Ileostomy Care

Berti-Hearn, Linda; Elliott, Brenda

doi:10.1097/nhh.0000000000000776

Cited by 21 publications

(22 citation statements)

References 19 publications

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“…34 Patients who receive proper education have fewer complications, fewer hospital readmissions, and higher QOL scores. 37,38 As ostomy patients learn to live with their new circumstance and begin to adapt, they need to advance their skills and learn to troubleshoot problems such as dehydration, blockages, [39][40][41][42] and PSCs. 43 Follow-up visits in the community promote patient independence in self-care and promote successful adaptation.…”

Section: • Dietary Guidelines and Strategies To Prevent Dehydrationmentioning

confidence: 99%

Ostomy and Continent Diversion Patient Bill of Rights

Burgess-Stocks

Gleba

Lawrence

et al. 2022

Journal of Wound, Ostomy &Amp; Continence Nursing

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An estimated 725,000 to 1 million people are living with an ostomy or continent diversion in the United States, and approximately 100,000 ostomy surgeries are performed each year in the United States. As a result of ostomy surgery, bodily waste is rerouted from its usual path because of malfunctioning parts of the urinary or digestive system. An ostomy can be temporary or permanent. The ostomy community is an underserved population of patients. United Ostomy Associations of America, Inc (UOAA), is a nonprofi t organization dedicated to promoting quality of life for people with ostomies and continent diversions through information, support, advocacy, and collaboration. Over the years, UOAA has received hundreds of stories from people who have received inadequate care. In the United States, patients receiving medical care have certain health rights. For ostomy and continent diversion patients, these rights are known as the "You Matter! Know What to Expect and Know Your Rights-Ostomy and Continent Diversion Patient Bill of Rights" (PBOR). These rights defi ne and provide a guide to patients and health care professionals as to what the best practices are when receiving and providing high-quality ostomy care during all phases of the surgical experience. This includes preoperative to postoperative care and throughout the life span when living with an ostomy or continent diversion.In 2020, the National Quality Forum released "The Care We Need: Driving Better Health Outcomes for People and Communities," a National Quality Task Force report that provides a road map where every person in every community can expect to consistently and predictably receive high-quality care by 2030 (thecareweneed.org). One of the core strategic objectives this report stated is to ensure appropriate, safe, and accessible care. Actionable opportunities to drive change include accelerating adoption of leading practices. The adoption of the PBOR best practices will drive the health care quality improvement change needed for the ostomy and continent diversion population. There are concerns in the ostomy and continent diversion communities among patients and health care professionals that the standards of care outlined in the PBOR are not occurring across the United States in all health care settings. There are further concerns stated by health care professionals that the patient-centered recommendations outlined in the PBOR need to be strengthened by being supported with available published health care evidence.The work of this task force was to bring together members of UOAA's Advocacy Committee, members of the Wound, Ostomy, and Continence Nurses Society (WOCN Society) Public Policy and Advocacy Committee, and representatives from surgical organizations and industry to create a systemic change by validating through evidence the Ostomy and Continent Diversion PBOR. Through the work of the task force, each component of the PBOR has been substantiated as evidencebased. Thus, this article validates the PBOR as a guideline for high-quality standards ...

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Section: • Dietary Guidelines and Strategies To Prevent Dehydrationmentioning

confidence: 99%

Ostomy and Continent Diversion Patient Bill of Rights

Burgess-Stocks

Gleba

Lawrence

et al. 2022

Journal of Wound, Ostomy &Amp; Continence Nursing

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“…They found that participants with an ileostomy were more likely to have peristomal skin complications and pain than participants with a colostomy (odds ratio = 9.8, 95% confidence interval: 2.2-43.7). Findings from multiple studies also suggest that patients living with an ostomy are more likely to experience peristomal irritant contact dermatitis due to exposure of the skin to fecal effluent 42,46,53. Significant differences were not found when the OST score was analyzed based on time since ostomy surgery, preoperative stoma site marking, and presence of a retracted ostomy.…”

