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Ostomy options for clients with ileostomies.
Amy K Moore1, Karen A Esquibel, Wendy Thal
1Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA. amy.moore@ttuhsc.edu
Summary
External ostomy appliances impact quality of life, influencing decisions about ostomy surgery. While many are content, some seek surgery to avoid appliance issues like skin irritation and leakage, despite potential lifestyle changes.
Area of Science:
- Urology
- Gastroenterology
- Quality of Life Research
Background:
- External ostomy appliances significantly influence patient decisions regarding incontinent or continent ostomy surgery.
- A substantial number of individuals using external pouches report satisfactory quality of life.
- Conversely, some patients opt for surgery primarily to eliminate the need for an external appliance.
Purpose of the Study:
- To evaluate the impact of external ostomy appliances on patient quality of life.
- To understand the factors influencing the decision-making process for ostomy surgery.
- To explore the physical and psychological consequences associated with external ostomy use.
Main Methods:
- Qualitative assessment of patient experiences with external ostomy appliances.
- Analysis of decision-making factors for ostomy surgery.
- Review of literature on psychological and physical impacts of ileostomy and appliance use.
Main Results:
- Most clients with external ostomy pouches report good quality of life.
- Physical and psychological challenges, including body image issues, skin irritation, leakage, and discomfort, affect some clients.
- These challenges can lead to depression and impact daily activities such as sleeping and using seatbelts.
Conclusions:
- Quality of life is a critical factor in ostomy surgery decisions.
- While many patients adapt well to external appliances, significant challenges exist for others.
- Addressing appliance-related issues is crucial for improving the well-being of ostomy patients.
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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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