Discharge planning for a patient with a new ostomy: best practice for clinicians

Anita Prinz1, Janice C Colwell, Heidi H Cross

  • 1Anita Prinz, MSN, RN, CWOCN, CFCN, COS-C, CLNC, VP of Clinical Affairs, Go Mobile Health, Inc, San Diego, California. Janice C. Colwell, MS, RN, CWOCN, FAAN, Advanced Practice Nurse, University of Chicago Medicine, Chicago, Illinois. Heidi H. Cross, MSN, RN, FNP-BC, CWOCN, Nurse Practitioner, Wound and Ostomy Care, Upstate University Hospital, Syracuse, New York. Janet Mantel, MA, RN-BC, APN, CWOCN, Wound Ostomy Continence Nurse, Holy Name Medical Center, Teaneck, New Jersey. Jacqueline Perkins, MSN, RN, ARNP, FNP-C, CWON, Wound/Ostomy Nurse Practitioner, VA Central Iowa Health Care System, Des Moines, Iowa. Cynthia A. Walker, MSN, RN, CWON, Wound Ostomy Nursing Specialist, Johns Hopkins Bayview Medical Center, Baltimore, Maryland.

Related Concept Videos

Ostomy Care01:24

Ostomy Care

Introduction
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:
3.1K
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
909
Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.3K
Planning Nursing Care I01:21

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.6K
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
903
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
2.1K