Objetivos: Analisar aspectos clínicos e sociodemográficos de pessoas com estomias no estado de Minas Gerais. Métodos: Estudo de corte transversal realizado em 54 municípios, em 2016. Os dados foram coletados de 418 pessoas com estomia cadastradas a partir de um questionário estruturado. Realizou-se a análise descritiva dos dados, o teste de qui-quadrado de Pearson e a correção de Bonferroni. Resultados: A maioria das pessoas com estomias é idosa, do sexo masculino, tem baixa escolaridade e baixa renda salarial. A neoplasia maligna colorretal foi a principal causa e 14,3% são tratados com quimioterapia. Parte das estomias é do tipo colostomias permanentes com forma regular. Destaca-se, como principal complicação, a dermatite, e 45,5% não estão aptos a desenvolver o autocuidado. O tipo de estomia associou-se significativamente com a permanência da estomia, o estado civil e com a renda (p < 0,05). Conclusão: As pessoas com estomias necessitam de assistência relacionada à orientação para o autocuidado, prevenção e tratamento de suas complicações.

Objective: to evaluate the health care services of people with stoma. Methods: a multi-case study that analyzed the implementation of five regional services. Three components were defined, namely Service management, Clinical care and Educational assistance. The degree of implementation set by a score system was classified as complete, satisfactory, poor, not implemented. Results: a service was evaluated with "completely implemented" and another as "not implemented". The best components evaluated were Clinical Care and Service Management; the one that obtained lower assessment was Educational assistance. Structural limitations included a lack of complete health staff and lack of clinical and organizational protocols. In the Process, there was a shortage of consultations carried out by the team, formation of support groups and health education. Conclusion: the regional services surveyed are not adequate to subsidize planning, monitoring and services to people with stoma, as they present structural and procedural problems that interfere with the quality of care.

Objectives: To analyze clinical and sociodemographic aspects of people with ostomies in the state of Minas Gerais. Methods: A cross- sectional study was conducted in 54 municipalities in 2016. Data were collected from 418 people with ostomies, registered from a structured questionnaire. Descriptive data analysis, the Pearson chi-square test and the Bonferroni correction were performed. Results: The majority of people with ostomies are elderly, male, have low schooling and low wage income. Colorectal malignant neoplasia was the main cause and 14.3% were treated with chemotherapy. Part of the ostomies is of the regular standing permanent colostomy type. The main complication highlighted is dermatitis, and 45.5% are not able to develop self-care. The type of ostomy was significantly associated with stomatal permanence, marital status and income (p <0.05).Conclusion: People with ostomies need assistance related to self-care orientation, prevention and treatment of their complications.

This study aimed to analyze the factors associated with local adverse effects resulting from hypodermoclysis in older adult patients in palliative care. The study involved 127 older adults undergoing palliative care at a hospital in southeastern Brazil. Data collection was performed from August to November 2019. Patients aged 60 years or older, with a prescription for hypodermoclysis at the time of admission and who were not receiving hypodermoclysis at the time of admission, were included. Data collected included sociodemographic, clinical, pharmacotherapeutic, and adverse effects of hypodermoclysis administration. Most participants were women (59.0%), with a mean age of 78.5 years. Frailty was the most prevalent diagnosis (26.8%), and 80.2% of patients were in the end-of-life stage. There was an incidence of 24.0% of adverse events, with catheter obstruction and swelling in the surrounding area of the hypodermoclysis site being the most frequent at 11.3% and 8.5%, respectively. Ondansetron administration by hypodermoclysis was 3 times more likely to have an adverse effect compared to not using this drug. In contrast, a protective factor was evident with the administration of 0.9% sodium chloride, which contributed to the reduction of complications. The occurrence of adverse effects from hypodermoclysis in the study population of older adults in palliative care was low.

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