Search

O estudo objetivou identificar diagnósticos de enfermagem e elaborar plano de cuidado à pessoas com transtorno mental. Trata-se de uma pesquisa de prática assistencial desenvolvida de março a junho de 2008 com 10 pacientes de uma unidade de internação integral feminina, em hospital especializado em psiquiatria situado em um município do Paraná. Os dados foram obtidos por meio da consulta de enfermagem. Da análise, interpretação e julgamento clínico das respostas apresentadas foram obtidos 13 diagnósticos e 57 intervenções de enfermagem, organizados segundo o modelo de estrutura da taxonomia proposto por North American Nursing Diagnosis Association. Foi possível por em prática um agir terapêutico e perceber a possibilidade de elaborar intervenções de enfermagem com a participação do paciente. As atividades e responsabilidades inerentes ao enfermeiro tornaram-se explícitas, bem como a importância da consulta de enfermagem no processo de trabalho.

This article is aimed at reporting the experience of a Nursing Consultation supported by the Interpersonal Relations Theory carried out from March to May 2008, with patients with mental disorder. The nurses' professional attitude was highlighted in the phases of: pre-interaction, introductory or orientation, emerging identities and the fourth phase or conclusion. It was explicit the importance of the nursing consultation in the work process and the applicability of the theory. During nursing visits, it is possible to act therapeutically, observe, listen, and understand nonverbal communication, with the benefit of the development of strategies that aim to improve quality of life and search for the meaning of life. When recounting the experience of a nursing consultation it was found that the interpersonal relationship, with the purpose to alleviate not only the physical pain of others, but care for the whole individual in a therapeutic way, provides a reflective look, with quality and professional visibility.

Mental health treatment means and stigmas assigned to the mental disorders bearers are subject matters for analysis and discussion in the healthcare area. Aiming to deeply study in this matter, a documental research has been conducted with the purpose of analyzing treatment means set forth in the federal laws related to mental health in Brazil, from its discovery until 1934. Sixteen Decrees were accessed, forming the primary sources for this study, after survey of Parana State Public Library’s Laws collection as well as of Health Ministry’s website. Sources were discussed according to three time axis applied to Brazil’s history : Colonial Brazil, Imperial Brazil and Republican Brazil: starting in 1889. The findings ascertain that the studied period was formed by series of treatments evidenced by isolation, repressive therapies which had a barbarian approach towards the mentally disordered individual. Descriptors: Legislation; Mental Health; Psychiatry.