Living with digestive stomas: strategies to cope with the new bodily reality

OBJETIVO: el objetivo del estudio fue describir las estrategias desarrolladas por personas portadoras de estomas digestivos para hacer frente a su situación. MÉTODO: se realizó un estudio cualitativo de carácter descriptivo con 21 personas ostomizadas residentes en las provincias de Málaga y Granada (España). La selección de los informantes se hizo siguiendo los criterios de adecuación y diversidad mediante un muestreo intencional. La recogida de datos se realizó a través de entrevistas semiestructuradas. RESULTADOS: tras el análisis del contenido se obtuvieron tres categorías en torno a las cuales se desarrollaban las distintas estrategias: Autocuidados, Adaptación al cambio corporal y Autoayuda. CONCLUSIÓN: las estrategias desarrolladas están enfocadas a conseguir un manejo efectivo del estoma, quedando vinculadas estrechamente a la consecución de la autonomía. Conocer cuáles son las estrategias puestas en marcha se hace indispensable para ofrecer como profesionales de enfermería unos cuidados de calidad centrados en las personas y su proceso.OBJECTIVE: the objective in this study was to describe the strategies developed by digestive stoma patients to cope with their situation. METHOD: a qualitative and descriptive study was undertaken, involving 21 stoma patients living in the provinces of Málaga and Granada (Spain). The informants were selected in accordance with criteria of appropriateness and diversity, through intentional sampling. The data were collected by means of semistructured interviews. RESULTS: the content analysis revealed three categories around which the distinct strategies were developed: Self-care, Adaptation to the bodily change and Self-help. CONCLUSION: the strategies developed are focusing on achieving the effective management of the stoma and are closely linked with the achievement of autonomy. Discovering the strategies applied is fundamental for the nursing professionals to offer high-quality care, centered on people and their process.OBJETIVO: o objetivo deste estudo foi descrever as estratégias desenvolvidas pelas pessoas portadoras de estomas digestivos para enfrentar a sua situação. MÉTODO: foi realizado estudo qualitativo, de caráter descritivo, com 21 pessoas ostomizadas, residentes nas províncias de Málaga e Granada (Espanha). A seleção dos participantes foi feita seguindo-se os critérios de adequação e diversidade de uma amostragem intencional. A coleta de dados foi realizada através de entrevistas semiestruturadas. RESULTADOS: através da análise do conteúdo foram obtidas três categorias, em torno das quais foram desenvolvidas as diferentes estratégias: autocuidados, adaptação à mudança corporal e autoajuda. CONCLUSÃO: as estratégias desenvolvidas estão focadas para assegurar manejo eficaz do estômato, estando intimamente vinculadas à conquista da autonomia. Conhecer quais são as estratégias a serem implementadas é indispensável para oferecer, como profissionais de enfermagem, atendimento de qualidade com foco nas pessoas e sua carreira

Living with digestive stomas: strategies to cope with the new bodily reality

OBJECTIVE: the objective in this study was to describe the strategies developed by digestive stoma patients to cope with their situation.METHOD: a qualitative and descriptive study was undertaken, involving 21 stoma patients living in the provinces of Málaga and Granada (Spain). The informants were selected in accordance with criteria of appropriateness and diversity, through intentional sampling. The data were collected by means of semistructured interviews.RESULTS: the content analysis revealed three categories around which the distinct strategies were developed: Self-care, Adaptation to the bodily change and Self-help.CONCLUSION: the strategies developed are focusing on achieving the effective management of the stoma and are closely linked with the achievement of autonomy. Discovering the strategies applied is fundamental for the nursing professionals to offer high-quality care, centered on people and their process

Post-Franco Theatre

In the multiple realms and layers that comprise the contemporary Spanish theatrical landscape, “crisis” would seem to be the word that most often lingers in the air, as though it were a common mantra, ready to roll off the tongue of so many theatre professionals with such enormous ease, and even enthusiasm, that one is prompted to wonder whether it might indeed be a miracle that the contemporary technological revolution – coupled with perpetual quandaries concerning public and private funding for the arts – had not by now brought an end to the evolution of the oldest of live arts, or, at the very least, an end to drama as we know it

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Impacto do terremoto mais poderoso da humanidade no desenvolvimento profissional da enfermagem no sul do Chile

