Loading...
Publication
A perda de via oral no doente em Ășltimos dias e horas de vida - impacto na famĂlia
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 4.58 MB | Adobe PDF |
Advisor(s)
Abstract(s)
O presente relatĂłrio foi elaborado no Ăąmbito do 9Âș Curso de Mestrado em Cuidados Paliativos (CP) da Escola Superior de SaĂșde Dr. Lopes Dias, do Instituto PolitĂ©cnico de Castelo Branco. Este trabalho â realizado apĂłs terminado o estĂĄgio profissional do plano curricular do curso â Ă© de carĂĄcter reflexivo e a sua finalização tem em vista a conclusĂŁo do ciclo de estudos e, consequentemente, a obtenção do grau de Mestre em CP.
O relatĂłrio foi realizado de modo a responder aos objetivos que o curso estabelece, os quais nortearam o desenvolvimento da prĂĄtica clĂnica em estĂĄgio e a escrita do relatĂłrio.
Este trabalho consiste na reflexĂŁo crĂtica da prĂĄtica clĂnica atravĂ©s da anĂĄlise da consecução dos objetivos delineados nĂŁo sĂł recorrendo Ă literatura cientĂfica atual e apropriada, mas tambĂ©m mediante o uso de casos clĂnicos e com base nos quatro pilares fundamentais dos CP: controlo de sintomas, comunicação adequada, trabalho em equipa e apoio Ă famĂlia.
No Ăąmbito do projeto de intervenção deste relatĂłrio, foi identificada a necessidade formativa na Unidade de Cuidados Paliativos onde trabalho, nomeadamente na ĂĄrea de estudos do meu interesse: o impacto na famĂlia da perda de via oral no doente em Ășltimos dias e horas de vida (UDHV). Trabalhando em CP enquanto enfermeira, essa ĂĄrea sempre foi muito desafiante para mim e no seio da equipa, suscitando dificuldades na comunicação com as famĂlias e alguns obstĂĄculos na relação terapĂȘutica. Depois da pesquisa de literatura acerca do tema e da realização do estĂĄgio, planeei e realizei sessĂ”es formativas dirigidas aos profissionais de saĂșde no meu local de trabalho.
O investimento em formação em CP Ă© fundamental para o desenvolvimento pessoal e profissional daqueles que nessa ĂĄrea trabalhem, uma vez que contribui para a atualização de conhecimentos, o que proporcionarĂĄ uma prestação de cuidados de maior qualidade aos doentes e famĂlias que atravessam por um perĂodo de transição saĂșde-doença, ao qual se devem ajustar da melhor forma possĂvel. Sabe-se que a perda de via oral nos doentes em UDHV tem impacto nas famĂlias, jĂĄ que constitui uma perda marcante, sendo um tĂłpico que carece de mais investigação para melhor se compreender de que forma impacta os familiares e de que forma a equipa de saĂșde pode melhor intervir.
Abstract: This report is done in the context of the 9th Master's Course in Palliative Care (PC) at the Escola Superior de SaĂșde Dr. Lopes Dias, of the Instituto PolitĂ©cnico de Castelo Branco. Finished after completing the professional internship of the course's curricular plan, this work is reflexive and aims to complete this course and, consequently, obtaining a Master's degree in CP. This work intends to respond to the objectives established by the course, which guided the development of clinical practice internship and the writing of the report. Within the scope of the intervention project of this report, a training need was identified in the Palliative Care Unit where I work, namely in the area of study of my interest: the impact on the family of the reduced oral intake in the patient in the last days and hours of life. Working in PC as a nurse, this area has always been very challenging for me and within the team, causing difficulties in communicating with families and some obstacles in the therapeutic relationship. After researching the literature on the subject and finishing the clinical practice internship, I planned and organized training sessions that targeted the health professionals at my workplace. Investment in training in PC is essential for the personal and professional development of those who work in this area, as it contributes to updating knowledge, which will provide better quality care to patients and families who are going through a period of health-disease transition, to which they must adjust as best as possible. It is known that, for families, the changes in hydration and nutrition resulting from the end-of-life process can impact them, as the reduced oral intake is a significant loss. This is a topic that needs further investigation to better understand how it impacts family members and how the health team can intervene.
Abstract: This report is done in the context of the 9th Master's Course in Palliative Care (PC) at the Escola Superior de SaĂșde Dr. Lopes Dias, of the Instituto PolitĂ©cnico de Castelo Branco. Finished after completing the professional internship of the course's curricular plan, this work is reflexive and aims to complete this course and, consequently, obtaining a Master's degree in CP. This work intends to respond to the objectives established by the course, which guided the development of clinical practice internship and the writing of the report. Within the scope of the intervention project of this report, a training need was identified in the Palliative Care Unit where I work, namely in the area of study of my interest: the impact on the family of the reduced oral intake in the patient in the last days and hours of life. Working in PC as a nurse, this area has always been very challenging for me and within the team, causing difficulties in communicating with families and some obstacles in the therapeutic relationship. After researching the literature on the subject and finishing the clinical practice internship, I planned and organized training sessions that targeted the health professionals at my workplace. Investment in training in PC is essential for the personal and professional development of those who work in this area, as it contributes to updating knowledge, which will provide better quality care to patients and families who are going through a period of health-disease transition, to which they must adjust as best as possible. It is known that, for families, the changes in hydration and nutrition resulting from the end-of-life process can impact them, as the reduced oral intake is a significant loss. This is a topic that needs further investigation to better understand how it impacts family members and how the health team can intervene.
Description
Keywords
Cuidados paliativos Ăltimos dias de vida e horas de vida Perda de via oral Alimentação em fim de vida FamĂlia Palliative care Last hours and days of life Reduced oral intake End-of-life nutrition Family