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Best Practice In Caring For Patients With An Ostomy

877 words - 4 pages

Best practice guidelines are evidence-based recommendations that assist practitioners with assessment and management of appropriate healthcare (Taylor, 2012). One area that utilizes best practice to ensure excellent patient outcomes is ostomy care. The patient may have an ostomy for a number of reasons. They can be either temporary or permanent and are for patients who have bowel or bladder cancer, inflammatory bowel or diverticular disease, trauma, or perforation of the bowel. For ostomy care, it is important to focus on the areas of pre-operative, post-operative and discharge care (Taylor, 2012).
According to the Wound, Ostomy, and Continence Nurses Society, (WOCN), before focusing on the ...view middle of the document...

Taylor (2012) suggests preoperative information place a valuable role in reducing postoperative pain anxiety and aiding faster recovery. The patient should be allowed to ask questions not only of the surgery but the recovery, expectations for long term care, and what psychosocial and physical changes may occur after the procedure (WOCN, 2010).
The patient and primary nurse may not see each other before the actual procedure. Depending on hospital and/or office procedures, other health care providers may be taking care of the patient from admission to surgery. If this is the case, it is important to remind the patient to have them review their knowledge of the operation (WOCN, 2010). This ensures the medical and nursing notes get to the appropriate recipients and the healthcare team is in agreement with the plans.
Post operatively immediately assess the ostomy. The nurse should ensure that the skin is intact; there are no signs of infection, swelling, redness, and warmth deterioration (WOCN, 2010). Taylor (2012), recommends once the ostomy is stable, monitoring occur every 4 hours for the first 24 hours. If the stoma has good blood supply, observation can change to daily check until discharge. It is also recommended during this time the patient as well as the family should be taught the skills needed to maintain proper ostomy care after the patient has been discharged (WOCN, 2010).
The WOCN suggests once the patient and his family are comfortable performing ostomy care techniques, they need instruction on recognizing complications of the ostomy and periosteal skin. It is also best practice providing the family with homecare support. The WOCN recommends an Enterostomal therapy nurse can provide the family with assistance will decrease distress,...

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