1. Milagros Castro Romera Hospital Universitario de Canarias

2. Where do you come from?

3. Spain 504.645 km 2 46.439.864 inhabitants

4. 2,104,815 inhabitants

5. Canary Islands ABC.es 07/04/2014

6. National Health System Right 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.

7. Canary Islands Health Service. Primary Cares Health Area Basic Health Zone Health Center Peripherical OfficeEmergency point

8. Canary Islands Health Service. Primary Cares. Health Area Basic Health Zone

9. Canary Islands Health Service. Specialized Cares Hospital Specialty Care Center

10. Reference population 1212 1.Hospital Universitario de Canarias 2.Hospital Universitario Nuestra Señora de la Candelaria

12. 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

13. 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

14. Urodynamic ward

15. Department of General and GI Surgery Inpatients  Surgical ward. Outpatients  Outpatient Clinic Activities. 5 doctor offices 1 nursing room

16. 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

17. 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

18. 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.

20. 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