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Publication
Promoção do desenvolvimento infantil :
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Advisor(s)
Abstract(s)
As crianças são seres vulneráveis e dependentes, que necessitam de
orientação na promoção da saúde, bem-estar e desenvolvimento. É a família quem
surge como referência e enquadramento para as guiar e auxiliar em todas as etapas
transicionais de vida, e é o binómio criança-família que é alvo de cuidados em
enfermagem de saúde infantil e pediatria. Ao prestar cuidados à criança e família, os
enfermeiros deparam-se com os diferentes processos de transição do ciclo de vida,
sendo perentório dirigir as intervenções para as necessidades de saúde, integrando
as caraterísticas de todo o contexto envolvente de modo a facilitar as transições que
atravessam. Dado que a Teoria das Transições de Afaf Meleis aborda a importância
do acompanhamento em todas as transições que ocorrem ao longo da vida, este foi o
referencial teórico escolhido para a prática de cuidados de enfermagem.
As doenças crónicas na criança, nomeadamente a Doença Renal Crónica, são
potenciadoras de alterações do desenvolvimento. Esta é mais notória aquando da
necessidade de realização de Diálise Peritoneal, razão pela qual um dos focos de
enfermagem a prestar a estas crianças é a promoção do desenvolvimento.
O presente relatório reflete o percurso formativo em Estágio, relativo ao
desenvolvimento e aquisição de competências na área de especialização em
enfermagem de saúde infantil e pediatria, com enfoque na promoção do
desenvolvimento infantil da criança em diálise peritoneal. São otimizadas as
intervenções de enfermagem que respondem às necessidades da criança e da família,
procurando a maximização da saúde e descentralizando-as da doença crónica. Neste
relatório, após uma abordagem aos conceitos centrais relacionados com o Estágio, foi
realizada a descrição reflexiva sobre a prática, as aprendizagens e as competências
desenvolvidas ao longo deste processo formativo. Os cuidados de enfermagem
prestados nos diferentes contextos de Estágio tiveram por base os princípios da
filosofia dos Cuidados Centrados na Família e dos Cuidados Não Traumáticos.
Children are vulnerable and dependent, needing guidance in the promotion of their health, well-being and development. It is the family that appears as a reference and framework to guide and assist children in all phases of life transition, and it is the child-family binomial that pediatric nursing focuses on. During the nursing care, we find both child and family in the transitional processes of the life cycle, and it is imperative to direct intervention towards health needs and integrate the characteristics of the surrounding context as a whole in order to facilitate the transitions that they go through. Afaf Meleis' Theory of Transitions addresses the importance of monitoring all life transitions and that’s why this was the theoretical framework chosen for the practice of nursing care. Chronic illnesses in children, namely Chronic Kidney Disease, are potentiators of developmental alterations. This is more evident when there is the need of Peritoneal Dialysis, which is why one of the nursing focuses is to provided children the promotion of development. The following project reflects the formative course done in internship in relation to the development and acquisition of skills in the areas of both child and pediatric health, expanding on a thematic concept as the promotion of child development in children on peritoneal dialysis. Nursing interventions are optimized as an object of study in order to more adequately respond to the needs of both child and family, thus maximizing health and decentralizing them from chronic disease. After a first approach about central concepts, was made a reflective practice description, experiences and developed skills throughout this process. The nursing care provided was supported on the basis of pediatric care philosophies, namely Family-Centered Care and Non Traumatic Care.
Children are vulnerable and dependent, needing guidance in the promotion of their health, well-being and development. It is the family that appears as a reference and framework to guide and assist children in all phases of life transition, and it is the child-family binomial that pediatric nursing focuses on. During the nursing care, we find both child and family in the transitional processes of the life cycle, and it is imperative to direct intervention towards health needs and integrate the characteristics of the surrounding context as a whole in order to facilitate the transitions that they go through. Afaf Meleis' Theory of Transitions addresses the importance of monitoring all life transitions and that’s why this was the theoretical framework chosen for the practice of nursing care. Chronic illnesses in children, namely Chronic Kidney Disease, are potentiators of developmental alterations. This is more evident when there is the need of Peritoneal Dialysis, which is why one of the nursing focuses is to provided children the promotion of development. The following project reflects the formative course done in internship in relation to the development and acquisition of skills in the areas of both child and pediatric health, expanding on a thematic concept as the promotion of child development in children on peritoneal dialysis. Nursing interventions are optimized as an object of study in order to more adequately respond to the needs of both child and family, thus maximizing health and decentralizing them from chronic disease. After a first approach about central concepts, was made a reflective practice description, experiences and developed skills throughout this process. The nursing care provided was supported on the basis of pediatric care philosophies, namely Family-Centered Care and Non Traumatic Care.
Description
Keywords
Enfermagem pediátrica Desenvolvimento infantil Cuidado transicional Diálise peritoneal Família