Da prevenção ao cuidado à pessoa em situação crítica com delirium

: uma intervenção especializada

Abstract

This report intends to describe the learning curve both impacted on by personal experiences and activities in a clinical practical environment and developed and concluded projects. Hence, the goals of this report are to make a description and a clinic-reflexive analysis in the development of the common and specific skills acquired in the roles of Nurse Specialist in Medico-Surgical Nursing and Master, in the field of nursing related to the patient in critical care, during a training period at the Intensive Care Unit and Emergency Department. In this journey of professional and personal growth, I had always in mind the patient in critical condition and the family when providing care, and aiming to expand my ethical, technical, scientifical and interpersonal skills, which are altogether involved in the specialised care of the patient in critical condition and the family and contribute to the improvement of care quality in nursing. The environment of Intensive Care and Emergency Department have extremely specific physical, psychological, social, and cultural characteristics and adding the factor of unpredictability due to the volatility of the patient’s clinical chart, the unit dynamics, the technology complexity and care, which arouse an additional need for comfort. And it was this necessity of comfort that directed me during my clinical practice. In the continuous search of excellence exerted in professional practice, intending to prevent complications and potential problems, I elaborated an interventional project in the prevention and care of patient in critical care diagnosed with Delirium. The work project methodology was chosen for it being a dynamic process that centres in investigation, analysis and problem solving and postulates the implication of all intervenient and population of which this project focuses on. During the development of this project, comfort arises as a major construct in central care, it is present in pharmacological and non-pharmacological and multicomponent measures, stemmed on four contexts: physical, sociocultural, psychospiritual and environmental. Throughout the intervention project, I have come to believe it was an enriching process that made an important contribution to my learning, having application on the development of my investigative and other specific skills impacting on the understanding and management of nursing care quality. Furthermore, it enabled me to develop solutions including a reflection about the implications and responsibilities of ethical and social derived from these solutions, beyond future contributions it may bring, it created a dynamic which enters in the cycle of improvement of quality in nursing care. In the course of my learning, including theorical, practical and reflective experiences, my critical thinking was challenged, and they were impacting and essential for the change occurring gradually in my attitude towards my profession. The personal and professional enrichment was vast. In retrospect to the future, my skills and attitude I have been developing must be part of clinical practice to ensure the quality of nursing care. The continuous commitment for better care and strategies having as base a better clinical evidence, a constant!

Date of Award	6 Dec 2021
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Lurdes Martins (Supervisor)