What the patient needs to know before stoma siting: an overview

Abstract

Stoma siting is often regarded as the most important aspect of pre-operative stoma preparation ( Readding, 2003 ; Rutledge et al, 2003 ), however, time spent with the patient discussing the finer points of surgery and what can be expected throughout the process is also crucial. Having the opportunity to meet with individual patients prior to surgery allows for the advanced exchange of information and the ability to discuss stoma formation from conception to ultimate patient management in its entirety. This arms the patient with the relevant information before surgery ever takes place, and prepares him or her for the time ahead. This article looks at the steps taken by the stoma care nurse (SCN) in preparing the patient for such surgery.

Nursing Interventions to Promote Self-Care in a Candidate for a Bowel Elimination Ostomy: Scoping Review

“…----Teaching about bowel elimination ostomy (16,(23)(24)(25)(26)(27)(28)30,31,31,(36)(37)(38)(39)(40)(41) Preoperative Teaching about the stoma formation process (10,23,25,28,30,31):…”

“…-Type of stoma and its function (10,23,25,26,30,(36)(37)(38) -Type of effluent and frequency of operation (16,25,36,37) -Production of gases and odor (36) Face to face -home (23) Face to face -hospital (23,30,31) Face to face (25) Expository method (31) Use of digital media (videos or animated images) ( 25) Imagery (28) Use of written material (10,23,25,26,28,31,38) Information leaflet (10,30) Use of a model (23,36) or the candidate to a stoma (36) Use of ostomy devices (30) Two sessions (23,28), which can be at home (23) A session on the day of admission to the hospital (23,28) -----------30 to 90 minutes (23,26,28,36,38)…”

“…Showing ostomy devices indicated for the stoma (16,23,28) Teaching / showing how to put plate and bag, how to change / empty ostomy bag (10,16,23,25,26,28,30,31,33,(36)(37)(38)41) Stoma cleaning (41) Impact / Adaptation to previous lifestyle (16):…”

“…-Hospital (23) Use of digital media -videos (33,51) or animated images (25) Use of written material (10, 16, 23, 25, 26, 28, 30, 31, 33, 38 ,51) Use of a model (23,36) or of the candidate to a stoma (36) Recourse to ostomy devices (26,28,30) Two sessions (23) One session on the day of hospital admission (23,28,52) 24 h before hospital admission (33) -----------30 to 90 minutes (23,28,36,38) Teaching bowel elimination ostomy self-care (7,16,23,25 Monitoring of intestinal elimination (35,51) Face to face (27,31,40,42,44,47) Use of written material (10, 16, 37, 39-41, 45, 47, 51) -information leaflet with illustrated instructions (40) Use of digital media (40, 45) -2D animations, movies and photos (40,49), DVD / video (45,49) Additional educational resources -written instructions or links to websites (42) Use of an ostomy simulator (50) Starting as soon as possible after surgery (23,37,42), even on the day of surgery (37) or the first postoperative day…”

RELATIONSHIP BETWEEN THE KNOWLEDGE ON SELF-EFFICACY ABOUT COUNSELING AND STOMA SITE MARKING FOR PATIENTS UNDERGOING STOMA SURGERY IN ETNs

“…The World Council of Enterostomal Therapists Internasional Ostomy (2014) (Zulkowski, Ayello & Stelton, 2014) recommended the counseling and stoma site marking to prevent complication risk of stoma. Counseling is a process of transfering the informations regarding stoma in order to minimize the patient's anxiety and to distruct any incorrect informations about stoma (Cronin, 2012). The informations provided lifestyle changes with stoma, equipments needed for stoma, the stoma appearance and the importance of family supports.…”