Nursing team’s operation in dealing with elimination stoma terminal ill patients with in a Public Stomatherapy Service
DOI:
https://doi.org/10.11606/issn.1679-9836.v102i6e-216740Keywords:
Criticall Illness, Nursing, Ostomy, Enterostomal TherapyAbstract
Introduction: the most frequent cause for the creation of an elimination stoma is colorectal cancer, which has consequences from individual’s biopsychosocial spectrum and causing impacts on their self esteem, self image and life quality related to health. Objective: to report the experience in assisting terminal phase ill people with elimination stoma. Method: experience report type study on the care of terminal phase ill people with stoma, treated in a public stomatherapy service located in south of Brazil in 2023. Results: the majority of patients treated require care to replace the collection equipment or treatment of lesions on the peristomal skin. An increase in the number of patients in the terminal phase was observed, where some of them even facing difficulties in locomotion, using oxygen therapy, pain, dyspnea, still demonstrated great determination when attending the regular consults. Conclusion: terminal phase ill ostomized patients face significant challenges in their treatment, experiencing debilitating symptoms, pain, bodily changes and quality of life, as well as profound psychosocial impact and, often, difficulty in accepting not only the ostomized situation, but also the terminality situation itself, where the nursing team plays a crucial role in the process of guiding and supporting those patients.
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Freitas JPC, Borges EL, Bodevan EC. Caracterização da clientela e avaliação de serviço de atenção à saúde da pessoa com estomia de eliminação. Estima Braz J Enterost Ther [Internet]. 2018;16 Doi 10.30886/estima.v16.402_PT.
Sousa CF, Santos CB. O cuidado de enfermagem em estomaterapia: desenvolvimento de um programa de intervenção. Enf em Foco [Internet]. 2019;10(5):161-6. Available from: http://revista.cofen.gov.br/index.php/enfermagem/article/view/2314/684.
Silveira FM, Wysocki AM, Mendez RDR, Pena SB, Santos EM, Malaguti-Toffano S, et al. Impacto do tratamento quimioterápico na qualidade de vida de pacientes oncológicos. ACTA Paulista Enferm [Internet]. 2021;34(eAPE00583) Doi https://doi.org/10.37689/acta-ape/2021AO00583.
Cirino HP, Andrade PCST, Kestenberg CCF, Caldas CP, Santos CN, Ribeiro WA. Repercussões emocionais e processos adaptativos vividos por pessoas estomizadas. Saúde Coletiva [Internet]. 2020;10:3573-3596. Doi https://doi.org/10.36489/saudecoletiva.2020v10i57p3573-3596.
Diniz IV, Costa IKF, Nascimento JA, Silva IP, Mendonça AEO, Soares MJGO. Fatores associados à qualidade de vida de pessoas com estomas intestinais. Rev Esc Enferm USP [Internet]. 2021;55(e20200377). Doi https://doi.org/10.1590/1980-220X-REEUSP-2020-0377.
Xavier LS, Oliveira EL, Oliveira LS, Batista MHJ, Rocha MA, Nunes TS. A importância da resiliência na enfermagem em oncologia. Braz J Develop [Internet]. 2021;7:72654-65. Doi https://doi.org/10.34117/bjdv7n7-443.
Cecconello L, Erbs EG, Geisler L. Condutas éticas e o cuidado ao paciente terminal. Rev Bioética [Internet]. 2022;30:405-12. Doi https://doi.org/10.1590/1983-80422022302536PT.
Maciel DBV, Santos MLSC, Oliveira NVD, Fuly PSC, Camacho ACLF, Coutinho FH. Perfil sociodemográfico de pacientes com estomia definitiva por câncer colorretal: interferência na qualidade de vida. Rev Nursing [Internet]. 2019 [cited 2023 Jul 30];22:3339-3344. Doi https://doi.org/10.36489/nursing.2019v22i258p3325-3330.
Instituto Nacional do Câncer. Estimativa 2023: Incidência de Câncer no Brasil [Internet]. 1st ed. Rio de Janeiro: [publisher unknown]; 2022 [cited 2023 Jul 30]. 162 p. ISBN: 978-65-88517-10-9. https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//estimativa-2023.pdf.
Instituto Nacional de Câncer - INCA [Internet]. Brasília; 2022 Jun 23. Estatísticas de Câncer; [revised 2023 Jul 18; cited 2023 Jul 30]; https://www.gov.br/inca/pt-br/assuntos/cancer/numeros.
Oliveira MM, Latorre MRDO, Tanaka LF, Rossi BM, Curado MP. Disparidades na mortalidade de câncer colorretal nos estados brasileiros. Rev Bras Epidemiol [Internet]. 2018 [cited 2023 Jul 30];21(e180012). Doi https://doi.org/10.1590/1980-549720180012.
Gashti SM, Tondo ALC, Freitag I, Araújo JMM, Rochemback L, Orth L, et al. Câncer colorretal: principais complicações e a importância do diagnóstico precoce. Rev Eletr Acervo Saúde [Internet]. 2021;13(e6888). Doi https://doi.org/10.25248/reas.e6888.2021.
Ministério da Saúde. Guia de Atenção à Saúde da Pessoa com Estomia [Internet]. 1st ed. Brasília: [publisher unknown]; 2021 [cited 2023 Jul 31]. 64 p. ISBN: 978-65-5993-014-2. https://bvsms.saude.gov.br/bvs/publicacoes/guia_atencao_saude_pessoa_estomia.pdf.
Rosado SR, Alves JD, Pacheco NF, Araújo CM. Cuidados de enfermagem a pessoa com estomia: revisão integrativa. E-Scientia [Internet]. 2020;13:1-10. Available from: https://revistas.unibh.br/dcbas/article/view/2662/pdf.
Bandeira LR, Kolankiewicz ACB, Alievi MF, Trindade LF, Loro MM. Atenção integral fragmentada a pessoa estomizada na rede de atenção à saúde. Esc. Anna. Nery [Internet]. 2020;24(e20190297). Doi https://doi.org/10.1590/2177-9465-EAN-2019-0297.
Cardoso IA, Salomé GM et al. A new APP for prevention and treatment of complications of intestinal peristomal skin. J. Coloproctol. (Rio J.) [Internet]. 2020;40(2):120-28. Doi https://doi.org/10.1016/j.jcol.2019.10.011.
Souza MOLS, Troadio IFM, Sales AS, Costa REAR, Carvalho DNR, Holanda GSLS, et al. Reflexões de profissionais da enfermagem sobre cuidados paliativos. Revista Bioética [Internet]. 2022;30:162-171. Doi https://doi.org/10.1590/1983-80422022301516PT.
González YC, Prieto AM. Nurses’ Moral Sensitivity Regarding the Terminally Ill. Investig. Educ. Enferm [Internet]. 2019;37:457-63. Doi https://doi.org/10.17533/udea.iee.v37n3e07.
Funes MM, Moraes MW, Cunha MLR, Almeida FA. Caring for cancer patients facing death: nurse‘s perception and experience. Ver Bras Enferm [Internet]. 2020;73. Doi https://doi.org/10.1590/0034-7167-2019-0686.
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Copyright (c) 2023 Rosaura Paczek, Jessica Martins da Luz, Ana Karina Tanaka, Carmen Duro, Karine Pazzini Carvalho, Jordana Jahn Limberger, Vania Dezoti Micheletti, Karla Durante
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