Da competência à proficiência, transformar a enfermagem

: relatório de estágio

Abstract

A nurse specialised in Community Nursing must be able to build a health diagnosis regarding the individual, family and community, identify action priorities and define, implement and evaluate community intervention projects. To meet these demands and achieve proficiency at some interventions were structured, based on advanced nursing practice. These interventions have been implemented and revised pursuant to the reality and available resources. To examine the reality it is essential to take into account the changes that the age pyramids have been experiencing over the time in Portugal. There has been a steadily aging of the population which is reflected in the increase of morbidities associated with this stage – chronic and degenerative diseases, dementia, organ dysfunction, oncological diseases - which can, in certain situations, lead to the need to provide palliative care. The Maia City is no exception to the national demographic trends, although the rate of aging here is slightly below the national average. Therefore, a diagnosis was performed to identify the health needs of palliative care clients and caregivers accompanied by nurses at home, belonging to the Lidador, the Odisseia and the Pirâmides family health units, resident in the parishes of Gueifães, Milheirós and Vermoim, such as all health professionals of the Maia Health Centers Group, in order to identify their training needs in the first stage module of Community Nursing. After prioritizing the needs in a consensus of experts, it was identified in third place, in order of importance, the need for training caregivers on the care of clients with functional dependence (45% of caregivers) and the need for training of health professionals ACES Maia on the administration of subcutaneous drugs (67% identified the need for training in symptom control, for which this pathway is crucial). To respond to this, home visits were made to caregivers in need of health education. The training was implemented in accordance with the diagnosis made. Regarding the need for training of health workers on the administration of subcutaneous drugs, training sessions were designed and performed on the same subjects at three different times. In the third (optional) module, the community intervention project, addressed the needs of students in the seventh year of a school of the second and third cycle of basic education, with regard to the practice of bullying. This report is intended to achieve a description of the intervention projects undertaken, such as rating, with health gains achieved.

Date of Award	May 2011
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Norminda Gomes Vale Magalhães (Supervisor)