Loading...
Publication
Sobrecarga do familiar cuidador da pessoa com quadro de demência, em contexto domiciliário.
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 3.9 MB | Adobe PDF |
Advisor(s)
Abstract(s)
elaboração do projeto “Re...lembrar” resultou de uma necessidade real da Unidade de Cuidados na Comunidade, pelo que a sua realização além de um desafio foi uma imensa satisfação. A definição do problema foi: “Quais as necessidades de cuidados de enfermagem de saúde mental e que apoio dar aos utentes e cuidadores informais com necessidade de cuidados na área da saúde mental”. O diagnóstico da situação foi efetuado na UCC, tendo sido utilizados os seguintes instrumentos de avaliação de diagnóstico: análise SWOT, FMEA, questionário e notas de campo. O objetivo geral deste projeto foi prestar cuidados de Enfermagem de Saúde Mental à pessoa/família/comunidade, sendo especialmente dirigido para a promoção da saúde, adaptação e reabilitação dos processos de saúde e doença, em especial idosos com demência e em risco de depressão. As Atividades/Estratégias desenvolvidas foram: fornecer informação e participar na formação dos Enfermeiros das equipas das unidades funcionais, prestar cuidados ao utente com quadro de demência e depressão no idoso, promover e reabilitar os cuidadores informais na demência e os familiares com utentes em fase terminal. A execução do projeto desenvolveu-se no ACES, na UCC. Desde o início do projeto foram efetuadas: 205 visitas domiciliárias, 245 intervenções (sendo que 181 intervenções de continuidade), 24 consultas de enfermagem de 1ª vez e 77 consultas de enfermagem de continuidade. Na avaliação do projeto e de forma a dar resposta aos objetivos específicos, dos 24 utentes avaliados inicialmente, 16 utentes /famílias foram incluídos no projeto Re…Lembrar, 9 com quadro de demência e 7 com sintomas depressivos, das quais 8 famílias em sobrecarga do cuidador. A evolução do conceito de Saúde Mental Comunitária coloca novos desafios aos enfermeiros, exigindo-se um conjunto de novas intervenções e estratégias face ao aumento da esperança de vida dos utentes com agravamento dos défices cognitivos, com sobrecarga da família envolvida nos cuidados, cabendo às instituições dar resposta às necessidades da pessoa, família e comunidade.
Abstract: The development of the project "Re ... lembrar" resulted from a real need of the Community Care Unit, so its achievement was both a challenge and a great satisfaction. The problem definition was: "What are the needs for nursing care for mental health and what kind of support it gives to patients and informal caregivers in need of care in mental health" The diagnosis of the situation was made in the UCC, using the following diagnostic assessment tools: SWOT, FMEA, questionnaire and field notes. The main goal this project was to provide nursing care for Mental Health to the person - family - community, mostly directed to health promotion, adaptation and rehabilitation of health and disease processes, especially on elderly patients with dementia and depression risk. The activities / strategies developed were: to provide information and to participate in the formation of teams of nurses of the functional units, to provide care to the elderly patients in the process of dementia and depression, to promote and to rehabilitate the informal caregivers in cases of dementia and relatives of patients in end-stage situation. The project was developed in ACES in UCC. Since the project began were made: 205 home visits, 245 interventions (181 continuity interventions), 24 nursing visits for the 1st time and 77 nursing visits for continuity. Evaluating the project and in order to fulfill the specific goals of the 24 patients initially evaluated, 16 clients - families were included in the project “Re ... lembrar”: 9 with dementia, 7 with depressive symptoms and 8 of these families revealed overcharged caregiver. The evolution of the concept of Community Mental Health brings new challenges to the nurses, requiring a set of new strategies to face the increasing of life expectancy of the patients with progressive cognitive deficits, with the overcharged relatives involved in the caring process, demanding the institutions to create solutions for the individuals, families and community’s situations.
Abstract: The development of the project "Re ... lembrar" resulted from a real need of the Community Care Unit, so its achievement was both a challenge and a great satisfaction. The problem definition was: "What are the needs for nursing care for mental health and what kind of support it gives to patients and informal caregivers in need of care in mental health" The diagnosis of the situation was made in the UCC, using the following diagnostic assessment tools: SWOT, FMEA, questionnaire and field notes. The main goal this project was to provide nursing care for Mental Health to the person - family - community, mostly directed to health promotion, adaptation and rehabilitation of health and disease processes, especially on elderly patients with dementia and depression risk. The activities / strategies developed were: to provide information and to participate in the formation of teams of nurses of the functional units, to provide care to the elderly patients in the process of dementia and depression, to promote and to rehabilitate the informal caregivers in cases of dementia and relatives of patients in end-stage situation. The project was developed in ACES in UCC. Since the project began were made: 205 home visits, 245 interventions (181 continuity interventions), 24 nursing visits for the 1st time and 77 nursing visits for continuity. Evaluating the project and in order to fulfill the specific goals of the 24 patients initially evaluated, 16 clients - families were included in the project “Re ... lembrar”: 9 with dementia, 7 with depressive symptoms and 8 of these families revealed overcharged caregiver. The evolution of the concept of Community Mental Health brings new challenges to the nurses, requiring a set of new strategies to face the increasing of life expectancy of the patients with progressive cognitive deficits, with the overcharged relatives involved in the caring process, demanding the institutions to create solutions for the individuals, families and community’s situations.
Description
Relatório do trabalho de Projeto apresentado para cumprimento dos requisitos necessários à atribuição de título de Mestre em Enfermagem de Saúde Mental e Psiquiatria.
Keywords
Projeto Enfermagem de Saúde Mental e Psiquiatria Comunidade Cuidadores informais Demência Project Nursing for mental health and psychiatry Community Informal caregivers Dementia
Citation
Publisher
Instituto Politécnico de Setúbal. Escola Superior de Saúde