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A teleconsulta como intervenção de enfermagem com a pessoa em situação paliativa
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Advisor(s)
Abstract(s)
O presente Relatório de Estágio insere-se no plano curricular do Curso de
Mestrado na Área de Especialização de Enfermagem Médico-Cirúrgica, na área de
intervenção de Enfermagem Oncológica, e pretende descrever o percurso que se iniciou
na unidade curricular de Opção II, com o planeamento de um projeto para
implementação e que se deu continuidade com a Unidade Curricular Estágio com
Relatório para aplicação do projeto e respetiva avaliação, culminando com a entrega
deste relatório.
O Estágio foi divido por três locais distintos, tendo iniciado o percurso por uma
Equipa Comunitária de Suporte em Cuidados Paliativos, tendo depois progredido para
uma Equipa Intra-Hospitalar de Suporte em Cuidados Paliativos de um Hospital
Oncológico e de seguida para uma Equipa Intra-Hospitalar de Suporte em Cuidados
Paliativos de um Hospital Central de Lisboa. No decorrer do estágio, foi notório o papel
fundamental desempenhado pelos enfermeiros no acompanhamento à distância do
doente em fim de vida e sua família, quer no apoio emocional prestado durante esta
fase, quer no controlo sintomático. A teleconsulta permite um aumento da eficácia da
comunicação pela facilidade do contacto quando surge algum sintoma, uma poupança
de custos monetários e uma maior qualidade dos cuidados de enfermagem no
atendimento. Assim, evitam-se deslocações ao hospital, mantendo a proximidade da
família, experienciando conforto e mantendo a dignidade e o respeito.
Para garantir uma prestação de cuidados de forma holística e individualizada,
opta-se por utilizar como referencial teórico, a Teoria de Final de Vida Pacífico de
Cornelia Ruland e Shirley Moore, como suporte à implementação da Teleconsulta de
Enfermagem em Cuidados Paliativos. Foi construído um Manual de Boas Práticas da
Teleconsulta de Enfermagem que permitiu a uniformização dos cuidados prestados
neste âmbito, e inclui várias ferramentas como recomendações para a prática,
fluxograma da teleconsulta, escala de avaliação de sintomas e algoritmo de
agendamento da teleconsulta.
The present Internship Report is part of the curricular plan of the Master’s Course in the Specialization Area of Medical-Surgical Nursing, in the intervention area of Oncology Nursing, and aims to describe the path that began in the Curricular Unit of Option II with the project planning for implementation and wich continue with de Curricular Unit of Internship with Report for the aplication of the project and respective evaluation, culminating in the delivery of this report. The Internship was divided into three different locations, starting with a Community Support Team in Palliative Care, the progressing to an Intra-Hospital Support Team in Palliative Care at an Oncology hospital and then to an Intra-Hospital Support Team in Palliative Care of a Lisbon Central Hospital. During the internship, the fundamental role played by the nurses in the remote monitoring of the patient at the end of life and his family was evident, both in the emotional support provided during this phase, but fundamentally, in the symptomatic control. Teleconsultation allows an increase in the effectiveness of communication due to the ease of contact when a symptom appears, savings in monetary costs and a higher quality of nursing care in attendance. Therefore deslocations to the hospital are avoided, keeping the family close, experiencing comfort and maintaining dignity and respect. In order to guarantee a holistic and individualized care, we chose to use Cornelia Ruland and Shirley Moore's Peaceful End-of-Life Theory as a theoretical framework to support the implementation of Nursing Teleconsultation in Palliative Care. A Manual of Good Practices of Nursing Teleconsultation was created, which allowed for the standardization of care provided in this area, and includes several tools such as recommendations for practice, teleconsultation flowchart, symptom assessment scale and teleconsultation scheduling algorithm
The present Internship Report is part of the curricular plan of the Master’s Course in the Specialization Area of Medical-Surgical Nursing, in the intervention area of Oncology Nursing, and aims to describe the path that began in the Curricular Unit of Option II with the project planning for implementation and wich continue with de Curricular Unit of Internship with Report for the aplication of the project and respective evaluation, culminating in the delivery of this report. The Internship was divided into three different locations, starting with a Community Support Team in Palliative Care, the progressing to an Intra-Hospital Support Team in Palliative Care at an Oncology hospital and then to an Intra-Hospital Support Team in Palliative Care of a Lisbon Central Hospital. During the internship, the fundamental role played by the nurses in the remote monitoring of the patient at the end of life and his family was evident, both in the emotional support provided during this phase, but fundamentally, in the symptomatic control. Teleconsultation allows an increase in the effectiveness of communication due to the ease of contact when a symptom appears, savings in monetary costs and a higher quality of nursing care in attendance. Therefore deslocations to the hospital are avoided, keeping the family close, experiencing comfort and maintaining dignity and respect. In order to guarantee a holistic and individualized care, we chose to use Cornelia Ruland and Shirley Moore's Peaceful End-of-Life Theory as a theoretical framework to support the implementation of Nursing Teleconsultation in Palliative Care. A Manual of Good Practices of Nursing Teleconsultation was created, which allowed for the standardization of care provided in this area, and includes several tools such as recommendations for practice, teleconsultation flowchart, symptom assessment scale and teleconsultation scheduling algorithm
Description
Keywords
Enfermagem oncológica Cuidados paliativos Telemedicina