Cuidar o doente crítico

Abstract

This report is the result of experiences during the clinical trainings spent in the North Regional Branch of the National Institute of Medical Emergency (INEM) and the Department of Surgical Intensive Care (SCIC) of the Hospital Pedro Hispano. The report favours a critical reflection based on the general and specific objectives set, taking into account the ethical, legal and social aspects of them and proving the ability to communicate adequately the conclusions received. Reports the acquisition and development of knowledge and skills for nursing care of adult and elderly patients who experience various health/critical illness and organ failure which can lead to death, in the area of Medical-Surgical Nursing. The clinical training is a crucial period in the training for nurses. The jurisdiction exists only when it is applied, that means, its production is made by the school and by the place where it is applied, the latter having a crucial role. The performance on clinical training at the pre-hospital assistance made possible to develop skills in care, screening, counseling, selection and activation of appropriate means of assistance for emergency and rescue or disaster, and the stabilization and monitoring during transport to the health unit.With the awareness that the needs for health care are increasingly complex, I adopted a work methodology based on protocols and procedures defined, respecting the international recommendations. Thus, the care was provided in an appropriate manner, directed and specialized, ensuring their quality.The clinical training at SCIC allowed the provision of specialized and comprehensive care for patients with organ dysfunction, supporting, preventing and reversing failures with vital implications and enabling the delivery of comprehensive care to the patient.The unit has facilitated the acquisition of skills and training in providing care to critically ill patients in critical condition, believed to be recoverable, requiring a constant monitoring and assistance by teams of medical and nursing staff. The combination of knowledge, know-how and experience and behavior exercised, both within the pre-hospital and in intensive care, made possible the acquisition of skills in the area of specialization through concerted intervention in nursing, promoting continuity of care and the acquisition of autonomy in work performance.

Date of Award	Mar 2010
Original language	English
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Amélia Ferreira (Supervisor)