Loading...
Publication
Papel do enfermeiro especialista em enfermagem de reabilitação no cuidado da pessoa com insuficiência cardíaca
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 10.18 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
A aquisição e o desenvolvimento de competências, comuns e específicas, na
área de especialidade de enfermagem de reabilitação, é o resultado de um percurso
de formação avançada que considerou a aquisição, o desenvolvimento e a aplicação
de conhecimentos em contextos clínicos, intercedidos por uma prática reflexiva.
Nestes contextos foram concebidos e implementados planos de intervenção, de forma
a dar resposta às alterações da funcionalidade, com especial enfoque na função
cardíaca, resultado do meu interesse pessoal e profissional, enquadrado nas áreas
de investigação prioritárias da especialidade (Assembleia do Colégio de Especialidade
de Enfermagem de Reabilitação, 2015), definindo o tema do papel do EEER no
cuidado à pessoa com IC.
Considerando que a ação do EEER se desenvolve em torno dos conceitos de
independência e funcionalidade, o AC surge como foco de ação central. O referencial
teórico de Dorothea Orem possibilitou o suporte teórico da prática clínica, na medida
em que face às limitações da pessoa a considera apta a aprender novas formas de
desempenhar o AC.
A IC é uma pandemia global com elevada prevalência, morbilidade e
mortalidade e com custos económicos e sociais expressivos. As limitações físicas,
impostas pela IC, condicionam a realização, de forma independente, das AVD. Os
comportamentos desajustados no AC relacionados com a promoção da saúde e
controlo da IC, condicionam a reconstrução da autonomia e o bem-estar. A RC emerge
como um conjunto de intervenções capazes de modificar favoravelmente as
repercussões da IC na pessoa, por meio da melhoria funcional através da
estabilização da sua função cardíaca. Em contexto hospitalar identificou-se, a partir
das vivências práticas, o papel preponderante do EEER no sentido da readaptação
funcional e da capacitação da pessoa à sua nova condição de saúde, através de
intervenções de avaliação, maximização da capacidade funcional, por meio de um
plano de exercícios individualizado com incorporação das AVD, da capacitação para
a autogestão da doença e do planeamento da alta.
The acquisition and development of competences, both common and specific in the specialty area of rehabilitation nursing, is the result of an advanced training course that considered the acquisition, development and application of knowledge in clinical contexts, interspersed with reflective practice. In these contexts, intervention plans were designed and implemented, in order to respond to changes in functionality, with special focus on cardiac function, the result of my personal and professional interest, framed in the priority areas of investigation of the specialty (Assembleia do Colégio de Especialidade de Enfermagem de Reabilitação, 2015), defining the theme of the role of the Nurse Specialist in Rehabilitation Nursing in the care of people with Heart Failure. Considering that the action of the Nurse Specialist in Rehabilitation Nursing develops around the concepts of independence and functionality of the patient, the self-care emerges as the main action. Dorothea Orem's theoretical references provides the assistance and support of clinical practice, according to the patients’ limitations, it considers them capable of learning new ways of performing self-care. Heart Failure is a global pandemic with high prevalence, morbidity and mortality and with significant economic and social costs. The physical limitations imposed by Heart Failure condition the performance, regardless of the activities of daily living. The maladaptive behaviors in the self-care related to health promotion and Heart Failure control, has consequences on the condition, reconstruction and autonomy of the well being of the patient. Cardiac Rehabilitation emerges as a set of interventions capable of favorably modifying the repercussions of Heart Failure on the patient, through functional improvement through the stabilization of their cardiac function. In a hospital context, based on practical experiences, the predominant role of the Nurse Specialist in Rehabilitation Nursing was identified in the sense of functional readaptation and empowerment of the patient to their new health condition, through evaluation interventions, maximizing the functional capacity, through an individualized exercise plan incorporating activities of daily living, training for self-management of the disease and discharge planning.
The acquisition and development of competences, both common and specific in the specialty area of rehabilitation nursing, is the result of an advanced training course that considered the acquisition, development and application of knowledge in clinical contexts, interspersed with reflective practice. In these contexts, intervention plans were designed and implemented, in order to respond to changes in functionality, with special focus on cardiac function, the result of my personal and professional interest, framed in the priority areas of investigation of the specialty (Assembleia do Colégio de Especialidade de Enfermagem de Reabilitação, 2015), defining the theme of the role of the Nurse Specialist in Rehabilitation Nursing in the care of people with Heart Failure. Considering that the action of the Nurse Specialist in Rehabilitation Nursing develops around the concepts of independence and functionality of the patient, the self-care emerges as the main action. Dorothea Orem's theoretical references provides the assistance and support of clinical practice, according to the patients’ limitations, it considers them capable of learning new ways of performing self-care. Heart Failure is a global pandemic with high prevalence, morbidity and mortality and with significant economic and social costs. The physical limitations imposed by Heart Failure condition the performance, regardless of the activities of daily living. The maladaptive behaviors in the self-care related to health promotion and Heart Failure control, has consequences on the condition, reconstruction and autonomy of the well being of the patient. Cardiac Rehabilitation emerges as a set of interventions capable of favorably modifying the repercussions of Heart Failure on the patient, through functional improvement through the stabilization of their cardiac function. In a hospital context, based on practical experiences, the predominant role of the Nurse Specialist in Rehabilitation Nursing was identified in the sense of functional readaptation and empowerment of the patient to their new health condition, through evaluation interventions, maximizing the functional capacity, through an individualized exercise plan incorporating activities of daily living, training for self-management of the disease and discharge planning.
Description
Keywords
Enfermagem em reabilitação Insuficiência cardíaca Reabilitação cardíaca