Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

A basic guide to discharging the post-surgery ostomy patient to the community

A basic guide to discharging the post-surgery ostomy patient to the community 2.0 CONTACT HOURS A basic guide to discharging the post-surgery ostomy patient to the community Learning outcomes: Seventy-five percent of participants will be able to demonstrate knowledge about discharging the post-surgery ostomy patient to the community by achieving a posttest score of 70% or greater. Learning objectives: After reading the article and completing the posttest, the participant will be able to: 1. Identify steps for discharging a post-surgery patient with a new ostomy. 2. Recognize the different types of ostomies, associated ostomy care, and the effluent outcomes. 3. Select appropriate interventions for patient education and discharge planning for a new ostomate. Posttest: Case-based assessment: Placing yourself in the role of the nurse, use the scenario below to apply knowledge and skills learned in the attached article. Questions #1 - #5 will be based on the below case scenario. Case scenario: JD is a 55-year-old female admitted to the hospital for a bowel obstruction. You are the nurse assigned to her care. JD is scheduled for surgery for a temporary descending colostomy. She states that she is having trouble accepting the colostomy and is apprehensive to request help from her spouse and adult daughter. The plan is to discharge her home within seven days post-surgery. You are the medical/surgical nurse assigned to provide care for JD. 1. Preoperatively, JD is concerned about hav- 5. JD continues to be apprehensive to discuss 7. LV says, “I’m so sad that I can’t swim ing a colostomy and asks you what to expect personal aspects related to her colostomy. For anymore because of my ileostomy.” Your most about the appearance of the output that will the most effective assistance to address these appropriate response to his statement is to be present in the colostomy bag. You respond aspects, you suggest that she a. suggest that LV discuss these disappointments by stating that the effluent will appear as a. talk to her friends and family members. with his doctor after he is discharged home. a. urine. b. call the ostomy bag manufacturer website for b. discuss alternate activities that he can do b. watery stool. assistance. instead of swimming. c. thick stool. c. visit online or in-person support groups with c. reassure him that there are covers that allow the United Ostomy Association of America. ostomates to swim. 2. As part of JD’s hospital interdisciplinary team, you assist with Questions #6 - #10 will be based on the below 8. LV asks you what time would be best for a. developing a plan of care with key clinicians. case scenario. him to change his ostomy pouch each day. You b. providing and locating ostomy supplies after explain to LV that the ideal time is Case scenario: You are the primary nurse she has been discharged. a. mid-day after eating lunch. assigned to patient, LV. He is a 26-year-old c. training the home health providers caring for b. late in the evening prior to going to sleep. male admitted to the hospital for treatment of her after discharge. c. first thing in the morning before eating or drinking. intestinal cancer. He is post-surgery from an ileostomy to aid in bowel recovery. His mother 3. Using suggestions provided in the article 9. Days later, LV is doing well post-operatively states that she will assist him with ostomy care that address scheduling training time, you with healing from surgery. You are planning after discharge but needs education and training. assist with JD’s training by for LV’s upcoming discharge from the hospital. The discharge plan for LV is to return home with a. scheduling the wound care nurse on a Providing him with 5 days of ostomy supplies skilled-nursing care visits for required treatment at the time of discharge is different day than the nutritionist. infusions in his central line. The home health a. not appropriate since reimbursement of these b. avoiding spending training time discussing nurse will also assist with his ostomy care for supplies will not be provided. psycho-social concerns. the first ten days after discharge. b. important as his ileostomy supplies may not c. maximizing training time to cover multiple be available and may need to be ordered at clinicians in one day if possible. 6. LV previously met with a nutritionist in the his initial homecare visit. hospital for teaching before his surgery. To 4. Which statement by JD indicates that she help reinforce this teaching post-operatively, c. not allowed since LV will see the home health needs more patient education about her you explain that with his ileostomy nurse the day of discharge and the agency will ostomy care? a. limiting fluids would be best. have all needed supplies. a. “The hospital nurses will provide me with b. it is important to stay hydrated. ostomy care and supplies when I am at home.” c. hydration status is of no concern. 10. Before discharging LV, you review his b. “When I irrigate the colostomy, it will increase ostomy self-care to make sure he knows how to change his ostomy pouch. During this train- my control over output.” ing, his positioning should be c. “Monitoring the stoma after discharge is a. standing in front of a mirror. important since I’ll likely need to change to a b. sitting upright in a chair. smaller wafer.” c. lying supine in his hospital bed. Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved. NMIE0323_NCPD_Ostomy_Online_Varun.indd 1 24/01/23 12:18 PM http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Nursing Made Incredibly Easy! Wolters Kluwer Health

A basic guide to discharging the post-surgery ostomy patient to the community

Nursing Made Incredibly Easy! , Volume 21 (2) – Mar 1, 2023
Download PDF
1 page

Loading next page...
 
