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Plano antecipado de cuidados na pessoa em situação paliativa e família : Intervenção do enfermeiro especialista
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Este relatório surge no âmbito do plano curricular do 1º Curso de Mestrado em Enfermagem Médico-Cirúrgica na área de Enfermagem à Pessoa em Situação Paliativa, da Escola Superior de Enfermagem de Lisboa, e tem como tema “Plano Antecipado de Cuidados na Pessoa em Situação Paliativa e Família: Intervenção do Enfermeiro Especialista”. Neste contexto desenvolveram-se 2 estágios com base na metodologia projeto e aprendizagem experiencial. O 1º estágio decorreu numa Equipa Comunitária e o 2º estágio decorreu numa Unidade de Cuidados Paliativos. Ao longo deste percurso, evidenciou-se a relevância da elaboração e implementação do Plano Antecipado de Cuidados. O crescente número de pessoas com doenças crónicas e incuráveis acentua a necessidade de Cuidados Paliativos que promovam o conforto e a dignidade, alinhados com as vontades e valores de cada pessoa. A elaboração do Plano Antecipado de Cuidados possibilita um melhor controlo dos sintomas e a prestação de cuidados, centrados nas diversas dimensões da pessoa, permitindo que tenha tranquilidade e respeito nos seus últimos dias de vida. Foram definidos como objetivos gerais dos estágios: demonstrar conhecimentos e habilidades para a condução do processo de aprendizagem, do desenvolvimento profissional e de uma prática de cuidados baseada no conhecimento, princípios e valores profissionais da enfermagem; Cuidar da PSP e família no alívio do sofrimento, maximização do bem-estar, conforto e qualidade de vida e estabelecer uma relação terapêutica com a PSP e família, proporcionando suporte no processo de adaptação às perdas sucessivas e à morte. Como base teórica recorre à Teoria do Final de Vida Pacifico de Cornelia Ruland e Shirley Moore, de forma a garantir uma prestação de cuidados de forma holística e individualizada. Foi possível constatar a importância deste tema na prestação de cuidados com mais qualidade, permitindo uma morte digna e tranquila.
This report is part of the curricular plan of the 1st Master's Degree in Medical-Surgical Nursing in the area of Palliative Care Nursing at the Lisbon School of Nursing, and its theme is "Advance Care Planning in Palliative Care Patients and Families: Intervention of the Specialist Nurse". In this context, two internships were developed based on the project methodology and experiential learning. The first internship took place in a Community Team and the second internship took place in a Palliative Care Unit. Throughout this journey, the relevance of developing and implementing Advance Care Planning has become evident. The increasing number of people with chronic and incurable diseases highlights the need for Palliative Care that promotes comfort and dignity, aligned with each person's wishes and values. The development of Advance Care Planning enables better symptom control, and the provision of care centered on the individual's various dimensions, allowing them to have peace and respect in their final days of life. The overall objectives of the internships were defined as follows: to demonstrate knowledge and skills for conducting the learning process, professional development, and evidence-based nursing practice; to care for the palliative care patient and family in alleviating suffering, maximizing well-being, comfort, and quality of life; and to establish a therapeutic relationship with the palliative care patient and family, providing support in the process of adapting to successive losses and death. The theoretical framework for this study is based on Cornelia Ruland and Shirley Moore's Theory of a Peaceful Death, aiming to ensure the provision of holistic and individualized care. This study demonstrated the importance of this theory in providing higher quality care, allowing for a dignified and peaceful death.
This report is part of the curricular plan of the 1st Master's Degree in Medical-Surgical Nursing in the area of Palliative Care Nursing at the Lisbon School of Nursing, and its theme is "Advance Care Planning in Palliative Care Patients and Families: Intervention of the Specialist Nurse". In this context, two internships were developed based on the project methodology and experiential learning. The first internship took place in a Community Team and the second internship took place in a Palliative Care Unit. Throughout this journey, the relevance of developing and implementing Advance Care Planning has become evident. The increasing number of people with chronic and incurable diseases highlights the need for Palliative Care that promotes comfort and dignity, aligned with each person's wishes and values. The development of Advance Care Planning enables better symptom control, and the provision of care centered on the individual's various dimensions, allowing them to have peace and respect in their final days of life. The overall objectives of the internships were defined as follows: to demonstrate knowledge and skills for conducting the learning process, professional development, and evidence-based nursing practice; to care for the palliative care patient and family in alleviating suffering, maximizing well-being, comfort, and quality of life; and to establish a therapeutic relationship with the palliative care patient and family, providing support in the process of adapting to successive losses and death. The theoretical framework for this study is based on Cornelia Ruland and Shirley Moore's Theory of a Peaceful Death, aiming to ensure the provision of holistic and individualized care. This study demonstrated the importance of this theory in providing higher quality care, allowing for a dignified and peaceful death.
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Enfermagem de cuidados paliativos Cuidados paliativos Planeamento antecipado de cuidados Cuidados de enfermagem