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At least 19 recordsLinked to original sources
PubMed1991

Morbidity and mortality of ostomy closure.

Ostomy closure following the Hartmann procedure is perceived to be associated with higher morbidity and mortality rates than is ostomy closure following divided colostomy, loop colostomy, and divided ileostomy-colostomy so that ostomy closure after Hartmann procedure may be denied to certain patients. To test that perception, the charts of 59 patients undergoing a Hartmann procedure and 43 patients having ostomy closure after divided colostomy, loop colostomy, or divided ileostomy-colostomy were reviewed. Ostomy closure after Hartmann procedure was accomplished in 46 patients. These 46 patients (Group I) were compared with the 43 patients having ostomy closure following divided colostomy, loop colostomy and divided ileostomy-colostomy (Group II). No deaths occurred in either group. The morbidity rate was 30% for Group I and was 19% for Group II. This difference is not significant. Major complications involved wound, lung, small bowel, and colonic anastomoses. Anastomotic stricture rate was 9% for Group I and 5% for Group II. Small bowel and anastomotic complications in both groups occurred only when ostomy closure was performed after a delay of less than 6 months after ostomy construction. Stricture occurred only after end-to-end colocolostomy and coloproctostomy and did not occur after ileocolostomy or ileoproctostomy. All strictures were successfully treated by reoperation. Anastomotic leak and pelvic abscess did not occur in either group. We conclude that ostomy closure after Hartmann procedure may be more difficult and time consuming than is ostomy closure after loop colostomy, divided colostomy, or divided ileostomy-colostomy, but ostomy closure after Hartmann procedure does not have a higher morbidity rate. We advise a delay of 6 months between ostomy construction and ostomy closure and submit that all patients whose general condition permits reoperation may safely undergo ostomy closure.

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↗
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↗
PubMed1992

[Living with an ostomy: a preliminary study].

This study reveals some aspects of ostomy patients life experience. The data were obtained by using the participant observation technique during the monthly meeting session of the Ostomy Patients Association from July 1989 to August 1991. The findings showed that the ostomized patients were concerned with: 1) the ostomy pouch (how to get it); 2) other persons opinion about ostomized patients; 3) their sexuality, and stoma care. The patients perceived themselves as physically disable and inferior persons. Some of them perceived themselves as having a normal life. Other patients also had to cope with the stigma of cancer.

Adaptation, Psychological↗
PubMed1976

An ostomy information clinic. A community resource.

This article has included some facets of discussions that take place at the Ostomy Information Clinic in Milwaukee. All types of ostomates attend one or more clinics to obtain information and help with management of their ostomies. Topics explored are management of drainage, odor control, use of the cone irrigation, digestion, nutrition and diet, and travel tips. In addition to ostomates, nurses often attend the clinics with or without their patients. Consultation is also provided to the Visiting Nurses' Association and local hospital nursing staffs. I would like to encourage other nurses to consider conducting ostomy information clinics in conjunction with the American Cancer Society. Not only is there a great need, but it is a personally rewarding and satisfactory experience.

Colostomy↗
PubMed1991

Ostomy appliances and equipment.

A well-fitted ostomy appliance that provides skin protection as well as comfort at a reasonable cost can enhance an individual's rehabilitation and return to a normal lifestyle. Conversely, a poorly selected appliance which fails to adhere and protect the skin and contributes to frequent leakage may undermine the client's self-confidence and feelings of well-being. Nurses who are knowledgeable in ostomy care and appliances are in a unique position to facilitate and expedite the patient's full recovery and adjustment following ostomy surgery.

Disposable Equipment↗
PubMed1989

Psychological response to illness: exploring two reactions to ostomy surgery.

This paper has discussed two psychological responses to ostomy surgery, denial and personal control, both of which can be maladaptive in situations faced by ostomy patients. Nursing interventions for each response were suggested and discussed in relation to two case studies. It is hoped the the information presented will be useful to nurses dealing with persons undergoing ostomy surgery and experiencing maladaptive behavior.

Adaptation, Psychological↗
PubMedDate not supplied

Infection in the cancer patient with an ostomy.

One of the most common reasons for ostomy surgery today is cancer. Because cancer is frequently treated with combined therapy, the surgery that results in an ostomy may be only one component of the overall therapy. The ET nurse is frequently the only nurse who cares for the patient on a consistent basis as he or she crosses medical-surgical therapies, and the ET nurse may be the one to first notice changes in the patient. Knowledge of the increased risks of infection and methods of prevention and therapeutic approaches are critical to the care of a patient who is undergoing such therapy.

