Cuidados conduzidos por enfermeiros em gastrostomia: Proposta de Valor
DOI:
https://doi.org/10.31877/on.2025.51.06Palavras-chave:
Gastrostomia, Enfermeiro especialista, Proposta de valor, Cuidado centrado na pessoa, Consulta de enfermagem, Cuidados conduzidos por enfermeiroResumo
A sonda de gastrostomia percutânea radiológica é crucial para fornecer nutrição entérica em doentes com cancro. Envolve quatro etapas: consulta para tomada de decisão, admissão hospitalar, implantação do dispositivo numa sala híbrida e alta para a comunidade. Os cuidados são liderados por médicos. No entanto, a expansão das intervenções lideradas por enfermeiros pode aliviar a carga sobre o radiologista de intervenção, melhorar a integração dos cuidados e potenciar resultados como a qualidade de vida, o envolvimento do doente e a sua satisfação. O envolvimento do enfermeiro especialista em enfermagem médico-cirúrgica, guiado por expertise clínica e princípios de cuidados centrados na pessoa, assegura acompanhamento eficaz e individualizado. Embora os cuidados liderados por enfermeiros mostrem potencial, o seu impacto económico permanece pouco explorado, levantando preocupações sobre a eficiência de custos na gestão da gastrostomia. Este artigo defende um modelo alternativo para otimizar os cuidados, abordando lacunas enquanto mantém a qualidade e, potencialmente, alcança maior custo-efetividade.
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Direitos de Autor (c) 2025 Davide Fernandes, Ana Lopes
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