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Ostomy care

Ali Fuat Kaan Gök, Ilker Özgür, Meral Altunsoy, Muhammed Zübeyr Üçüncü, Adem Bayraktar, Mehmet Türker Bulut, Metin Keskin
BACKGROUND: Marking a stoma site preoperatively decreases the possibility of experiencing later stoma-related problems and improves the quality of life of patients in the postoperative period. Those best equipped to perform this procedure are ostomy nurses and colorectal surgeons, as they receive the stoma therapy education during their training programs. The aim of this study was to compare the rate of stoma problems and quality of life of patients who underwent an operation that included stoma creation (elective or urgent) with and without preoperative stoma siting...
January 2019: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Kevin Kelleher, Rhona Hunt, Ailish Hannigan, J Calvin Coffey, Mary Clarke Moloney, Mary Ahern, Elaine Conway, Leonard O'Sullivan
Peristomal skin complications are a common problem for persons with an ileostomy. PURPOSE: The purpose of this pilot study was to solicit user feedback and perform an initial assessment of the performance of a new barrier seal designed to decrease the risk of chemical-induced dermatitis. METHODS: Seven (7) potential participants who were at least 18 years of age, >6 months post surgery, with an end or loop ileostomy and unbroken peristomal skin, and who were capable of changing their appliance themselves or had the availability of care assistance were identified and recruited by the stoma care nurse at the University Hospital, Limerick, Ireland...
January 2019: Wound management & prevention
Ji-Kyo Kim, Sung-Hee Yoo, Ju-Hee Nho, Jae-Kyun Ju
BACKGROUND: In previous studies about performance or factors affecting pressure ulcer (PU) care, old tools with nonupdated contents about the prevention and intervention of PU have been mainly used. Thus, there is little known how well evidence-based PU care is performed and what its' influencing factors are recently. AIMS: This study aimed to evaluate the PU care performance, based on evidence-based practice guidelines, and identify factors affecting it while considering nurses' individual and institutional characteristics...
January 30, 2019: Worldviews on Evidence-based Nursing
Sabrina Toledano, Joachim Sackey, Kate Willcutts, J Scott Parrott, Jennifer Tomesko, Ahmed M Al-Mazrou, Ravi P Kiran, Rebecca A Brody
BACKGROUND: We assessed the differences in postoperative feeding outcomes when comparing early and traditional diet advancement in patients who had an ostomy creation. METHODS: At a U.S. tertiary care hospital, data from patients who underwent an ileostomy or colostomy creation from June 1, 2013, to April 30, 2017 were extracted from an institutional database. Patients who received early diet advancement (postoperative days 0 and 1) were compared with traditional diet advancement (postoperative day 2 and later) for demographics, preoperative risk factors, and operative features...
January 28, 2019: Nutrition in Clinical Practice
Midori Nagano, Yasuko Ogata, Masaomi Ikeda, Kunio Tsukada, Keiko Tokunaga, Satoru Iida
PURPOSE: The purpose of this study was to evaluate factors related to peristomal moisture-associated skin damage (MASD) in patients who underwent ostomy surgery because of colorectal cancer, and their independence in pouching system changes. Findings were used to determine pre- and postsurgical care for these patients. DESIGN: Retrospective review of medical records. SUBJECTS AND SETTING: The study setting was an 800-bed hospital in metropolitan Tokyo, Japan...
January 25, 2019: Journal of Wound, Ostomy, and Continence Nursing
A Adjowa Walker, Conrad R Cole
PURPOSE OF REVIEW: Ultra-short bowel syndrome is relatively rare and has not yet been extensively reported. In ultra-short bowel syndrome, poor absorption of nutrients and dysmotility, interfere with fluid, energy, electrolyte and micronutrient balance. Patients with this disorder are managed through prolonged parenteral nutrition with the ultimate goal of achieving enteral autonomy. Overall outcomes of these patients are dependent on postsurgical bowel anatomy (residual length, intact colon, ostomy closure timing), incidence of sepsis, and care by a multidisciplinary specialized team...
