Discharge planning for a patient with a new ostomy: best practice for cliniciansAnita Prinz et al. J Wound Ostomy Continence Nurs. 2015 Jan-Feb. Show
AbstractA comprehensive discharge plan for a patient with a new stoma is needed to ensure the individual receives the necessary ostomy education prior to discharge. The plan should include teaching basic skills and providing information about how to manage the ostomy (ie, emptying and changing the pouch, how to order supplies, available manufacturers, dietary/fluid guidelines, potential complications, medications, and managing gas and odor), assisting with transitions in care, and providing information about resources for support and assistance. The purpose of this best practice guideline is to provide clinicians with a brief overview of the essential elements that should be included in the discharge plan to facilitate patient education and the transition of care from hospital to home. Similar articles
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What needs to be included in patient teaching prior to discharge with a new ostomy?The plan should include teaching basic skills and providing information about how to manage the ostomy (ie, emptying and changing the pouch, how to order supplies, available manufacturers, dietary/fluid guidelines, potential complications, medications, and managing gas and odor), assisting with transitions in care, and ...
What are three 3 Considerations The nurse would make in the care of a new ostomy?Caring for a Colostomy. Use the right size pouch and skin barrier opening. ... . Change the pouching system regularly to avoid leaks and skin irritation. ... . Be careful when pulling the pouching system away from the skin and don't remove it more than once a day unless there's a problem. ... . Clean the skin around the stoma with water.. What should be included in documenting care of an ostomy?Document the type of ostomy appliance and accessories. Include the pouching system product, size, and product number. Note the presence of a spout, the convexity, and whether it's a one-piece or two-piece system, Observe and document proper function and adhesion, and complications experienced with appliance systems.
What pre operative preparation is required for a patient undergoing a stoma creation?Preoperative preparation for a stoma creation includes selection of the most optimal site for the stoma, while preoperative counseling prepares the patient mentally for life with a stoma. The surgeon and the enterostomal therapist should emphasize that a stoma does not preclude a normal lifestyle.
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