Diagnósticos e intervenções de enfermagem para a pessoa com colostomia : uma tecnologia do cuidado

Abstract

The study addresses the elaboration of Nursing Diagnoses and Interventions for a person with colostomy, using the International Classification for Nursing Practice (ICNP®) 7-Axis Model, version 2011. Colostomy is the exteriorization of the colon through the abdominal wall, providing a new route for the elimination of feces. The procedure is part of the therapeutic practices in physical traumas, generally resulting from external causes, intestinal diseases, and from the failure of the anus, as in colorectal cancer. A colostomized person demands specific nursing care, due to one’s afflictions, fears and changes of lifestyle. Objective: To build diagnosis assertions for a colostomized person, and to elaborate Nursing Interventions for this clientele. Methodology: This study is of exploratory descriptive nature, in which a revision of the scientific literature was done through these databases: LILACS, MEDLINE and BDENF Database, with the following descriptors: “Nursing care”, “Nursing diagnoses”, “classification” and “colostomy”, in these languages; Portuguese, English and Spanish, which were published in the period from 2000 to 2011. Through that review, the Nursing diagnoses were elaborated using the terms of the ICNP® 7-Axis Model, 2011. Results: There were 123 Nursing diagnoses, constructed for the colostomized persons, and 231 nursing interventions related to the diagnoses that were listed, grouped by basic human needs. The aim of this study is to promote the use of the Nursing process, and to systematize the individualized care given to this clientele; to contribute with the development of new technology in the area of healthcare information; and to strengthen the use of the ICNP® , because of its simple and easy-to-use language.