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Office management of urinary stomas
D P Wood1, M Spencer, B J Hocevar
1Department of Urology and Colorectal Surgery, Cleveland Clinic Foundation, Ohio.
The Urologic Clinics of North America
|November 1, 1988
Summary
Postoperative stoma care is lifelong. Advances in stoma equipment and continent reservoirs improve patient acceptance and reduce fear, emphasizing the need for close follow-up by enterostomal therapy nurses and surgeons.
Area of Science:
- Medical Care
- Surgical Nursing
- Gastroenterology
Background:
- Postoperative stoma management presents lifelong challenges for patients.
- Limited patient acceptance and fear associated with stomas can impact quality of life.
Purpose of the Study:
- To highlight the importance of lifelong postoperative stoma care.
- To discuss the impact of modern stoma equipment and surgical advances on patient outcomes.
- To emphasize the necessity of multidisciplinary follow-up for stoma patients.
Main Methods:
- Review of current stoma care practices and equipment.
- Discussion of recent advancements in continent reservoir techniques.
- Emphasis on the role of the enterostomal therapy nurse and surgical team.
Main Results:
- Modern stoma equipment can prevent patients from becoming "stoma cripples."
- Advances in continent reservoirs enhance patient acceptance and alleviate stoma-related fears.
- Close follow-up is crucial for comprehensive stoma patient care.
Conclusions:
- Lifelong stoma care requires excellent equipment and patient support.
- Technological and surgical innovations are improving stoma patient quality of life.
- Integrated care involving enterostomal therapy nurses and surgeons is essential for optimal outcomes.