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

Area of Science:

• Nursing
• Public Health
• Sociology

Background:

• Ostomized clients and their families face complex, multidimensional care needs.
• Existing care models may not fully address the unique biopsychosocial and spiritual aspects of ostomized individuals.
• Discursive practices reveal specific care demands within home, community, and clinical settings.

Purpose of the Study:

• To describe the care needs and demands of ostomized clients and family members.
• To develop guidelines for a comprehensive ostomy care program.
• To organize care guidelines using macrosociological categories.

Main Methods:

• Qualitative study employing Creative and Sensitive Dynamics (speaking map, body-knowledge, calendar).
• Involved 17 ostomized subjects and family members at a municipal outpatient clinic.
• Utilized Critical Discourse Analysis for data interpretation.

Main Results:

• Identified diverse health needs and care demands across home, community, and outpatient contexts.
• Data revealed the necessity for new nursing care orientations.
• Guidelines were established for expanded, integral nursing care from a macrosociological perspective.

Conclusions:

• Ostomized clients possess unique needs requiring specific, individualized care strategies.
• A Public Health Policy is essential to reorganize and improve care, addressing biopsychosocial and spiritual dimensions.
• Achieving better health and well-being for ostomized individuals necessitates recognizing and responding to their distinct characteristics.