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Publication
A contenção mecânica na pessoa idosa em contexto hospitalar
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| 4.38 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
A contenção mecânica pode ser definida como qualquer ação ou procedimento que
impede os movimentos do corpo de uma pessoa através de qualquer método que lhe
esteja adjacente ou anexado e que ela não consiga controlar ou remover facilmente.
É uma medida que tem como objetivo otimizar a segurança do doente e de quem o
rodeia, contudo a sua utilização é por vezes indevida, causando complicações físicas
e psicológicas e comprometendo a dignidade, liberdade e autonomia das pessoas a
ela submetidas. Alguns fatores de risco associados a uma maior predisposição para
a colocação de medidas de contenção mecânica incluem a idade avançada,
alterações cognitivas, incontinência e dependência nas atividades de vida diárias,
tornando a população idosa particularmente vulnerável a ser submetida a estas
medidas. Estes aspetos complexificam a tomada de decisão que no caso particular
dos enfermeiros, é tida como um processo de deliberação ética que envolve a
manutenção da integridade física, psicológica e moral da pessoa idosa.
Deste modo, definiu-se como finalidade para este projeto contribuir para a melhoria
dos cuidados de enfermagem à pessoa idosa submetida a contenção mecânica em
contexto hospitalar. De forma a atingir esta finalidade e os objetivos propostos foram
planeadas três atividades: a prestação de cuidados de enfermagem direta a pessoais
idosas com fatores de risco para a contenção mecânica; a participação na elaboração
e implementação do estudo de investigação com o objetivo estruturar um plano de
melhoria que promova a segurança da pessoa idosa em risco de contenção mecânica
em contexto hospitalar e a capacitação dos profissionais de saúde para a tomada de
decisão em relação à utilização de medidas de contenção mecânica na pessoa idosa.
Este relatório visa demonstrar o percurso realizado ao longo do estágio, que consistiu
num processo de aprendizagem para a aquisição e desenvolvimento de
competências especializadas, no que respeita às competências de enfermeiro mestre
e especialista em enfermagem médico-cirúrgica.
Physical restraint can be defined as any action or procedure that impedes the movement of a person's body through any method that is adjacent or attached to it, and that the person cannot easily control or remove. It is a measure that aims to optimize patient’s safety and those around him, however its use is at times inappropriate, causing physical and psychological complications and compromising the dignity, freedom and autonomy of the people subjected to it. Some risk factors associated with a greater predisposition to the placement of physical restraint measures include advanced age, cognitive alterations, incontinence and dependence in daily activities, making the elderly population particularly vulnerable to being subjected to these measures. These aspects complicate decision-making which, in the particular case of nurses, is seen as a process of ethical deliberation that involves maintaining the physical, psychological and moral integrity of the elderly patient. Thus, the purpose of this project was defined as contributing to the improvement of nursing care for the elderly subject to physical restraint in hospital context. In order to achieve this purpose and the proposed objectives, three activities were planned: the provision of direct nursing care to elderly people with risk factors for physical restraint; participation in the preparation and implementation of the research study with the goal of structuring an improvement plan that promotes the safety of the elderly at risk of physical restraint in the hospital context and training of health professionals to make decisions regarding the use of measures of physical restraint in the elderly. This report aims to demonstrate the path taken during the internship, which consisted of a learning process for the acquisition and development of specialized skills, with regard to the skills of master nurse and specialist in medical-surgical nursing.
Physical restraint can be defined as any action or procedure that impedes the movement of a person's body through any method that is adjacent or attached to it, and that the person cannot easily control or remove. It is a measure that aims to optimize patient’s safety and those around him, however its use is at times inappropriate, causing physical and psychological complications and compromising the dignity, freedom and autonomy of the people subjected to it. Some risk factors associated with a greater predisposition to the placement of physical restraint measures include advanced age, cognitive alterations, incontinence and dependence in daily activities, making the elderly population particularly vulnerable to being subjected to these measures. These aspects complicate decision-making which, in the particular case of nurses, is seen as a process of ethical deliberation that involves maintaining the physical, psychological and moral integrity of the elderly patient. Thus, the purpose of this project was defined as contributing to the improvement of nursing care for the elderly subject to physical restraint in hospital context. In order to achieve this purpose and the proposed objectives, three activities were planned: the provision of direct nursing care to elderly people with risk factors for physical restraint; participation in the preparation and implementation of the research study with the goal of structuring an improvement plan that promotes the safety of the elderly at risk of physical restraint in the hospital context and training of health professionals to make decisions regarding the use of measures of physical restraint in the elderly. This report aims to demonstrate the path taken during the internship, which consisted of a learning process for the acquisition and development of specialized skills, with regard to the skills of master nurse and specialist in medical-surgical nursing.
Description
Keywords
Enfermagem geriátrica Idoso Idoso hospitalizado Cuidados de enfermagem Restrição fisica Hospitais