Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Ostomy”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 55 records · Page 3Linked to original sources
PubMed1993

Ostomy patient management: care that engenders adaptation.

The patient requiring ostomy surgery has needs above and beyond the typical perioperative needs of an individual experiencing major abdominal surgery. These needs may be categorized as technical ostomy management, information, and emotional support. The health care team managing ostomy patients must be prepared to address the patients' need in these three categories. This can be accomplished when the multidisciplinary team establishes a comprehensive plan of care that consists of five elements: information, technical expertise, psychosocial support, referrals, and surveillance. Each element plays a critical role in the patients' adaptation to ostomy surgery. Pertinent aspects of each element are described. By incorporating these elements into the plan of care, the health care team engenders patient adaptation to ostomy surgery.

Adaptation, Psychological↗
PubMed1999

Ostomy care: foundation for teaching and practice.

Current approaches to ostomy management evolved from the extensive experience of surgeons, enterostomal therapy nurses, staff nurses, patients, and manufacturers. Advances in surgical techniques in the 1950's led to decreased morbidity and mortality previously associated with ostomy surgery. With these advances, a corresponding demand emerged to meet the rehabilitative needs of these patients by providing significant physical and psychological support. The birth of enterostomal therapy in 1958 focused interest, energy, and resources on this important area of patient care. Today's tradition-based practice continues to go a long way in meeting the physical and psychological needs of individuals undergoing ostomy surgery. However, in this era of managed care, shrinking healthcare dollars, and standardized guidelines, care practices not derived from evidence or consensus may jeopardize a patient's access to appropriate interventions and supplies. An exhaustive review of the literature revealed a paucity of ostomy-related research. The effectiveness of preoperative stoma site selection, prevention, care, and treatment of peristomal skin problems; and pouch selection and wearing times revealed a wealth of empirical evidence, but little or no objective data supporting commonly accepted interventions. The care of individuals with urinary and fecal diversions is both an art and a science. Evidence-based practice is needed to provide a firm foundation from which the art of individualized patient care can flourish. Research related to pre- and postoperative care and rehabilitation of individuals with ostomies can only serve to improve education, continuity of care, reimbursement, and most importantly, optimize patient care.

Education, Nursing, Continuing↗
PubMed2004

The role of industry in improving quality of life for persons with an ostomy: a Canadian consensus.

Financial and clinical resources (which include 260 enterostomal therapy nurses nationwide) to provide clinical and rehabilitative expertise to the estimated 50,000 to 60,000 Canadians living with an ostomy are limited. Hence, many persons with an ostomy fall through the cracks in the early pre- and postoperative period or are lost to follow-up afterdischarge. Problems and issues related to ostomy management continue to surface throughout their lives. As a result,the time required for rehabilitation is often lengthy, affecting the person's quality of life. The First Canadian Enterostomal Therapy Nurses' Advisory Council consisting of 10 Canadian enterostomal therapy nurses met in February 2004 to identify key issues and concerns for Canadians living the ostomy experience and to identify gaps in information and services available before surgery, during the immediate postoperative period, and as the time from surgery lengthened and patients moved through age-related life issues. The two most important gaps identified were the development of quality, pertinent resources and the dissemination of those resources. The Council also identified potential strategies to bridge these gaps, including utilizing the resources of manufacturer Customer Service departments to follow a communications protocol to provide information to patients, retailers, and providers. Finally, a process map from which individual ostomy manufacturers can build programs and processes for improving patient/provider/manufacturer communication was developed.

Adaptation, Psychological↗
PubMed2006

Ostomy care and rehabilitation in colorectal cancer.

OBJECTIVES: To review ostomy care in colorectal cancer, current trends in assessment, management, and treatment, and the role of the enterostomal therapy (ET) nurse in cancer care. DATA SOURCES: Published literature and the author's clinical experiences in ostomy wound care. CONCLUSION: Care of the patient with colorectal cancer requiring an ostomy involves both physical and psychological rehabilitation. The education and skills of an ET/wound, ostomy, and continence (WOC) nurse can provide a valuable service to the patient/family, surgeon, oncology nurse, and other health care providers. IMPLICATIONS FOR ONCOLOGY NURSES: An ostomy is not a handicapping procedure. Living well with a colostomy can be achieved through proper patient preparation, education, and planning. Provision of individualized comprehensive care facilitates physical and psychological rehabilitation.

