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Ostomy Care01:24

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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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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Outcomes of Glycolysis01:13

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Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
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Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease
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Patient-Reported Outcome After Ostomy Surgery for Chronic Constipation.

Fareed Iqbal1, Valerie van der Ploeg, Franklin Adaba

  • 1Fareed Iqbal, MBChB, BMedSci (Hons), MRCS (Eng), Sir Alan Park's Department of Physiology, St Mark's Hospital, London, England. Valerie Van der Ploeg, MSc, Sir Alan Department of Physiology, St Mark's Hospital, London, England. Franklin Adaba, MRCS (Eng), MBBS, Sir Alan Park's Department of Physiology, St Mark's Hospital, London, England. Alan Askari, MBChB, MRCS (Eng), Surgical Epidemiology, Trials and Outcomes Centre (SETOC), St Mark's Hospital, London, England. Jamie Murphy, PhD, MB ChirB, FRCS, Department of Surgery and Cancer, Imperial College London, St Mary's Hospital, Paddington, London, England. R. John Nicholls, MS, FRCS, Sir Alan Park's Department of Physiology, St Mark's Hospital, London, England. Carolynne Vaizey, MBBS, FCS, FRCS, Sir Alan Park's Department of Physiology, St Mark's Hospital, London, England.

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
|July 12, 2018
PubMed
Summary
This summary is machine-generated.

Ostomy surgery for severe constipation can negatively impact quality of life, but most patients remain satisfied. Patients should be informed about potential psychological effects and complication risks associated with ostomy procedures.

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Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Quality of Life Research

Background:

  • Severe, chronic constipation significantly impacts patient well-being.
  • Ostomy surgery is a potential, albeit last-resort, treatment option for refractory cases.

Purpose of the Study:

  • To evaluate the psychosocial experiences and health-related quality of life (HRQoL) in patients who have undergone ostomy surgery for severe, chronic constipation.

Main Methods:

  • Retrospective review of clinical notes and prospective data collection using validated questionnaires (City of Hope Ostomy Quality of Life, SF-36, HADS).
  • Data sourced from a tertiary referral center's ostomy archive and hospital episode statistics.
  • Postal questionnaires were administered to assess outcomes.

Main Results:

  • Twenty-four patients (75% female, median age 44) underwent ileostomy or colostomy.
  • 58.3% of patients responded to questionnaires, reporting negative impacts on physical and social well-being domains.
  • Despite psychological morbidity (86%) and a 20% reoperation rate, over 70% expressed satisfaction with their quality of life.

Conclusions:

  • Ostomy surgery is a viable last-resort option for selected patients with severe chronic constipation.
  • Patients require comprehensive counseling regarding potential adverse effects on HRQoL and complication risks.
  • An algorithmic approach to patient selection and management is recommended.