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A Resource Guide to Improve Nursing Care and Transition to Self-Care for Patients With Ostomies
Linda Berti-Hearn1, Brenda Elliott
1Linda Berti-Hearn, MSN, RN, CWOCN, is a Wound Ostomy Continence Nurse, Virtua Health-Home Health Division, Mt. Laurel, New Jersey. Brenda Elliott, PhD, RN, CNE, is an Assistant Professor, Wilson College, Chambersburg, Pennsylvania.
Abstract:
Clinical management of patients with an ostomy can be complex and stressful. With only 10% of Wound Ostomy Incontinence Nurses working in home health, home healthcare nurses need to be knowledgeable about care of patients with new ostomies. This article provides an overview of the resources available to guide nurses caring for ostomy patients. In addition, resources nurses can share with patients as they transition into the community are provided.
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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.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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