Advances in ileostomy care

Salter, M

doi:10.7748/ns.11.9.49.s47

Nursing Standard

1996

DOI: 10.7748/ns.11.9.49.s47

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Advances in ileostomy care

M Salter¹

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Managing quality of life in the older person with a stoma

Slater

2010

Br J Community Nurs

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Undergoing surgery and having the formation of a stoma may be required for a number of reasons and how a patient accepts their new body image and changes to their lifestyle can be greatly determined by the support and care they receive from their stoma nurse and other health professionals involved in their recovery after stoma formation. Preparing a patient pre-operatively and taking time to listen to their individual needs will enhance their perception of living with a stoma and accepting their stoma, thus not negatively impacting on what they perceive to be their quality of life. Acknowledging the quality of life of an individual and taking measures to maintain a person's quality of life at an early stage within the surgical pathway will have a positive impact on a patient's recovery from surgery and ability to cope with the daily routine involved when living with a stoma. Nurses need to understand what their patient perceives as a good quality of life and how to alter any negative factors that may inhibit a patient's ability to care for and accept their stoma.

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Managing quality of life in the older person with a stoma

Slater

2010

Br J Community Nurs

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Enhanced recovery after surgery: benefits for the stoma care patient

Burch

Slater²

2012

Br J Nurs

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Enhanced recovery can be seen as the use of evidence and research that when used for patients undergoing stoma-forming surgery (and other surgery) leads to a better recovery (Lassen et al, 2009; Ahmed et al, 2010). Moving patients towards adopting an opinion that 'up and mobile' immediately after surgery is the pathway to success, and is an essential element in implementing enhanced recovery after surgery. It can lead to several clinical benefits, including fewer complications (e.g. infection) and a shorter length of time in hospital (Faiz et al, 2008). While having a shorter length of stay is positive, it does result in less time being available to the ostomate (person with a stoma) to become proficient with their stoma care. Changes need to be made to nursing services to encompass this new challenge; for example, the use of preoperative training tools. These changes can result in satisfied ostomates (Bryan and Dukes, 2010) who have fewer post-discharge problems with their stoma. This article outlines the concept of enhanced recovery after surgery and its benefits for patients with a stoma.

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Optimizing patient adjustment to stoma formation: Siting and self-management

Slater

2010

Gastrointestinal Nursing

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Stoma surgery is an intrusive operation which can have a great impact on daily life. Having a stoma can affect everyday activities that most of us take for granted. The control over bodily functions is fundamental and is pivotal to an individual's ability to function within society. The formation of a stoma will involve an adaptation process, where individuals will have to come to terms with the loss of ‘normal’ control of bodily function. Rebecca C Slater outlines how patients can best learn to manage their stoma while returning to their daily activities and adapting to the alteration in their body image.

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Advances in ileostomy care

Cited by 3 publications

References 0 publications

Managing quality of life in the older person with a stoma

Managing quality of life in the older person with a stoma

Enhanced recovery after surgery: benefits for the stoma care patient

Optimizing patient adjustment to stoma formation: Siting and self-management

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