Adaptation, Psychological↗
PubMed1996

Basic ostomy management: assessment and pouching.

Home healthcare nurses have tremendous impact on how a patient adapts to a new ostomy. This article increases the nurse's knowledge regarding basic ostomy management by reviewing common ostomy surgical procedures, assessment of the stoma, ostomy supplies, and appliance application and by providing helpful hints for helping the patient incorporate the ostomy into everyday life.

Activities of Daily Living↗
PubMed2000

Ostomy as a risk factor for posttraumatic infection in penetrating colonic injuries: univariate and multivariate analyses.

BACKGROUND: Primary repair for penetrating colonic injury is an acceptable practice in uncomplicated injuries, but it is still viewed with trepidation in high risk patients. METHODS: The records of 350 patients evaluated at an urban Level I trauma center for penetrating colonic injuries over an 8-year period (1989-1997) were reviewed. These included 33 stab and 317 gunshot wounds. Thirty-nine patients died within 48 hours. Of the remaining 311 patients, 78 (25%) developed 152 infections. These infections were classified as traumatic or nosocomial in nature. Traumatic infections (46%) included abdominal abscesses or peritonitis (28), wound infections (30), missile tract infections (8), and fistulas (4), whereas nosocomial infections (54%) included pneumonia (25), bacteremia (25), urinary tract infections (17), miscellaneous (8), empyema (4), and sinusitis (3). Significance for analyses was set at p < 0.05. RESULTS: Univariate analysis was performed to identify risk factors for the development of infections. The five most significant risk factors, using all infections as an outcome, were as follows: penetrating abdominal trauma index (PATI) greater than 30, presence of an ostomy, multiple transfusions, Injury Severity Score (ISS) of 16 or greater, and Revised Trauma Score less than 7.8. All were highly significant (p < 0.0001). Multivariate analysis with all infections as an outcome revealed that four of the five risk factors had independent effects, with the following significance: PATI greater than 30, ISS of 16 or greater, ostomy, and multiple transfusions. Multivariate analysis for traumatic infections revealed only two of the above to be independent risk factors: presence of an ostomy (p = 0.004) and a PATI greater than 30 (p = 0.039), both of which can be considered local factors. Conversely, multivariate analysis of nosocomial infections revealed independent risk for the two other factors, both of which can be considered systemic factors: multiple transfusions (p = 0.011) and ISS of 16 or greater (p = 0.026). CONCLUSION: Although most of the above factors are beyond the control of the trauma surgeon, the creation of an ostomy is a clinical decision. The creation of an ostomy in high-risk patients does not protect them from septic complications and, indeed, may independently contribute to local abdominal infections.

Adolescent↗
PubMed1999

Self-perceptions about having an ostomy: a postoperative analysis.

The aim of this study is to identify the self-perceptions of patients at different postoperative phases and settings. The case study involves two ostomy patients: a young woman with a temporary ileostomy, and an older man with a permanent colostomy. Both patients were interviewed while still in the hospital on the third, fifth, and seventh postoperative days, and on the second day of the first and third months after discharge. Four major factors were identified after the patients were analyzed: social support, health and life expectations, physical suffering, and self-care. Family support predominated the social support category for both patients. The results showed that the patients' perceptions about having an ostomy were not influenced by the type of ostomy (i.e., whether the ostomy was temporary or permanent in the in-hospital phase). However, these results/perceptions, primarily those related to health and life expectancy and self-care, changed early in the study. We believe it is important for the healthcare team to know the perceptions patients have about their ostomies and themselves postoperatively. This, in turn, may contribute to systematic and personalized care based on specific patients' demands that vary at different stages of treatment and, most certainly, in different cultures.

Adult↗
PubMedDate not supplied

Children with ostomies: parents helping parents.

Thousands of ostomies are performed on children every year to treat a variety of acquired conditions and congenital anomalies. The parents of children with ostomies are faced with the challenge of successfully living with and managing their child's ostomy. These families need practical information and support, both from the professional community and from parents who have shared the responsibility of a child with an ostomy. A parental support network has been developed throughout the country to address some of the needs of these families. This article provides current information about the status of these networks: what they have to offer and how they can be accessed. These groups, which continue to evolve, demonstrate a trend within this unique population. The parents of a child with an ostomy no longer need to feel alone in their experience.

Adaptation, Psychological↗
PubMed1994

The role of hardiness in adjustment to an ostomy.

