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Rev Bras Enferm. 2014 Jan-Feb;67(1):91-6.

[Ecosystemic and gerontotechnological actions in complex nursing care to the elderly with ostomy].

[Article in Portuguese]

Author information

  • 1Programa de Pos-Graduacao em Enfermagem, Escola de Enfermagem, Universidade Federal do Rio Grande, Rio Grande, RS, Brasil.
  • 2Programa de Pos-Graduacao em Enfermagem, Departamento de Enfermagem, Centro de Ciencias da Saude, Universidade Federal de Santa Catarina, Florianopolis, SC, Brasil.


The goal was to identify the ecosystem and gerontogeriatric technological actions to be done in a complex nursing care for the elderly patients of ostomy. To do so, a qualitative and descriptive research was made on a Case Study. The data were collected through interviews. The elderly were classified due to the Functioning, Disability and Health. They also went through physical exams and systematic observation. Ten people from the Estomatherapy Service of the south of Brazil took part in the research along the period of June to August of 2012. A theoretical model was developed and the data were compared with a protocol. The ecosystem actions identified the construction of a therapeutic environment, the guaranty of physical access and environmental adaptation. The gerontogeriatric technological actions identified a health educative process, the routing to the support group and the material and necessary equipment distribution for self-care. Being the nursing care primordial for the elderly patients of ostomy, they are able to face their limitations, demystifying their deficiency/ disability /health.

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