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Abstract(s)
No âmbito do mestrado em cuidados paliativos, decidi realizar um estágio para melhorar
as competências necessárias para a prestação de cuidados paliativos especializados. O
estágio concretizou-se em dois contextos, uma instituição portuguesa, facilitadora do
conhecimento da rede nacional de cuidados paliativos, e um hospice irlandês, que me
permitiu aceder à realidade destes cuidados no estrangeiro. O primeiro contexto oferece
serviços de internamento e o segundo disponibiliza internamento, hospital de dia, apoio
domiciliário e comunitário e um centro de investigação.
Os dois foram selecionados considerando os objetivos previamente definidos: conhecer
a organização e cultura de uma unidade de cuidados paliativos portuguesa; desenvolver
competências de trabalho em equipa e de satisfação das necessidades físicas de pessoas
com doenças crónicas, que limitam a vida ou terminais; integrar as dimensões
psicológica, espiritual e social das pessoas nos cuidados; melhorar competências de apoio
à família; compreender a influência da organização estrutural e cultura organizacional na
qualidade dos cuidados. Dada a importância da formação e investigação no exercício
profissional, também me propus realizar formação em cuidados paliativos e investigar
uma questão recorrendo ao método científico.
Entre as implicações do estágio no exercício profissional, este possibilitou-me contribuir
para a melhoria do trabalho em equipa no meu contexto laboral, incluir a avaliação dos
sintomas na rotina dos cuidados com o apoio de instrumentos adequados, atender às
dimensões espiritual e psicossocial estando, por exemplo, mais desperta para a angústia
ou sofrimento das pessoas e famílias.
O estágio também me permitiu conhecer o conceito de esperança, sobretudo na vida das
pessoas com Esclerose Lateral Amiotrófica, através da realização de uma revisão scoping.
Pude ainda aprofundar conhecimentos sobre a sedação paliativa, tendo dinamizado uma
formação neste âmbito. Assim, em geral, foi possível a concretização dos objetivos
propostos, pelo que esta experiência foi, a meu ver, muito positiva.
As part of my master's degree in palliative care, I decided to undertake an internship to improve the skills needed to provide specialized palliative care. The internship took place in two contexts, a Portuguese institution, that facilitated the knowledge of the national palliative care network and an Irish hospice, which allowed me to access the reality of this type of care abroad. The first context offers inpatient services and the second provides inpatient services, day hospital, home and community support and a research center. Both were selected considering the previously defined objectives: to know the organization and culture of a Portuguese palliative care unit; to develop teamwork skills; to meet the physical needs of people with chronic, life-limiting or terminal illnesses; to integrate the psychological, spiritual and social dimensions of people into care; to improve family support skills; to understand the influence of structural organization and organizational culture on the quality of care. Given the importance of training and research in professional practice, I also proposed to conduct training in palliative care and investigate an issue using the scientific method. Among the implications of the internship in the professional practice, this enabled me to contribute to the improvement of teamwork in my work context, to include the evaluation of symptoms in the routine of care with the support of appropriate instruments and to address the spiritual and psychosocial dimensions, for example, it awakened me to the anguish or suffering of people and families. The internship also allowed me to know the concept of hope, especially in the lives of people with ALS, by conducting a scoping review. I was also able to deepen knowledge about palliative sedation, having dynamized training in this area. Thus, in general, it was possible to achieve the proposed objectives, so this experience was in my opinion very positive.
As part of my master's degree in palliative care, I decided to undertake an internship to improve the skills needed to provide specialized palliative care. The internship took place in two contexts, a Portuguese institution, that facilitated the knowledge of the national palliative care network and an Irish hospice, which allowed me to access the reality of this type of care abroad. The first context offers inpatient services and the second provides inpatient services, day hospital, home and community support and a research center. Both were selected considering the previously defined objectives: to know the organization and culture of a Portuguese palliative care unit; to develop teamwork skills; to meet the physical needs of people with chronic, life-limiting or terminal illnesses; to integrate the psychological, spiritual and social dimensions of people into care; to improve family support skills; to understand the influence of structural organization and organizational culture on the quality of care. Given the importance of training and research in professional practice, I also proposed to conduct training in palliative care and investigate an issue using the scientific method. Among the implications of the internship in the professional practice, this enabled me to contribute to the improvement of teamwork in my work context, to include the evaluation of symptoms in the routine of care with the support of appropriate instruments and to address the spiritual and psychosocial dimensions, for example, it awakened me to the anguish or suffering of people and families. The internship also allowed me to know the concept of hope, especially in the lives of people with ALS, by conducting a scoping review. I was also able to deepen knowledge about palliative sedation, having dynamized training in this area. Thus, in general, it was possible to achieve the proposed objectives, so this experience was in my opinion very positive.
Description
Keywords
Estágio Cuidados paliativos Esperança Internship Palliative care Hope