Milagros Castro Romera - sobest.org.brsobest.org.br/arquivos/CBEAULAS/dia1/16H30 - MILAGROS...
Transcript of Milagros Castro Romera - sobest.org.brsobest.org.br/arquivos/CBEAULAS/dia1/16H30 - MILAGROS...
Milagros Castro RomeraHospital Universitario de Canarias
Where do you come from?
Spain
504.645 km2
46.439.864 inhabitants
2,104,815 inhabitants
Canary Islands
ABC.es 07/04/2014
National Health SystemRight to health protection and healthcare for all
citizens. (Spanish Constitution of 1978).
• Public, universal and free healthcare services.
• Defined rights and duties.
• Political decentralization of healthcare.
• Comprehensive healthcare.
• Integration under the NHS.
Canary Islands Health Service. Primary Cares
Health Area
Basic Health Zone
Health Center
Peripherical Office Emergency point
Canary Islands Health Service. Primary Cares.Health Area
Basic Health Zone
Canary Islands Health Service. Specialized CaresHospital Specialty Care Center
Reference population
12
1. Hospital Universitario de Canarias2. Hospital Universitario Nuestra Señora de la Candelaria
Department of Urology Inpatients Urological ward .
Outpatients Outpatient Clinic Activities.
4 doctor offices
1 nursing room
Special testing area: living lithotripsy
urodinamic ward
cystoscopy room
living biopsies
remote conroled room
Urinary continence care Inpatients Urological ward.
Outpatients
Urodynamic ward. Pelvic floor exercises
Bladder diaries
Intermitent catheterization
Advice on continence systems
Nursing consultation Change of urinary catheter
Ostomy care education
Urodynamic ward
Department of General and GI Surgery Inpatients Surgical ward .
Outpatients Outpatient Clinic Activities.
5 doctor offices
1 nursing room
Fecal continence care Inpatients Surgical ward.
Outpatients Nursing consultation.Healing of surgical wounds
Pelvic floor exercises
Advice on continence systems
Ostomy care education Ileostomy
Colostomy
Health education in ostomy management Stoma hygiene.
Management of ostomy care products
Id., prevent. and treat. of complications if they appear.
Protect privacy
Encourage to exprees feelings
Ensure the patient that he as well as his closest relative will learn to perform stoma care.
Diet recommendations.
Promote selfcare
Not abandon social & leisure activities.
Sexuality
What about the nurse? Degree in nursing
Nursing Specialties RD 450/2005 of 22 April on nursing specialties
Geriatric Nursing
Mental Health Nursing *
Occupational Health Nursing
Medical-Surgical Nursing Care.
Family Nursing and communicate.
Pediatric Nursing.
Ostomy and continence supplies. How to get them.
Pharmacy
Financed by NSH
Maximum cost depending on rent
8.14 € 34.64 R$
18.32 € 77.97 R$
61.08 € 259.96 R$
RDL 16/2012 of 20 April