Loading...
Publication
Cuidados de enfermagem especializados à pessoa com hipertensão intracraniana
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 12.45 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O presente relatório tem como objetivo descrever de forma analítica, crítica e reflexiva o
percurso desenvolvido para a aquisição das competências comuns do Enfermeiro
Especialista (Regulamento nº140/2019) e Competências Específicas no Cuidar da Pessoa
em Situação Crítica (Regulamento nº429/2018), estes conferem o grau de Mestre em
Enfermagem e o título de Enfermeiro Especialista em Enfermagem Médico-Cirúrgica em
Enfermagem à Pessoa em Situação Crítica. O desenvolvimento decorreu das experiências
ao longo dos contextos de estágio, como Serviço de Urgência, Unidade de Cuidados
Intensivos e Unidade de Neurorradiologia de Intervenção, os mesmos possibilitaram a
aquisição e desenvolvimento de competências. Para esse contributo, foram utilizados
como recursos a pesquisa bibliográfica, a prática clínica supervisionada por Enfermeiros
Especialistas e a reflexão contínua ao longo de todo o percurso, sob a orientação da
instituição de ensino.
O doente com compromisso neurológico, define-se pelo órgão cérebro em falência
orgânica por fenómeno fisiopatológico. Perante uma diversidade de causas e mecanismos
de lesão cerebral aguda, desde o edema difuso traumático até a hemorragia subaracnóidea,
passando pela isquemia focal ou difusa, as especificidades estruturais do crânio e cérebro
levam a padrões patológicos reprodutíveis, sendo a hipertensão intracraniana um deles,
devido às suas variadas etiologias como tumores, hidrocefalia e hemorragia, entre outros.
Ao mesmo tempo a hipertensão intracraniana é um dos indutores mais frequentes de lesão
secundária, esta tem sido foco de atenção de peritos e investigadores, uma vez que não
existe tratamento específico para a mesma, atualmente, ainda não se verificam
tratamentos focados para muitas situações neurológicas e neurocirúrgicas, pelo que a
prática atual nada mais é que a evicção de novos insultos cerebrais, através da
neuromonitorização multimodal para deteção precoce e tratamento da lesão secundária.
Os enfermeiros reconhecem a importância dos cuidados especializados ao doente
neurocrítico, mas ainda assim, é necessário correlacionar conceitos para atingir uma
excelência de cuidados. Os cuidados de enfermagem especializados exigem uma
vigilância e monitorização contínua, de forma a detetar precocemente complicações,
intervindo de forma precisa, eficiente e em tempo útil.
This report aims to describe in an analytical, critical and reflective way the path developed to acquire the common skills of the Specialist Nurse (Regulation No. 140/2019) and Specific Skills in Caring for Patients in Critical Situations (Regulation No. 429/2018), these confer the title of Master in Nursing and the title of Specialist Nurse in MedicalSurgical Nursing in Nursing to Patients in Critical Situations. This development was a Result of experiences throughout the internship contexts, such as the Emergency Service, Intensive Care Unit and Interventional Neuroradiology Unit, which enabled the acquisition and development of skills. For this contribution, bibliographical research, clinical practice under the supervision of Specialist Nurses and continuous reflection throughout the entire journey, under the guidance of the educational institution, were used as resources. A patient with neurological impairment is defined by the brain organ in organic failure due to pathophysiological phenomena. Faced with a diversity of causes and mechanisms of acute brain injury, from diffuse traumatic edema to subarachnoid hemorrhage, including focal or diffuse ischemia, the structural specificities of the skull and brain lead to reproducible pathological patterns, Intracranial Hypertension is one of them, owing to its varied etiologies such as tumors, hydrocephalus and hemorrhage, among others. At the same time, Intracranial Hypertension is one of the most frequent inducers of secondary injury, this has been the focus of attention of experts and researchers, since there is no specific treatment for it, currently there are still no focused treatments for many neurological and neurosurgery, therefore current practice is nothing more than the avoidance of new brain insults, through multimodal neuromonitoring for early detection and treatment of secondary injury. Nurses recognize the importance of specialized care for neurocritical patients, but it is still necessary to correlate concepts to achieve excellence in care. Specialized nursing care requires vigilance and continuous monitoring in order to detect complications early, intervening precisely, efficiently and in a timely manner.
This report aims to describe in an analytical, critical and reflective way the path developed to acquire the common skills of the Specialist Nurse (Regulation No. 140/2019) and Specific Skills in Caring for Patients in Critical Situations (Regulation No. 429/2018), these confer the title of Master in Nursing and the title of Specialist Nurse in MedicalSurgical Nursing in Nursing to Patients in Critical Situations. This development was a Result of experiences throughout the internship contexts, such as the Emergency Service, Intensive Care Unit and Interventional Neuroradiology Unit, which enabled the acquisition and development of skills. For this contribution, bibliographical research, clinical practice under the supervision of Specialist Nurses and continuous reflection throughout the entire journey, under the guidance of the educational institution, were used as resources. A patient with neurological impairment is defined by the brain organ in organic failure due to pathophysiological phenomena. Faced with a diversity of causes and mechanisms of acute brain injury, from diffuse traumatic edema to subarachnoid hemorrhage, including focal or diffuse ischemia, the structural specificities of the skull and brain lead to reproducible pathological patterns, Intracranial Hypertension is one of them, owing to its varied etiologies such as tumors, hydrocephalus and hemorrhage, among others. At the same time, Intracranial Hypertension is one of the most frequent inducers of secondary injury, this has been the focus of attention of experts and researchers, since there is no specific treatment for it, currently there are still no focused treatments for many neurological and neurosurgery, therefore current practice is nothing more than the avoidance of new brain insults, through multimodal neuromonitoring for early detection and treatment of secondary injury. Nurses recognize the importance of specialized care for neurocritical patients, but it is still necessary to correlate concepts to achieve excellence in care. Specialized nursing care requires vigilance and continuous monitoring in order to detect complications early, intervening precisely, efficiently and in a timely manner.
Description
Keywords
enfermagem enfermagem médico-cirúrgica doente neurocrítico hipertensão intracraniana pressão intracraniana hemorragia subaracnoídea aneurisma cerebral nursing medical-surgical nursing neurocritical patient intracranial hypertension intracranial pressure subarachnoid hemorrhage intracranial aneurism