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Pessoa pós reanimação cardiorrespiratória : Intervenção especializada de enfermagem
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Orientador(es)
Resumo(s)
A paragem cardiorrespiratória (PCR) é a terceira principal causa de morte na
Europa, com uma incidência anual extra-hospitalar entre os 67-170 em cada 100.00
habitantes, onde apenas 50-60% dos casos de reanimação são iniciados ou conduzidos
por uma equipa de emergência, e apenas 8% das vítimas sobrevivem após a alta
hospitalar. Assim, os cuidados pós-PCR são essenciais na intervenção imediata às vítimas,
a fim de prevenir a síndrome pós-PCR e restaurar as funções cardíacas e respiratórias,
evitando potenciais sequelas e garantindo a neuroprotecção.
O presente relatório, tem como objetivo apresentar uma análise descritiva e
fundamentada do percurso no desenvolvimento de competências, como futura
enfermeira mestre e especialista na área da PSC. O estágio foi realizado em três contextos
clínicos distintos, que permitiram a mobilização dessas competências, complementando
com a realização de uma revisão integrativa da literatura, que fundamenta as
intervenções especializadas de enfermagem nos cuidados pós reanimação
cardiorrespiratória.
Este percurso foi norteado pelos referenciais teóricos Vigilance, the essence of
Nursing descrito por Geralyn Meyer e Mary Ann Lavin (2005) e Technological nursing as
caring descrito por Rozzano Locsin (2005), que exigem conhecer e utilizar os meios
tecnológicos adequadamente para garantir cuidados precisos, e garantindo uma
vigilância eficiente e avançada.
Este percurso revelou-se enriquecedor pela possibilidade de reflexão crítica,
perante os diversos conhecimentos teóricos inerentes à prestação de cuidados, uma vez
que permitiu o desenvolvimento de competências do grau de mestre e para uma prática
especializada de enfermagem.
Cardiac arrest (CPA) is the third leading cause of death in Europe, with an annual incidence of out-of-hospital CPA between 67-170 per 100,000 inhabitants, where only 50- 60% of resuscitation cases are initiated or managed by an emergency team, and only 8% of victims survive after hospital discharge. Therefore, post-cardiac arrest care care is essential in the immediate intervention of victims, in order to prevent syndrome post cardiac arrest and restore cardiac and respiratory functions, avoiding potential sequelae and ensuring neuroprotection. This report aims to present a descriptive and well-founded analysis of the path to developing skills as a future master nurse and specialist in critically ill patients. In this way, I present three distinct clinical contexts, which allowed the mobilization of these skills, complemented by carrying out an integrative review of the literature, which supports specialized nursing interventions in post-cardiopulmonary resuscitation care. This path was guided by I theoretical framework: Vigilance: The Essence of Nursing described by Geralyn Meyer and Mary Ann Lavin (2005) and Technological Competency as Caring in Nursing described by Rozzano Locsin (2005), which requires knowing and using the means technologies developed to guarantee precise care, guaranteeing efficient and advanced surveillance. This path proved to be enriching due to the possibility of critical reflection, given the diverse theoretical knowledge inherent to the provision of care, as it allowed the development of skills for specialized nursing practice that included a master's degree.
Cardiac arrest (CPA) is the third leading cause of death in Europe, with an annual incidence of out-of-hospital CPA between 67-170 per 100,000 inhabitants, where only 50- 60% of resuscitation cases are initiated or managed by an emergency team, and only 8% of victims survive after hospital discharge. Therefore, post-cardiac arrest care care is essential in the immediate intervention of victims, in order to prevent syndrome post cardiac arrest and restore cardiac and respiratory functions, avoiding potential sequelae and ensuring neuroprotection. This report aims to present a descriptive and well-founded analysis of the path to developing skills as a future master nurse and specialist in critically ill patients. In this way, I present three distinct clinical contexts, which allowed the mobilization of these skills, complemented by carrying out an integrative review of the literature, which supports specialized nursing interventions in post-cardiopulmonary resuscitation care. This path was guided by I theoretical framework: Vigilance: The Essence of Nursing described by Geralyn Meyer and Mary Ann Lavin (2005) and Technological Competency as Caring in Nursing described by Rozzano Locsin (2005), which requires knowing and using the means technologies developed to guarantee precise care, guaranteeing efficient and advanced surveillance. This path proved to be enriching due to the possibility of critical reflection, given the diverse theoretical knowledge inherent to the provision of care, as it allowed the development of skills for specialized nursing practice that included a master's degree.
Descrição
Palavras-chave
Enfermagem de cuidados intensivos Paragem cardíaca Reanimação cardiopulmonar Neuroproteção Síndrome Pós-Parada Cardíaca