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Publication
Quando uma paragem cardiorrespiratória não é o fim :
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.02 MB | Adobe PDF |
Abstract(s)
A mortalidade por paragem cardiorrespiratória súbita é um problema de saúde pública
que afeta a população à escala global. Segundo dados de 2017, a incidência de paragem
cardiorrespiratória fora do hospital foi de 67 a 170 casos por 100 mil habitantes (Grasner, 2021).
Em Portugal, em 2020, de todas as situações de paragem cardiorrespiratória fora do
hospital, apenas foram reanimadas com recuperação de sinais de circulação 616 pessoas, o que
equivale a 3% do número total de casos. Destes, apenas 8% irão sobreviver e ter alta hospitalar
(INEM, 2021).
A intervenção especializada de enfermagem no período pós- paragem cardiorrespiratória
é fundamental para influenciar de forma positiva o outcome da pessoa, pelo que é de extrema
importância compreender a intervenção do enfermeiro especialista na prestação de cuidados de
monitorização, vigilância e terapêutica avançados.
Com o objetivo de desenvolver competências especializadas de enfermagem nos cuidados
de enfermagem à pessoa vítima de paragem cardiorrespiratória recuperada, foi planeado e
executado um percurso com vista à construção e solidificação de competências especializadas,
recorrendo aos referenciais teóricos do Nursing as Caring e Technological Nursing as Caring.
O percurso foi dividido em dois contextos clínicos, primeiro em unidade de cuidados
intensivos e posteriormente em serviço de urgência e visaram sobretudo o desenvolver e a
aquisição de novas competências especializadas de enfermagem no cuidado da pessoa vítima de
paragem cardiorrespiratória. Através da elaboração de documentos como estudo de caso ou
jornais de aprendizagem foi possível uma análise reflexiva da atividade exercida. Também a
elaboração de uma revisão integrativa da literatura permitiu uma abordagem sistemática e
reflexiva do tema em estudo.
Como resultado deste percurso, houve um aprofundar de conhecimentos, assim como um
incremento de competências especializadas de enfermagem no campo em estudo, assim como
inerentemente na gestão de cuidados.
O cuidado especializado de enfermagem à pessoa vítima de paragem cardiorrespiratória
recuperada assenta acima da tudo na vigilância, monitorização e neuroprotecção enquanto
medidas que promovem a qualidade dos cuidados e um melhor outcome para a pessoa.
Mortality from sudden cardiac arrest is a public health problem that affects the population on a global scale. According to 2017 data, the incidence of cardiorespiratory arrest outside the hospital ranged from 67 to 170 cases per 100,000 inhabitants. In Portugal, in 2020, of all situations of cardiorespiratory arrest outside the hospital, only 616 people were resuscitated with return of spontaneous circulation, which is equivalent to 3% of the total number of cases. Of these, only 8% will survive and be discharged from the hospital. Specialized nursing intervention in the post-cardiac arrest period is essential to positively influence the outcome of the person, so it is extremely important to understand the role of the nurse specialist in providing advanced monitoring, surveillance and therapeutic care. With the purpose of developing specialized nursing skills in nursing care for the victim of recovered cardiorespiratory arrest, a course was planned and executed in order to build and solidify specialized skills, using the theoretical frameworks of Nursing as Caring and Technological Nursing as Caring. The course was divided into two clinical contexts, first in an intensive care unit and later in an emergency department and aimed above all at developing and acquiring new specialized nursing skills in the care for the person suffering from cardiorespiratory arrest. Through the elaboration of documents such as a case study or learning journals, a reflective analysis of the activity performed was possible. The elaboration of an integrative literature review also allowed a systematic and reflective approach to the topic under study. As a result, there was a deepening in this field of knowledge, as well as an increase in specialized nursing skills in the field under study, as well as inherently in care management. Specialized nursing care for the person who has recovered from cardiac arrest is based above all on surveillance, monitoring and neuroprotection as measures that promote the quality of care and a better outcome for the person.
Mortality from sudden cardiac arrest is a public health problem that affects the population on a global scale. According to 2017 data, the incidence of cardiorespiratory arrest outside the hospital ranged from 67 to 170 cases per 100,000 inhabitants. In Portugal, in 2020, of all situations of cardiorespiratory arrest outside the hospital, only 616 people were resuscitated with return of spontaneous circulation, which is equivalent to 3% of the total number of cases. Of these, only 8% will survive and be discharged from the hospital. Specialized nursing intervention in the post-cardiac arrest period is essential to positively influence the outcome of the person, so it is extremely important to understand the role of the nurse specialist in providing advanced monitoring, surveillance and therapeutic care. With the purpose of developing specialized nursing skills in nursing care for the victim of recovered cardiorespiratory arrest, a course was planned and executed in order to build and solidify specialized skills, using the theoretical frameworks of Nursing as Caring and Technological Nursing as Caring. The course was divided into two clinical contexts, first in an intensive care unit and later in an emergency department and aimed above all at developing and acquiring new specialized nursing skills in the care for the person suffering from cardiorespiratory arrest. Through the elaboration of documents such as a case study or learning journals, a reflective analysis of the activity performed was possible. The elaboration of an integrative literature review also allowed a systematic and reflective approach to the topic under study. As a result, there was a deepening in this field of knowledge, as well as an increase in specialized nursing skills in the field under study, as well as inherently in care management. Specialized nursing care for the person who has recovered from cardiac arrest is based above all on surveillance, monitoring and neuroprotection as measures that promote the quality of care and a better outcome for the person.
Description
Keywords
Enfermagem de cuidados intensivos Paragem cardíaca Resultados de cuidados críticos Neuroproteção