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Ileostomy Care: A Guide for Home Care Clinicians.
Linda Berti-Hearn1, Brenda Elliott
1Linda Berti-Hearn, MSN, RN, CWOCN, is a Wound Ostomy Nurse, Virtua Health-Home Health Division, Mt. Laurel, New Jersey. Brenda Elliott, PhD, RN, CNE, is an Assistant Professor, Wilson College, Chambersburg, Pennsylvania.
Home Healthcare Now
|May 7, 2019
Summary
Home care clinicians need to understand ileostomy management, including potential complications like skin issues and fluid imbalances. This guide offers practical advice for patient teaching and self-care to improve outcomes for ileostomy patients.
Area of Science:
- Gastroenterology
- Surgical Nursing
Background:
- Shortened hospital stays necessitate a shift in ostomy self-care education from hospital to home.
- Home care clinicians require comprehensive knowledge for effective ileostomy patient management.
- Ileostomy patients face risks including peristomal skin complications and fluid/electrolyte imbalances.
Purpose of the Study:
- To provide essential information for the care and management of patients with an ileostomy.
- To equip home care clinicians with knowledge regarding ileostomy complications and patient teaching.
- To offer practical guidance on ileostomy self-care and complication prevention/treatment.
Main Methods:
- Review of gastrointestinal anatomy and physiology relevant to ileostomies.
- Discussion of indications for ileostomy creation.
- Outline of prevention and treatment strategies for early and late ileostomy complications.
Main Results:
- Identified key challenges in ileostomy care, particularly peristomal skin integrity and metabolic disturbances.
- Highlighted the critical role of home care clinicians in patient education and ongoing management.
- Provided practical recommendations for ileostomy self-care and complication management.
Conclusions:
- Effective ileostomy management requires specialized knowledge from home care clinicians.
- Proactive patient teaching is crucial for preventing and managing ileostomy-related complications.
- Comprehensive understanding of ileostomy care improves patient quality of life and reduces healthcare utilization.
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