Atuação da enfermagem no cuidado do paciente com sequelas de COVID-19

Abstract

Introduction: At this point in the pandemic, evidence of post-disease clinical sequelae is numerous. Relevant health harms persist beyond the acute period of Covid-19, involving pulmonary and extrapulmonary systemic manifestations. Health care systems currently face an increasing proportion of survivors with sequelae from the disease, requiring a rapid response from post-acute care and rehabilitation specialists. Objectives: To apply the nursing process to an adult person with sequelae after hospitalization for Covid-19, based on Virginia Henderson's theory; and to analyze, based on the literature, the nursing performance regarding the management and rehabilitation of the sequelae of Covid-19. Methods: Experience Report that addresses the Nursing care provided to a person with sequelae of severe Covid-19, in the home context; and Integrative Review, with search in the databases: Lilacs, MEDLINE, SciELO, PubMed Central, BDENF, Scopus and Embase. Three studies were selected. Results: Henderson's theory identified changes in the following needs: eating and drinking adequately; moving around and keeping a desirable posture; keeping the body clean and well groomed and protecting the skin; as well as participating in recreational activities and communicating with other people in expressing emotions, needs, fears or opinions; From the articles analyzed the main points found were the need for readjustment of services, the nursing leadership role, family participation as a contributor and point of attention of the service and the difficulties presented by professionals in performing their actions. Conclusion: The current scenario explains the importance of rehabilitation care as a permanent service of attention, to be established as routine practices in the various levels of health care. For this, it highlights the need for nursing support in its technical-scientific framework, in addition to government support, with the establishment and consolidation of protocols and mechanisms for action.