Aged↗
PubMed1990

Helping ostomy patients back to independence.

Because elderly ostomy patients must deal with numerous challenges, be sure to identify their strengths and enhance their self-esteem. When teaching the older adult, remember factors that may affect learning, such as sensory changes, slowed reaction time, decreased short-term memory, and motivation. Consider the effects of other chronic illnesses and medications when developing a routine for ostomy care, and be sure to discuss dietary considerations with the patient.

Aged↗
PubMed1992

Colorectal trauma: primary repair or anastomosis with intracolonic bypass vs. ostomy.

This prospective, randomized, controlled study was undertaken to compare primary repair or anastomosis with intracolonic bypass vs. ostomy in severe colon and intraperitoneal rectal injury. Patients were randomized at surgery following confirmation of injury. Data collected included demographics, mechanism and location of injury, trauma score (TS), injury severity score (ISS), penetrating abdominal trauma index (PATI), complications, length of hospital stay, and hospital charges. Twenty-two patients were studied: 11 with intracolonic bypass and 11 controls. The experimental and control groups were statistically similar in demographics and mechanism of injury, severity of injury (TS = 13.8 vs. 12.8; ISS = 27.5 vs. 24.2; PATI = 40.5 vs. 35.0), and complication rate. Length of stay (12.2 days vs. 20.7 days) and charges $27,885 vs. $53,599) tended to be greater in controls, and the comparison did not include subsequent colostomy closure. This study supports intracolonic bypass as a safe alternative to ostomy in severe colon and intraperitoneal rectal trauma.

Adolescent↗
PubMed1989

Use of the umbilical site for temporary ostomy: review of 47 cases.

We used the umbilical site for temporary colostomy or ileostomy in 47 infants and children. Complications were frequent but were not specifically related to the site of the ostomy. The umbilical site is a convenient site for placement of appliances, and ultimately, after closure, the scar resembles a normal umbilicus and is cosmetically superior to that of an ostomy placed elsewhere.

Child↗
PubMed1990

Ostomy prolapse in paraplegic patients: etiology, prevention, and treatment.

Colostomies are sometimes used to manage those SCI patients who have large pressure sores that are frequently soiled by stool. Seventeen such patients in an Acute Spinal Cord Injury Unit were reviewed to define the problem of ostomy prolapse in paraplegic patients. It was concluded that prolapse is more likely in those patients with an injury at or above the T-10 level. The two patients who had loop colostomies developed prolapse. Those ostomies that were end-sigmoid and exteriorized into an area where there was sensation and abdominal wall muscular integrity were the most successful.

Acute Disease↗
PubMed1978

Contact dermatitis from an ostomy deodorant.

Two patients with contact dermatitis from an ostomy agent are described. Detailed patch testing revealed contact allergic dermatitis to one of the twelve groups of ingredients which largely comprised citronella oil. The problem of dermatitis is discussed in relation to the perfume ingredients of the ostomy agent.

Adult↗
PubMed1979

Psychosomatic aspects in self-help groups made up of medical patients. Presented on the example of the ostomy group.

We present the psychosomatic aspects in self-help groups containing medical patients on the examples of the ostomy group. Following the demonstration of the psychodynamic group processes, the patients' psychological characteristics are described as well as the aims of this type of self-help group. The specific ostomy group activities concern the visitors' service and the group work. Finally, we describe the psychotherapeutic interventions of the psychosomaticist.

Adult↗
PubMed1992

Total exenteration, two or one ostomy.

Total exenterations require fecal and urinary diversions, necessitating ostomies in the anterior abdominal wall. This article was done to explore the possibility of extremely low anastomoses of the intestine to the anal stump, to reduce the number of ostomies to only one for the urinary diversion. Although technically feasible, the long term follow-up evaluation of these patients resulted in us having reservations concerning function.

Anal Canal↗
PubMedDate not supplied

Enterostomal therapy nursing data base for use with patients with ostomies.

The Data base is a tool for use by experienced and new ET nurses to document information gleaned during the initial contact with a new patient with an ostomy. The Data base may be used to structure the interview or simply to record the data. The summary section at the bottom of the form facilitates prioritization and listing of goals for care of the patient. The Data base documents data used by the ET nurse as she formulates her plan of care for the patient with an ostomy. By demonstrating the scope of the assessment and organizing its content, the Data base is one way of ensuring comprehensive data collection, an issue paramount to quality care.

Databases, Factual↗