| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O envelhecimento da população, o aparecimento de novas doenças e a evolução técnica e científica associada à crescente complexidade dos equipamentos e procedimentos, no sentido de dar resposta às constantes solicitações, exigem equipas diferenciadas e capacitadas para dar resposta a uma cada vez maior exigência de qualidade de cuidados prestados. Desta forma, a atualização do profissional de enfermagem torna-se, também, uma prioridade, sendo a formação especializada uma realidade cada vez mais necessária, no sentido de mobilizar conhecimentos que permitam prestar cuidados diferenciados. O presente relatório surge no âmbito do 13º Mestrado em Enfermagem, com Especialização em Enfermagem Médico-Cirúrgica, na Área de Enfermagem à Pessoa em Situação Crítica, do Instituto de Ciências da Saúde, da Universidade Católica Portuguesa. Inserido na Unidade Curricular, Estágio Final e Relatório, visa descrever e analisar as atividades desenvolvidas e as competências adquiridas durante o estágio, que decorreu nos contextos de Unidade de Cuidados Intensivos e Serviço de Urgência Geral, no período compreendido entre 01 de setembro e 19 de dezembro de 2020. Com a finalização dos estágios, o relatório final tem como objetivo a exposição do desenvolvimento profissional, através da descrição das atividades, intervenções e competências de Enfermeiro Especialista adquiridas, bem como servir de instrumento de avaliação da unidade curricular. O ponto de partida para a sua redação centrou-se no desenvolvimento de um projeto de aprendizagem, específico para cada campo de estágio, onde se definiram objetivos gerais e específicos, bem como os indicadores de processo e de resultado. Com recurso a uma metodologia descritiva, analítica e crítico-reflexiva sobre as atividades desenvolvidas, a sua elaboração tem por base as experiências vivenciadas nos contextos de estágio, sendo analisadas de acordo com as competências do enfermeiro especialista, específicas no cuidado ao doente crítico e sustentadas na mais recente evidência. Como tema transversal aos diferentes contextos de estágio, analisei a aplicação de medidas de neuroproteção na prevenção da lesão secundária em doentes adultos vítimas de Traumatismo Cranioencefálico. Sendo este um problema de saúde pública, causador de morbilidade e mortalidade, é fundamental, não podendo impedir as lesões primárias resultantes do traumatismo, encontrar estratégias para diminuir a incidência de lesão secundária, que agrava as sequelas e a incapacidade definitiva.
The aging of the population, the emergence of new diseases, and the technical and scientific developments associated with the increasing complexity of equipment and procedures, in order to meet the constant demands, require differentiated and trained teams to respond to an increasing demand for quality care. Thus, the updating of nursing professionals has also become a priority, and specialized training is an increasingly necessary reality, in order to mobilize knowledge that enables the provision of differentiated care. This report is part of the 13th Master's Degree in Nursing with Specialization in Medical Surgical Nursing, in the area of Nursing for Critically Ill Patients, of the Institute of Health Sciences of the Portuguese Catholic University. As part of the Curricular Unit Final Internship and Report, this study aims to describe and analyze the activities developed and the skills acquired during the internship, which took place in the contexts of the Intensive Care Unit and General Emergency Service, in the period between September 1 and December 19, 2020. With the completion of the internships, the final report aims to expose the professional development through the description of the activities, interventions and skills acquired as Specialist Nurses, as well as to serve as an instrument for the assessment of the curricular unit. The starting point for its writing focused on the development of a learning project, specific to each internship field, where general and specific objectives were defined, as well as process and result indicators. Using a descriptive, analytical, and critical-reflective methodology on the activities developed, this study is based on the experiences in the internship contexts, and is analyzed according to the specific competencies of specialist nurses in critical patient care and supported by the most recent evidence. As a transversal theme to the different internship contexts, I analyzed the application of neuroprotective measures in the prevention of secondary injury in adult brain injury patients. As this is a public health problem, causing morbidity and mortality, it is essential to find strategies to reduce the incidence of secondary injury, which aggravates the sequelae and the definitive disability, if we cannot prevent the primary lesions resulting from the trauma.
The aging of the population, the emergence of new diseases, and the technical and scientific developments associated with the increasing complexity of equipment and procedures, in order to meet the constant demands, require differentiated and trained teams to respond to an increasing demand for quality care. Thus, the updating of nursing professionals has also become a priority, and specialized training is an increasingly necessary reality, in order to mobilize knowledge that enables the provision of differentiated care. This report is part of the 13th Master's Degree in Nursing with Specialization in Medical Surgical Nursing, in the area of Nursing for Critically Ill Patients, of the Institute of Health Sciences of the Portuguese Catholic University. As part of the Curricular Unit Final Internship and Report, this study aims to describe and analyze the activities developed and the skills acquired during the internship, which took place in the contexts of the Intensive Care Unit and General Emergency Service, in the period between September 1 and December 19, 2020. With the completion of the internships, the final report aims to expose the professional development through the description of the activities, interventions and skills acquired as Specialist Nurses, as well as to serve as an instrument for the assessment of the curricular unit. The starting point for its writing focused on the development of a learning project, specific to each internship field, where general and specific objectives were defined, as well as process and result indicators. Using a descriptive, analytical, and critical-reflective methodology on the activities developed, this study is based on the experiences in the internship contexts, and is analyzed according to the specific competencies of specialist nurses in critical patient care and supported by the most recent evidence. As a transversal theme to the different internship contexts, I analyzed the application of neuroprotective measures in the prevention of secondary injury in adult brain injury patients. As this is a public health problem, causing morbidity and mortality, it is essential to find strategies to reduce the incidence of secondary injury, which aggravates the sequelae and the definitive disability, if we cannot prevent the primary lesions resulting from the trauma.
Description
Keywords
Enfermeiro especialista Competências Doente crítico Cuidar Neuroproteção Traumatismo cranioencefálico Specialist nurse Competencies Critical patient Care Neuroprotection Traumatic brain injury