Dispneia em cuidados paliativos: registos de enfermagem e a autoavaliação da dispneia

Background: The integration of a quantitative assessment of dyspnea in nursing records (NR) allows adjusting nursing care delivery to each patient's needs. Objectives: To compare NR and the self-assessment of dyspnea intensity using the Numerical Rating Scale (NRS) in patients with advanced pro...

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Published inReferência (Coimbra) Vol. serIV; no. 16; pp. 53 - 62
Main Authors Alves, Ana Raquel Margarido Vaz, Pina, Paulo Sérgio dos Reis Saraiva
Format Journal Article
LanguageEnglish
Portuguese
Published Coimbra Escola Superior de Enfermagem de Coimbra 2018
Escola Superior de Enfermagem de Coimbra - Unidade de Investigação em Ciências da Saúde - Enfermagem
Subjects
Chronic illnesses
Chronic obstructive pulmonary disease
Dyspnea
NURSING
Nursing care
Palliative care
Self evaluation
Portugal
nursing records
disnea (clasificación)
registros de enfermagem
disnea (enfermeira)
dispneia (classificação)
palliative care
avaliação da dispneia
dyspnea (classification)
assessment of dyspnea
evaluación de disnea
dyspnea (nursing)
cuidados paliativos
dispneia (enfermagem)
registros de enfermería
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Summary:Background: The integration of a quantitative assessment of dyspnea in nursing records (NR) allows adjusting nursing care delivery to each patient's needs. Objectives: To compare NR and the self-assessment of dyspnea intensity using the Numerical Rating Scale (NRS) in patients with advanced progressive chronic disease and palliative care needs who were admitted to internal medicine wards. Methodology: A quantitative study was conducted using a cross-sectional, descriptive, and observational approach. The NRS was applied to assess dyspnea intensity. Seventy-seven NR were selected using a non-random, purposive sampling technique. Results: Nurses diagnosed dyspnea at rest and/or functional dyspnea correctly without using a dyspnea assessment tool. Not all patients diagnosed with dyspnea had nursing care plans. In addition, the specific nursing interventions do not consider all dimensions of total dyspnea. Conclusion: Quantitative NR allow for a more accurate identification, monitoring, and management of dyspnea. A more systematic approach to dyspnea in patients with palliative care needs is required.
ISSN:0874-0283
2182-2883
DOI:10.12707/RIV17075