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Abstract(s)
Com o nascimento de uma criança, a expansão da família leva a que o casal tenha que adaptar-se à nova circunstância da parentalidade. Os processos de adaptação associados aos pais de recém-nascidos de risco surgem a partir do momento em que o casal tem conhecimento do diagnóstico, ainda no período pré-natal ou aquando o nascimento e hospitalização. Este é geralmente um evento crítico para os pais pois exige um ajustamento a uma nova realidade. A capacitação das famílias para a assunção plena do seu papel parental enquadra-se nas competências específicas do Enfermeiro Especialista de Saúde Infantil e Pediatria, o qual tem como um dos seus objetivos de ação, a avaliação das famílias e resposta às suas necessidades, nomeadamente no âmbito da adaptação às mudanças na saúde e dinâmica familiar. O percurso de aprendizagem descrito neste relatório teve como fio condutor o Modelo de Adaptação de Callista Roy, aliado à Filosofia de Cuidados Centrados na Família, tendo em conta o conceito central da Adaptação à Parentalidade. Este conceito foi desenvolvido de forma dinâmica e contínua tendo em conta as características de cada contexto. Na Unidade de Saúde Familiar foi possível trabalhar a adaptação à parentalidade na situação de nascimento de um filho saudável, enquanto que na Urgência de Pediatria o foco incidiu na adaptação às situações de doença aguda ou agravamento da doença crónica. Nos contextos de Internamento de Cardiologia Pediátrica e Neonatologia a temática foi desenvolvida tendo em conta o recém-nascido de risco, o diagnóstico pré-natal e o encaminhamento para os cuidados paliativos perinatais e pediátricos. De acordo com os objetivos definidos em cada estágio foram realizadas atividades e intervenções de enfermagem que evidenciam o desenvolvimento e aquisição de competências específicas de Enfermeiro Especialista em Saúde Infantil e Pediatria.
When a child is born, the family expansion leads the couple to adapt to the new circumstances of parenthood. The process of adapting to parenting a high-risk newborn begins with the diagnosis, which may occur prenatally or at birth and hospitalization. This is generally a critical event for parents, as it requires an adjustment to a new reality. To help families to fully assume their parental role is part of the specific competencies of the Specialist Nurse in Child Health and Pediatrics, who’s action aims to evaluate families and respond to their needs, namely in adapting to changes in health and family dynamics. The course of learning described in this report was guided by the Adaptation Model of Callista Roy, allied with the Philosophy of Family-Centered Care, considering the adaptation to parenthood as the central concept. This concept was developed in a dynamic and continuous way, taking into consideration the characteristics of each context of care. In the Family Health Unit the focus was the adaptation to parenting a healthy newborn, whilst in the Pediatric Emergency Department the attention was the adaptation to situations of acute illness or aggravation of chronic illness. In the Pediatric Cardiology Unit the concept was developed taking into interest the high-risk newborn, the prenatal diagnosis and the referral to perinatal and pediatric palliative care. In accordance with the objectives defined for each context of care, nursing activities and interventions were accomplished, evidencing the development and acquisition of competencies as a Specialist Nurse in Child Health and Pediatrics.
When a child is born, the family expansion leads the couple to adapt to the new circumstances of parenthood. The process of adapting to parenting a high-risk newborn begins with the diagnosis, which may occur prenatally or at birth and hospitalization. This is generally a critical event for parents, as it requires an adjustment to a new reality. To help families to fully assume their parental role is part of the specific competencies of the Specialist Nurse in Child Health and Pediatrics, who’s action aims to evaluate families and respond to their needs, namely in adapting to changes in health and family dynamics. The course of learning described in this report was guided by the Adaptation Model of Callista Roy, allied with the Philosophy of Family-Centered Care, considering the adaptation to parenthood as the central concept. This concept was developed in a dynamic and continuous way, taking into consideration the characteristics of each context of care. In the Family Health Unit the focus was the adaptation to parenting a healthy newborn, whilst in the Pediatric Emergency Department the attention was the adaptation to situations of acute illness or aggravation of chronic illness. In the Pediatric Cardiology Unit the concept was developed taking into interest the high-risk newborn, the prenatal diagnosis and the referral to perinatal and pediatric palliative care. In accordance with the objectives defined for each context of care, nursing activities and interventions were accomplished, evidencing the development and acquisition of competencies as a Specialist Nurse in Child Health and Pediatrics.
Description
Keywords
Parentalidade Recém-nascido de risco Cuidados de enfermagem Adaptação Parenting High-risk newborn Nursing care Adaptation