Introducción: Las catástrofes naturales influyen en el progreso de la enfermería. En el sur de Chile ocurrió el mayor terremoto registrado en el mundo y está documentado cómo impulsó el desarrollo de la enfermería en la ciudad de Valdivia, pero no en otras localidades igual de afectadas. Objetivo: Develar el impacto del mega terremoto de 1960 en el desarrollo de la enfermería profesional en Los Lagos. Metodología: Estudio cualitativo histórico. Muestreo bola de nieve. Recolección de datos mediante entrevistas semiestructuradas y fuentes secundarias. Criterio de inclusión: pertenecer al equipo de salud del lugar en el periodo estudiado. Se excluyó informantes con deterioro cognitivo. Se realizó análisis temático. Se utilizó software Atlas Ti versión 8.3.0. Estudio aprobado por comité de ética. Resultados: En 1960 no existían enfermeras en Los Lagos y el único hospital del lugar quedó inhabilitado. Se instaló un hospital de campaña y, gracias a ayuda nacional e internacional, se construyó un nuevo hospital lo que desencadenó la llegada de las primeras enfermeras. Conclusión: El mega terremoto impulsó la mejora de la infraestructura sanitaria y la consecuente llegada de las primeras enfermeras, lo que contribuyó a complejizar las prestaciones de salud local y elevó la calidad de los cuidados.Introduction: Natural catastrophes influence the progress of nursing. The largest recorded earthquake in the world occurred in the South of Chile and is documented as driving the development of nursing in the city of Valdivia, but not in similarly-affected places. Objective: To describe the impact of the mega-earthquake of 1960 in the development of professional nursing in Los Lagos. Methodology: qualitative-historical study. Snowball sampling. Data collection through semi-structured interviews and secondary sources. Inclusion criteria: belonging to the health team of the place and period studied. Informants with cognitive deterioration were excluded. Thematic analysis was carried out. Atlas Ti version 8.3.0 was used. Study approved by ethics committee. Results: in 1960 there were no nurses in Los Lagos and the only hospital in the area was incapacitated. A field hospital was installed, and a new hospital was built with national and international help, which led to arrival of the earliest nurses. Conclusion: the mega-earthquake drove the improvement of health infrastructure and the subsequent arrival of the earliest nurses, which contributed to more complex local health services and raised the quality of care.Introdução: Os desastres naturais influenciam o progresso da enfermagem. O maior terremoto registrado no mundo ocorreu no sul do Chile e está documentado como promoveu o desenvolvimento da enfermagem na cidade de Valdivia, mas não em outros locais igualmente afetados. Objetivo: Revelar o impacto do mega terremoto de 1960 no desenvolvimento da enfermagem profissional em Los Lagos. Metodologia: Estudo qualitativo histórico. Amostragem de bola de neve. Coleta de dados por meio de entrevistas semiestruturadas e fontes secundárias. Critérios de inclusão: pertencer à equipe de saúde do local no período estudado. Foram excluídos informantes com comprometimento cognitivo. Foi realizada análise temática. Foi utilizado o software Atlas Ti versão 8.3.0. Estudo aprovado por comitê de ética. Resultados: Em 1960 não havia enfermeiros em Los Lagos e o único hospital da região estava desativado. Foi instalado um hospital de campanha e, graças a ajudas nacionais e internacionais, foi construído um novo hospital, o que desencadeou a chegada dos primeiros enfermeiros. Conclusão: O megaterremoto promoveu a melhoria da infraestrutura de saúde e a consequente chegada dos primeiros enfermeiros, o que contribuiu para tornar os serviços de saúde locais mais complexos e elevar a qualidade do atendimento

Benito Pérez Galdós

In Galdós\u27 time, the tensions between such diverse phenomena as coins and credit, free trade and protectionist tariffs, factory work and domestic economy, masculine and feminine, and private and public exacerbated friction among peoples—those of pueblo and rural origins, whose voices rasped and whose bright colors raked the eye, and a nascent, insecure bourgeosie who, fearful of the masses, strove to imitate the aristocracy. Old and new converged also with the question of suffrage and citizenship to aggravate social malaise and political upheavals—Carlist wars, palace intrigues, the Revolution of 1868 and overthrow of Queen Isabel, the brief reign of Amadeo of Savoy, the aborted First Republic and the Bourbon Restoration (1875-1885), which reached Spain from England in the imported person of Alfonso XII. These turbulent events undergird the cultural, historical, and political events of the novels by Benito Pérez Galdós (1843–1920) to be discussed in this chapter. Galdós is the author of seventy-seven novels, twenty-six original plays, and numerous occasional pieces, written between 1867 and 1920. These divide into two main categories: the historical and the contemporary social novels, now more appropriately described as novels of modernity The forty-six historical novels, called Episodios nacionales, make up five series, each consisting of ten interconnected novels, except the fifth series, left unfinished. The thirty-one novels of modernity, published between 1870 and 1915, also divide into two groups: Novelas de la primera época ( Novels of the Early Period, 1870–1879) and Las novelas de la serie contemporánea ( The Contemporary Social Novels, 1881–1915). The novels of the early period comprise Galdós\u27 first attempts at novel writing, as well as four so-called thesis novels : Doña Perfecta (1876), the sequel Gloria (1876–1877), Marianela (1878), and La familia de León Roch ( The Family of León Roch, 1878–1879). The next group of novels represents what Galdós called his segunda manera —his second style, a different kind of writing ... a more sophisticated and varied mode of narrative presentation