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Abstract(s)
O presente relatório de estágio representa o culminar de um processo de transformação pessoal e profissional. O mesmo pretende descrever o meu percurso e abarcar as experiências, aprendizagens e aquisição de competências especializadas, de uma forma crítica e reflexiva. A sua realização teve por base as competências comuns do enfermeiro especialista, as competências específicas da especialidade em questão e as competências de mestre, bem como os objetivos definidos pelo Instituto de Ciências da Saúde da Universidade Católica Portuguesa para o Mestrado em Enfermagem com área de Especialização em Enfermagem Médico-Cirúrgica: Enfermagem à Pessoa em Situação Crítica. O primeiro estágio decorreu numa Unidade de Cuidados Intensivos Respiratórios de um hospital central de Lisboa e os objetivos específicos prenderam-se com a aquisição de competências em três áreas distintas: prevenção da infeção associada aos cuidados de saúde, ventilação mecânica invasiva e técnicas de substituição renal. Para cada uma destas áreas realizei um plano de cuidados personalizado, referente a uma pessoa doente onde foram levantados diagnósticos de enfermagem com elas relacionados. O segundo estágio decorreu num Serviço de Urgência na área da grande Lisboa e o foco principal recaiu sobre o desenvolvimento de competências na abordagem à pessoa em situação crítica com necessidade de reanimação, potencial ou real e realizei um poster intitulado “Dinâmica da Equipa de Enfermagem na Sala de Emergência em Contexto de Reanimação”. O terceiro estágio foi realizado numa Unidade de Cuidados Intensivos Polivalente de um hospital de Lisboa onde aprofundei a temática da sede e realizei uma scoping review sobre as intervenções de enfermagem confortadoras no alívio da sede à pessoa em situação crítica. Com o intuito de desenvolver competências especificas na minha área de especialidade e prestar os melhores cuidados à pessoa em situação crítica e sua família procurei desenvolver a minha práxis com base na mais atual evidência científica, realizar formação contínua e reunir com peritos, nomeadamente através da participação em congressos.
The following clerkship report represents the process of the endured personal and professional transformation. Its aim is to describe my journey and all the learning experiences and skills acquired in the form of a critical assessment. It is based on the common skills of a specialist nurse and the special skills involved in caring for the critically-ill and the goals defined by the Healthcare Sciences Institute (Instituto de Ciências da Saúde) of the Catholic University of Lisbon (Universidade Católica Portuguesa) for the Master’s degree in Nursing and specialist degree in medicalsurgical nursing. The first clerkship underwent in a Respiratory Intensive Care Unit on a central hospital in Lisbon and the goals for this clerkship were based in three different areas: prevention of healthcareassociated infection, mechanical ventilation and renal replacement therapy. For each one of these areas a personalized care plan was developed, pertaining to a patient with diagnoses related to each of the aforementioned areas. The second clerkship underwent in an Emergency Room in a hospital on the main Lisbon area and the main focus of this clerkship was the development of the skills required to approach a patient in critical condition requiring emergent care or resuscitation. A poster was developed, entitled "Dynamics of an emergency room nursing team in the context of resuscitation". The third clerkship occurred on a General Intensive Care Unit on a central hospital in Lisbon and in this clerkship the theme "thirst in the ICU" was approached, with the development of a scoping review to assess the potential interventions aiming to alleviate thirst on the critically-ill patients. With the goal of developing skills specific to the pursued area of specialization, to be able to provide the best and most evidence-based care to the critically-ill patient, a thorough literature review was conducted during the acquisition of the degree, complemented with continued education and attendance in scientific meetings.
The following clerkship report represents the process of the endured personal and professional transformation. Its aim is to describe my journey and all the learning experiences and skills acquired in the form of a critical assessment. It is based on the common skills of a specialist nurse and the special skills involved in caring for the critically-ill and the goals defined by the Healthcare Sciences Institute (Instituto de Ciências da Saúde) of the Catholic University of Lisbon (Universidade Católica Portuguesa) for the Master’s degree in Nursing and specialist degree in medicalsurgical nursing. The first clerkship underwent in a Respiratory Intensive Care Unit on a central hospital in Lisbon and the goals for this clerkship were based in three different areas: prevention of healthcareassociated infection, mechanical ventilation and renal replacement therapy. For each one of these areas a personalized care plan was developed, pertaining to a patient with diagnoses related to each of the aforementioned areas. The second clerkship underwent in an Emergency Room in a hospital on the main Lisbon area and the main focus of this clerkship was the development of the skills required to approach a patient in critical condition requiring emergent care or resuscitation. A poster was developed, entitled "Dynamics of an emergency room nursing team in the context of resuscitation". The third clerkship occurred on a General Intensive Care Unit on a central hospital in Lisbon and in this clerkship the theme "thirst in the ICU" was approached, with the development of a scoping review to assess the potential interventions aiming to alleviate thirst on the critically-ill patients. With the goal of developing skills specific to the pursued area of specialization, to be able to provide the best and most evidence-based care to the critically-ill patient, a thorough literature review was conducted during the acquisition of the degree, complemented with continued education and attendance in scientific meetings.
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Keywords
Pessoa em situação critica Cuidados de enfermagem especializados Sede Intervenções confortadoras Critically-ill patient Specialized nursing care Thirst Comforting interventions