Abstract
Objective: To describe the therapeutic itinerary of people with an ostomy in search of specialized care. Method: exploratory, descriptive study with a qualitative approach, with ten people with ostomy treated at the Ostomy Care Service (Serviço de Atenção à Saúde da Pessoa Ostomizada), from August to November 2017. Reconstitution took place through semi-structured interviews, registration in a field diary and consultation with records of specialized health services, and processed by the software Interface de R pour les Analyses Multidimensionnelles de Texte et de Questionnaires. Results: the therapeutic itinerary begins with the discovery of signs and symptoms, when there is access to the nearest health services and later in search of specialized services. Marked by formal connections and supported by interrelated subsystems. The trajectories of search, production, health transport and health care management undertaken by individuals, families and informal groups express different paths and movements in the phase that precedes specialized care. Conclusion: the knowledge apprehended by the speeches enables the identification of basic needs presented by this clientele, facilities and barriers encountered in the course undertaken to obtain an adequate therapeutic plan.
Highlights
The provision of care to users of health services must strive for comprehensive care
In the characterization of marital status, there was dominance of widowers and singles, both with 40.0%; and 70.0% of the stomas were of the colostomy type resulting from cancer
The path taken by people with a stoma to the specialized service occurs with the appearance of signs and symptoms, the search for diagnosis, treatment and, surgical intervention, with access marked by formal connections, supported
Summary
The provision of care to users of health services must strive for comprehensive care. This becomes feasible when attention is given in a network.each service must be rethought as an essential element, a station in the circuit that each person travels to obtain the integrality they need[1]. Integrated systems constitute the Health Care Network (Rede de Atenção à Saúde) and excel in coordinated deputies of units to provide constant and comprehensive assistance to the established population[2]. The relevance of referral and counter-referral mechanisms is conjectured, their agreements are considered, in order to reorganize the work processes in relation to Comprehensive Health Care Lines[3]. Providing access to all technological resources that the user needs, integrating preventive, curative and rehabilitation actions, carried out by assistance flows as if it were a graphic representation of the itinerary within the network[4]
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