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Advisor(s)
Abstract(s)
O presente relatório tem como tema “Dor - da avaliação ao controlo” tendo sido realizado no âmbito do Curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica desenvolvido pelo Instituto de Ciências da Saúde da Universidade Católica Portuguesa. No processo de desenvolvimento de competências sublinhadas no plano curricular, para além da componente teórica, este incorpora uma componente prática em contexto de estágio subdividido em três partes: Serviço de Urgência Geral, Cuidados Intensivos e Unidade Dor; sendo que transversalmente a minha intervenção visou refletir e analisar a abordagem ao doente com dor aguda ou crónica, no sentido de desenvolver competências especializadas na área. No relatório é efetuada a descrição e análise crítica das atividades desenvolvidas com o propósito de evidenciar as competências especializadas adquiridas em estágio. Este é o lugar por excelência onde decorrem as práticas profissionais, através da mobilização de saberes adquiridos, onde a prática e formação se constituem como vertentes interligadas, num processo interativo. A temática do conforto relacionada com a avaliação e controlo da dor surge como eixo transversal a todo o relatório, considerando a mesma uma área de interesse na contribuição para a melhoria da qualidade dos cuidados em enfermagem. O conceito de cuidar aparece de forma global ao longo do relatório, sendo algo inerente à prática assistencial de enfermagem, com importância na valorização da humanização e da relação com o doente. No decorrer dos estágios foram prestados cuidados especializados ao doente em situação crítica e sua família e promoveu-se a formação em serviço, a melhoria dos cuidados prestados aos doentes e a valorização profissional dos enfermeiros através da sustentação da prática baseada na evidência científica. No âmbito da temática da dor desenvolvi um instrumento de registo da avaliação da dor, tendo o mesmo sido implementado no serviço de estágio. Realizei ainda uma revisão sistemática da literatura, com o tema “A adesão à terapêutica analgésica pela pessoa com dor crónica”, sendo que a evidência científica demonstrou altos níveis de não adesão terapêutica aos analgésicos por fatores variados. A divulgação dos resultados contribui para a mudança de práticas, melhoria dos cuidados e bem-estar do doente.
This report, with the subject “Pain - from evaluation to control”, was carried out under the Master Course in Nursing with Specialization in Medical-Surgical Nursing, lectured by the Institute of Health Sciences of the Portuguese Catholic University. In the process of competences development, part of the curricular plan, and in addition to the theoretical component, it also incorporates a practical component in a stage context subdivided into three parts: General Emergency Service, Intensive Care and Pain Unit. My intervention aimed to reflect about and analyze the approach to the patient with acute or chronic pain, in order to develop specialized skills in the area. In the report is carried out the description and critical analysis of the developed activities, with the purpose of highlighting the specialized competences acquired in stage. This is the place where the excellence of the professional practices takes place, through the acquired knowledges mobilization, where the practice and training cross eachother, in an interactive process. The theme of comfort related to the evaluation and pain control appears as a transversal axis to the whole report, considering it an area of interest in the contribution to the improvement of nursing care quality. The concept of caring appears globally throughout the report, being something inherent to the nursing care practice, important point in the acknowlegdement of humanization and the relationship with the patient. In the course of internships, specialized care was provided to the critically ill patient and his family, in-service training, and patient care were promoted, as well as the professional appreciation of nurses, through the support of evidence-based practice. In the scope of pain, I developed a recording instrument for pain evaluation, and it was implemented in the training service. I also carried out a systematic review of the literature, with theubject “Adherence to analgesic therapy by the person with chronic pain”, and the scientific evidence showed high levels of nonadherence to analgesics due to varied factors. The dissemination of results contributes to changing practices, improving patient care and well-being.
This report, with the subject “Pain - from evaluation to control”, was carried out under the Master Course in Nursing with Specialization in Medical-Surgical Nursing, lectured by the Institute of Health Sciences of the Portuguese Catholic University. In the process of competences development, part of the curricular plan, and in addition to the theoretical component, it also incorporates a practical component in a stage context subdivided into three parts: General Emergency Service, Intensive Care and Pain Unit. My intervention aimed to reflect about and analyze the approach to the patient with acute or chronic pain, in order to develop specialized skills in the area. In the report is carried out the description and critical analysis of the developed activities, with the purpose of highlighting the specialized competences acquired in stage. This is the place where the excellence of the professional practices takes place, through the acquired knowledges mobilization, where the practice and training cross eachother, in an interactive process. The theme of comfort related to the evaluation and pain control appears as a transversal axis to the whole report, considering it an area of interest in the contribution to the improvement of nursing care quality. The concept of caring appears globally throughout the report, being something inherent to the nursing care practice, important point in the acknowlegdement of humanization and the relationship with the patient. In the course of internships, specialized care was provided to the critically ill patient and his family, in-service training, and patient care were promoted, as well as the professional appreciation of nurses, through the support of evidence-based practice. In the scope of pain, I developed a recording instrument for pain evaluation, and it was implemented in the training service. I also carried out a systematic review of the literature, with theubject “Adherence to analgesic therapy by the person with chronic pain”, and the scientific evidence showed high levels of nonadherence to analgesics due to varied factors. The dissemination of results contributes to changing practices, improving patient care and well-being.
Description
Keywords
Doente crítico Conforto Controlo dor Cuidados de enfermagem Competências Critical patient Comfort Pain control Nursing care Skills