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