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Avaliação e intervenção familiar em famílias de idosos que coabitam com filhos adultos que reintegraram a família de origem: Projeto de desenvolvimento de competências clínicas especializadas na área de Enfermagem de Saúde Familiar
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Abstract(s)
A elaboração do presente relatório decorre no âmbito da unidade curricular Estágio de natureza profissional com relatório - Módulo I e II (MECESF) no decorrer do Curso de Mestrado em Enfermagem Comunitária na área de Enfermagem de Saúde Familiar da Escola Superior de Enfermagem do Porto.
A sua realização teve como objetivo descrever o processo de desenvolvimento de aquisição de competências comuns do enfermeiro especialista (Regulamento n.º 140/2019 da Ordem dos Enfermeiros) e específicas do enfermeiro especialista em enfermagem comunitária na área de enfermagem de saúde familiar (Regulamento n.º 428/2018 da Ordem dos Enfermeiros). Para a consumação do desenvolvimento de competências foram definidos os seguintes objetivos: prestar cuidados a famílias com membros idosos cujos filhos adultos reintegraram a família de origem, enquanto unidade de cuidados bem como dos seus membros, ao longo do ciclo vital e nos diferentes níveis de prevenção
Associando o envelhecimento da população e as crises socioeconómicas surgem transições que levam as famílias a readaptar-se. Se por um lado a população está mais idosa acarretando necessidade de apoio, por outro lado as crises económicas levam a que os filhos adultos tenham necessidade de regressar à família de origem. Este regresso pode ser entendido como fonte de apoio por um lado e gerador de stress e conflito por outro.
Assim, foi desenvolvida a prestação de cuidados à família como um todo a 4 famílias, duas delas em que o retorno a casa surgiu pela necessidade dos pais, nas outras duas por surgiu por necessidade dos filhos. Com estas famílias, foi estabelecida uma relação sinérgica de forma a promover a sua capacitação no sentido de apoiar estas transições. Pretendeu-se, ainda, sensibilizar a equipa de enfermagem para a melhoria da avaliação e da documentação dos cuidados prestados no âmbito da Saúde Familiar.
Para o desenvolvimento das atividades da componente clínica, foi utilizado o Modelo Dinâmico de Avaliação e Intervenção Familiar (MDAIF) como referencial teórico-operativo, que tem como bases teóricas o Modelo Calgary de Avaliação da Família e o Modelo Calgary de intervenção na Família (Wright&Leahey,2012).
This report was drawn up as part of the Professional Internship with Report - Module I and II (MECESF) course during the Master's Degree in Community Nursing in the area of Family Health Nursing at the Porto School of Nursing. Its aim was to describe the process of developing and acquiring common competences for specialised nurses (Regulation no. 140/2019 of the Portuguese Nursing Association) and specific competences for nurses specialising in community nursing in the area of family health nursing (Regulation no. 428/2018 of the Portuguese Nursing Association). The following objectives were set for the completion of the development of competences: to provide care to families with elderly members whose adult children have reintegrated the family of origin, as a unit of care as well as its members, throughout the life cycle and at the different levels of prevention. The ageing of the population and the socio-economic crisis are associated with transitions that require families to readapt. If, on the one hand, the population is getting older, leading to a need for support, on the other hand, economic crises mean that adult children need to return to their families of origin. This return can be seen as a source of support on the one hand and a generator of stress and conflict on the other. hus, the provision of care for the family as a whole was developed for four families, two of which had to return home because of their parents' needs, and the other two because of their children's needs. A synergistic relationship was established with these families in order to promote their empowerment to support these transitions. The aim was also to sensitise the nursing team to improving the assessment and documentation of the care provided in the Family Health area. To develop the clinical component activities, the Dynamic Model of Family Assessment and Intervention (MDAIF) was used as a theoretical-operational reference, based on the Calgary Model of Family Assessment and the Calgary Model of Family Intervention (Wright & Leahey, 2012).
This report was drawn up as part of the Professional Internship with Report - Module I and II (MECESF) course during the Master's Degree in Community Nursing in the area of Family Health Nursing at the Porto School of Nursing. Its aim was to describe the process of developing and acquiring common competences for specialised nurses (Regulation no. 140/2019 of the Portuguese Nursing Association) and specific competences for nurses specialising in community nursing in the area of family health nursing (Regulation no. 428/2018 of the Portuguese Nursing Association). The following objectives were set for the completion of the development of competences: to provide care to families with elderly members whose adult children have reintegrated the family of origin, as a unit of care as well as its members, throughout the life cycle and at the different levels of prevention. The ageing of the population and the socio-economic crisis are associated with transitions that require families to readapt. If, on the one hand, the population is getting older, leading to a need for support, on the other hand, economic crises mean that adult children need to return to their families of origin. This return can be seen as a source of support on the one hand and a generator of stress and conflict on the other. hus, the provision of care for the family as a whole was developed for four families, two of which had to return home because of their parents' needs, and the other two because of their children's needs. A synergistic relationship was established with these families in order to promote their empowerment to support these transitions. The aim was also to sensitise the nursing team to improving the assessment and documentation of the care provided in the Family Health area. To develop the clinical component activities, the Dynamic Model of Family Assessment and Intervention (MDAIF) was used as a theoretical-operational reference, based on the Calgary Model of Family Assessment and the Calgary Model of Family Intervention (Wright & Leahey, 2012).
Description
Keywords
Enfermagem de Saúde Familiar Filhos adultos Coabitação famílias com membros idosos Relatório de estágio