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Ostomy Surgery
Surgically created opening in the body for the discharge of bodily wastes.
Sexuality after Ostomy Surgery
Schover2 suggests that persons with a stoma imagine themselves in the shoes of their partners. Sex is not always about what occurs between the legs. Communicating openly and honestly is the only way to clear the hurdle of sex and intimacy after ostomy surgery.
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Using Role Models in Ostomy Rehabilitation
Living with an ostomy does not have to rob an individual of a quality life. This year's recipient, Lisa Andrews of Fayetteville, Ga., lived a roller-coaster life with IBD for 11 years (plus thyroid cancer) before undergoing ileostomy surgery. A trained ostomy visitor program is the flagship offering of the UOA.
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Quality of Care after Ostomy Surgery: A Perspective Study of Patients
Ostomy surgery affects life on a variety of levels. Clinicians need to facilitate the patient?s adaptation to life with a stoma and provide information and support to ease the transition. To prospectively assess ostomy patients? perceptions of the quality of care received as well as the importance they ascribe to care conditions, 49 patients from nine Swedish hospitals completed a postoperative ?Quality of Care from the Patient?s Perspective? questionnaire modified to include stoma care variables. The questionnaire consists of 49 items covering 17 quality dimensions factors that address medical-technical competence, physical-technical conditions, identity-oriented approach, and socio-cultural atmosphere. The modified version contains an additional 13 ostomy-specific items that have demonstrated face validity. Responses to questions were provided using 4-point scales to assess perceived reality and subjective importance. ?Medical treatment? received the highest score on the perceived reality scale; ?interest in view-of-life,? ?care-room characteristics,? and ?participation? received the lowest scores. On the ostomy-specific section, patients were satisfied with most aspects of care received; ?where to get advice and support concerning the ostomy? received the highest score. ?Talking about sexuality with the ET nurse? received the lowest score on both perceived reality and subjective importance scales. Although the majority of patients regarded most aspects of care as important and were highly satisfied with the care they received before and following their ostomy surgeries, periodic follow-up will most likely enhance satisfaction and long-term follow-up results may differ from those obtained shortly after surgery . KEYWORDS: ostomy, quality of care, care conditions, patient perceptions Ostomy/Wound Management 2005;51(8):40?48
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Is There a Gap in Ostomy Rehabilitation?
Similar findings of depression after ostomy surgery have been documented in OWM and other journals. Some patients may be completely unwilling to discuss personal concerns. Acceptance and support are key to the patient?
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Psychological Adjustment after Ostomy Surgery: What Do We Know?
Another study3 of quality of life and adjustment to an ostomy conducted in the UK found a ? In 1996, Pieper et al4 studied adjustment to ostomy among three groups of patients 18 years or older with fecal stomas: 1) temporary ostomies resulting from disease; 2) temporary ostomies resulting from trauma; and 3) permanent ostomies resulting from disease. Regardless of the...
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Prescription for Excellence: An Ostomy Clinic
Individuals scheduled for ostomy surgery and those with a new or established stoma benefit from the services of a Certified Ostomy Care Nurse or Certified Wound Ostomy Continence Nurse provided in an ostomy clinic. The clinic can provide pre- and postoperative services as well as long-term holistic care. Developing a clinic requires an organized and well thought-out plan that identifies unmet patient needs to justify the importance of this ambulatory service to facility administrators. The plan should include configuring and preparing the area where care will be provided, advertising the services offered, and determining hours, staff, policies, and procedures with particular attention paid to facility and regulatory specifications. After establishing a clinic in a large, urban, acute care hospital, patient visits averaged 33 per month and the scheduled 6 hours per week of clinic time needed to be expanded to meet the needs of those requesting appointments. Once established, patient outcomes and provider satisfaction should be recorded. Certified Ostomy Care Nurses and Certified Wound Ostomy Continence Nurses have a responsibility to inform their patients about the ostomy clinic option when it is available and clinic clinicians should continue to share the results of their efforts to proliferate the ostomy clinic concept. KEYWORDS: ostomy clinic, stoma clinic, education, marketing, ambulatory care Ostomy/Wound Management 2005;51(9):32?38
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The Modernity of Ostomy
— Johann Wolfgang von Goethe A few weeks ago, my husband and I were driving back to Canada after visiting our family in the US. Hooker1 defines modernity as the sense or idea that the present is discontinuous with the past. We experience modernity as a “proliferation of alternatives”1 which may be associated with changes in lifestyle, social mores, ...
