NURS 205 Lecture Notes - Lecture 11: Contact Dermatitis, Immunosuppression, Proctocolectomy
7 Dec 2016
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Document Summary
Outline: definition of an ostomy, reasons for ostomy surgery, types of ostomies and surgeries, stomal assessment & associated complications, nursing goals for ostomy managment, ostomy equipment. Identify types of surgeries: recognize the importance of pre-operative ostomy education/role of the etnurse, become familiar with the principles of ostomy management, understand the ongoing needs and support for patients with an ostomy. Identify common causes of peristomal skin breakdown and appropriate management. Challenges in ostomy care: poorly created or sited ostomy, skin breakdown due to contact with effluent, lack of knowledge about peristomal skin disorders and ostomy management, delay in obtaining intervention from etn/ostomy nurse or other healthcare professional. Inability to afford ostomy supplies: limited ostomy nurse availability, limited follow-up, peristomal skin complications are common, can negatively impact qol. Benefits of pre-operative ostomy education: provides an opportunity for the patient/family to address concerns, clears up misconceptions about ostomies, allows the patient to make an informed decision, allows for stoma site selection.
