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Ostomy care and the consultant pharmacist
Guido R Zanni1, Jeannette Y Wick
1National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Summary
Long-term care residents with ostomies face physical and psychological challenges, including potential medication absorption issues. Pharmacists must recognize medications that may be contraindicated or alter ostomy output.
Area of Science:
- Geriatric Medicine
- Gastroenterology
- Clinical Pharmacy
Background:
- Ostomies are prevalent among long-term care residents.
- Common ostomy types include ileostomies/jejunostomies, colostomies, and urostomies.
- Ostomates experience significant physical and psychological impacts.
Purpose of the Study:
- To highlight the common ostomy types in long-term care.
- To inform healthcare providers, especially pharmacists, about ostomy-related complications.
- To emphasize the importance of medication management for ostomates.
Main Methods:
- Literature review of ostomy prevalence and complications in long-term care.
- Analysis of potential impacts on medication absorption.
- Identification of relevant medication considerations for pharmacists.
Main Results:
- Common complications include dermatological issues, short-bowel syndrome, and vitamin deficiencies.
- Bowel involvement in ostomies can alter medication absorption.
- Specific medications may be contraindicated or affect ostomy effluent.
Conclusions:
- Ostomy care in long-term settings requires attention to physical and psychological well-being.
- Pharmacists play a crucial role in managing medications for ostomates.
- Awareness of medication interactions is vital for ostomy patient safety.