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Abstract(s)
A realização deste Relatório de Estágio enquadra-se no âmbito do Curso de Pós – Licenciatura de Especialização em Enfermagem Médico – Cirúrgica e do Mestrado em Enfermagem Médico- Cirúrgica da Escola Superior de Enfermagem de Viseu e, tem como objetivo descrever, fundamentar e analisar as atividades desenvolvidas, ao longo dos estágios do Serviço de Urgência e Unidade de Cuidados Intensivos, e que contribuíram para a aquisição das competências comuns do enfermeiro especialista e para a aquisição das competências específicas do enfermeiro em Enfermagem Médico – Cirúrgica na área de Enfermagem à Pessoa em Situação crítica.
No contexto deste relatório final, surge a realização de um estudo de investigação, baseado na prática clínica numa área de especial interesse e motivação, integrada no âmbito dos ensinos clínicos, o trauma.
Sendo o trauma uma emergência médica e uma das maiores causas de mortalidade e morbilidade com lesão permanente da população, e, a hemorragia uma das maiores causas de morte, levando rapidamente ao choque hipovolemico, é necessária uma intervenção terapêutica imediata para controlar as condições que coloquem em risco a vida ou possibilitem sequelas irreversíveis às vítimas. Tendo em consideração o papel determinante do enfermeiro na abordagem precoce às vítimas de trauma no Serviço de Urgência, conduziu-se uma investigação com o objetivo de avaliar a eficácia das intervenções de enfermagem no controlo da hemorragia, na estabilização hemodinâmica e na gestão da dor aguda e desta forma contribuir para a melhoria contínua dos cuidados de enfermagem prestados às vítimas de trauma.
Palavras-chave: Competências Enfermagem; Cuidados Críticos; Trauma.
Abstract This Internship Report was carried out within the scope of the Post-Bachelor Specialization in Medical-Surgical Nursing and the Master's Degree in Medical-Surgical Nursing at Escola Superior de Enfermagem de Viseu. It aims to describe, validate and analyse the activities which were developed during the internships at the Emergency Service and the Intensive Care Unit and that contributed to the acquisition of the common and specific skills of the specialist nurse in Medical-Surgical Nursing in the area of Nursing to the Person in Critical Situation. In the context of this report, a research study was carried out. This research study was based on the clinical practice in an area of special interest and motivation within the scope of clinical teaching: trauma. Trauma is a medical emergency and one of the main causes of mortality and morbidity with permanent injury among the population; haemorrhage is also one of the main causes of death as it quickly leads to hypovolemic shock. For these reasons, immediate therapeutic intervention is needed to control life-threatening conditions or to avoid irreversible sequelae to the victims. Considering the crucial role of nurses in the early approach to trauma victims in the Emergency Service, an investigation, aiming at evaluating the effectiveness of their interventions in the control of haemorrhage, hemodynamic stabilization and the management of acute pain, was carried out. This way, this study can contribute to the continuous improvement of nursing care provided to trauma victims. Keywords: Nursing Skills; Critical Care; Trauma.
Abstract This Internship Report was carried out within the scope of the Post-Bachelor Specialization in Medical-Surgical Nursing and the Master's Degree in Medical-Surgical Nursing at Escola Superior de Enfermagem de Viseu. It aims to describe, validate and analyse the activities which were developed during the internships at the Emergency Service and the Intensive Care Unit and that contributed to the acquisition of the common and specific skills of the specialist nurse in Medical-Surgical Nursing in the area of Nursing to the Person in Critical Situation. In the context of this report, a research study was carried out. This research study was based on the clinical practice in an area of special interest and motivation within the scope of clinical teaching: trauma. Trauma is a medical emergency and one of the main causes of mortality and morbidity with permanent injury among the population; haemorrhage is also one of the main causes of death as it quickly leads to hypovolemic shock. For these reasons, immediate therapeutic intervention is needed to control life-threatening conditions or to avoid irreversible sequelae to the victims. Considering the crucial role of nurses in the early approach to trauma victims in the Emergency Service, an investigation, aiming at evaluating the effectiveness of their interventions in the control of haemorrhage, hemodynamic stabilization and the management of acute pain, was carried out. This way, this study can contribute to the continuous improvement of nursing care provided to trauma victims. Keywords: Nursing Skills; Critical Care; Trauma.
Description
Keywords
Cuidados críticos Cuidados de enfermagem Doença crítica Enfermagem médico-cirúrgica Ferimentos e lesões Serviço de urgência hospitalar Unidades de cuidados intensivos Critical care Critical illness Emergency service, hospital Intensive care units Medical-surgical nursing Nursing care Wounds and injuries