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Ostomy care and management: a systematic review
Stacy Recalla1, Kim English, Rishma Nazarali
1Stacy Recalla, RN, MN, Registered Nurses' Association of Ontario, Toronto, Ontario, Canada. Kim English, RN, MN, Registered Nurses' Association of Ontario, Toronto, Ontario, Canada. Rishma Nazarali, RN, MN, Registered Nurses' Association of Ontario, Toronto, Ontario, Canada. Samantha Mayo, RN, MN, Registered Nurses' Association of Ontario, Toronto, Ontario, Canada. Debbie Miller, RN, BScN, MN, CETN(C), Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Mikel Gray, PHD, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville.
This review synthesizes evidence on ostomy surgery (colostomies, ileostomies, urostomies) and peristomal skin care in Canada. It informs best practice guidelines for ostomy management.
Area of Science:
- Nursing
- Surgical Care
- Evidence-Based Practice
Background:
- Ostomy surgery is common in Canada, with an estimated 13,000 procedures annually.
- There is a need for comprehensive guidelines on ostomy care.
- The Registered Nurses' Association of Ontario initiated this review.
Purpose of the Study:
- To systematically review evidence for assessing and managing ostomies.
- To provide evidence for managing peristomal skin complications.
- To support the development of best practice guidelines for ostomy nursing.
Main Methods:
- Systematic literature review.
- Inclusion of evidence on colostomies, ileostomies, and urostomies.
- Focus on assessment, management, and peristomal skin care.
Main Results:
- Evidence synthesis for various ostomy types and related skin issues.
- Identification of key areas for ostomy patient assessment and management.
- Data compilation to inform clinical practice standards.
Conclusions:
- A comprehensive understanding of ostomy care is essential for nurses.
- Evidence-based guidelines are crucial for optimizing patient outcomes.
- This review provides a foundation for improved ostomy management in Canada.
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Ostomy Care
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.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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