Identificação e manutenção do potencial dador de órgãos em morte cerebral

: intervenções de enfermagem

Abstract

This report is part of the Course: Final apprenticeship and Report, inserted in the Master's course in Medical-Surgical Nursing in the Area of Nursing for the Person in Critical Situation, of the Institute of Health Sciences, Catholic University of Portugal. It hopes to translate how it was possible to meet the objectives of the course: The Person in Critical Situation and Family - Clinical Surveillance and Decision, which had a workload of 180 hours, under the clinical tutoring of Nurse Mário Clemente at the Medical-Surgical Intensive Care Unit of Hospital de Santa Maria, It also addresses the course Apprenticeship and Report, held at the Central Emergency Service (SUC) of Hospital de Santa Maria under the clinical tutoring of the Specialized Nurse André Martins and at the Harvest Coordinating Office and Transplantation of Hospital de São José under the clinical tutoring of Specialized Nurse Fernando Rodrigues Organ transplantation is an effective therapeutic option (in most situations as the last option)for the control and treatment of organ or tissue failure (Lucas, 2017). It is a subject of great ethical-legal and logistical complexity, with a continuous disparity between the high numberof organs required and the amount of available grafts, as its biggest challenge (Lucas, 2017).Organ transplantation with brain-dead donors has grown exponentially in Portugal, with an increase in the rate of organ use, from brain dead donors, from 78% to 84% compared to 2018 (IPST, 2021). This success is a direct result of the quality of care provided to potential donors. It is, therefore, essential that health professionals, and specifically nurses who occupy a privileged position for the early identification of potential organ donors, be made aware of this problem, and keep constant knowledge updated. The nurse, particularly the specialized nurse in the care of the person in a critical condition, brings together a set of technical, scientific and humanistic skills that position him as a fundamental element for the identification and maintenance of a potential organ donor. The specialized Nurse needs to mobilize common and specific knowledge and skills in the search for a holistic response to the complexity of health situations and the needs of the person in a situation of critical illness, where time is decisive for the final outcome, from which the area of transplantation is a good illustration.

Date of Award	15 May 2023
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Sérgio Deodato (Supervisor)