The implications of stoma reversal on patient outcome

Black, Pat

doi:10.12968/gasn.2011.9.4.20

Cited by 5 publications

(1 citation statement)

References 8 publications

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“…Temporary stomas are reversible, meaning that further surgery can be performed to reconnect the remaining parts of the bowel, allowing individuals to once again defecate in the usual way through the anus. However, normal function is not completely restored following stoma reversal, since IBD symptoms may return and − particularly after a total colectomy − toilet frequency may increase (Black ). For permanent stomas, reversal is not possible and the stoma is lifelong.…”

Section: Introductionmentioning

confidence: 99%

Embracing a ‘new normal’: the construction of biographical renewal in young adults’ narratives of living with a stoma

Polidano

Chew‐Graham

Bartlam

et al. 2019

Sociology Health & Illness

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Stoma surgery can be a life‐changing procedure due to bodily changes and related psychological responses. Despite previous literature identifying unique challenges for young adults living with a long‐term condition, no studies have explored the biographical implications of stoma formation. Drawing on interviews with 13 young adults, aged 18–29 years, with a stoma resulting from inflammatory bowel disease, this article aims to generate new theoretical insights in understanding the process of biographical (re)construction and the wider implications of stoma formation among this group. Data analysis combined constructivist grounded theory and narrative analysis. Whilst two narratives display ‘biographical suspension’ characterised by a distancing of self from their stoma, the majority of narratives highlight positive transformations in the young adults’ conceptions of self; which we explain through the concept of ‘biographical renewal’. The liberating effects of stoma surgery allowed young adults to reclaim aspects of their pre‐illness selves, yet also reconfigure a new, altered sense of self, culminating in a ‘new normal’. However, psychological distress also co‐existed alongside these positive representations, revealing a tension that young adults attempt to reconcile through narrativising their experiences. Our findings have implications for the identification and management of the psychological needs of young people with a stoma.

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Section: Introductionmentioning

confidence: 99%

Embracing a ‘new normal’: the construction of biographical renewal in young adults’ narratives of living with a stoma

Polidano

Chew‐Graham

Bartlam

et al. 2019

Sociology Health & Illness

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Providing information and advice on diet to stoma patients

Burch

2011

Br J Community Nurs

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The community nurse will encounter many queries and requests for advice in the work environment. This article offers information on diet related to the stoma. Specific advice for the three different types of stoma, and for certain situations that might arise after the ostomate (person with a stoma) is discharged home, is provided. Much of the advice is common sense, but it might prevent the use of medication such as laxatives. Nutrition is essential for recovery following surgery and in the long-term. By using the information provided, the community nurse can give better care to this group of patients.

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Improving patient care after stoma reversal

Taylor

2011

Br J Nurs

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This article will examine the current service provision for patients who have had a temporary stoma reversal. Findings of a patient survey will be presented, highlighting the support and information received by 27 patients following a stoma reversal operation. Associated literature (Camilleri-Brennan and Steele, 2000; Sailer at al, 2000; Desnoo and Faithfull, 2006; Siassi et al, 2008; Chow et al, 2009) has confirmed a high likelihood of altered bowel function after stoma reversal, but makes less reference to the care that these patients require during the follow-up period. It is recommended that colorectal teams discuss the care implications for patients requiring stoma reversal, and appraise their care delivery to ensure patient needs are met.

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The implications of stoma reversal on patient outcome

Cited by 5 publications

References 8 publications

Embracing a ‘new normal’: the construction of biographical renewal in young adults’ narratives of living with a stoma

Embracing a ‘new normal’: the construction of biographical renewal in young adults’ narratives of living with a stoma

Providing information and advice on diet to stoma patients

Improving patient care after stoma reversal

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