poster that will be posted in the necessary places and a work instruction which will describe what is required for child/young person accompanying process by the significant person being successfully performed. With the completion of the project is expected to be implemented and consequently the possibility of the significant person accompanying child/young person before and after the surgical intervention and at the time of anesthetic induction, aiming at the best possible experience through the creation of partnerships between the triad: child, nurse and companion, focusing on the child and the family.
The traineeship report demonstrates the acquisition of knowledge and skills along the training pathway experienced in the training contexts and focuses on the pediatric client submitted to a surgical intervention and his family through the elaboration of an implementation project with the theme "Accompanying of child/young person in the perioperative period". The choice of this topic is due to the importance that the significant person has with child/young person hospitalized during a surgical intervention. The experience of this event is difficult because child/young person and his family feel vulnerable, with fear, anxiety and stress due to unknown, surgery, hospital presence, parental separation, loss of control, risk of injury body and likelihood of pain. The management of safety and the provision of humanized and quality care to the child/young person and significant person is the focus of our intervention as a perioperative nurse. Our intervention as a perioperative nurse contributes to the minimization of these stress-generating agents, facilitating the entire process of nursing care provided to child/young person and family. The presence of family or significant person with child/young person alleviates all these negative feelings, makes it essential to be monitored during the perioperative period. The objective of this report is to demonstrate Master's competences in Perioperative Nursing and to explain the implementation project with the theme "Accompanying of child/young person in the perioperative period". In order to elaborate the project in the context of an internship, carried out in the Central Operative Block of a Hospital de Lisboa e Vale do Tejo, we used the project methodology to define the research problem, we performed the situation diagnosis through SWOT analysis, identifying weaknesses, strengths, opportunities and threats in the BO, and semi-structured interviews were conducted with the nurse manager and service director of the same. On August 2, 2017, Order N. 6668/2017, series II, was issued in Diário da República, which establishes that hospital institutions must ensure the necessary conditions for the accompanying of the child / young person under the age of 18, or deficient or dependent patient over the age of 18 years until induction of anesthesia and recovery. Thus, this recommendation made possible and necessary the realization and implementation of this project as a strength and opportunity. The Order also establishes that there must be a pre-operative preparation plan with the purpose of explaining, supporting and accompanying the significant person in this process. For this purpose, an information leaflet was given to provide the child/young person and his / her companion in order to clarify doubts and suggestions of activities that minimize preoperative fear and anxiety, an informative poster that will be posted in the necessary places and a work instruction which will describe what is required for child/young person accompanying process by the significant person being successfully performed. With the completion of the project is expected to be implemented and consequently the possibility of the significant person accompanying child/young person before and after the surgical intervention and at the time of anesthetic induction, aiming at the best possible experience through the creation of partnerships between the triad: child, nurse and companion, focusing on the child and the family.
Description
Relatório de Estágio do Mestrado em Enfermagem Perioperatória
Keywords
Enfermagem perioperatória criança/jovem pessoa significativa Perioperative nursing child/young person significant person
Citation
Publisher
Instituto Politécnico de Setúbal. Escola Superior de Saúde