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When trauma means a stoma
1Bayfront Medical Center, St. Petersburg 33704, and University of South Florida College of Nursing, Tampa, Florida, USA. susan.steele@bayfront.org
Insights
Trauma often necessitates ostomy surgery. Wound, ostomy, and continence nurses are vital for managing stoma creation and care in trauma patients, guiding future research.
Area of Science:
- Trauma surgery
- Wound, Ostomy, and Continence Nursing
Background:
- Trauma is a significant cause of mortality and morbidity.
- Ostomy surgery is sometimes required for severe traumatic injuries.
- The role of specialized nurses in trauma care is critical.
Purpose of the Study:
- To review injury mechanisms leading to stoma creation in trauma.
- To outline essential wound, ostomy, and continence nursing interventions for trauma patients.
- To identify areas for future research in this specialized nursing field.
Main Methods:
- Literature review of studies related to trauma and ostomy surgery.
- Analysis of nursing care strategies for trauma populations requiring ostomies.
- Synthesis of findings to propose future research directions.
Main Results:
- Identified common injury mechanisms necessitating stoma creation.
- Highlighted key nursing care considerations for trauma patients with ostomies.
- Established a foundation for evidence-based practice and future studies.
Conclusions:
- Wound, ostomy, and continence nurses play an integral role in the multidisciplinary trauma team.
- Standardized and advanced nursing care protocols are needed for trauma-related ostomies.
- Further research is essential to optimize outcomes for trauma survivors with ostomies.
Abstract:
Trauma is a leading cause of death and disability. When traumatic injuries require ostomy surgery, the wound, ostomy, and continence nurse acts as a crucial part of the trauma team. This literature review describes mechanisms of injury associated with creation of a stoma, key aspects of wound, ostomy, and continence nursing care in trauma populations and presents suggestions for future research.
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An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
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