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Fragmented comprehensive health care for ostomized person in the health care network

ABSTRACT

Objective

To identify the actions of multiprofessional care performed on the ostomized patient from the preoperative to the follow-up after hospital discharge.

Method

Descriptive study with qualitative approach, developed in southern Brazil. Patients with a medical diagnosis of colorectal cancer who were using ileostomy or colostomy were included. Data collection was done in 2018 and through semi-structured interviews. The participants were randomly selected. Data analysis according to Minayo. Ethical aspects respected.

Results

15 individuals took part. It was identified that pre, postoperative and after discharge care are fragmented. Thus, the ostomized patient finds weaknesses in the care received in the Primary Health Care, being referenced to the specialized services.

Conclusions and implications for practice

The individual does not receive adequate care in he new condition and it is in the specialized service where care is provided that the physical and psychological aspects are being cared. Results can contribute to health professionals and managers, in order to discuss and propose actions that ensure care continuity and quality in the health care network.

Keywords:
Ostomy; Comprehensive health care; Primary health care; Health Services

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