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Publication
A rehabilitation nursing approach to the care of extracorporeal membrane oxygenation patients: an internship report
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Authors
Advisor(s)
Abstract(s)
Extracorporeal Life Support devices are utilized as an advanced management
strategy for cardiorespiratory failure. It is not a treatment but rather a replacement of heart
and/or lungs function while the organs are healing. During this period, patients are
typically confined to the Intensive Care Unit and are at risk of complications related to
critical care stay and limited body movement. Rehabilitation nursing has been shown in
the literature to play an essential role in preventing complications and improving the
clinical status of critically ill patients. However, the literature is limited regarding the role
of rehabilitation nursing in patients implanted with Extracorporeal Life Support devices.
The overall objective of this report is to reflect if rehabilitation nursing has the same
positive outcomes in patients with Extracorporeal Life Support devices and what
interventions are best to provide optimal conditions for their clinical improvement.
To achieve the objective of this report, firstly, we conducted a general search on
major considerations regarding Extracorporeal Life Support implanted patients. Then, we
conducted an integrative review of the literature using two reference databases: EBSCO
and PubMed. We applied this knowledge to a practical field and conducted a case study
on a Biventricular Assist Device implanted patient, following the Care Guidelines. We
finalize this report with a reflection on the specific competencies of the specialist nurse
in rehabilitation nursing and how they were developed during the internship.
Through this work, we have discovered that rehabilitation nursing has a significant
impact on these patient's pathway, including increased muscular strength, reduced
duration of mechanical ventilation, and shortened hospital length of stay with almost no
adverse events reported. However, since the literature on this subject is scarce, we
understand that rehabilitation nursing work is just beginning, and more research should
be done and published on these complex patients
Description
Curso de Mestrado ministrado em parceria com Escola Superior de Enfermagem S. José de Cluny e Escola Superior de Enfermagem Dr. José Timóteo Montalvão Machado
Keywords
Rehabilitation Nursing Enfermagem de Reabilitação Critical Care Cuidados intensivos Extracorporeal Membrane Oxygenation Oxigenação por Membrana Extracorpórea Competency-Based Education Educação Baseada em Competências