Section: Discussionmentioning

confidence: 99%

Cultural Adaptation and Validation of the Ostomy Skin Tool to the Brazilian Portuguese

Nunes

Martins

Santos

2023

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE: To adapt the Ostomy Skin Tool (discoloration, erosion, and tissue overgrowth) to the Brazilian culture and to analyze psychometric properties of the adapted version. DESIGN: Psychometric (methodologic) evaluation of the instrument. SUBJECTS AND SETTING: Three ostomy/enterostomal therapy nurses evaluated the extent and severity of peristomal skin conditions in a sample of 109 adults 18 years or older with peristomal skin complications. These participants were receiving care in an ambulatory care center in outpatient health services in Sao Paulo and Curitiba, Brazil. In addition, interobserver reliability was measured using a group of 129 nurse participants who attended the Brazilian Congress of Stomatherapy held from November 12 to 15, 2017, in Belo Horizonte, a city located in the state of Minas Gerais, Brazil. Nurse participants assessed the descriptions of peristomal skin complications of the Portuguese version, using the same photographs used in the original DET score, purposely placed out of original order. METHODS: The study was performed in 2 stages. The instrument was translated into Brazilian Portuguese by 2 bilingual translators, and back-translated into English. The back-translated version was sent to one of the developers of the instrument for additional evaluation. During stage 2, content validity was evaluated by 7 nurses with expertise in ostomy and peristomal skin care. Convergent validity was evaluated by correlating the severity of peristomal skin complications to pain intensity. Discriminant validity was evaluated based on type and time of ostomy creation, presence of retraction, and preoperative stoma site marking. Finally, interrater reliability was evaluated using standardized photograph evaluation reproduced in the same sequence as the original English language version of the instrument, along with paired scores from assessment of adults living with an ostomy generated by an investigator and nurse data collectors. RESULTS: The Content Validity Index for the Ostomy Skin Tool was 0.83. Levels of mild agreements were obtained for the nurses' observations in the evaluation of peristomal skin complications using standardized photographs (κ= 0.314). In contrast, moderate to almost perfect agreements were obtained when scores were compared in the clinical setting (κ= 0.48-0.93, according to the domains). Positive correlations between the instrument and pain intensity (r = 0.44; P = .001) indicate convergent validity of the adapted version of the Ostomy Skin Tool. In contrast, analysis of discriminant validity was mixed and definitive conclusions about this form of construct validity cannot be made based on this study. CONCLUSION: This study supports convergent validity and interrater reliability of the adapted version of the Ostomy Skin Tool.

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“…This article will focus on peristomal complications. For in-depth articles on colostomies, ileostomies, and urostomies, see Berti-Hearn & Elliott, 2019a;Berti-Hearn & Elliott, 2019b;and Berti-Hearn & Elliott, 2019c. When seeing ostomy patients, ask the individual to describe how they care for their ostomy and how often they change their appliance. Assess the stoma, peristomal skin, stool consistency, and the appliance.…”

Section: Jessica L Merkert Msn Rn Cpn Scrnmentioning

confidence: 99%

Peristomal Complications

Merkert¹

2022

Home Healthcare Now

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Patients with new ostomies are being discharged from the hospital without enough hands-on training for ostomy care. Maintaining healthy peristomal skin is one of the greatest challenges for patients with an ostomy. Unfortunately, peristomal complications are very common and affect quality of life. It is important that home healthcare clinicians maintain competency in ostomy care, so they have the knowledge and skills necessary to prevent and treat peristomal complications. This article focuses on peristomal skin assessment as well as prevention and treatment of common peristomal complications.

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Ileostomy Care

Cited by 21 publications

References 19 publications

Ostomy and Continent Diversion Patient Bill of Rights

Ostomy and Continent Diversion Patient Bill of Rights

Cultural Adaptation and Validation of the Ostomy Skin Tool to the Brazilian Portuguese

Peristomal Complications

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