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Stoma care: an update
1Consultant nurse, West London NHS Trust.
British Journal of Community Nursing
|April 2, 2024
Summary
Approximately 13,500 stoma surgeries, including colostomy and ileostomy, occur annually in the UK. This article updates healthcare professionals on surgical indications and complication management for ostomates.
Area of Science:
- Surgical Nursing
- Gastroenterology
Background:
- Stoma surgery, including colostomy and ileostomy, is a common procedure in the UK, with an estimated 13,500 operations annually.
- Individuals undergoing stoma surgery often require ongoing support from community nurses.
Purpose of the Study:
- To provide an updated overview of the indications for colostomy and ileostomy surgery.
- To equip healthcare professionals with knowledge to support ostomates and minimize complication risks.
Main Methods:
- Literature review on stoma surgery indications.
- Synthesis of current best practices for ostomate care and complication prevention.
Main Results:
- The article details specific clinical scenarios necessitating colostomy or ileostomy.
- It outlines strategies for effective community nurse support to ostomates.
Conclusions:
- Understanding surgical indications is crucial for appropriate patient selection and care planning.
- Proactive support and monitoring by healthcare professionals can significantly reduce the incidence and severity of stoma-related complications.
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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:
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