Gestión de las ostomías en un centro sociosanitario

摘要

In October of the year 2016, the figure of the nurse in ostomies was created in our sociosanitary center. This is implemented as a consequence of the growing number of people that are annually ostomized in the surgery and urology services of our reference acute hospital, and that indirectly affects our day-to-day care. Throughout the year 2017 all the patients admitted to our CSS were evaluated with some type of intestinal, urological, nutrition or drainage stoma, enumerating them all. Based on its assessment, a cure plan was established for the possible complications detected, as well as a health education plan for those patients who are dependent on the overall management of their ostomy, mainly in the recently ostomized. 68 patients were admitted, presenting a total of 84 ostomies of different etiology. 38 of these (55.88%) presented some type of complication detected in the initial assessment or appeared during their stay in our center. Thanks to this monitoring, it is possible to minimize the time elapsed from detection to the approach of possible complications, reduce the number of patient transfers to emergency services or consultation of the area stomatherapist. Likewise, it is possible to reduce the number of admission days due to ostomy complications, make better use of material resources and optimize the time of health personnel, while facilitating the early reintegration of the patient into his / her habitual life.