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Contributo do enfermeiro especialista na relação da tríade academia-hospital-comunidade
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A elaboração deste relatório tem como propósito responder favoravelmente aos objetivos da unidade curricular Estágio Final e Relatório integrada no 1º semestre do 2º ano do Curso de Mestrado em Enfermagem Médico-Cirúrgica: na área de enfermagem à pessoa em situação crítica da Escola de Enfermagem de Lisboa do Instituto de Ciências da Saúde da Universidade Católica Portuguesa. A realização do presente relatório permite partilhar algumas experiências vividas ao longo deste processo de aprendizagem, os objetivos atingidos e as competências adquiridas e desenvolvidas em estágio. Com base numa análise organizada, crítica e reflexiva procurei integrar a experiência vivida, promovendo o pensamento crítico sobre as situações e sobre mim própria fomentando momentos de crescimento pessoal e profissional com o intuito de promover uma prática de enfermagem autónoma, responsável, segura e de excelência. Ao longo do primeiro estágio realizado em contexto de cuidados e intensivos e recobro aprofundei conhecimentos e desenvolvi competências científicas, técnicas, éticas e relacionais na prestação de cuidados à pessoa com falência ou risco de falência de um ou mais órgãos vitais. Valorizei a singularidade de cada cliente e da sua família, tendo procurado integrá-los no plano terapêutico e potenciar a sua autonomia e autodeterminação. No segundo estágio, realizado em contexto de urgência, mobilizei e aprofundei os conhecimentos e competências adquiridas e desenvolvidas no estágio anterior e ao longo do percurso académico, possibilitando a minha intervenção com maior incidência aos clientes admitidos no serviço de observação, respondendo prontamente às suas necessidades complexas e aos focos de instabilidade. Promovi também uma relação terapêutica com a família/ pessoa significativa que acompanhavam o cliente de forma a minimizar a ansiedade e o sofrimento que pudessem sentir. O último estágio foi realizado numa unidade de cuidados continuados e paliativos uma vez que atualmente é reconhecida a abrangência dos cuidados paliativos em todas as áreas do cuidar em enfermagem. Ancorei a minha intervenção em quatro pilares fundamentais: o controlo de sintomas, a comunicação terapêutica, o apoio à família e o trabalho em equipa. Desta forma, fui capaz de mobilizar e de me apropriar da filosofia do cuidar paliativo e prestar cuidados especializados à pessoa/ família com doença avançada e progressiva, tendo em atenção o alívio do sofrimento em todas as suas dimensões. Em todos os estágios existiu uma clara necessidade de identificar a pessoa com necessidade paliativa promovendo um adequado cuidar que possa efetivamente ser holístico e enquadrado na realidade e singularidade de cada um. A Enfermagem, enquanto disciplina e profissão, justifica a necessidade de produzir e renovar de forma continuada e sustentada o seu próprio corpo de conhecimentos, o que se concretiza pela via da Investigação. Nesta continuidade, aliado ao facto de integrar o Projeto Capacitar Para Salvar, realizei uma pesquisa documental sobre o Suporte Básico de Vida com Desfibrilhação Automática Externa, uma vez que as doenças cardiovasculares constituem uma problemática nacional e mundial. A investigação em enfermagem representa um contínuo à evolução da profissão, à melhoria dos cuidados e da prevenção de doenças. A pesquisa realizada visa compreender em termos nacionais qual a legislação em vigor que promove a literacia em saúde numa temática em específico que interfere diretamente com a taxa de morbilidade e mortalidade de uma vítima de paragem cardiorrespiratória. Uma intervenção que qualquer pessoa pode necessitar e que constitui um dever de cidadania, de ajuda ao próximo em que fazer nada não é opção, fazer alguma coisa ajuda, mas saber o que fazer e com qualidade é determinante.
