Ecosystemic and gerontotechnological actions in complex nursing care to the elderly with ostomy

Abstract

PESQUISAAções ecossistêmicas e gerontotecnológicas no cuidado de enfermagem complexo ao idoso estomizado Submissão: 26-11-2012Aprovação: 24-11-2013 RESUMO Objetivou-se identifi car as ações ecossistêmicas e gerontotecnológicas a serem realizadas para a um cuidado de enfermagem complexo ao idoso estomizado. Realizou-se uma pesquisa qualitativa, descritiva do tipo Estudo de Caso. Os dados foram coletados por entrevistas, os idosos foram classifi cados quanto à Funcionalidade, Incapacidade e Saúde, realizado exame físico e observação sistemática. Participaram dez idosos de um Serviço de Estomaterapia do Sul do Brasil, de junho a agosto de 2012. Desenvolveu-se um modelo teórico e os dados foram comparados com o protocolo do estudo. Como ações ecossistêmicas identifi caram-se a construção de um ambiente terapêutico, a garantia de acesso físico / adaptações ambientais e, como ações gerontotecnológicas, o processo educativo em saúde, o encaminhamento ao grupo de apoio e o fornecimento de materiais e equipamentos necessários ao autocuidado. O cuidado de enfermagem é fundamental para o idoso estomizado enfrentar suas limitações, desmistifi cando sua defi ciência/incapacidade/saúde. Descritores: Cuidados de Enfermagem; Estomia; Idoso; Classifi cação Internacional de Funcionalidade, Incapacidade e Saúde; Enfermagem. ABSTRACTThe goal was to identify the ecosystem and gerontogeriatric technological actions to be done in a complex nursing care for the elderly patients of ostomy. To do so, a qualitative and descriptive research was made on a Case Study. The data were collected through interviews. The elderly were classifi ed due to the Functioning, Disability and Health. They also went through physical exams and systematic observation. Ten people from the Estomatherapy Service of the south of Brazil took part in the research along the period of June to August of 2012. A theoretical model was developed and the data were compared with a protocol. The ecosystem actions identifi ed the construction of a therapeutic environment, the guaranty of physical access and environmental adaptation. The gerontogeriatric technological actions identifi ed a health educative process, the routing to the support group and the material and necessary equipment distribution for self-care. Being the nursing care primordial for the elderly patients of ostomy, they are able to face their limitations, demystifying their defi ciency/ disability /health.

Complex educational and care (geron)technology for elderly individuals/families experiencing Alzheimer's disease

“…This reorganization implies the development of differentiated and adapted relational processes in order to live (and coexist) with the disease that may generate feelings of disorders, fear, insecurity, and gradual loss (6) . Nurses have an important role in the family reorganization process, as they are the professionals responsible for the leadership and systematization of the care process for people in a range of different scenarios.…”

Health evaluation: health assessment for people with ostomies

“…The discussion considering only dispensing of collection supplies is corroborated by Barros et al (31) , and assumes that providing materials and equipment by the health units guarantees the patient's autonomy and understands the self-care as a manner of translating the ability to experience new challenges (32) .…”

How Nurses are Using the International Classifi cation of Functioning, Disability and Health: An Integrative Review

“…Evidence showed there are attempts to apply the ICF in clinical nursing practice in fourteen selected articles (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26). In most articles (n=9), ICF application in clinical practice is defined in the Rehabilitation Nursing area (13,(15)(16)(17)(18)(19)(20)(21)26), directed primarily to nursing interventions (n=4) with patients in acute and post-acute situations requiring rehabilitation (13,17) and patients with spinal cord injury (16,21,26).…”