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Understanding fecal diversions

Understanding fecal diversions wound wise Understanding fecal diversions By Yvonne Avent, MSN, APRN-BC, CCRN, CWON Clinical Nurse Specialist � St. Jude Children’s Research Hospital � Memphis, Tenn. colostomy. During the surgical creation of a Editor’s note: Last issue we took a look at urinary diversions. This issue we shine a light colostomy, a section of colon, or large intes- on fecal diversions. tine, is brought to the outside surface of the Some disease states prevent a patient’s abdomen to make a stoma that allows for small or large intestine from functioning waste products (stool output) to leave the normally. Diseases such as Crohn disease, body. It may be temporary, to allow time for ulcerative colitis, colon cancer, and divertic- the colon to rest and heal, or it may be per- ulitis may necessitate the need for a fecal manent, depending on the reason for the diversion. In this article, I’ll review the colostomy. nursing considerations for two common A colostomy can be created from any sec- types of fecal diversions: the ileostomy and tion of the colon. Its location is determined the colostomy (see Picturing ileostomy and co- by the medical necessity for the colostomy. lostomy sites). Both types can be permanent http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Nursing Made Incredibly Easy! Wolters Kluwer Health

Understanding fecal diversions

Avent, Yvonne
Nursing Made Incredibly Easy! , Volume 10 (5) – Sep 1, 2012
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Copyright
Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1544-5186
eISSN
1552-2032
DOI
10.1097/01.NME.0000418044.19439.98
Publisher site
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Abstract

wound wise Understanding fecal diversions By Yvonne Avent, MSN, APRN-BC, CCRN, CWON Clinical Nurse Specialist � St. Jude Children’s Research Hospital � Memphis, Tenn. colostomy. During the surgical creation of a Editor’s note: Last issue we took a look at urinary diversions. This issue we shine a light colostomy, a section of colon, or large intes- on fecal diversions. tine, is brought to the outside surface of the Some disease states prevent a patient’s abdomen to make a stoma that allows for small or large intestine from functioning waste products (stool output) to leave the normally. Diseases such as Crohn disease, body. It may be temporary, to allow time for ulcerative colitis, colon cancer, and divertic- the colon to rest and heal, or it may be per- ulitis may necessitate the need for a fecal manent, depending on the reason for the diversion. In this article, I’ll review the colostomy. nursing considerations for two common A colostomy can be created from any sec- types of fecal diversions: the ileostomy and tion of the colon. Its location is determined the colostomy (see Picturing ileostomy and co- by the medical necessity for the colostomy. lostomy sites). Both types can be permanent

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Nursing Made Incredibly Easy! – Wolters Kluwer Health

Published: Sep 1, 2012

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