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Cuidado à pessoa submetida a extracorporeal membrane oxygenation
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O presente documento, integra-se como momento de avaliação da Unidade Curricular de Estágio Final e Relatório do curso de Mestrado em Enfermagem na área de Especialização em Enfermagem Médico-Cirúrgica: Pessoa em Situação Crítica desenvolvido pelo Instituto de Ciências da Saúde da Universidade Católica Portuguesa, e visa a atribuição do Título académico de Mestre e profissional de Enfermeiro Especialista em Enfermagem Médico-Cirúrgica. Neste Relatório de Estágio encontra-se a descrição e análise reflexiva do percurso de desenvolvimento de competências especializadas à Pessoa em Situação Crítica e sua família. Para tal, criou-se um caminho bem definido que contemplava o desenvolvimento de atividades e competências comuns e específicas em três contextos de estágio distintos. Porém, com o agravar de uma pandemia, surge a necessidade de reformular este percurso e respetivos objetivos. O objetivo transversal aos diversos contextos de estágio manteve-se e relaciona-se com o fenómeno de estudo “Extracorporeal Membrane Oxygenation - impacto psicológico a longo prazo nas pessoas submetidas ao ECMO”, escolhido não só por vários pressupostos pessoais, mas também por começar a emergir uma preocupação pelo impacto que a técnica poderá ter na pessoa a longo prazo, associada à crescente utilização do ECMO. Na continuidade deste documento, pode-se ler ainda: a fundamentação da escolha dos novos contextos de estágio e respetivos objetivos específicos; o processo crítico reflexivo de desenvolvimento de competências, norteado pela Teoria das Transições de Afaf Meleis e pela Teoria do Cuidado Humano de Jean Watson; bem como as principais dificuldades sentidas e as estratégias utilizadas para a sua superação. Foram também várias as atividades desenvolvidas, destacando-se: a elaboração de uma Revisão Sistemática da Literatura de Métodos Mistos e apresentação de um Poster sobre o fenómeno de estudo; a implementação de medidas relacionadas com a prevenção e controlo de infeção; e a criação de uma tabela com os principais fármacos fotossensíveis utilizados em Bloco Operatório.
This document was drafted as a part of the evaluation for Unidade Curricular Estágio Final e Relatório of the Master's degree in Nursing, Medical-Surgical Nursing speciality: Person in Critical Situation, conducted by Instituto de Ciências da Saúde of Universidade Católica Portuguesa, in order to to award the academic Master degree and professional title of Specialist Nurse in Medical-Surgical Nursing. This Internship report comprises the description and reflective analysis of the specialized skills development process of the person in critical condition and his/her family. As such, a well-defined path was created to cover the development of common and specific activities and skills throughout the three different internship stages. However, with the worsening of the pandemic, there was the need to reformulate this pathway and its objectives. The transversal objective throughout the different stages of the internship was kept and is related to the phenomenon of interest "Extracorporeal Membrane Oxygenation - psychological impact of ECMO on long-term survivors", chosen not only due to various personal assumptions, but also, with the increasing use of ECMO, the concern about the impact of this technique may have on a person in the long-term has begun to emerge. In this document, you can also find: the main reasons that led to the choice of the new internship contexts and their specific objectives; the critical reflective process of competence development, guided by Afaf Meleis' Transitions Theory and Jean Watson's Theory of Human Care; as well as the main difficulties experienced, and the strategies used to overcome them. Several activities were also developed, including: a Mixed Methods Systematic Review of Literature and the presentation of a Poster about the phenomenon of interest; the implementation of measures related to infection’s prevention and control; and the creation of a table containing the main photosensitive drugs used in operating rooms was made.
This document was drafted as a part of the evaluation for Unidade Curricular Estágio Final e Relatório of the Master's degree in Nursing, Medical-Surgical Nursing speciality: Person in Critical Situation, conducted by Instituto de Ciências da Saúde of Universidade Católica Portuguesa, in order to to award the academic Master degree and professional title of Specialist Nurse in Medical-Surgical Nursing. This Internship report comprises the description and reflective analysis of the specialized skills development process of the person in critical condition and his/her family. As such, a well-defined path was created to cover the development of common and specific activities and skills throughout the three different internship stages. However, with the worsening of the pandemic, there was the need to reformulate this pathway and its objectives. The transversal objective throughout the different stages of the internship was kept and is related to the phenomenon of interest "Extracorporeal Membrane Oxygenation - psychological impact of ECMO on long-term survivors", chosen not only due to various personal assumptions, but also, with the increasing use of ECMO, the concern about the impact of this technique may have on a person in the long-term has begun to emerge. In this document, you can also find: the main reasons that led to the choice of the new internship contexts and their specific objectives; the critical reflective process of competence development, guided by Afaf Meleis' Transitions Theory and Jean Watson's Theory of Human Care; as well as the main difficulties experienced, and the strategies used to overcome them. Several activities were also developed, including: a Mixed Methods Systematic Review of Literature and the presentation of a Poster about the phenomenon of interest; the implementation of measures related to infection’s prevention and control; and the creation of a table containing the main photosensitive drugs used in operating rooms was made.
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Enfermagem Pessoa em situação crítica Complicações psicológicas ECMO Competências especializadas Nursing Person in critical situation Psychological complications Specialized skills