Intervenção de enfermagem à pessoa em situação crítica com necessidade da técnica de substituição da função renal contínua

Abstract

The present report emerges in the context of the curricular unit “Final Internship with Report” from the 15º master's degree in medical-surgical nursing in the critically ill patient, at the Instituto de Ciências da Saúde da Universidade Católica Portuguesa. This text intends to describe and analyze, in a critical way, the educational path through descriptive analysis and reflection, of developed activities and specialised nursing skills during the final internship. The internship in the context of an intensive care unit, which, along with previously acquired skills as a nurse in general care, aimed to develop knowledge and technical, scientific, ethic and relational skills in individualised nursing care directed to the patient and family, helping them to deal with the complexity of the critical disease and/or multiorganic failure. It also contributed to the articulation of multidisciplinary team and care management optimisation to answer each patient's needs. Jean Watson’s model sustained and guided nursing care and thoughts during this process. The research carried out, presented in the form of a scoping review, following The Joanna Briggs Institute methodology, intends to contribute to the knowledge of nursing and quality of care, being the central issue to review “Nursing care in central venous catheter management in a critically ill patient undergoing renal replacement therapy”. The study allowed identifying nursing interventions related to hemodialysis central venous catheters, such as patient positioning, nursing care directed to the central venous catheter insertion site, permeability management and connexion of the vascular access to extracorporeal circuit. Besides manipulating the device, it also allowed identifying interventions directed to preventing complications related to central venous catheter during the technic, such as infection prevention and control, or even preventing or recovering a central venous catheter from thrombosis.

Date of Award	19 Jun 2023
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Sílvia Caldeira (Supervisor)