January 21, 2019: Current Opinion in Pediatrics
Steven J Skube, Bruce Lindgren, Yunhua Fan, Stephanie Jarosek, Genevieve B Melton, Michael D McGonigal, Mary R Kwaan
INTRODUCTION: Racial disparities have been both published and disputed in trauma patient mortality, outcomes, and rehabilitation. In this study, the objective was to assess racial disparities in patients with penetrating colon trauma. METHODS: The National Trauma Data Bank was searched for males aged ≥14years from 2010 through 2014 who underwent operative intervention for penetrating colon trauma. The primary outcomes for this study were stoma formation and transfer to rehabilitation; secondary outcomes were postoperative morbidity and mortality...
November 2018: American Journal of Preventive Medicine
Kathleen G Lawrence, Donna Z Bliss, Maureen Dailey, Chenel Trevellini, Vicky Pontieri-Lewis
In order to address the need for a tool to support hospital-based nurses in catheter-associated urinary tract infection (CAUTI) prevention, the American Nurses Association (ANA) was asked to convene a Technical Expert Panel of stakeholders in CAUTI prevention. The Technical Expert Panel was chaired by the ANA's Senior Policy Fellow, a certified wound, ostomy and continence (WOC) nurse. The panel comprised 23 representatives, including nurses from specialty practice organizations, nursing affiliated with the ANA, infection control specialists, patient safety authorities, award-winning hospitals using the National Database of Nursing Quality Indicators, and content experts...
January 9, 2019: Journal of Wound, Ostomy, and Continence Nursing
Thierry Almont, Anne-Déborah Bouhnik, Ali Ben Charif, Marc-Karim Bendiane, Corinne Couteau, Cécile Manceau, Julien Mancini, Éric Huyghe
BACKGROUND: Colorectal cancer (CRC) is accompanied by specific treatment-related physical (ostomy, incontinence) and psychosexual (body image, depression) consequences on sexual health. AIM: To assess sexual health of patients with CRC 2 years after diagnosis. METHODS: We selected all patients with CRC from a French nationwide longitudinal study. Data sources included patient questionnaires, medical questionnaires, and medico-administrative databases...
January 2019: Journal of Sexual Medicine
Virginia Sun, Christopher S Wendel, Wendy Demark-Wahnefried, Marcia Grant, Carmit K McMullen, Joanna E Bulkley, Lisa J Herrinton, Mark C Hornbrook, Robert S Krouse
BACKGROUND: Rectal cancer (RC) survivors experience significant bowel function issues after treatment. We aimed to describe self-reported dietary and behavioral modifications among long-term (≥5 yr) RC survivors to manage bowel dysfunction. METHODS: RC survivors from Kaiser Permanente Northern California and Northwest regions completed surveys either via postage-paid return mail or telephone. Summary statistics on diet/behavioral modifications data were tabulated by proportion of responses...
December 20, 2018: Nutrition and Cancer
Tracie White, Penni Watts, Melanie Morris, Jacqueline Moss
Postoperative education, discharge instructions, and follow-up appointments provide a foundation for new ostomates after discharge, but a gap in care remains. New ostomates utilize resources twice as much as other colorectal patients. Virtual visits allow visual inspection of the patient while providing verbal support. The purposes of this project were to determine the feasibility of Virtual Postoperative Visits, to define specific issues patients want addressed, and to assess patient satisfaction with a virtual format...
December 17, 2018: Computers, Informatics, Nursing: CIN
Giulia Menin, Gabriele Roveron, Maria Barbierato, Angela Peghetti, Renzo Zanotti
Many people in Italy undergo ostomy because of illness, and this can have negative psychological and physical effects. It is estimated that 15%-43% of ostomates suffer from skin complications in the peristomal area. During their life, many ostomates experience at least one peristomal lesion, and they turn to stomal therapy centres where trained nurses provide patient care and manage skin complications. To ensure a good quality of life for patients, and to take prompt action for the prevention and treatment of stomal lesions, it is essential to use appropriate assessment tools...
