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.
Highlights
The guidelines for a comprehensive care program to ostomized patients and their family, proposed in this articles, are considered here as a process-based technology in a macrosociological approach
The operation of health care, the commodification of care and the lack of effective application of basic concepts in the execution of humanized, comprehensive, technical work that is faithful to the SUS principles negatively affect the problem-solving ability of the borderline situations the people experience in the context they live in
Investments are needed in the organization of a health service network that maintains a flow in line with the peculiar needs of a certain social group, with a view to achieving health in a broad sense
Summary
The guidelines for a comprehensive care program to ostomized patients and their family, proposed in this articles, are considered here as a process-based technology in a macrosociological approach. Social technology is understood as a set of applied arts and social techniques to support social work, serving as a tool of social inclusion and improvement of quality of life It comprises a replicable product, technique or method, developed in the interaction with the community, and represents and effective solution of social transformation(1). In view of the social group studies, the stoma is a surgical derivation of viscera (generally intestine or urinary tracts) to the skin at a different point from the natural excretion orifice In this surgery, the colon or part of the urinary system (generally bladder or urethra) is linked to the abdominal wall, communicating them with the outside with a view to the elimination of feces and/or urine. The stoma patients starts to use a collector bag stuck to the abdomen to protect the skin(3)
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
