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Publication
Promoção da Continuidade de Cuidados na Transição Hospital-Domicílio à Pessoa com Doença Mental Grave através da Visita Domiciliária do Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica
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Authors
Advisor(s)
Abstract(s)
O presente relatório de estágio pretende ser reflexo do percurso formativo e pessoal desenvolvido no âmbito do 2º Mestrado em Enfermagem em Associação na área de Especialização em Enfermagem de Saúde Mental e Psiquiátrica – incidindo no meu desenvolvimento no que concerne às competências comuns e específicas do Enfermeiro Especialista em Saúde Mental e Psiquiátrica, bem como nas competências de mestre em enfermagem, e subordinado ao tema: Promoção da Continuidade de Cuidados na Transição Hospital-Domicílio à Pessoa com Doença Mental Grave através da Visita Domiciliária do Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica.
A mudança de um paradigma hospitalocêntrico para um de raiz comunitária vem sido desde há vários anos contemplada como prioritária, continuando, no entanto, a existir uma escassa resposta de estruturas necessárias de apoio às pessoas com doença mental grave e seus cuidadores. O processo de vivência da transição hospital-domicílio pode expor a pessoa com doença mental grave a um risco potencial de desenvolver um processo de adaptação desajustado ou demorado, pelo que a visita domiciliária pode ser um recurso interessante a ser utilizado, pois influencia positivamente o envolvimento das pessoas e dos seus cuidadores no tratamento destas patologias. Assim, os casos identificados de pessoas com doença mental grave com fraca adesão à terapêutica, devem ser acompanhados no pós-alta, fazendo-se monitorizações frequentes da sua situação clínica, promovendo uma transição hospital-domicílio saudável, e consequentemente, prevenindo recaídas e novos internamentos.
Durante o estágio final foi assim desenvolvido um projeto de intervenção com o objetivo geral de promover a continuidade de cuidados do hospital para o domicílio à pessoa com doença mental grave com fraca adesão ao regime terapêutico.
This internship report aims to be a reflection on the path, both formative and personal, developed within the scope of the 2nd Master's Degree in Nursing in Association in the area of Specialisation in Men-tal Health and Psychiatric Nursing - focusing on my development regarding the common and specific com-petences of the Nurse Specialist in Mental Health and Psychiatry, as well as on the competences of the Master's Degree in Nursing, on the subject: Promotion of Continuity of Care in the Transition Hospital-Home to the Person with Serious Mental Illness through the Home Visit of the Nurse Specialist in Mental Health and Psychiatric Nursing. The change from a hospital-centric paradigm to a community-based one has been considered a priority for several years, however, there is still a scarce response from the necessary support structures to people with severe mental illness and their caregivers. The process of experiencing the hospital-home transition may expose the person with severe mental illness to a potential risk of developing an inappropria-te or prolonged adaptation process, and so home visits may be an interesting resource to be used, as they positively influence the involvement of patients and their caregivers in the treatment of these pathologies. Thus, the identified cases of people with severe mental illness with low therapeutic adherence should be monitored after discharge, frequently monitoring their clinical situation, promoting a healthy hospital-home transition and consequently preventing relapse and new hospitalisations. During the final stage, an intervention project was developed with the general objective of promo-ting the continuity of care from hospital to home for people with severe mental illness with low adherence to the therapeutic regimen.
This internship report aims to be a reflection on the path, both formative and personal, developed within the scope of the 2nd Master's Degree in Nursing in Association in the area of Specialisation in Men-tal Health and Psychiatric Nursing - focusing on my development regarding the common and specific com-petences of the Nurse Specialist in Mental Health and Psychiatry, as well as on the competences of the Master's Degree in Nursing, on the subject: Promotion of Continuity of Care in the Transition Hospital-Home to the Person with Serious Mental Illness through the Home Visit of the Nurse Specialist in Mental Health and Psychiatric Nursing. The change from a hospital-centric paradigm to a community-based one has been considered a priority for several years, however, there is still a scarce response from the necessary support structures to people with severe mental illness and their caregivers. The process of experiencing the hospital-home transition may expose the person with severe mental illness to a potential risk of developing an inappropria-te or prolonged adaptation process, and so home visits may be an interesting resource to be used, as they positively influence the involvement of patients and their caregivers in the treatment of these pathologies. Thus, the identified cases of people with severe mental illness with low therapeutic adherence should be monitored after discharge, frequently monitoring their clinical situation, promoting a healthy hospital-home transition and consequently preventing relapse and new hospitalisations. During the final stage, an intervention project was developed with the general objective of promo-ting the continuity of care from hospital to home for people with severe mental illness with low adherence to the therapeutic regimen.
Description
Mestrado em Enfermagem em Associação, Área de especialização: Saúde Mental e Psiquiátrica
Keywords
Enfermagem de Saúde Mental e Psiquiátrica Continuidade de Cuidados Visita Domiciliária Psychiatric Nursing Continuity of Care Home Visit
Citation
Publisher
Instituto Politécnico de Setúbal. Escola Superior de Saúde