This book provides a comprehensive description of stoma care management and the physical and psychological care of the patient in the immediate and long-term. It will appeal to readers throughout the range of stoma care expertise, from novice to expert:: the breadth and depth of the material should meet the needs of specialist and generalist nurses in hospitals and the community. A patient-centred style of nursing is described:: how nurses knowledge and skills can be specifically used to promote patients long term rehabilitation as well as addressing their immediate needs. It also shows how research findings, models and concepts from nursing and non-nursing disciplines can be used to understand patients experiences and needs and thus enhance care planning and provision.
Introduction. What is rehabilitative stoma care? Intestinal physiology and its implications for patients with bowel stomas. Types of bowel stoma and why they are created. Practical management of bowel stomas. Specific aspects of care for patients with ileostomies and colostomies. Care of patients with urinary stomas. Communicating effectively. Towards leaving hospital. Towards rehabilitation. Care of patients with internal bowel pouches. Care of patients with an electrically stimulated gracilis neo sphincter. Care of patients with internal urinary pouches. Paediatric stoma care. Care of patients with fistulae and drain sites. Irrigation. Dietary considerations following stoma surgery. Medication and stoma care. Care of patients receiving anti-tumour chemotherapy or radiotherapy. The patients background. Responding to loss and change. Problems in stoma management. Problems in rehabilitation. Developing stoma care. Useful contact information.
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