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Diagnóstico de situação das pessoas idosas com idade igual ou superior a 90 anos e que vivem sós
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Este relatório de estágio descreve o percurso formativo desenvolvido no âmbito do Mestrado em Enfermagem Comunitária na área de Enfermagem de Saúde Comunitária e Saúde Pública, centrado na consolidação das competências comuns e específicas do enfermeiro especialista, bem como das competências de mestre. O estágio decorreu numa Unidade de Saúde Pública e numa Unidade de Cuidados na Comunidade da Unidade Local de Saúde Almada-Seixal, onde foi implementado um projeto de intervenção sustentado na Metodologia de Planeamento em Saúde e no referencial teórico de Dorothea Orem.
O projeto, intitulado “Diagnóstico de Situação das Pessoas Idosas com idade igual ou superior a 90 anos e que vivem sós”, surgiu como resposta a uma necessidade identificada pela equipa multiprofissional da Unidade de Saúde Pública. Para tal, foi elaborado um instrumento de colheita de dados que permitiu avaliar as dimensões sociodemográfica, habitacional, condição de saúde e situação psicossocial das pessoas idosas. Após a priorização dos problemas identificados, definiu-se como objetivo principal a promoção da capacitação das pessoas idosas e seus cuidadores, com vista à adoção de comportamentos e estratégias que contribuam para a redução do risco de quedas no contexto comunitário.
As intervenções realizadas, delineadas com base em estratégias educativas de proximidade e envolvimento de parceiros da comunidade, permitiram alcançar os objetivos propostos e demonstraram ganhos em saúde, nomeadamente redução de fatores de risco de queda e aumento de conhecimentos sobre medidas de prevenção de quedas. O estágio revelou-se uma mais-valia para o desenvolvimento de competências avançadas nos domínios da gestão de cuidados, investigação, ética, tomada de decisão baseada na evidência científica e intervenção comunitária.
Este percurso evidencia a integração entre teoria e prática, no qual a mestranda demonstrou a capacidade de aplicar estratégias baseadas em evidências científicas, adaptando-as às particularidades da comunidade.
This internship report describes the training path developed within the scope of the Master's Degree in Community Nursing in the area of Community Health and Public Health Nursing, focused on consolidating both the common and specific competencies of the specialist nurse, as well as the competencies of the master's degree. The internship took place at a Public Health Unit and a Community Care Unit of the Almada Seixal Local Health Unit, where an intervention project was implemented based on the Health Planning Methodology and the theoretical framework of Dorothea Orem. The project, entitled " Situation diagnosis of elderly people aged 90 and over living alone", arose as a response to a need identified by the multiprofessional team of the Public Health Unit. To this end, a data collection instrument was developed that allowed the evaluation of the sociodemographic, housing, health condition and psychosocial situation dimensions of the elderly. After prioritizing the identified problems, the main objective was to promote the training of older people and their caregivers, with a view to adopting behaviors and strategies that contribute to reducing the risk of falls in the community context. The interventions carried out, designed based on proximity educational strategies and the involvement of community partners, allowed the proposed objectives to be achieved and demonstrated health gains, namely the reduction of fall risk factors and increased knowledge about fall prevention measures. The internship proved to be an asset for the development of advanced skills in the fields of care management, research, ethics, evidence-based decision-making and community intervention. This path highlights the integration between theory and practice, in which the master's student demonstrated the ability to apply strategies based on scientific evidence, adapting them to the particularities of the community.
This internship report describes the training path developed within the scope of the Master's Degree in Community Nursing in the area of Community Health and Public Health Nursing, focused on consolidating both the common and specific competencies of the specialist nurse, as well as the competencies of the master's degree. The internship took place at a Public Health Unit and a Community Care Unit of the Almada Seixal Local Health Unit, where an intervention project was implemented based on the Health Planning Methodology and the theoretical framework of Dorothea Orem. The project, entitled " Situation diagnosis of elderly people aged 90 and over living alone", arose as a response to a need identified by the multiprofessional team of the Public Health Unit. To this end, a data collection instrument was developed that allowed the evaluation of the sociodemographic, housing, health condition and psychosocial situation dimensions of the elderly. After prioritizing the identified problems, the main objective was to promote the training of older people and their caregivers, with a view to adopting behaviors and strategies that contribute to reducing the risk of falls in the community context. The interventions carried out, designed based on proximity educational strategies and the involvement of community partners, allowed the proposed objectives to be achieved and demonstrated health gains, namely the reduction of fall risk factors and increased knowledge about fall prevention measures. The internship proved to be an asset for the development of advanced skills in the fields of care management, research, ethics, evidence-based decision-making and community intervention. This path highlights the integration between theory and practice, in which the master's student demonstrated the ability to apply strategies based on scientific evidence, adapting them to the particularities of the community.
Descrição
Relatório de Estágio para obtenção do grau de mestre na Escola Superior de Saúde Egas Moniz
Palavras-chave
Diagnóstico de situação Pessoas idosas Quedas Intervenção comunitária