The purpose of this descriptive study was to explore the effects of the personality characteristic hardiness on adjustment to an ostomy in the elderly ostomy patient. The Health Related Hardiness Scale (HRHS) was used to measure hardiness and the Ostomy Adjustment Scale (OAS) was used to determine adaptation to the ostomy. Results included a modest but significant inverse relationship (-0.3978) (p < 0.05) between the control aspect of hardiness and adjustment to an ostomy. The relationship between hardiness and selected demographic variables was not significant.

Adaptation, Psychological↗
PubMed1996

Predischarge and postdischarge concerns of persons with an ostomy.

This study examined the concerns of persons with ostomies before and after discharge from the hospital and attempted to determine whether these concerns were affected by the reason for stoma construction, temporary versus permanent status of the stoma, or the person's sex. Participants (N = 67) responded to a 46-item questionnaire titled "Perceived Effect of an Ostomy." Eight of the 46 items were common concerns affecting patients before and after discharge. These were fear of stool leakage, odor, ability to participate in sports, necessity for further treatment, wearing a pouch, changing the pouch, change in body appearance, and participating in sexual love play and intercourse. The total concern scores did not differ significantly with reason for stoma construction or temporary versus permanent ostomy status. Women had significantly higher concern scores than did men. Interviewing patients before and after discharge regarding their concerns may help to focus ostomy teaching and counseling.

Activities of Daily Living↗
PubMed2004

Collaborative care management for a pregnant woman with an ostomy.

Pregnant women with an ostomy face many challenges during the prenatal period. Although these challenges may be present, pregnancy in the ostomate is presented as a continuum of health and wellness in this article. Collaborative care professionals, especially nurses and midwives, are often the most accessible professional sources for health care information, but current research and information on this topic is sparse. Ostomy-related problems that may occur during pregnancy, include: intestinal obstruction, peristomal hernia, pouching problems, including the effect of nausea and vomiting on pouch hydration, stomal retraction, stenosis, or laceration, and stomal prolapse. Three types of ostomies are discussed: continent ileostomies, urostomies and colostomies. A description of the normal characteristic appearance of each is also included. Collaborative care from pre-conception through the post partum period is described with emphasis on teaching self-help techniques such as: special nutritional considerations, how to recognize potential problems, and how to fit and adapt appliances to the changing body form of the patient as the pregnancy progresses. Phenomenologic information about the pregnant ostomate's perceptions about her pregnancy experience is also presented. Psycho-prophylaxis methods of complementary therapy alternatives alleviating nausea and vomiting within pregnancy, as well as the pain of childbirth are also presented. Although nursing/midwifery management of a pregnant ostomy patient is a challenge, those challenges are surmountable and outcomes resemble those found in the general population.

Complementary Therapies↗
PubMedDate not supplied

The basics of ostomies.

Basic ostomy care can be intimidating because nurses don't often see colostomies, ileostomies, or urostomies. While there are as many different ostomies as there are people who have them, there are some commonalities in the care of the stoma. These can be generalized to all stomas, regardless of the type of output. Some care, however, is specific to the placement of the stoma and the type of effluent flowing from the opening. This article will provide the gastroenterology nurse an overview of the basic features of ostomies as well as routine ostomy care.

Diet↗
PubMedDate not supplied

Survey of wound, ostomy and continence (WOC) nurse clinicians on stomal and peristomal complications: a content validation study.

PURPOSE: Validated and reliable stomal and peristomal complication definitions and associated interventions are lacking. Available literature is either narrowly medically focused or only of case study level. The objectives of this study were to establish content validation data for the proposed stomal and peristomal complication definitions and their associated interventions, to obtain the data related to contact with stomal and peristomal complication patients, and to gain insight into the ostomy care process. METHODS: A researcher-designed survey was sent to 2900 expert Wound, Ostomy and Continence nurse clinicians via a national mailing to a representative nonrandomized sample of participants who identified that they included ostomy care in their professional practice. In total, 686 nurses returned the survey, a response rate of 24%. The purposive sample was asked to quantify the degree of validity of the survey's stated stomal and peristomal definitions and interventions. Hand-written qualitative comments of the participants were transcribed, analyzed, and themes were derived. RESULTS: On a scale of 1 to 4, the mean score for all definitions and interventions was 3.64 (SD=0.30). The overall survey's content validity index was .91. Ratings demonstrated high consensus validation on the stomal and peristomal definitions and interventions, with definitions scoring higher. The mean scores and the content validity index results on selected items were slightly lower for interventions, especially stomal interventions. Qualitative analysis of participants' comments about the whole instrument generated 10 themes and associated subthemes related to omitted complications and interventions and general observations about the ostomy care process and the validation research process. CONCLUSION: The proposed stomal and peristomal definitions and interventions were rated as generally valid. Further research documenting validation of participants' comments is necessary. Given the findings, additional complications and interventions not identified in the literature were noted and need to be further scrutinized and researched.

