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Ileostomy
Surgical formation of an artificial anus by connecting the ileum to an opening in the abdominal wall.
Correlating the Fecal Incontinence Quality-of-Life Score and the SF-36 to a Proposed Ostomy Function Index in Patients with a Stoma
Quality of life is affected by the creation of a stoma. To assess the validity of the Ostomy Function Index in patients with a stoma, a prospective survey was conducted from July 2000 to September 2001 among patients participating in local United Ostomy Association chapters (N = 99; 55 with a colostomy and 44 with an ileostomy). The Short Form 36 general health survey, Fecal Incontinence Quality of Life Scale, and the proposed Cleveland Clinic Florida Ostomy Function Index were used to assess general health and stoma function in patients with an ostomy. The average proposed function index score (7 = excellent function, 35 = poor function) was 11.97 (range 7 to 22). The proposed function Index correlated with the Fecal Incontinence Quality of Life Scale and the physical and mental component scales of the SF-36 (P <0.05). The correlation between the proposed function index and the Fecal Incontinence Quality of Life Scale was stronger in colostomy than in ileostomy patients. With the exception of the SF-36 role-emotional domain in ileostomy patients, the function index correlated with all SF-36 scales (P <0.05) in both patient groups. The results of this study suggest that ostomy function is variable and correlates with quality of life and that the Fecal Incontinence Quality of Life Scale offers a limited assessment of quality of life in colostomy patients. The Cleveland Clinic Florida Ostomy Function Index offers an objective assessment of ostomy function that reflects on quality of life. Additional studies to refine measurement of quality of life in stoma patients are warranted. KEYWORDS: fecal incontinence, ileostomy, colostomy; quality of life, ostomy
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Empowering the Ileostomy Patient with a Mechanical Bowel Obstruction
Unfortunately, this scenario is all too common. The other side of the card, "Emergency Room Staff: Ileostomy Obstruction," provides step-by-step instructions for emergency room personnel to alleviate pain, evaluate the patient, and perform ileostomy lavage should it be indicated. Clinicians caring for new or established ileostomy patients have a responsibility to ...
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Part 2 Continent Diversions: The New Gold Standards of Ileoanal Reservoir and Neobladder
In recent decades, surgical treatment of familial adenomatous polyposis, chronic ulcerative colitis, and muscle-invasive bladder cancer has undergone a revolution. Specifically, ileoanal reservoir and neobladder have become the new "gold standard" of definitive surgical therapy for these disorders. This article discusses issues in surgical construction, indications, contraindications, perioperative care concepts, and nursing and health professional implications related to these two procedures. These interventions include screening candidates for ileoanal reservoir or neobladder to rule out Crohn's disease or metastatic cancer and educating candidates for continent diversions about the proposed procedure(s) and associated events, potential complications, postoperative exercise, sexual health and function issues, and the benefits of support group participation so they can gain a realistic understanding of ultimate functional outcomes. Questions for future research are addressed. KEYWORDS: continent diversions, neobladder, ileoanal reservoir, ulcerative colitis, bladder cancer
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The Issue of Oral Medications and a Fecal Ostomy
Many over-the-counter medications, such as Mylanta Gas® (Johnson & Johnson ? Ileostomy patients should be instructed never to take laxatives ? When required by patients with an ileostomy, antidiarrheal medications ?
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Part 1 Continent Diversions: The New Gold Standards of Ileoanal Reservoir and Neobladder
In recent decades, surgical treatment of familial adenomatous polyposis, chronic ulcerative colitis, and muscle-invasive bladder cancer has undergone a revolution. Specifically, ileoanal reservoir and neobladder have become the new "gold standard" of definitive surgical therapy for these disorders. This article discusses issues in surgical construction, indications, contraindications, perioperative care concepts, and nursing and health professional implications related to these two procedures. These interventions include screening candidates for ileoanal reservoir or neobladder to rule out Crohn's disease or metastatic cancer and educating candidates for continent diversions about the proposed procedure(s) and associated events, potential complications, postoperative exercise, sexual health and function issues, and the benefits of support group participation so they can gain a realistic understanding of ultimate functional outcomes. Questions for future research are addressed. KEYWORDS: continent diversions, neobladder, ileoanal reservoir, ulcerative colitis, bladder cancer
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Ostomy Statistics: The $64,000 Question
Number of Patients Currently available estimates of the number of patients vary. Gender No definitive gender data are currently available for the ostomy population. The Challenge Remains This aspect of ostomy care and management deserves an investment of research dollars.
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Quality of Life in Patients with Stomas: The Montreux Study
Ostomy surgery profoundly affects a person's life. To determine the extent of the effect, the Stoma Care Quality of Life Index instrument was developed from a quality-of-life index. After ascertaining its validity and reliability, the instrument was used to measure patient quality of life in a European-wide study (16 countries). Six hundred, eighteen (618) stoma care nurses recruited 4,739 patients following stoma surgery. The self-administered questionnaire was completed immediately following surgery and after 3,6, 9, and 12 months. The mean age of patients was 61.6 years (+/- 13.4 years), 53.7% were men, and the majority (66.5%) had a colostomy. Stoma Care Quality of Life Index scores were fairly consistent in all patients throughout Europe immediately following surgery. While scores improved steadily over time, only the difference between the postoperative and 3-month scores was significant (P < 0.001). Stoma Care Quality of Life Index scores were significantly higher in patients who were satisfied with the care received than in those who were not satisfied. Similarly, patients who had a good relationship with the stoma care nurse and felt confident about changing the appliance had significantly higher Stoma Care Quality of Life Index scores than those who did not have a good relationship or feel confident. The results of this study suggest that stoma patient quality of life can be assessed, that it changes over time, and that patient access to specialist ostomy care nurses is particularly important during the first 3 to 6 months following surgery.
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Summer Living with an Ostomy
Summer Living with an Ostomy The Ostomy Files: Summer Living with an Ostomy - Gwen B. Turnbull, RN, BS, ET Summer is here. As temperatures rise and exercise increases, so does perspiration. Activities in the summer (or any other season, for that matter) may drive the individual’s pouching system choice.
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The Modernity of Ostomy
— Johann Wolfgang von Goethe A few weeks ago, my husband and I were driving back to Canada after visiting our family in the US. Hooker1 defines modernity as the sense or idea that the present is discontinuous with the past. We experience modernity as a “proliferation of alternatives”1 which may be associated with changes in lifestyle, social mores, ...
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What is Preventive Ostomy Care?
- Gwen B. Turnbull, RN, BS, ET Preventive medicine is at the forefront of payors? Prevention is defined as ? Ileostomy patients need to understand how to recognize a food blockage.
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