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Intervenção do enfermeiro especialista em Enfermagem de Reabilitação na limpeza das vias aéreas com recurso ao uso de Insuflador - Exsuflador Mecânico: Projeto de desenvolvimento de competências clínicas especializadas na área de Enfermagem de Reabilitação
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| 7.17 MB | Adobe PDF |
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Abstract(s)
Enquadramento: O presente relatório surge no âmbito da Unidade Curricular Estágio de
Natureza Profissional com Relatório- Módulo II integrado no plano de estudos do 1º Curso de
Mestrado em Enfermagem de Reabilitação, intitulando-se: “Intervenção do Enfermeiro
Especialista em Enfermagem de Reabilitação na Limpeza das Vias Aéreas com recurso ao uso de
Insuflador-Exsuflador mecânico: Projeto de Desenvolvimento de Competências Clínicas
Especializadas na Área de Enfermagem de Reabilitação”. O relatório evidencia o trabalho
desenvolvido ao longo das diferentes contextos clínicos e relata o percurso de aprendizagem de
cariz reflexivo, assim como a expansão e consolidação de uma consciência profissional na ótica
das competências comuns e específicas do Enfermeiro Especialista em Enfermagem de
Reabilitação, mais concretamente na área de enfermagem à Pessoa com compromisso
cardiorrespiratório, através do conhecimento aprofundado no domínio especializado desta área
e da revelação de níveis elevados de julgamento clínico e de tomada de decisão, que
complementam o Enfermeiro Especialista enquanto Mestre em Enfermagem de Reabilitação.
Metodologia: Para responder aos objetivos delineados recorreu-se à exploração de conceitos e
domínios através de uma abordagem critico-reflexiva, com recurso ao método descritivo
analítico, sustentado nas Teorias de Enfermagem emergentes assim como na evidência
científica atual. Foram realizados dois estudos de caso do tipo descritivo de acordo com
Ontologia em Enfermagem inerente à plataforma e4Nursing. Face aos domínios identificados,
decursivos de uma avaliação sistematizada, foi delineado e implementado um plano de
intervenção personalizado de acordo com a evolução da Pessoa-alvo e posteriormente
reavaliados os principais outcomes decorrentes da prática especializada em Enfermagem de
Reabilitação.
Resultados: A realização do Estágio de Natureza Profissional, possibilitou o desenvolvimento e
edificação de Competências Comuns do Enfermeiro Especialista, assim como das Competências
Específicas e de Mestre em Enfermagem de Reabilitação, com especial enfoque no domínio de
atenção: Limpeza das Vias Aéreas com recurso ao uso de Insuflador-Exsuflador Mecânico,
usualmente designado Cough Assist®.
Conclusões: Este relatório demonstra a eficiência e segurança da implementação e análise de
um Programa de Reabilitação Respiratória direcionado para Pessoas com compromisso da
Limpeza da Vias Aéreas, decorrente de Aspergilose Pulmonar Crónica e de Traumatismo
Cranioencefálico, com ganhos na otimização da funcionalidade respiratória, tais como a
melhoria do padrão respiratório e da clearance mucociliar, que contribuem para a promoção do
bem-estar, qualidade de vida e maximização da funcionalidade e autonomia, assim como na
facilitação do processo de transição saúde-doença.
Background: This report is part of the Curricular Unit Professional Internship with Report - Module II of the 1st Master's Degree in Rehabilitation Nursing, entitled: “Intervention of the Specialist Nurse in rehabilitation Nursing in Airway Clearance using a Mechanical Insufflator – Exsufflator: Project to Develop Specialised Clinical Skills in Rehabilitation Nursing". The report shows the work carried out during the different clinical contexts and reports on the reflective learning process, as well as the expansion and consolidation of professional awareness from the perspective of the common and specific competences of the Specialist Nurse in Rehabilitation Nursing, more specifically in the area of nursing care for people with cardiorespiratory compromise, through in-depth knowledge in the specialized field of this area and the revelation of high levels of clinical judgment and decision-making, which complement the Specialist Nurse as a Master in Rehabilitation Nursing. Methodology: To respond to the objectives outlined, we explored concepts and through a critical-reflective approach, using the descriptive-analytical method, based on emerging nursing theories and current scientific evidence. Two descriptive case studies were carried out according to the Nursing Ontology inherent in the e4Nursing platform. In view of the domains identified, which were the result of a systematized assessment, a personalized intervention plan was designed and implemented according to the evolution of the target person and the main outcomes resulting from the specialized practice in Rehabilitation Nursing were subsequently reassessed. Results: Carrying out the Internship of a Professional Nature enabled the development and edification of the Common Skills of the Specialist Nurse, as well as the Specific Skills and Master's Degree in Rehabilitation Nursing, with a special focus on the area of attention: Airway Clearance using a Mechanical Insufflator-Exsufflator, usually designate Cough Assist®. Conclusions: This report demonstrates the efficiency and safety of implementing and analysing a Respiratory Rehabilitation Programme aimed at people with compromised airway clearance as a result of chronic pulmonary aspergillosis and traumatic brain injury, with gains in optimizing respiratory functionality, such as improving breathing patterns and mucociliary clearance, which contribute to promoting well-being, quality of life and maximizing functionality and autonomy, as well as improve the health-disease transition process.
Background: This report is part of the Curricular Unit Professional Internship with Report - Module II of the 1st Master's Degree in Rehabilitation Nursing, entitled: “Intervention of the Specialist Nurse in rehabilitation Nursing in Airway Clearance using a Mechanical Insufflator – Exsufflator: Project to Develop Specialised Clinical Skills in Rehabilitation Nursing". The report shows the work carried out during the different clinical contexts and reports on the reflective learning process, as well as the expansion and consolidation of professional awareness from the perspective of the common and specific competences of the Specialist Nurse in Rehabilitation Nursing, more specifically in the area of nursing care for people with cardiorespiratory compromise, through in-depth knowledge in the specialized field of this area and the revelation of high levels of clinical judgment and decision-making, which complement the Specialist Nurse as a Master in Rehabilitation Nursing. Methodology: To respond to the objectives outlined, we explored concepts and through a critical-reflective approach, using the descriptive-analytical method, based on emerging nursing theories and current scientific evidence. Two descriptive case studies were carried out according to the Nursing Ontology inherent in the e4Nursing platform. In view of the domains identified, which were the result of a systematized assessment, a personalized intervention plan was designed and implemented according to the evolution of the target person and the main outcomes resulting from the specialized practice in Rehabilitation Nursing were subsequently reassessed. Results: Carrying out the Internship of a Professional Nature enabled the development and edification of the Common Skills of the Specialist Nurse, as well as the Specific Skills and Master's Degree in Rehabilitation Nursing, with a special focus on the area of attention: Airway Clearance using a Mechanical Insufflator-Exsufflator, usually designate Cough Assist®. Conclusions: This report demonstrates the efficiency and safety of implementing and analysing a Respiratory Rehabilitation Programme aimed at people with compromised airway clearance as a result of chronic pulmonary aspergillosis and traumatic brain injury, with gains in optimizing respiratory functionality, such as improving breathing patterns and mucociliary clearance, which contribute to promoting well-being, quality of life and maximizing functionality and autonomy, as well as improve the health-disease transition process.
Description
Keywords
Enfermagem de Reabilitação Transição Limpeza das Vias Aéreas Insuflador/Exsuflador Mecânico Relatório de estágio