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Updated: Dec 19, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Health evaluation: health assessment for people with ostomies
Diana Mary Araújo de Melo Flach1, Luísa Gonçalves Dutra de Oliveira1, Gisela Cordeiro Pereira Cardoso2
1Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.
Objectives:
to perform an evaluation study of the Ostomy Care Service in Brazil.
Methods:
a qualitative methodology was used, with a collaborative approach of the participants using the service, based on the seven elements proposed by Thurston and Ramaliu, which include service modeling and evaluation model proposal. Document analysis, direct observation, consensus workshops, and interviews with key informants were used.
Results:
the description and construction of the theoretical-logical model of the ostomy care service, the development of evaluative questions, the construction of the analysis and judgment matrix, and the evaluation proposal were presented. Final Considerations: it was found that it is feasible to systematically evaluate the service based on its structural elements, such as its theory, material and human resources. The proposed evaluation aims to provide support for improving the quality of care.
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Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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