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Abstract(s)
O presente relatório surge no âmbito da realização do curso de Mestrado em Enfermagem Médico-Cirúrgica na área da Pessoa em Situação Crítica e pretende partilhar as atividades e competências adquiridas através da sua análise crítica e reflexiva. Este percurso foi realizado em dois contextos distintos. O primeiro estágio foi realizado num Serviço de Urgência e o segundo numa Unidade de Cuidados Intensivos Polivalente, ambos num hospital localizado na periferia de Lisboa. Os objetivos para ambos os contextos passaram pelo desenvolvimento de competências científicas, técnicas, éticas e relacionais para a prestação de cuidados de enfermagem especializados à pessoa em situação crítica e família e, contribuir para a melhoria da qualidade dos cuidados de enfermagem através da gestão diferenciada da dor e do conforto da pessoa em situação crítica. A dor é um sintoma que acompanha a generalidade das situações patológicas que requerem cuidados de saúde e, como tal, a pessoa em situação crítica não é exceção (DGS, 2003). É uma das piores memórias e experiências e, pode ter como consequência, o atraso na recuperação e o aumento da taxa de mortalidade pondo em causa a qualidade de vida do doente (Rafiei, Ghadami, Irajpour & Feizi, 2016). Como tal, a dor na pessoa em situação crítica assumiu um papel central ao longo do meu percurso estando representada no primeiro capítulo deste relatório, através da realização da Revisão Integrativa da Literatura, “Indicadores na Monitorização da Dor na Pessoa em Situação Crítica”. Este relatório pretende demonstrar as experiências vivenciadas que foram determinantes na aquisição de conhecimentos e desenvolvimento de competências essenciais para um Enfermeiro Especialista em Enfermagem Médico-Cirúrgica na vertente de Enfermagem na Pessoa em Situação Crítica.
The present report comes within the scope of the Master's course in the area of Medical and Surgical Nursing in the Person in a Critical Situation and intends to share the activities and competences acquired through the critical and reflexive analysis of them. This course was conducted in two different contexts. The first stage was carried out in an Emergency Department and the second in a Multipurpose Intensive Care Unit, both in a hospital located on the outskirts of Lisbon. The objectives for both contexts were the development of scientific, technical, ethical and relational skills for the provision of specialized nursing care to the person in critical situation and family and to contribute to the improvement of the quality of nursing care through differentiated management of pain and comfort of the person in critical condition. Pain is a symptom that accompanies most pathological situations requiring health care and, as such, the person in a critical situation is no exception (DGS, 2003). It is one of the worst memories and experiences and can have consequences such as a delay in recovery, jeopardizing the quality of life of the person, as well as increasing the mortality rate (Rafiei, Ghadami, Irajpour & Feizi, 2016). As such, pain in the person in a critical situation has assumed a central theme throughout my career and is represented in the first chapter of this report, through the Integrative Review of Literature, on "Indicators in Monitoring Pain in the Person in a Critical Situation". Thus, this report aims to demonstrate the path taken, which made it possible to experience and acquire decisive knowledge in the development of essential skills for a specialist nurse in medical-surgical nursing, in the field of nursing in the person in a critical situation.
The present report comes within the scope of the Master's course in the area of Medical and Surgical Nursing in the Person in a Critical Situation and intends to share the activities and competences acquired through the critical and reflexive analysis of them. This course was conducted in two different contexts. The first stage was carried out in an Emergency Department and the second in a Multipurpose Intensive Care Unit, both in a hospital located on the outskirts of Lisbon. The objectives for both contexts were the development of scientific, technical, ethical and relational skills for the provision of specialized nursing care to the person in critical situation and family and to contribute to the improvement of the quality of nursing care through differentiated management of pain and comfort of the person in critical condition. Pain is a symptom that accompanies most pathological situations requiring health care and, as such, the person in a critical situation is no exception (DGS, 2003). It is one of the worst memories and experiences and can have consequences such as a delay in recovery, jeopardizing the quality of life of the person, as well as increasing the mortality rate (Rafiei, Ghadami, Irajpour & Feizi, 2016). As such, pain in the person in a critical situation has assumed a central theme throughout my career and is represented in the first chapter of this report, through the Integrative Review of Literature, on "Indicators in Monitoring Pain in the Person in a Critical Situation". Thus, this report aims to demonstrate the path taken, which made it possible to experience and acquire decisive knowledge in the development of essential skills for a specialist nurse in medical-surgical nursing, in the field of nursing in the person in a critical situation.
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Keywords
Pessoa em situação crítica Cuidados de enfermagem especializados Monitorização da dor Critical person Specialized nursing care Pain monitoring