|
 |
 |
 |
| |
Urostomy
An ostomy for the elimination of urine from the body.
New Products for February 2004
For more information, please call (800) 533-0464. The debriding ointment uses papain, a proteolytic enzyme derived from papayas, and urea, a denaturant of proteins. For more information, please call (800) 876-1261, or visit www.smith-nephew.com. - OWM First multichamber urostomy pouch and urostomy micro-pouch launched ...
|
Special Consideration for Patients in a Wheelchair
Special Consideration for Patients in a Wheelchair The Ostomy Files: Special Consideration for Patients in a Wheelchair - Gwen B. Turnbull, RN, BS, ET Life is challenging. Preoperative stoma site marking for a wheelchair-bound individual requires meticulous attention. The comparatively easy process of emptying an ostomy pouch can be problematic for someone in a...
|
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.
|
Part 1 Continent Diversions: The New Gold Standards of Ileoanal Reservoir and Neobladder
In recent decades, surgical treatment of familial adenomatous polyposis, chronic ulcerative colitis, and muscle-invasive bladder cancer has undergone a revolution. Specifically, ileoanal reservoir and neobladder have become the new "gold standard" of definitive surgical therapy for these disorders. This article discusses issues in surgical construction, indications, contraindications, perioperative care concepts, and nursing and health professional implications related to these two procedures. These interventions include screening candidates for ileoanal reservoir or neobladder to rule out Crohn's disease or metastatic cancer and educating candidates for continent diversions about the proposed procedure(s) and associated events, potential complications, postoperative exercise, sexual health and function issues, and the benefits of support group participation so they can gain a realistic understanding of ultimate functional outcomes. Questions for future research are addressed. KEYWORDS: continent diversions, neobladder, ileoanal reservoir, ulcerative colitis, bladder cancer
|
Strategies for Improving Ostomy Outcomes
Clinicians caring for ostomy patients, regardless of the care setting, frequently feel isolated and hampered in their attempts to respond to patient and employer needs - often the two seem completely contradictory. Ostomy surgery easily lends itself to an analysis of outcomes because surgical cases are much more likely than medical cases to follow a standard path. ...
|
What is This?
The lesions may be single or clustered and are white-gray to reddish brown wart-like papules or nodules. According to Lyon and Smith,3 persons with alkaline urine have a greater tendency to develop pseudoverrucous lesions around urostomies. In circumstances where urinary crystals are a problem or the lesions protrude above skin level or cause pain, more aggressive ...
|
Challenges of Ostomy Care and Obesity
In the United States, 13 to 16 million people are morbidly obese to the extent that medical intervention, simply based on obesity-related comorbidities, is needed. The challenge of ostomy care and the very obese patient lies in the skill and planning required for successful physical, emotional, and spiritual recovery. It is commonly believed that from the onset, the obese patient having surgery is at a significant disadvantage. Care of the obese patient requiring ostomy surgery includes considerable challenges - from preoperative preparation, including finding an optimal location for stoma placement, to the challenge of preventing complications during the intraoperative and postoperative phases of care. Concerns regarding pain management, immobility, skin injury, respiratory issues, embolic threats, and caregiver injury increase when treating the obese patient and must be addressed specifically. A case study approach is used as a framework to discuss the ostomy experience. KEYWORDS: obesity, bariatric, ostomy, colostomy, surgery
|
New Products for August 2003
For further information, call (800) 876-1261. - OWM Healthcare personnel have new water-optional handwashing product Healthpoint(R) Ltd. (Fort Worth, Tex.) For more information, visit www.jeanscream.com. - OWM New chair pad offers comfort and protection Gaymar Industries, Inc., (Orchard Park, NY) introduced the JAIRY Chair pad...
|
Ostomy Statistics: The $64,000 Question
Number of Patients Currently available estimates of the number of patients vary. Gender No definitive gender data are currently available for the ostomy population. The Challenge Remains This aspect of ostomy care and management deserves an investment of research dollars.
|
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
|
|
|
 |
 |
 |
|
|
|
|
|
|
|
