Ser humano idoso estomizado e ambientes de cuidado: reflexão sob a ótica da complexidade

Abstract

This is discussion about the relationship between elderly human beings with ostomy and their environments care, under the perspective of Complexity Edgar Morin. An axis holds the reflection: environments of care for elderly humans with ostomy. In this sense, we present three types of environment that surround the context of elderly humans with ostomy: home environment, group environment and hospital environment. This brings, as a social contribution, a new look about resizing caring of elderly humans with ostomy in their environment. It is considered that the environment hosting this human being contains a diversity of feelings, emotions, experiences; it binds multiple meanings, from the Complexity perspective, about the relationship between the environment and the caring process.

Quality of life and self-esteem of patients with intestinal stoma

“…Twenty-one patients (30%) were illiterate and 19 (25.10%) could read and write, which is in line with other studies on intestinal stoma users. [15][16][17][18][19][20] The data relating to stoma indicated that, for most participants, neoplasia was the cause that led to stoma creation; and permanent ostomy was the type of ostomy used. Most of the subjects were not told that they would receive the stoma.…”

“…15,16 In 1998, Gonç alves et al applied the scale in a relatively large and heterogeneous random sample and found high reliability for this instrument. Then, these authors used the same scale in a study involving elderly people, 15,16 verifying a good level of reliability -a factor that contributed to the decision to use this instrument in the present study.…”

Stomized patients’ perception of the stomatherapy service: a descriptive study

“…This procedure also implies the revision of habits, values and beliefs; the incorporation of professional knowledge; access to specialized health services and disposal devices for the patients' bag; as well as changes in their family, work and daily life (17) . These changes, in turn, Mota affect their family, emotional and social life, as well as reflect on the environment in which the patients receive care or perform their self-care procedures (18) .…”

“…Thus, the service has an interdisciplinary team. This is crucial to the rehabilitation of people with a stoma, as it provides support that encompasses all their real needs (18) . With the help of these, one attains autonomy and can participate in educational workshops and support groups, which are essential for the reconstruction of self-care (5) .…”

“…Within the context of the acquisition of self-care, the nurse emerges as a transforming health agent, acting as an educator to the people with ostomy and their families. The nurse can use educational technologies that facilitate the acquisition of knowledge, making the learning process simpler and with easier implementation (18) .…”