METHODS
This is a clinical study applied to an ostomy patient,
carried out during house visits, thus facilitating nursing
care. This type of study allows for a detailed investigation
of a real situation involving the health care
professional(13).
The study subject was randomly selected from the
files of an institution, which is a reference in the specialized
care of colostomy patients in Fortaleza, Ceará. The
following inclusion criteria were determined: being able
to maintain effective communication, being able to
perform self-care and presenting satisfactory maturity
of the stoma, that is, with postoperative time of at least
three months.
The steps followed for data collection planning and
implementing care, as well as the effective care were
based on the presuppositions of the Orem Theory. The
form used for data collection presented the following
sections: personal information, clinic and demographic
data, basic conditioning factors, universal self-care
requisites, development self-care requisites, and health
disorder self-care requisites. The items related to the
physical exam, still present in the instrument, were
directed to the respiratory pattern, nutritional pattern,
evacuations, and skin evaluation.