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Authors
Abstract(s)
O presente relatório pretende demonstrar, de um modo crítico e reflexivo, as atividades realizadas pela autora ao longo do seu percurso académico, bem como as competências adquiridas como futura enfermeira especialista na área de Enfermagem Médico- Cirúrgica. Num contexto de cuidados em que o desenvolvimento científico e tecnológico impera, o enfermeiro enfrenta situações de grande complexidade, nas quais a pessoa em situação crítica e a respetiva família procuram respostas às suas necessidades, de uma forma global e holística. O relatório começa com uma revisão integrativa da literatura sobre o papel do enfermeiro perante o paciente crítico com sepse. A autora pretende salientar o papel fundamental do enfermeiro na identificação precoce, no controlo e na prevenção dessa afeção, evitando a sua progressão e diminuindo os desconfortos associados à mesma. No âmbito do estágio realizado no serviço de urgência, a autora desenvolveu aptidões relativas à prestação de cuidados de enfermagem especializados à pessoa em situação crítica e à respetiva família. Paralelamente, adquiriu competências conducentes a uma melhoria dos cuidados prestados à pessoa com sépsis e sua família. A autora sensibilizou a equipa, mediante a conceção de um cartaz sobre a «Via Verde Sépsis», que foi posteriormente divulgado. Este contexto foi o ponto de partida para a revisão integrativa da literatura. Durante o estágio que teve lugar no serviço de cuidados intensivos, a autora aprofundou as suas competências referentes à prestação de cuidados de enfermagem especializados à pessoa em situação crítica e à respetiva família, tendo elaborado um cartaz sobre o delirium, que foi apresentado à comunidade científica. Também com vista à melhoria dos cuidados prestados à pessoa em situação crítica com sépsis e respetiva família, a autora divulgou os resultados da revisão da literatura à equipa de enfermagem. No que concerne ao desenvolvimento de aptidões que contribuam para, e/ou promovam, a comunicação com a pessoa sujeita a ventilação mecânica invasiva, para além de ter utilizado diversas técnicas específicas, a autora criou um quadro de imagens e adquiriu material de escrita adaptado, capaz de facilitar o processo de comunicação. Todas as intervenções tiveram como propósito a prestação de cuidados confortadores, que oferecessem bem-estar, alívio do sofrimento e a prevenção de complicações. Como tal, o conforto foi explanado, nos seus diferentes contextos, ao longo do relatório.
This report aims to demonstrate, in a critical and reflective manner, the activities that were performed, and the skills that were acquired, throughout the author’s academic years, as a future specialist nurse in the area of Medical-Surgical Nursing. In a care context where scientific and technological development prevails, nurses face highly complex situations, in which critically ill patients and their families seek global and holistic answers to their needs. The report begins with an integrative review of the literature on the nurses’ actions, when faced with critically ill patients suffering from sepsis. The author highlights their fundamental role in the early identification, control and prevention of that condition, avoiding its progression and reducing the discomforts associated with it. As part of the internship that took place in the emergency department, the author developed skills with respect to the provision of specialized nursing care to critically ill patients and their families, as well as competences destined to improve the care provided to patients with sepsis and the respective families. The author raised the team’s awareness, through the elaboration of a poster about “Via Verde Sépsis”, which was subsequently disseminated. This context was the starting point for the integrative literature review. During the internship at the intensive care unit, the author further developed her skills regarding the provision of specialised nursing care to critically ill patients and their families, having prepared a poster about delirium, which was presented to the scientific community. Attempting to improve the care provided to critically ill patients with sepsis and the respective families, the author disclosed the results of the literature review to the nursing team. With regard to the development of competences that contribute to, and/or promote, communication with patients subjected to invasive mechanical ventilation, in addition to the use of various specific techniques, the author created an image board and acquired adapted material for writing, which could facilitate the communication process. All the interventions sought to provide comforting care that offered well-being, relief from suffering, and the prevention of complications. As such, comfort was explained, in its various contexts, throughout the report.
This report aims to demonstrate, in a critical and reflective manner, the activities that were performed, and the skills that were acquired, throughout the author’s academic years, as a future specialist nurse in the area of Medical-Surgical Nursing. In a care context where scientific and technological development prevails, nurses face highly complex situations, in which critically ill patients and their families seek global and holistic answers to their needs. The report begins with an integrative review of the literature on the nurses’ actions, when faced with critically ill patients suffering from sepsis. The author highlights their fundamental role in the early identification, control and prevention of that condition, avoiding its progression and reducing the discomforts associated with it. As part of the internship that took place in the emergency department, the author developed skills with respect to the provision of specialized nursing care to critically ill patients and their families, as well as competences destined to improve the care provided to patients with sepsis and the respective families. The author raised the team’s awareness, through the elaboration of a poster about “Via Verde Sépsis”, which was subsequently disseminated. This context was the starting point for the integrative literature review. During the internship at the intensive care unit, the author further developed her skills regarding the provision of specialised nursing care to critically ill patients and their families, having prepared a poster about delirium, which was presented to the scientific community. Attempting to improve the care provided to critically ill patients with sepsis and the respective families, the author disclosed the results of the literature review to the nursing team. With regard to the development of competences that contribute to, and/or promote, communication with patients subjected to invasive mechanical ventilation, in addition to the use of various specific techniques, the author created an image board and acquired adapted material for writing, which could facilitate the communication process. All the interventions sought to provide comforting care that offered well-being, relief from suffering, and the prevention of complications. As such, comfort was explained, in its various contexts, throughout the report.
Description
Keywords
Conforto Intervenção de enfermagem Situação crítica Sépsis Comfort Nursing intervention Critically ill Sepsis