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A pessoa com função cardíaca comprometida: monitorização hemodinâmica
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Abstract(s)
Objetivo: Descrever o percurso realizado ao longo deste mestrado, revelando detalhada- mente todas as intervenções realizadas que foram essenciais para a aquisição de competên- cias comuns e específicas do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica, a Pessoa em Situação Crítica, assim como das competências de Grau de Mestre, descrevendo ainda o Projeto de Intervenção realizado neste âmbito. Metodologia: As atividades realizadas estão explanadas à luz das competências de Mestre e Especialista em Enfermagem Médico- Cirúrgica, a Pessoa em Situação Crítica. Todo o Estágio Final bem como o Projeto de Inter- venção foi realizado à luz do Modelo para a Mudança da Prática Baseada em Evidências de June Larrabee e segundo as etapas da Metodologia de Projeto. Resultados: Aquisição de competências de Mestre e Especialista na vertente do doente crítico através de atividades realizadas no Estágio Final e realização de um Projeto de intervenção. Este visa a melhoria e uniformização dos cuidados de enfermagem seguros ao doente critico com função cardíaca comprometida, sob monitorização hemodinâmica do débito cardíaco utilizando duas técnicas: Termodiluição Transpulmonar e Análise de ondas de pulso por sensor de PiCCO e Biorreatâ- ncia Torácica. Conclusão: Através da análise critica e reflexiva das atividades realizadas em Estágio é possível determinar as competências de Mestre e Especialista em Enfermagem Médico-Cirúrgica, a Pessoa em Situação Crítica adquiridas e desenvolvidas. Para além disso, a importância do papel do enfermeiro especialista na uniformização de cuidados na monitori- zação hemodinâmica do débito cardíaco, no doente crítico com função cardíaca comprome- tida e a promoção de métodos de monitorização como fundamentais para os cuidados segu- ros e de qualidade e a prevenção de riscos e otimização da ressuscitação.
Objective: To describe the path carried out throughout this master's degree, revealing in detail all the interventions carried out that were essential for the acquisition of common and specific competencies of the Specialist Nurse in Medical-Surgical Nursing, the Person in Critical Situ- ation, as well as the Master's Degree competencies, also describing the Intervention Project carried out in this context. Methodology: The activities carried out are explained in the light of the competences of Master and Specialist in Medical-Surgical Nursing, the Person in Critical Situation. The entire Final Internship as well as the Intervention Project was carried out in the light of June Larrabee's Model for Changing Evidence-Based Practice and according to the steps of the Project Methodology. Outcomes: Acquisition of Master and Specialist skills in the critical patient aspect through activities carried out in the Final Internship and realization of an intervention project. This aims to improve and standardize safe nursing care for the critically ill patient with impaired cardiac function, under hemodynamic monitoring of cardiac output us- ing two techniques: Transpulmonary Thermodilution and Pulse wave analysis by PiCCO sen- sor and Thoracic Biorreatance. Conclusion: Through the critical and reflective analysis of the activities carried out in Internship it is possible to determine the competences of Master and Specialist in Medical-Surgical Nursing, the Person in Critical Situation acquired and developed. In addition, the importance of the role of the specialist nurse in standardizing care in hemody- namic monitoring of cardiac output, in the critically ill patient with compromised cardiac function and the promotion of monitoring methods as fundamental for safe and quality care and risk prevention and optimization of resuscitation.
Objective: To describe the path carried out throughout this master's degree, revealing in detail all the interventions carried out that were essential for the acquisition of common and specific competencies of the Specialist Nurse in Medical-Surgical Nursing, the Person in Critical Situ- ation, as well as the Master's Degree competencies, also describing the Intervention Project carried out in this context. Methodology: The activities carried out are explained in the light of the competences of Master and Specialist in Medical-Surgical Nursing, the Person in Critical Situation. The entire Final Internship as well as the Intervention Project was carried out in the light of June Larrabee's Model for Changing Evidence-Based Practice and according to the steps of the Project Methodology. Outcomes: Acquisition of Master and Specialist skills in the critical patient aspect through activities carried out in the Final Internship and realization of an intervention project. This aims to improve and standardize safe nursing care for the critically ill patient with impaired cardiac function, under hemodynamic monitoring of cardiac output us- ing two techniques: Transpulmonary Thermodilution and Pulse wave analysis by PiCCO sen- sor and Thoracic Biorreatance. Conclusion: Through the critical and reflective analysis of the activities carried out in Internship it is possible to determine the competences of Master and Specialist in Medical-Surgical Nursing, the Person in Critical Situation acquired and developed. In addition, the importance of the role of the specialist nurse in standardizing care in hemody- namic monitoring of cardiac output, in the critically ill patient with compromised cardiac function and the promotion of monitoring methods as fundamental for safe and quality care and risk prevention and optimization of resuscitation.
Description
Keywords
Enfermagem Médico-Cirúrgica Competências Pessoa em Situação Crítica Monitorização hemodinâmica Débito Cardíaco PICCO Biorreatância Medical Surgical-Nursing Competencies Critical Care Patient Hemodynamic Monitoring Cardiac Output Biorreatance