Decisão de não reanimação

: decisão multidisciplinar

Abstract

This report describes the entire process of skills and knowledge acquired and specialized in Medical Surgical Nursing. To provide care to the critical patient, it is for the specialist nurse in this area, mandatory to develop not only scientific, technical, ethical, and relational skills but it is also important to expand the knowledge in management, training and research skills. Therefore, throughout this compendium it is possible to find the description of the activities and the specialized skills, developed by myself and mainly acquired in two different placements: At ILS (Immediate Life Support) and at ICU (Intensive Care Unit). Over time, it was identified vulnerable and critical situations where vigilance and monitoring were constant so, communicational and emotional skills were highly developed in order to promote comfort, safeness and life quality to the patients. The topic I have chosen to be developed over this period could not be more relevant and it is included in a transversal way throughout the report, since it is demonstrated how the specialist nurse's attitude leads to a better care. The Do Not Attempt CardioPulmonary Resuscitation (DNACPR) or in Portuguese the Decisão de Não Reanimação (DNR) as a multidisciplinary decision, will reflect on the importance of getting everyone involved in patient's life and in his care and that will lead to a better and healthier decision An interdisciplinary, ethical, responsible and thoughtful decision. According to the literature review, those involved in the non-resuscitation decision were indicted and justified its imposition in the decision process, following that, it was justified why the importance of multidisciplinary decisions and the success of that in patients’life.

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