Doente crítico

: foco dos cuidados especializados e humanizados

Abstract

This report was written based on the criteria presented on the study plan of the 13 th Master in Nursing with Specialization in Medical-Surgical Nursing, at the Escola de Enfermagem (Porto), Instituto de Ciências da Saúde da Universidade Católica Portuguesa, representing the course unit “Final Stage and Report”, that happen between a period of twenty weeks, from 07/09/2020 to 08/02/2021 of the current academic year. Before each placement, I have structured a project, and considering this, the purpose of this essay is to document the experiences and skills acquired in different areas – a general intensive care unit, located in the north of the country, and a Pre-Hospital Assistance at the National Institute of Medical Emergency. It was used an analytic and descriptive methodology but, mainly, a critical-reflexive one, to give emphasis to the entire training and learning processes, towards nursing specialization, with all the inherent skills, in particular, problem resolution, management, training, research, guidance, and differentiated care based on current evidence for critical patients. Structurally, this report is organized according to the common domains of the nurse specialist recommended by the Portuguese Nursing Council in 2019: Professional responsibility, ethics and law; development of professional skills. In conjunction with this, another chapter was created regarding specific and important skills of the Nurse Specialist in Medical-Surgical Nursing due to the enhancement that they give to my profile as a specialized care professional. Cross-sectional to the entire placement, this report shows my proactivity in search for knowledge, and the ongoing improvement of my clinical assessment, critical thinking and judgment, which is essential to the formation of diagnosis and problem resolution. Care was provided to the critical patient and his family that were experiencing acute health disease transitions in several urgent and emergent situations that were vital to the acquisition of specific skills. I will also highlight the attainment of training moments through the identification of education needs about current and relevant subjects for the improvement of practice and excellence of care that is provided, offering in this way my positive contribution to the multidisciplinary team and to the work placements. In this context, this is a report created on the basis of an introspective and retrospective reflection constituting itself in a learning tool. I consider that the initial objectives were achieved, and the conclusion portrays, in a parallel form to the all document, the culmination of a difficult but productive path with constant improvement and acquisition of skills, abilities, knowledge and competencies related to the care of the person in a critical situation, in the sphere of care in Medical-Surgical Nursing, with expertise and mastery.

Date of Award	25 May 2021
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Ana Sousa (Supervisor)