| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 1.92 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Introdução: O serviço de urgência está intrinsecamente ligado a situações críticas
preconizadas por atitudes curativas, devemo-nos dedicar de uma forma igualmente
crescente à valorização da necessidade de prestar cuidados de índole não exclusivamente
curativa, dada a complexidade das situações de saúde/doença das pessoas, o aumento da
longevidade da população e o consequente incremento das doenças incuráveis,
progressivas e de caráter avançado, emerge assim a questão que deu o ponto de partida
para a realização desta investigação – Que intervenções paliativas são realizadas pelos
enfermeiros num serviço de urgência? Tendo como objetivo identificar as intervenções
paliativas realizadas pelos profissionais que exercem funções em S.U.
Metodologia: estudo qualitativo, de natureza exploratória e descritiva, apresentando
como população alvo todos os enfermeiros que exerciam funções no serviço de urgência
há mais de dois anos e que não pertencessem a outros serviços e/ou que por rotatividade
fossem deslocados para o mesmo. O método de colheita de dados foi realizado através da
análise documental das notas de enfermagem, através da técnica de análise de conteúdo
de Bardin, definindo à priori os utentes em que iriam incidir a análise dos registos,
aplicado com a triangulação dos resultados obtidos pela aplicação de um Questionário
Sociodemográfico e Guião de Entrevista Semiestruturada.
Resultados: Foram analisados 53 registos de enfermagem, respeitantes a 17 utentes que
acorreram ao S.U. durante o período de um mês e 18 enfermeiros que aceitaram participar
no estudo. Os resultados obtidos através da triangulação dos dados permitiu identificar as
intervenções/ações paliativas realizadas pelos enfermeiros, aos utentes com doença
crónica, incurável e progressiva. Identificou-se que o controlo sintomático respeitante à
dor, medidas de conforto e a menção de apoio à família são referidas pelos enfermeiros,
embora que em termos de registos esta última não se verifique.
Conclusões: Falar sobre cuidados paliativos nos serviços de urgência, será sempre um
tema que suscitará dúvidas, incompreensões sobre a sua exequibilidade em serviços
estritamente tecnicistas. Não existe sectorização da pessoa que nos é apresentada quando
cuidamos, existem cuidados que podem ser combinados para uma melhor abordagem ao
doente com doença crónica, incurável e progressiva nos serviços de urgência a nível
nacional.
Introduction: The emergency service is intrinsically linked to criticism advocated situations for healing attitudes, we should dedicate ourselves to an equally increasingly to the appreciation of the need for the nature care not only curative, given the complexity of health conditions/disease people the increasing longevity of the population and the consequent increase of incurable, progressive and advanced character diseases, so emerges the question that gave the starting point for conducting this research – What palliative interventions are performed by nurses in the emergency department. Aiming to identify the palliative interventions by professionals serving on S.U. Methodology: quallitative study of exploratory and descriptive, with the target population all the nurses who had functions in the emergency room for more than two years and not belonging to other services and/or by rotation were displaced for the same. The data collection method was performed through document analysis for nursing quotes by Bardin content analysis technique, defining a priori users that would focus the analysis of records applied to the triangulation of the results obtained by applying a sociodemographic questionnaire and a semi-structured interview script. Results: We analyzed 53 nursing records relating to 17 users who flocked to S.U. during the period of the one month and 18 nurses who agreed to participate in the study. The results obtained by traingulating data identified interventions/remedial actions taken by nurses to the users with chronic, incurable and progressive disease. If identified control with regard to pain, confort mesures and mention of family support are referred by nurses, although in terms of records does not occur. Conclusions: Talk about palliative care in emergency services, will always be a topic that will raise questions, misunderstandings about its feasibility in stricktly technologic services. There is no sectoring the person presented to us when we take care, there are precautions that can be combined for a better approach to be patient with chronic, incurable, progressive disease in emergency rooms nationwide.
Introduction: The emergency service is intrinsically linked to criticism advocated situations for healing attitudes, we should dedicate ourselves to an equally increasingly to the appreciation of the need for the nature care not only curative, given the complexity of health conditions/disease people the increasing longevity of the population and the consequent increase of incurable, progressive and advanced character diseases, so emerges the question that gave the starting point for conducting this research – What palliative interventions are performed by nurses in the emergency department. Aiming to identify the palliative interventions by professionals serving on S.U. Methodology: quallitative study of exploratory and descriptive, with the target population all the nurses who had functions in the emergency room for more than two years and not belonging to other services and/or by rotation were displaced for the same. The data collection method was performed through document analysis for nursing quotes by Bardin content analysis technique, defining a priori users that would focus the analysis of records applied to the triangulation of the results obtained by applying a sociodemographic questionnaire and a semi-structured interview script. Results: We analyzed 53 nursing records relating to 17 users who flocked to S.U. during the period of the one month and 18 nurses who agreed to participate in the study. The results obtained by traingulating data identified interventions/remedial actions taken by nurses to the users with chronic, incurable and progressive disease. If identified control with regard to pain, confort mesures and mention of family support are referred by nurses, although in terms of records does not occur. Conclusions: Talk about palliative care in emergency services, will always be a topic that will raise questions, misunderstandings about its feasibility in stricktly technologic services. There is no sectoring the person presented to us when we take care, there are precautions that can be combined for a better approach to be patient with chronic, incurable, progressive disease in emergency rooms nationwide.
Descrição
Palavras-chave
Intervenções/ações paliativas Serviço de urgência Cuidados paliativos Palliative actions/interventions ER Palliative care