Doctor insights on:
Colostomy Care Nursing Procedure
What do you suggest if my dad has a loop colostomy, and is hoping to reverse it. How easy or hard is the reversal procedure?
Very simple: Various procedures are used to divert the bowel, in particular when a low surgical resection of the sigmoid colon is performed. Here the anastomosis is given a chance to heal by diverting food from the suture line. Loop colostomy has an opening on top of the loop which is repaired, the adjacent tissue opened so that the closed bowel can be dropped into the abdomen. ...Read more
My father has a loop colostomy, and is hoping to reverse it. How difficult is the reversal procedure?
Simple: The loop is performed proximal to an anastomosis to allow it to heal. At the time of closure the proximal and distal parts of the opened loop are divided and at skin level the margins are anastomosed and then droped back into the now open loop site which is then closed at fascial and skin levels. ...Read more
Is a turnbull-cutait procedure still done for mutiple pelvic abscess complications as a last attempt to avoid permanent colostomy?
Mother-in-law has serious dementia - what's the procedure for transitioning out of a nursing home into memory unit?
Wife: Great opportunity to have family conference with her prescribing physician to discuss her treatment and your concerns. ...Read more
Her right thumb is numb for a week. After holding artery forceps during a mouth care procedure. And she is a 1st year nursing student.
See below: If the nursing staff notices that he/she is sick for certain reason (s), then attending physician must be notified. The physician will give further instructions to the nursing staff. Please ask the unit manager of the nursing home to go over their procedure of notifying change of condition. ...Read more
As a Nursing Auxillary in A&E I suffer from emotional burnout and subsequently loose interest in other activities. Are you able to advise any thing x?
Eval: Get a full psychiatric evaluation to determine what bothers you, and consider medication to take the edge off them symptoms. Next, get a referral to a reputable psychotherapist to discuss what your current emotional state and life experiences men to YOU. Meds and therapy together are the most optimal approach, for the most part. ...Read more
You shouldn't: Salmonella is a huge risk for infants as this is one of the infections that is very much dependent on how mature your immune system is. As much as I may be with you in enjoying cookie dough, the raw egg is way too risky for salmonella infection which may be nothing for you but could be a quite serious illness for an infant. ...Read more
Please ASK: The best thing you can do for you and your baby if you have nursing problems is to ask for help and support! Start with your pediatrician, obgyn, labor nurses and local lactation consultants or laleche league. Many town health departments or wic offices can direct you to resources. Enlist the emotional support of your partner and mother or support person as well. Other breast feeding moms too! ...Read more
See below: The is moral development and in nursing as well as medicine the best way to do this is by example-for if you present the best there'd is others will follow. ...Read more
What if you are in a skilled nursing facility and dr's orders are not being followed but makes in your chart that it was done?
Violation: If you are certain that something is supposed to be done and it's not being done, bring this up to the nurse supervisor. They will supervise whether something is supposed to be done or not. If the problem persists, bring the problem to the patient liaison for investigation. Your job is to make sure that things are being done and your health is being looked after. ...Read more
Surgery: A colostomy is a surgical procedure where the colon is divided after which the upstream part is sewn to the abdominal wall so that the bowel contents can be collected in a bag worn on the abdominal wall, thereby bypassing the anus. This may be permanent (for low rectal cancer) or temporary (after emergency colon surgery). This may be done via laparoscopic or open surgery, depending on the reason. ...Read more
A form of diversion: A loop colostomy isusually used to protect an anastomosis used in the distal bowel. This prevents fecal contents from reaching the suture line and is constructed temporarily. An end colostomy is usually permanent and diverts bowel content from reaching the anal region following a cancer procedure. ...Read more
No: The aap recommends exclusive breastfeeding for all babies for 6 months, and that mom's breastfeed their babies until one year, or longer if both mom and baby desire. Breast milk is the best choice for every baby. If you feel that it's time to wean, or you need to wean and can't, please discuss this with your pediatrician. ...Read more
Keeps baby close: The nursing pillow was a life-saver for me (especially after my c-sections and I could not hold my baby upright for nursing). I used a "boppy" pillow and it really helped to maintain my baby in a good position that was helpful for successful nursing. ...Read more
Go for it: People are able to live full, active lives with colostomies in place these days. You always want to check with your doctor but folks play all sorts of recreational sports with colostomies. You'll get more comfortable with it as you get used to it. ...Read more
Level of care needed: A skilled nursing facility describes a center catering to the needs of patients who need a level of care sometimes requiring the skills of a nurse but not that of a hospital. Included are those needing help with body functions, feeding, medications or mobility at various ages. Generally, a treatment plan coordinated with a physician monitored by the nurses is part of the process. ...Read more
Advanced Planning: Pack plenty of supplies, take them with your carry-on luggage; delays and lost luggage happen often when traveling. Identify stoma professionals at your destination; professional stoma societies have directories on the web. Special multi-lingual certificates and travel health insurance are also available from stoma societies. See your doctor before leaving: traveler's diarrhea is a special concern. ...Read more
Yes: SNF = skilled nursing facility. Key word is nursing which means nurses have to be available around the clock. Assisted living facilities don't require presence of nurse at all times. BTW, we mean RN or LPN when referring to nurses. Check out http://www. Diffen. Com/difference/Assisted_Living_vs_Nursing_Home as a starting point. ...Read more
Simple: Creating a colostomy - especially using laparoscopic techniques is a safe procedure. Recovery is quick and the only thing required is to get familiar with how the colostomy works. If additional procedures are required at the same time the colostomy is created recovery will based on the specific procedures. ...Read more
Basic Life Activity: The short answer is room and board. But not at all limited to that. They also provide assistance with toileting and bathing, social interaction with staff and other residents, assistance with taking medication, they should also offer physical, & occupational rehabilitation, and spiritual support. ...Read more
Check with surgeon: There are many issues that can arise with a colostomy including leakage, prolapse, herniation, partial or complete obstruction and other problems. You should always check with your surgeon who performed the colostomy first. They may wish to treat or handle the problem. You may sometimes be referred to an enterostomal therapist for certain problems. ...Read more
A caring staff: A good nursing home has a caring staff and physicians who are available and willing to meet with family members. These two characteristics are not easy to discern. I recommend that you visit any nursing home you are considering for yourself or a family member. Walk around, and talk to visitors and family members of patients. Don't go by what the admissiions folks tell you - they are in sales. ...Read more
Keep it Simple: Michelle - I think you will find this handout helpful - http://www. Ostomy. Org/ostomy_info/wocn/wocn_basic_ostomy_skin_care. Pdf. ...Read more