The purpose of this report is to respond favorably to the objectives of the curricular unit Final Internship and Report, integrated in the 1st semester of the 2nd year of the Master's Course in Medical-Surgical Nursing: in the area of nursing for the critically ill person at Escola de Enfermagem de Lisboa do Instituto de Ciências da Saúde da Universidade Católica Portuguesa. The realization of this report makes it possible to share some experiences during this learning process, the objectives achieved, and the skills acquired and developed during the internship. Based on an organized, critical, and reflective analysis, I tried to integrate the lived experience, promoting critical thinking about the situations and about myself, fostering moments of personal and professional growth in order to promote an autonomous, responsible, safe and excellent nursing practice. During the first internship, carried out in the context of intensive care and recovery, I deepened my knowledge and developed scientific, technical, ethical and relational skills in providing care to people with failure or risk of failure of one or more vital organs. I valued the uniqueness of each client and their family, having sought to integrate them into the therapeutic plan and enhance their autonomy and self-determination. In the second internship, carried out in an emergency context, I mobilized and deepened the knowledge and skills acquired and developed in the previous internship and throughout the academic path, allowing my intervention with greater incidence to the clients admitted to the observation service, responding promptly to their needs. complexes and focus of instability. I also promoted a therapeutic relationship with the family/significant person who accompanied the client to minimize the anxiety and suffering they might feel. The last stage was carried out in a continuous and palliative care unit since the scope of palliative care in all areas of nursing care is currently recognized. I anchored my intervention in four fundamental pillars: symptom control, therapeutic communication, family support and teamwork. In this way, I was able to mobilize and appropriate the philosophy of palliative care and provide specialized care to the person/family with advanced and progressive disease, considering the mitigation of suffering in all its dimensions. At all stages, there was a clear need to identify the person with palliative need, promoting adequate care that can effectively be holistic and framed in the reality and uniqueness of each one Nursing, as a discipline and profession, justifies the need to continuously and sustainably produce and renew its own body of knowledge, which is achieved through research. In this continuity, together with the fact of being part of the Capacitar Para Salvar Project, I carried out documentary research on Basic Life Support with Automatic External Defibrillation, since cardiovascular diseases are a national and global problem. Nursing research represents a continuum of the evolution of the profession, the improvement of care and disease prevention. The research carried out aims to understand in national terms which legislation is in force that promotes health literacy in a specific theme, that directly interferes with the morbidity and mortality rate of a victim of cardiorespiratory arrest. An intervention that anyone may need and that constitutes a duty of citizenship, of helping others in which doing nothing is not an option, doing something helps, but knowing what to do and with quality is crucial.
The purpose of this report is to respond favorably to the objectives of the curricular unit Final Internship and Report, integrated in the 1st semester of the 2nd year of the Master's Course in Medical-Surgical Nursing: in the area of nursing for the critically ill person at Escola de Enfermagem de Lisboa do Instituto de Ciências da Saúde da Universidade Católica Portuguesa. The realization of this report makes it possible to share some experiences during this learning process, the objectives achieved, and the skills acquired and developed during the internship. Based on an organized, critical, and reflective analysis, I tried to integrate the lived experience, promoting critical thinking about the situations and about myself, fostering moments of personal and professional growth in order to promote an autonomous, responsible, safe and excellent nursing practice. During the first internship, carried out in the context of intensive care and recovery, I deepened my knowledge and developed scientific, technical, ethical and relational skills in providing care to people with failure or risk of failure of one or more vital organs. I valued the uniqueness of each client and their family, having sought to integrate them into the therapeutic plan and enhance their autonomy and self-determination. In the second internship, carried out in an emergency context, I mobilized and deepened the knowledge and skills acquired and developed in the previous internship and throughout the academic path, allowing my intervention with greater incidence to the clients admitted to the observation service, responding promptly to their needs. complexes and focus of instability. I also promoted a therapeutic relationship with the family/significant person who accompanied the client to minimize the anxiety and suffering they might feel. The last stage was carried out in a continuous and palliative care unit since the scope of palliative care in all areas of nursing care is currently recognized. I anchored my intervention in four fundamental pillars: symptom control, therapeutic communication, family support and teamwork. In this way, I was able to mobilize and appropriate the philosophy of palliative care and provide specialized care to the person/family with advanced and progressive disease, considering the mitigation of suffering in all its dimensions. At all stages, there was a clear need to identify the person with palliative need, promoting adequate care that can effectively be holistic and framed in the reality and uniqueness of each one Nursing, as a discipline and profession, justifies the need to continuously and sustainably produce and renew its own body of knowledge, which is achieved through research. In this continuity, together with the fact of being part of the Capacitar Para Salvar Project, I carried out documentary research on Basic Life Support with Automatic External Defibrillation, since cardiovascular diseases are a national and global problem. Nursing research represents a continuum of the evolution of the profession, the improvement of care and disease prevention. The research carried out aims to understand in national terms which legislation is in force that promotes health literacy in a specific theme, that directly interferes with the morbidity and mortality rate of a victim of cardiorespiratory arrest. An intervention that anyone may need and that constitutes a duty of citizenship, of helping others in which doing nothing is not an option, doing something helps, but knowing what to do and with quality is crucial.
Descrição
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Enfermeiro especialista Competências Suporte básico de vida Desfibrilhação automática externa Specialist nurse Skills Critically ill person Basic life support with automatic external defibrillation
Contexto Educativo
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Licença CC
Sem licença CC