Publication: Diagnósticos de enfermería NANDA y evolución de resultados NOC en personas colostomizadas e ileostomizadas en seguimiento en una unidad de ostomías
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2021-05-04
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Universidad Complutense de Madrid
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Abstract
La persona portadora de una ostomía digestiva de eliminación ve alterada su forma de vida como consecuencia de una cirugía mutilante por una enfermedad generalmente grave. Ser portador de una de ellas desencadena una problemática tanto a nivel físico y manejo técnico del estoma, como a nivel emocional y en su vida de relación. No existen censos fidedignos del número de ostomizados existentes, aunque algunos autores calculan que en España existen unas 100.000 personas ostomizadas, con 15.000 casos nuevos cada año. El objetivo de la medicina tecno-científica es estudiar la causa de la enfermedad, formular un diagnóstico y proponer un tratamiento. Sin embargo, el cuidado enfermero está enfocado hacia los problemas, los déficits o las incapacidades que las personas tienen en sus experiencias de salud, desde la globalidad. La enfermera Experta en Estomaterapia, es el profesional que desarrolla un cuidado especializado para que la persona logre adaptarse a su nueva forma de vida. Esta Enfermera de Práctica Avanzada gestiona el cuidado de estos pacientes tanto durante su hospitalización como en el seguimiento tras el alta. Hace más de una década que se plantea la necesidad de que estas enfermeras se adapten a los nuevos modelos de gestión y definan su actividad en términos de resultados. Para ello debe controlar su propia información, así como la medición de sus actuaciones y resultados...
The person who has a digestive elimination ostomy has his lifestyle altered as a result of aggressive surgery due to a generally serious illness. Being a carrier of serious illness causes a problem both physically and technically in the stoma, as well as emotionally and in the relationship life. There are no reliable censuses of the number of ostomy patients, although some authors calculate that in Spain there are some 100.000 ostomy people, with 15.000 new cases each year. The objective of techno-scientific medicine is to study the cause of the disease, create a diagnosis and propose a treatment. However, nursing care is focused on the problems, deficits or disabilities that people have in their health experiences, holistically. The Stomatherapy nurse specialist is the professional who develops specialized care so that the person can adapt to their new way of life. This Advanced Practice Nurse manages the care of these patients both during their hospitalization and in the follow-up after discharge. For more than a decade, there has been a need for these nurses to adapt to new management models and define their activity in terms of results. For this you must control your own information, as well as the measurement of your actions and results...
The person who has a digestive elimination ostomy has his lifestyle altered as a result of aggressive surgery due to a generally serious illness. Being a carrier of serious illness causes a problem both physically and technically in the stoma, as well as emotionally and in the relationship life. There are no reliable censuses of the number of ostomy patients, although some authors calculate that in Spain there are some 100.000 ostomy people, with 15.000 new cases each year. The objective of techno-scientific medicine is to study the cause of the disease, create a diagnosis and propose a treatment. However, nursing care is focused on the problems, deficits or disabilities that people have in their health experiences, holistically. The Stomatherapy nurse specialist is the professional who develops specialized care so that the person can adapt to their new way of life. This Advanced Practice Nurse manages the care of these patients both during their hospitalization and in the follow-up after discharge. For more than a decade, there has been a need for these nurses to adapt to new management models and define their activity in terms of results. For this you must control your own information, as well as the measurement of your actions and results...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Enfermería, Fisioterapia y Podología, leída el 18/01/2021