Loading...
Publication
Reconstrução mnésica do período de coma por traumatismo crânio encefálico
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 122.93 MB | Adobe PDF |
Advisor(s)
Abstract(s)
No universo das ciências de enfermagem, este estudo versa a essência, retoma da vida de relação. Fomos, através do sentido dado pela pessoa à experiência de coma por traumatismo crânio encefálico (TCE), conhecer o que lhe ficou em memória e, identificar os sensores envolvidos na recuperação da sua consciência. Procurámos responder à questão, como é que a pessoa em coma por TCE, utiliza o inventário de estimulos no processo cognitivo de reconstrução auto-biográfica? Desenvolvemos um estudo exploratório descritivo, qualitativo e baseados em Yin, realizámos um estudo de caso. Na pessoa em recuperação de coma por TCE fomos: compreender o processo de reconstrução autobiográfica; inventariar os estímulos que contribuem para a recuperação da consciência; conhecer a capacidade de atribuírem sentido emocional a expressões faciais de terceiros. Organizámos conceptualmente o capítulo, a consciência no movimento espiral fundamentado por grandes temas, onde começámos por considerar o conceito consciência, construindo a ideia central da importância do conhecimento do habitus e identidade para a recuperação da pessoa em coma. Passámos para Interruptores para o sucesso - sensores e conforto, onde procurámos demonstrar que os sensores, devem ser considerados nos cuidados a pessoas em coma. Por fim, contando com as emoções - paixão da alma ou agitação interna onde, abordámos as emoções construídas no pressuposto, que a capacidade da pessoa se lembrar de algo está intimamente relacionado com a emoção que desencadeou. No plano de reconstrução autobiográfico verificámos que este, vai desde a percepção exacta do momento em que a pessoa sai do coma, à inércia por estado de bem-estar instalado. No inventário de estímulos a modalidade auditiva foi a mais referida. Os participantes relacionam os primeiros sons com vozes familiares e quando isto acontece, recordam-se com maior rigor das frases ou dos assuntos envolvidos. Quando assim foi relatado, verificamos um processo cognitivo mais complexo, onde a pessoa interpretava os estímulos que captava. Surgiram três padrões distintos de estímulos associados: o padrão de associação dos estímulos tácteis com os estímulos auditivos, o padrão de associação dos estímulos tácteis e visuais e o padrão estímulos auditivos associados aos visuais. Também verificamos diferentes sensores em associação com o conforto. Por fim consideramos importante que no processo de cuidar da pessoa em recuperação de coma se adopte com intencionalidade expressões faciais promotoras de conforto, coerentes com o discurso; o ambiente seja enriquecido por diferentes estímulos; que a identidade e as experiências vividas ajudem a estabelecer a ligação que falta para a tomada de consciência plena.
In the universe of science nursing, this study concerns the essential about the returning of live. We went through people feelings, till the brain injury experience, to know what was retained in the memory, to identify what was memorized and the mechanisms involved in the recovering of conscience as well. We tried to answer the question? How might a person in coma by brain injury use the stimulation through the cognitive process of auto-biographic reconstruction? We developed an exploratory, descriptive and qualitative study based in Yin, we made a study case. Observing a person recovering from coma by brain injury, we tried to understand the process of auto-biographic reconstruction, inventory the senses that contribute for the conscience recovering and we tried to understand the ability of producing emotions due the presence and facial movements of strangers. We organized conceptually, to chapter the conscience, a spiral movement based on major themes, where we analyzed the concept of conscience and focused the central idea in the importance of the "habitus" and identity for the recovering. We passed to the switches to success - sensors and comfort, and we tried to demonstrate that the sensors should be taken into account in the care of the person in coma. Finally, relying with the emotions-passion of the soul or internal agitation, we concluded that the concept of emotion considering people ability for recovering is connected with the emotions and leashed. Regarding the auto-biographic reconstruction, we verified that it goes exactly from the moment the person gets out of coma, until the inertia provoke by wellbeing. In inventory of senses, the auditory perception was the most reviled. The participants relate the first sounds to relatives, and if it happens, they remember sentences or issues with more accuracy. When this situation occurred, we verified a more complex cognitive process, where the patient interpreted the senses. In this study case emerged three different patterns of stimulation: patterns of touch with audition, in touch with visual, and audition with visual. We verified different senses in association with comfort. Finally, we considered important that: Intentionally should be created facial expressions promoting comfort, related with speech; reach environment composed by different stimulus; the identity and experiences from the past help to establish the connection until the total recovering.
In the universe of science nursing, this study concerns the essential about the returning of live. We went through people feelings, till the brain injury experience, to know what was retained in the memory, to identify what was memorized and the mechanisms involved in the recovering of conscience as well. We tried to answer the question? How might a person in coma by brain injury use the stimulation through the cognitive process of auto-biographic reconstruction? We developed an exploratory, descriptive and qualitative study based in Yin, we made a study case. Observing a person recovering from coma by brain injury, we tried to understand the process of auto-biographic reconstruction, inventory the senses that contribute for the conscience recovering and we tried to understand the ability of producing emotions due the presence and facial movements of strangers. We organized conceptually, to chapter the conscience, a spiral movement based on major themes, where we analyzed the concept of conscience and focused the central idea in the importance of the "habitus" and identity for the recovering. We passed to the switches to success - sensors and comfort, and we tried to demonstrate that the sensors should be taken into account in the care of the person in coma. Finally, relying with the emotions-passion of the soul or internal agitation, we concluded that the concept of emotion considering people ability for recovering is connected with the emotions and leashed. Regarding the auto-biographic reconstruction, we verified that it goes exactly from the moment the person gets out of coma, until the inertia provoke by wellbeing. In inventory of senses, the auditory perception was the most reviled. The participants relate the first sounds to relatives, and if it happens, they remember sentences or issues with more accuracy. When this situation occurred, we verified a more complex cognitive process, where the patient interpreted the senses. In this study case emerged three different patterns of stimulation: patterns of touch with audition, in touch with visual, and audition with visual. We verified different senses in association with comfort. Finally, we considered important that: Intentionally should be created facial expressions promoting comfort, related with speech; reach environment composed by different stimulus; the identity and experiences from the past help to establish the connection until the total recovering.