/lp/wolters-kluwer-health/a-basic-guide-to-discharging-the-post-surgery-ostomy-patient-to-the-01mePqol2n

References

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

Publisher
Wolters Kluwer Health
Copyright
Wolters Kluwer Health, Inc. All rights reserved.
ISSN
1544-5186
eISSN
1552-2032
DOI
10.1097/01.nme.0000920516.23996.5a
Publisher site
See Article on Publisher Site

Abstract

2.0 CONTACT HOURS A basic guide to discharging the post-surgery ostomy patient to the community Learning outcomes: Seventy-five percent of participants will be able to demonstrate knowledge about discharging the post-surgery ostomy patient to the community by achieving a posttest score of 70% or greater. Learning objectives: After reading the article and completing the posttest, the participant will be able to: 1. Identify steps for discharging a post-surgery patient with a new ostomy. 2. Recognize the different types of ostomies, associated ostomy care, and the effluent outcomes. 3. Select appropriate interventions for patient education and discharge planning for a new ostomate. Posttest: Case-based assessment: Placing yourself in the role of the nurse, use the scenario below to apply knowledge and skills learned in the attached article. Questions #1 - #5 will be based on the below case scenario. Case scenario: JD is a 55-year-old female admitted to the hospital for a bowel obstruction. You are the nurse assigned to her care. JD is scheduled for surgery for a temporary descending colostomy. She states that she is having trouble accepting the colostomy and is apprehensive to request help from her spouse and adult daughter. The plan is to discharge her home within seven days post-surgery. You are the medical/surgical nurse assigned to provide care for JD. 1. Preoperatively, JD is concerned about hav- 5. JD continues to be apprehensive to discuss 7. LV says, “I’m so sad that I can’t swim ing a colostomy and asks you what to expect personal aspects related to her colostomy. For anymore because of my ileostomy.” Your most about the appearance of the output that will the most effective assistance to address these appropriate response to his statement is to be present in the colostomy bag. You respond aspects, you suggest that she a. suggest that LV discuss these disappointments by stating that the effluent will appear as a. talk to her friends and family members. with his doctor after he is discharged home. a. urine. b. call the ostomy bag manufacturer website for b. discuss alternate activities that he can do b. watery stool. assistance. instead of swimming. c. thick stool. c. visit online or in-person support groups with c. reassure him that there are covers that allow the United Ostomy Association of America. ostomates to swim. 2. As part of JD’s hospital interdisciplinary team, you assist with Questions #6 - #10 will be based on the below 8. LV asks you what time would be best for a. developing a plan of care with key clinicians. case scenario. him to change his ostomy pouch each day. You b. providing and locating ostomy supplies after explain to LV that the ideal time is Case scenario: You are the primary nurse she has been discharged. a. mid-day after eating lunch. assigned to patient, LV. He is a 26-year-old c. training the home health providers caring for b. late in the evening prior to going to sleep. male admitted to the hospital for treatment of her after discharge. c. first thing in the morning before eating or drinking. intestinal cancer. He is post-surgery from an ileostomy to aid in bowel recovery. His mother 3. Using suggestions provided in the article 9. Days later, LV is doing well post-operatively states that she will assist him with ostomy care that address scheduling training time, you with healing from surgery. You are planning after discharge but needs education and training. assist with JD’s training by for LV’s upcoming discharge from the hospital. The discharge plan for LV is to return home with a. scheduling the wound care nurse on a Providing him with 5 days of ostomy supplies skilled-nursing care visits for required treatment at the time of discharge is different day than the nutritionist. infusions in his central line. The home health a. not appropriate since reimbursement of these b. avoiding spending training time discussing nurse will also assist with his ostomy care for supplies will not be provided. psycho-social concerns. the first ten days after discharge. b. important as his ileostomy supplies may not c. maximizing training time to cover multiple be available and may need to be ordered at clinicians in one day if possible. 6. LV previously met with a nutritionist in the his initial homecare visit. hospital for teaching before his surgery. To 4. Which statement by JD indicates that she help reinforce this teaching post-operatively, c. not allowed since LV will see the home health needs more patient education about her you explain that with his ileostomy nurse the day of discharge and the agency will ostomy care? a. limiting fluids would be best. have all needed supplies. a. “The hospital nurses will provide me with b. it is important to stay hydrated. ostomy care and supplies when I am at home.” c. hydration status is of no concern. 10. Before discharging LV, you review his b. “When I irrigate the colostomy, it will increase ostomy self-care to make sure he knows how to change his ostomy pouch. During this train- my control over output.” ing, his positioning should be c. “Monitoring the stoma after discharge is a. standing in front of a mirror. important since I’ll likely need to change to a b. sitting upright in a chair. smaller wafer.” c. lying supine in his hospital bed. Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved. NMIE0323_NCPD_Ostomy_Online_Varun.indd 1 24/01/23 12:18 PM

Journal

Nursing Made Incredibly Easy! – Wolters Kluwer Health

Published: Mar 1, 2023

There are no references for this article.