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Hospital Land versus the Real World
Ostomy-related online chat rooms and bulletin boards: www.uoaa.org United Ostomy Associations of America stuartonline.com Tuesdays, 9:00 pm Eastern Time Addendum With regard to Snow Birding: Traveling with an Ostomy (“The Ostomy ...
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Quality of Life in Patients with Stomas: The Montreux Study
Ostomy surgery profoundly affects a person's life. To determine the extent of the effect, the Stoma Care Quality of Life Index instrument was developed from a quality-of-life index. After ascertaining its validity and reliability, the instrument was used to measure patient quality of life in a European-wide study (16 countries). Six hundred, eighteen (618) stoma care nurses recruited 4,739 patients following stoma surgery. The self-administered questionnaire was completed immediately following surgery and after 3,6, 9, and 12 months. The mean age of patients was 61.6 years (+/- 13.4 years), 53.7% were men, and the majority (66.5%) had a colostomy. Stoma Care Quality of Life Index scores were fairly consistent in all patients throughout Europe immediately following surgery. While scores improved steadily over time, only the difference between the postoperative and 3-month scores was significant (P < 0.001). Stoma Care Quality of Life Index scores were significantly higher in patients who were satisfied with the care received than in those who were not satisfied. Similarly, patients who had a good relationship with the stoma care nurse and felt confident about changing the appliance had significantly higher Stoma Care Quality of Life Index scores than those who did not have a good relationship or feel confident. The results of this study suggest that stoma patient quality of life can be assessed, that it changes over time, and that patient access to specialist ostomy care nurses is particularly important during the first 3 to 6 months following surgery.
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Randomized Crossover Comparison of Adhesively Coupled Colostomy Pouching Systems
Ostomy pouching systems affect well being and quality of life, making selection of the appropriate system a key element of ostomy care. Several innovative adhesively coupled, two-piece systems are on the market. They feature flexible low profiles, allowing pouch removal/replacement without changing the skin barrier or wafer. This facilitates inspection or pouch changes without disrupting peristomal skin. Because few controlled trials compare pouching system effectiveness, a prospective, randomized open-label, crossover study was conducted. Under the supervision of ostomy care nurses in six outpatient clinics in Germany, clinical performance of and patient preferences for two adhesively coupled, closed-end pouching systems were compared during normal use. One is a gelatin/pectin-based skin barrier sealed to the pouch with a company-specific adhesive coupling technology (System E); the other, a grooved base plate wafer adhesive pouch coupling system (System F). Seventeen attributes and seven end-of-study measures that included comfort, flexibility, wear time, ease of removal, and overall performance were assessed. Informed, consenting participants were randomly assigned to use one system for five skin barrier/wafer changes or up to 15 days and subsequently switched to the alternative system for a similar period. The 39 participants used a total of 1,645 pouches and 342 skin barriers. All were found safe as determined by incidence and nature of the reported peristomal skin problems, subject withdrawals, and adverse events for both systems. However, System E provided longer pouch wear times (P < 0.01). End-phase ratings favored System E on 10 of the 17 attributes (P <0.04) and System F on none. More participants preferred System E on all seven end-of-study measures, five significantly (comfort, flexibility, wear time, ease of removal, and overall performance; (P <0.02). These participant-reported, ostomy-related outcomes underscore the importance of product evaluation and selection for persons with an ostomy.
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