December 13, 2018: International Wound Journal
Beenish Nafees, Zenia M Størling, Charlotte Hindsberger, Andrew Lloyd
BACKGROUND: Leakage is a major concern for people who use a stoma, but people's experience and its impact is not well understood. This study aimed to establish a definition of leakage through clinical and user input. This information was used to develop and validate a new measurement tool to understand the impact of leakage for people using a stoma appliance, in the UK, US, France, and Denmark. METHODS: Participants were recruited from a panel of users, hosted by Coloplast, that includes people who currently use Coloplast products...
December 14, 2018: Health and Quality of Life Outcomes
Burcu Cengiz, Zuhal Bahar, Aras Emre Canda
BACKGROUND: Individuals who have undergone stoma surgery take time to adjust to the stoma, and their quality of life is decreasing. OBJECTIVE: The aim of this study was to examine the effects of home-based nursing interventions informed by the Health Belief Model on patient care outcomes for individuals having a stoma. METHODS: This pretest, posttest, and semiexperimental design with a control group included adults who underwent a stoma operation in the previous 3 months...
December 12, 2018: Cancer Nursing
Kelly M Kenzik, Grant R Williams, Smita Bhatia, Courtney J Balentine
BACKGROUND: Little information is available on the long-term use of post-acute care among older patients with colorectal cancer (CRC), relative to individuals without cancer. This study examines the use of post-acute care among older cancer survivors (>65 y) with CRC and compares it with noncancer patients up to 5 years from surgery. DESIGN: Retrospective cohort. SETTING: SEER-Medicare. PARTICIPANTS: Patients treated for stage I to III CRC between January 1, 2000, and December 31, 2011 (n = 40 812) and noncancer Medicare beneficiaries hospitalized for noncancer treatment matching on age, sex, race, comorbidity, and Medicaid dual eligibility...
December 3, 2018: Journal of the American Geriatrics Society
S Federici, L De Biagi
Necrotizing enterocolitis (NEC) is a significant complication for premature newborns. Infants who survive NEC are at increased risk of having poor long-term physiological and neurodevelopmental growth. The objective of this paper is to give a comprehensive description of the long-term consequences of NEC. Despite the rise in incidence of NEC there is a paucity of data regarding long-term outcomes of these infants that can be divided into two groups. The first group includes gastrointestinal complications that could occur in relation to the bowel disease, the surgical treatment and quality of the residual bowel...
November 30, 2018: Current Pediatric Reviews
Sarah W Grahn, Ann C Lowry, Marc C Osborne, Genevieve B Melton, Wolfgang B Gaertner, Sarah A Vogler, Robert D Madoff, Mary R Kwaan
BACKGROUND: Hospital readmission is common after ileostomy formation and frequently associated with dehydration. OBJECTIVE: This study was conducted to evaluate a previously published intervention to prevent dehydration and readmission. DESIGN: This is a randomized controlled trial. SETTING: This study was conducted in 3 hospitals within a single health care system. PATIENTS: Patients undergoing elective or nonelective ileostomy as part of their operative procedure were selected...
November 26, 2018: Diseases of the Colon and Rectum
Adnan Qureshi, Joanne Cunningham, Anil Hemandas
Aim: The aim of this study was to compare general and stoma specific short term complications in patients having stoma surgery in either an emergency or elective setting during their index hospital stay. It also compares the complications specific to a stoma carried out by surgeons with or without a specialist interest in colorectal surgery. Background: The stoma created in emergency surgery has a high short and long term complication rate. Emergency stomas where the site has not been marked preoperatively by a stoma therapist are more prone to complications...
2018: Gastroenterology and Hepatology From Bed to Bench
Robin McGlade
No abstract text is available yet for this article.
November 2018: American Journal of Nursing
Patrick L Stoner, Amir Kamel, Fares Ayoub, Sanda Tan, Atif Iqbal, Sarah C Glover, Ellen M Zimmermann
Patients with inflammatory bowel disease (IBD) commonly require surgery despite the availability of an increasingly large repertoire of powerful immunosuppressive medications for the treatment of IBD. Optimizing patients' care preoperatively is crucial to obtaining good surgical outcomes. This review discusses preoperative assessment and management principles including assessing disease location and activity with cross-sectional or endoscopic imaging, addressing modifiable risk factors (i.e., stopping smoking, weaning steroids, and correcting anemia), and properly managing medications...
2018: Gastroenterology Research and Practice
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