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Famílias unipessoais com elemento idoso: Avaliação e intervenção do Enfermeiro Especialista em Enfermagem Comunitária na área de Saúde Familiar
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Este relatório tem por finalidade produzir uma análise descritiva e crítica do
percurso construído ao longo dos estágios de natureza profissional Módulo I e
II, que decorreu numa Unidade de Saúde Familiar, e de que forma contribuiu
para o desenvolvimento de competências em Enfermagem Comunitària na
área de Enfermagem de Saúde Familiar. Na perspetiva sistémica, a família é
um sistema dinâmico e interativo, capaz de se auto-organizar para fazer frente
a crises. As transições na última fase desse ciclo são desafiantes, pois
envolvem mudanças na organização familiar, nos papéis e nas regras dos seus
membros, podendo gerar dificuldades de adaptação; especialmente nos
agregados unipessoais. Foram delineados objetivos de prestação de cuidados
a famílias unipessoais com elemento idoso, enquanto unidade de cuidados ao
longo do ciclo vital e aos diferentes níveis de prevenção; e promovida a
liderança e colaboração em processos de intervenção na área de Enfermagem
de Saúde Familiar. Os referenciais teóricos que serviram como referência ao
processo de decisão e planificação de cuidados foram o Modelo Dinâmico de
Avaliação e Intervenção Familiar e a Teoria das Transições. Avaliou-se
individualmente o elemento de cada família. Nas seis famílias avaliadas,
sobressaíram os diagnósticos Precaução de Segurança Não Demonstrada,
Processo Familiar Disfuncional e Autocuidado Atividade Física Comprometido.
Ambos contribuíram para o aperfeiçoamento das competências para prestar
cuidados a famílias unipessoais com pessoa idosa. Como contributo para a
liderança e colaboração nos processos de intervenção no âmbito da
Enfermagem de Saúde Familiar foi planeada e realizada uma sessão de
formação em serviço dirigida ao Plano de Acompanhamento Interno.
This report aims to provide a descriptive and critical analysis of the trajectory built throughout the professional internships, Module I and II, which took place in a Family Health Unit, and how they contributed to the development of competencies in Community Nursing, specifically in the field of Family Health Nursing.mFrom a systemic perspective, the family is a dynamic and interactive system capable of self-organizing to cope with crises. Transitions in the final stage of this cycle are particularly challenging, as they involve changes in family organization, roles, and rules among its members, potentially leading to adaptation difficulties—especially in single-person households. Objectives were outlined for providing care to single-person households with an elderly member, considering them as a unit of care throughout the life cycle and at different levels of prevention. Additionally, leadership and collaboration were promoted in intervention processes within the scope of Family Health Nursing. The theoretical frameworks that guided the decision-making and care planning process were the Dynamic Model of Family Assessment and Intervention and the Theory of Transitions. Each family member was individually assessed. Among the six families evaluated, the most prevalent diagnoses were Undemonstrated Safety Precaution, Dysfunctional Family Process, and Impaired Physical Activity Self-Care. These assessments contributed to enhancing competencies in providing care to single-person households with an elderly individual. As a contribution to leadership and collaboration in intervention processes within Family Health Nursing, an in-service training session was planned and conducted, focused on the Internal Monitoring Plan.
This report aims to provide a descriptive and critical analysis of the trajectory built throughout the professional internships, Module I and II, which took place in a Family Health Unit, and how they contributed to the development of competencies in Community Nursing, specifically in the field of Family Health Nursing.mFrom a systemic perspective, the family is a dynamic and interactive system capable of self-organizing to cope with crises. Transitions in the final stage of this cycle are particularly challenging, as they involve changes in family organization, roles, and rules among its members, potentially leading to adaptation difficulties—especially in single-person households. Objectives were outlined for providing care to single-person households with an elderly member, considering them as a unit of care throughout the life cycle and at different levels of prevention. Additionally, leadership and collaboration were promoted in intervention processes within the scope of Family Health Nursing. The theoretical frameworks that guided the decision-making and care planning process were the Dynamic Model of Family Assessment and Intervention and the Theory of Transitions. Each family member was individually assessed. Among the six families evaluated, the most prevalent diagnoses were Undemonstrated Safety Precaution, Dysfunctional Family Process, and Impaired Physical Activity Self-Care. These assessments contributed to enhancing competencies in providing care to single-person households with an elderly individual. As a contribution to leadership and collaboration in intervention processes within Family Health Nursing, an in-service training session was planned and conducted, focused on the Internal Monitoring Plan.
Descrição
Palavras-chave
Saúde da Família Enfermagem Familiar Famílias Unipessoais Envelhecimento