Adult↗
PubMed1992

Role of the enterostomal therapy nurse in ostomy patient rehabilitation.

Enterostomal therapy (ET) nurses specialize in the management of patients with urinary and fecal diversions, draining wounds and fistulas, fecal and urinary incontinence, and chronic wounds such as pressure ulcers and vascular ulcers. ET nurses have much to offer in the management of patients with cancer. Such nurses play a major role in the rehabilitation of patients undergoing fecal or urinary diversions. Preoperative services include: counseling regarding planned surgical procedure, the impact of an ostomy on the patient's life, and the basics of ostomy management; sexual counseling; and stoma site selection. Postoperatively, the ET nurse instructs the patient and family in ostomy care, dietary and fluid alterations, and ways to incorporate ostomy management into the patient's life. The ET nurse also provides long-term follow-up care in outpatient settings; such care includes ongoing counseling, education, and surveillance for complications requiring medical intervention. ET nurses can recommend appropriate measures to prevent and manage skin breakdown that is related to immobility, friable skin, incontinence, and/or radiation therapy. They also can assist in correcting or containing fecal or urinary incontinence and in cost-effective management of draining wounds and fistulas.

Counseling↗
PubMedDate not supplied

[The meaning of the new way of life of individuals with permanent intestinal ostomy].

The research aims to identify and analyze the main modifications that affect the way of life of an ostomate, and strategies developed to face the situation of having an ostomy. The method used was oral history of topic life. Ten semi-structured interviews were conducted with permanent ostomates. For data analysis, the method used was thematic content analysis. Five themes emerged from the analysis of the interviews: the experience of signs and symptoms and the need for an ostomy; learning to live with an ostomy, the pouching system, and the search for alternatives to replace the usage of the pouching system; facing the changes caused by an ostomy in terms of feeding, clothing and sex life; the search for social reintegration, the challenge of facing death, and the search for future perspectives; the search for a social support network: religious and spiritual beliefs, family and the ostomates association.

Adaptation, Psychological↗
PubMed2006

Basics of ostomy care.

Teaching the patient how to care for a new ostomy can be a challenging experience for the nurse. The patient with an ostomy needs encouragement, support, and counseling to learn how to integrate self-ostomy care into daily activities. Collaboratively, the WOCN and medical-surgical nurse can provide the patient and his or her family with a more comprehensive approach to ostomy teaching.

Activities of Daily Living↗
PubMed1997

The influence of ostomy surgery on body image in patients with cancer.

A one group repeated measures design was used to describe changes in body image in 45 patients treated with ostomy for bowel or bladder cancer. Body image was measured preoperatively and at two postoperative points: 1 month and in 6 months or postclosure. The Body Cathexis Scale, Draw-a-Person, and subjective responses to open-ended questions were used. There was a significant difference in Body Cathexis scores between the immediate 1 month postoperative period and 6 months later (F(2, 88) = 3.13, p = .049). Body image scores did not change significantly between the preostomy and first postostomy measures. Qualitative data suggested that cancer diagnosis and its associated concerns were paramount on subjects' minds preoperatively and thus negatively influenced body image before the creation of the ostomy. Although altered body image is an appropriate nursing diagnosis for patients with ostomy in both the preoperative and postoperative periods, other issues may be dominant especially in the preoperative period.

Adult↗
PubMed1996

Who is being missed in ostomy research?

This article compares persons who were included in a research study about living with an ostomy with those who were not included. Persons not included were those who were too physically ill to be independent in care, persons with paralysis, and persons with mental illness. Research about persons with ostomies should include an ethnically diverse sample, deal with caregiver and home care needs, and investigate special populations such as those in psychiatric units, rehabilitation units, or long-term care facilities. ET nurses are challenged to participate in more ostomy-related research.

Activities of Daily Living↗