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Este relatório de estágio apresenta uma reflexão crítica sobre a experiência desenvolvida no âmbito do Mestrado em Enfermagem de Saúde Mental e Psiquiátrica. A prática em estágio fundamentou-se na Teoria das Transições de Afaf Meleis, proporcionando uma abordagem estruturada para a compreensão das mudanças que ocorrem na saúde mental da pessoa idosa e para a implementação de intervenções especializadas que promovam a adaptação positiva ao envelhecimento.
A promoção da saúde mental positiva na pessoa idosa constitui um desafio central na prática do enfermeiro especialista, exigindo uma abordagem holística e interdisciplinar. O envelhecimento é um processo marcado por diversas transições, que podem envolver mudanças biológicas, psicológicas e sociais, influenciando a forma como os idosos experienciam o bem-estar mental. Assim, este relatório baseia-se numa revisão da literatura e na experiência prática para evidenciar a eficácia das intervenções de enfermagem que favorecem o fortalecimento da resiliência, o desenvolvimento de estratégias de coping e a valorização da autonomia e participação ativa dos idosos na comunidade.
A teoria de Meleis serviu como referencial para compreender as transições vivenciadas pelos idosos e para orientar as intervenções de enfermagem voltadas à promoção da saúde mental positiva. Ao longo dos três módulos de ensino clínico, foram desenvolvidas competências relacionadas com a identificação de fatores de risco e de proteção da saúde mental, elaboração de intervenções individuais e comunitárias e implementação de estratégias de prevenção e promoção do bem-estar. Destacam-se as intervenções voltadas para a educação em saúde, no suporte psicossocial e no incentivo à participação social, pois contribuem para uma transição mais e uma melhor qualidade de vida na velhice.
O relatório evidencia o crescimento profissional no âmbito da enfermagem em saúde mental, destacando o papel do enfermeiro especialista como agente facilitador de transições saudáveis, promovendo o envelhecimento ativo e contribuindo para a construção de um modelo assistencial centrado no idoso e na sua rede de apoio.
This internship report presents a critical reflection on the experience developed within the scope of the Master's Degree in Nursing of a professional nature, in the area of specialization in Mental Health and Psychiatric Nursing. The internship practice was based on Afaf Meleis' Transitions Theory, which provides a structured approach to understanding the changes that occur in the mental health of the elderly and to implementing specialized interventions that promote positive adaptation to aging. Promoting positive mental health in older people is a central challenge in the practice of specialist nurses, requiring a holistic and interdisciplinary approach. Ageing is a process marked by various transitions, involving biological, psychological, and social changes, influencing how older people experience mental well-being. Thus, this report is based on a literature review and practical experience to show the effectiveness of nursing interventions that encourage the strengthening of resilience, the development of coping strategies, and the enhancement of autonomy and active participation of the elderly in the community. Melies' theory served as a framework for understanding the transitions experienced by the elderly and to guide nursing interventions aimed at promoting positive mental health. Throughout the three clinical teaching modules, skills related to identifying risk and protective factors for mental health, designing individual and community interventions, and implementing strategies to prevent and promote well-being were developed. The interventions focused on health education, psychosocial support, and encouraging social participation stand out, as they contribute to a smoother transition and a better quality of life in old age. The report highlights professional growth in mental health nursing, the specialist nurse's role as a facilitator of healthy transitions, promoting active ageing, and contributing to the construction of a care model centered on the elderly and their support network.
This internship report presents a critical reflection on the experience developed within the scope of the Master's Degree in Nursing of a professional nature, in the area of specialization in Mental Health and Psychiatric Nursing. The internship practice was based on Afaf Meleis' Transitions Theory, which provides a structured approach to understanding the changes that occur in the mental health of the elderly and to implementing specialized interventions that promote positive adaptation to aging. Promoting positive mental health in older people is a central challenge in the practice of specialist nurses, requiring a holistic and interdisciplinary approach. Ageing is a process marked by various transitions, involving biological, psychological, and social changes, influencing how older people experience mental well-being. Thus, this report is based on a literature review and practical experience to show the effectiveness of nursing interventions that encourage the strengthening of resilience, the development of coping strategies, and the enhancement of autonomy and active participation of the elderly in the community. Melies' theory served as a framework for understanding the transitions experienced by the elderly and to guide nursing interventions aimed at promoting positive mental health. Throughout the three clinical teaching modules, skills related to identifying risk and protective factors for mental health, designing individual and community interventions, and implementing strategies to prevent and promote well-being were developed. The interventions focused on health education, psychosocial support, and encouraging social participation stand out, as they contribute to a smoother transition and a better quality of life in old age. The report highlights professional growth in mental health nursing, the specialist nurse's role as a facilitator of healthy transitions, promoting active ageing, and contributing to the construction of a care model centered on the elderly and their support network.
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Enfermagem Saúde Mental Idoso Nursing mental health elderly
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