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Cardiotoxicidade associada ao tratamento antineoplásico na pessoa com cancro da mama
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Enquadramento: a Especialidade em Enfermagem Médico-Cirúrgica prevê uma prática profissional avançada dirigida à pessoa em situação crítica, que se alicerça em métodos e em técnicas de investigação que apoiem uma prática especializada em consonância com a evidência científica mais atual. O Enfermeiro Especialista deve cuidar da pessoa em situação crítica e respetiva família a vivenciar processos complexos, otimizando o ambiente e os processos terapêuticos e maximizando a intervenção na prevenção e controlo da infeção e de resistência a antimicrobianos perante a pessoa a vivenciar processos médicos (Regulamento nº 429/2018 de 16 de julho, 2018).
Objetivos: descrever o percurso desenvolvido para a obtenção de conhecimentos e competências específicas da Enfermagem Médico-Cirúrgica, na área da Enfermagem à Pessoa em Situação Crítica e desenvolvimento de investigação científica.
Metodologia: foi elaborado um relatório final com uma componente clínica, de forma expositiva e reflexiva, e uma componente de investigação, através da realização de um estudo de caso e de um estudo observacional, retrospetivo e descritivo-correlacional, com o objetivo de avaliar o impacto do tratamento antineoplásico na função cardíaca no doente com cancro da mama.
Conclusão: o estágio permitiu mobilizar conhecimentos, adquirir e desenvolver competências específicas por forma a prestar cuidados de saúde de qualidade, baseados na evidência científica, intervir de forma holística, em tempo útil, priorizando intervenções de acordo com os processos complexos associados à doença aguda e/ou crónica, e potenciar o desenvolvimento de investigação na prática através da elaboração da componente de investigação.
Palavras-chave: Enfermagem; Pessoa em Situação Crítica; Cardiotoxicidade; Tratamento Antineoplásico; Cancro da Mama.
Abstract Context: this master’s degree involves advanced professional practice aimed at individuals in critical situations, grounded in research methods and techniques that support specialized practice in alignment with the most current scientific evidence. The Clinical Nurse Specialist must care for individuals in critical situations and their families, helping them navigate complex processes, optimizing the environment and therapeutic processes and maximizing the intervention in the prevention and control of infection and antimicrobial resistance in patients undergoing medical processes (Regulation nº 429/2018, July 16, 2018). Objectives: describe the path taken to acquire knowledge and specific skills in Medical-Surgical Nursing, particularly in Critical Care Nursing, and the development of scientific research. Methodology: a final report was prepared with a clinical component, presented in both an expository and reflective manner, and a research component through the implementation of a case report and a retrospective, observational, descriptive-correlational study aimed at assessing the impact of antineoplastic treatment on cardiac function in cancer breast cancer patients. Conclusion: the internship allowed the mobilization of knowledge, acquisition and development of specific skills to provide quality healthcare, based on scientific evidence, to intervene holistically in a timely manner, prioritizing interventions according to the complex processes associated with acute and/or chronic illness, and enhancing the development of research in practice through the creation of the research component. Keywords: Nursing; Critical Care; Cardiotoxicity; Antineoplastic Treatment; Breast Cancer
Abstract Context: this master’s degree involves advanced professional practice aimed at individuals in critical situations, grounded in research methods and techniques that support specialized practice in alignment with the most current scientific evidence. The Clinical Nurse Specialist must care for individuals in critical situations and their families, helping them navigate complex processes, optimizing the environment and therapeutic processes and maximizing the intervention in the prevention and control of infection and antimicrobial resistance in patients undergoing medical processes (Regulation nº 429/2018, July 16, 2018). Objectives: describe the path taken to acquire knowledge and specific skills in Medical-Surgical Nursing, particularly in Critical Care Nursing, and the development of scientific research. Methodology: a final report was prepared with a clinical component, presented in both an expository and reflective manner, and a research component through the implementation of a case report and a retrospective, observational, descriptive-correlational study aimed at assessing the impact of antineoplastic treatment on cardiac function in cancer breast cancer patients. Conclusion: the internship allowed the mobilization of knowledge, acquisition and development of specific skills to provide quality healthcare, based on scientific evidence, to intervene holistically in a timely manner, prioritizing interventions according to the complex processes associated with acute and/or chronic illness, and enhancing the development of research in practice through the creation of the research component. Keywords: Nursing; Critical Care; Cardiotoxicity; Antineoplastic Treatment; Breast Cancer
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Keywords
Antigénio de diferenciação de linfócitos B - efeitos secundários Antineoplásicos imunológicos Cardiomiopatia de Takotsubo Cardiotoxicidade Competência profissional Desidratação Enfermagem médico cirúrgica Neoplasias da mama - quimioterapia Serviço de urgência hospitalar Trastuzumab Unidades de cuidados intensivos Antigens differentiation B-Lymphocyte - adverse effects Antineoplastic agents immunological Breast neoplasmos - chemotherapy Cardiotoxicity Dehydration Emergency service hospital Intensive care units Medical surgical nursing Professional competence Takotsubo cardiomyopathy
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