A basic guide to discharging the postsurgery patient with an ostomy to the community

Rodriguez, Thureiyya

doi:10.1097/01.nme.0000913952.90986.41

Cited by 1 publication

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“…A first exploratory analysis within our hospital demonstrated beneficial effects of an intensified medication management for ostomy patients [ 14 ]. While the literature advocates interdisciplinary collaboration in pre- and postoperative education, focusing on ostomy care, ostomy complications, diet plans or quality of life concerns, there is little information on the role of pharmacists in supporting the evaluation of drug therapy [ 9 , 11 , 17 , 44 ]. Based on a nationwide survey in Germany, 91.0% of ostomy patients seek advice from their physician when they have problems with their medication [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Enhancing drug therapy in ostomy patients: Best practice recommendations for medication management

Berger,

Reeh,

Scherer

et al. 2024

PLoS ONE

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Background Ostomy surgery is a common procedure that poses various challenges for patients and healthcare professionals. There are numerous guidelines addressing different ostomy-related problems (ORPs) and supporting an interdisciplinary approach for ostomy care, but evidence-based literature for optimizing drug therapy after ostomy surgery is lacking. Aim To investigate and characterize typical ORPs in relation to drug therapy and provide best practice recommendations from a pharmaceutical point of view. Methods Patients with an ileo- or colostomy were consecutively enrolled in a prospective, interventional monocentric cohort study during hospitalization, with particular attention to medication. A clinical pharmacist assessed DRPs by performing level 3 medication reviews and patient interviews. Pharmacists’ interventions (PIs) were evaluated by two senior clinical pharmacists and documented in DokuPIK (Documentation of Pharmacists’ Interventions in the Hospital). Following interdisciplinary discussions, physicians either accepted or rejected the proposed changes in drug therapy. Comparisons were made between ileostomy and colostomy patients regarding type and extent of PIs. Results Out of the 80 patients included in the cohort, 54 (67.5%) had an ileostomy and 26 (32.5%) a colostomy. In this study, 288 PIs were documented (234 ileostomy vs. 54 colostomy), of wich 94.0% were accepted and implemented by the physicians. The most common reason for PIs in both subgroups (29.6% ileostomy vs. 26.1% colostomy) was a missing drug although indicated (e.g. no loperamide, but high stoma output). The proportion of PIs associated with the ostomy was higher in ileostomy patients (48.3% ileostomy vs. 31.5% colostomy; p = 0.025). Typical ORPs were extracted and analyzed as case studies including recommendations for their respective management and prevention. Conclusion This study highlights the importance of clinical pharmacists being a part of interdisciplinary teams to collaboratively improve ostomy care and patient safety. Especially ileostomy patients are more vulnerable for ORPs in the context of drug therapy and need to be monitored carefully.

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Section: Discussionmentioning

confidence: 99%

Enhancing drug therapy in ostomy patients: Best practice recommendations for medication management

Berger,

Reeh,

Scherer

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

show abstract

A basic guide to discharging the postsurgery patient with an ostomy to the community

Abstract: It's often the direct care nurse's responsibility to provide education on the discharge process from the time of admission to enhance the patient's overall well-being postsurgery.

Cited by 1 publication

References 5 publications

Enhancing drug therapy in ostomy patients: Best practice recommendations for medication management

Enhancing drug therapy in ostomy patients: Best practice recommendations for medication management

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