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A realização deste estágio teve como finalidade a obtenção de competências através do treino, da reflexão crítica e analítica para um cuidar humano, integral na construção de um processo de morrer condigno e para uma tomada de decisão consistente e adequada às necessidades efetivas da pessoa em fim de vida e família. A prestação de cuidados de enfermagem especializados assentou em metodologias ativas, dinâmicas e participativas de forma a integrar e aplicar os conhecimentos teóricos adquiridos. Evidenciando, que tive em atenção um cuidar centrado no doente e família, a obediência dos princípios éticos e deontológicos e a garantia de cuidados com qualidade. Estas competências foram desenvolvidas através de um estilo comunicacional facilitador e centrado na pessoa, numa análise crítica e reflexiva e no estabelecimento de uma relação de ajuda. Também o trabalho em equipa foi sempre uma preocupação de forma adquirir e aprofundar estratégias de trabalho em equipa, nomeadamente, colaborar eficazmente na prestação de cuidados, bem como participar nas reuniões semanais. A nível do controlo de sintomas desenvolvi competências na avaliação das necessidades, avaliação e monitorização, medidas farmacológicas e não farmacológicas, tendo como meta/ objetivo o doente. A nível do acompanhamento familiar, enfatizo as conferências familiares como uma ferramenta facilitadora da integração da família no cuidado ao doente. A participação no âmbito da gestão, formação e investigação permitiu não só o desenvolvimento de competências como promoveu mudanças e novas formas de intervenção. Sendo deveras importante a necessidade da manutenção de cuidados nesta fase, tendo em vista o conforto e a qualidade de vida o que inclui uma morte digna, ou seja, acompanhada, com assistência de saúde adequada, compreendendo todas as necessidades da pessoa em fase final de vida.
The aim of this internship is to obtain skills through training, critical and analytical reflection for human care, integral to the construction of a dignified dying process and for consistent and adequate decision-making to the effective needs of the person in the end of life and its family. The provision of specialized nursing care was based on active, dynamic and participatory methodologies in order to integrate and apply the acquired theoretical knowledge. Evidencing that I paid attention to care, centered on the patient and its family, obedience to ethical and deontological principles and the guarantee of quality care. These skills were developed through a facilitative and person-centered communication style, critical and reflective analysis and the establishment of a helping relationship. Teamwork was also always a concern, in order to acquire and deepen teamwork strategies, namely, to collaborate effectively in the provision of care, as well as to participate in weekly meetings. In terms of symptom control, I developed skills in assessing needs, evaluating and monitoring symptoms. I also took pharmacological and non-pharmacological measures with the goal of the best to the patient. In terms of family support, I emphasize family conferences as a facilitating tool for family integration in patient care. Participation in the field of management, training and research allowed not only the development of skills but also promoted changes and new forms of intervention. The need to maintain care at this stage is very important, aiming at comfort and quality of life, which includes a dignified death, which is, accompanied, with adequate health care, including all the needs of the person in the final stage of life.
The aim of this internship is to obtain skills through training, critical and analytical reflection for human care, integral to the construction of a dignified dying process and for consistent and adequate decision-making to the effective needs of the person in the end of life and its family. The provision of specialized nursing care was based on active, dynamic and participatory methodologies in order to integrate and apply the acquired theoretical knowledge. Evidencing that I paid attention to care, centered on the patient and its family, obedience to ethical and deontological principles and the guarantee of quality care. These skills were developed through a facilitative and person-centered communication style, critical and reflective analysis and the establishment of a helping relationship. Teamwork was also always a concern, in order to acquire and deepen teamwork strategies, namely, to collaborate effectively in the provision of care, as well as to participate in weekly meetings. In terms of symptom control, I developed skills in assessing needs, evaluating and monitoring symptoms. I also took pharmacological and non-pharmacological measures with the goal of the best to the patient. In terms of family support, I emphasize family conferences as a facilitating tool for family integration in patient care. Participation in the field of management, training and research allowed not only the development of skills but also promoted changes and new forms of intervention. The need to maintain care at this stage is very important, aiming at comfort and quality of life, which includes a dignified death, which is, accompanied, with adequate health care, including all the needs of the person in the final stage of life.
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Cuidados paliativos Trabalho equipa Competências Palliative care Teamwork Skills