Guidelines for a Comprehensive Care Program to Ostomized Patients and Families: a Nursing proposal

Abstract

Objectives:describe care needs and demands that mark the discursive practices of ostomized clients and family members and discuss guidelines for a comprehensive care program to ostomized clients and their families, organized by macrosociological categories. Method:Creative and Sensitive, involving 17 ostomized subjects and family members at a municipal outpatient clinic. The ethical aspects were complied with. A characterization form was used, as well as Creativity and Sensitivity Dynamics: "speaking map", "body-knowledge" and "calendar". Critical Discourse Analysis was applied. Results:the health needs and care demands of the ostomized patients and their family members, in their multiple dimensions, were constituted in the home and community, outpatient and social context, implying new orientations for nursing care. The unveiling of the data brought elements that constituted guidelines, in a macrosociological approach, to achieve the expanded integrality of nursing care. Conclusion:the ostomized clients are unique in their genre/peculiar from Latin sui generis, calling for strategies that respond to and distinguish their specificities. Elaborating a Public Health Policy that improves and reorganizes the care demands, taking into account these individual biopsychosocial and spiritual aspects, is a possible and irrevocable target in the attempt to achieve better conditions of health and wellbeing.

Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients

“…Moreover, studies have verified the effects of patient education, typically provided by medical staff, on stoma self‐management . These educational effects can be further enhanced with the addition of familial and community support that is concurrent with the education provided by medical staff on the self‐management of stomas …”

“…This engagement will require that ostomy patients not be merely treated as individuals who are defined by their stomas but rather should be understood from a more holistic perspective that considers the fact that they have survived cancer. Indeed, evidence suggests the importance of multidisciplinary support in order to improve patients' psychosocial adjustment and quality of life …”

“…Indeed, evidence suggests the importance of multidisciplinary support in order to improve patients' psychosocial adjustment and quality of life. 3,11 Previous studies have demonstrated that social supportparticularly medical staff support-is a major determinant of the psychosocial adjustment of ostomy patients. 12 Moreover, studies have verified the effects of patient education, typically provided by medical staff, on stoma self-management.…”

“…13 These educational effects can be further enhanced with the addition of familial and community support that is concurrent with the education provided by medical staff on the self-management of stomas. 11,14 Particularly in Korea, where Confucian culture emphasises the importance of familial ties, familial support is an important factor that influences ostomy patient adjustment. 15 Although such familial support has been observed to be high immediately after surgery, 16 it is subject to change during significant crises that arise as the disease progresses.…”

Perception of Patients With Intestinal Ostomy in Relation to Nutritional and Lifestyle Changes

“…[3][4][5][6] Given the complexity of this scenario, the interdisciplinary work, through a sensitive and qualified listening of professionals, is fundamental and facilitator in the process of rehabilitation of the individuals with ostomies. 7 In order to seek integral care, aimed at helping adaptation to this new condition of life, there is a need to know important aspects that have changed in the daily life of these individuals. With this, it is hoped to provide an expanded perspective that empowers professionals to assist the people with ostomies in coping with the adversities of their daily lives and in monitoring the nutritional status of these individuals, providing them with a better quality of life, since the changes resulting from surgery are significant.…”