Adams E, Boulton M, Watson E The information needs of partners and family members of cancer patients: a systematic literature review. Patient Educ Couns. 2009; 77:(2)179-186 https://doi.org/10.1016/j.pec.2009.03.027 Show
Bekkers MJ, van Knippenberg FC, van den Borne HW, Poen H, Bergsma J, vanBerge-Henegouwen GP Psychosocial adaptation to stoma surgery: a review. J Behav Med. 1995; 18:(1)1-31 https://doi.org/10.1007/BF01857702 Bekkers MJ, van Knippenberg FC, van den Borne HW, van Berge-Henegouwen GP Prospective evaluation of psychosocial adaptation to stoma surgery: the role of self-efficacy. Psychosom Med. 1996; 58:(2)183-91 https://doi.org/10.1097/00006842-199603000-00013 Black PLondon: Bailliere Tindall; 2000 Burch J, Black PHarrow: St Mark's Academic Institute; 2017 Corner J, Wagland R National cancer survivorship initiative: text analysis of patients’ free text comments: final report. Southampton: University of Southampton/Department of Health. 2012; https://tinyurl.com/4vfzutba Creswell JWThousand Oaks (CA): Sage; 2014 Finlay LChichester: Wiley-Blackwell; 2011 Giorgi APittsburgh (PA): Duquesne University Press; 2009 Goodhart F, Atkins L: Piatkus/Hachette; 2011 Goffman ELondon: Allen Lane; 1968 Helman CLondon: Hodder Arnold; 2007 Kilic E, Taycan O, Belli A, Ozmen M The effect of permanent ostomy on body image, self esteem, marital adjustment, and sexual functioning. Turkish Journal of Psychiatry. 2007; 18:(4)1-8 Mols F, Lemmens V, Bosscha K, van den Broek W, Thong MS Living with the physical and mental consequences of an ostomy: a study among 1-10-year rectal cancer survivors from the population-based PROFILES registry. Psychooncology. 2014; 23:(9)998-1004 https://doi.org/10.1002/pon.3517 Polidano K, Chew-Graham CA, Bartlam B, Farmer AD, Saunders B Embracing a ‘new normal’: the construction of biographical renewal in young adults' narratives of living with a stoma. Sociol Health Illn. 2020; 42:(2)342-358 https://doi.org/10.1111/1467-9566.13005 Suls J Social comparison processes: implications for physical health.(ed). Oxford: OUP; 2012 Svenaeus F The phenomenology of health and illness.(ed). Dordecht (Netherlands): Kluwer Academic; 2001 Van Mannen MWalnut Creek (CA): Left Coast Press; 2014 Vonk-Klaassen SM, de Vocht HM, den Ouden ME, Eddes EH, Schuurmans MJ Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review. Qual Life Res. 2016; 25:(1)125-33 https://doi.org/10.1007/s11136-015-1050-3 Wade BLondon: Scutari Press; 1989 White CLondon: Sheldon Press; 1997 Medically Reviewed by Jennifer Robinson, MD on August 18, 2021 A colostomy takes time to get used to. These questions and
answers will help. Schedule routine colostomy pouch empyting before breakfast or in the evening before going to bed, when your body is less busy with digestion. Plan regular colostomy pouch changes every 3-5 days. Date the tape on the pouch or mark your calendar to remind you
when the pouch was last changed. Change the pouch promptly if you feel itching or burning on the skin around the stoma (where the colostomy enters your body). These sensations may be signs of a leak. The stoma and surrounding skin needs to be clean, just like the rest of the body. You don’t have to use sterile materials to cleanse this area. Trim body hair around the stomal area with blunt-end scissors or an electric razor. Don't use oils or ointments on the skin
around your stoma. They may prevent the pouch from sticking to your skin. You may shower or bathe with the colostomy pouch on or off. But keep in mind that your body may keep eliminating waste during that time. You can replace, air dry or blow-dry (with a hair dryer on a low setting) the
pouch tape after you get out of the shower or bath. You can wear stretch underwear to support the colostomy pouch during physical activity. Wear your pouch inside the underwear. Pouch covers add to your comfort and help absorb perspiration. Yes, if it’s more than 10-15 pounds. It could change the fit of your colostomy pouch or alter the wearing time of the pouching system. Tell your surgeon or enterostomal therapy (ET) nurse if weight changes start to become a problem. Always carry a spare colostomy pouch with you in case you have unexpected problems. Keep extra closure clips with you in case yours drops or breaks. You can use a rubber band or binder clip in an emergency. Test different products at home on days when you are near your own bathroom. Always carry your medical supplies with you. Don’t check them with your luggage in case they become lost, delayed, or damaged. Take twice the amount of equipment than you usually need so that you are prepared for an emergency. Carry a list of retailers and United Ostomy Association (UOA) chapters in your travel case. They are a good resource if you need help while traveling. If you think you might need an ET nurse while you’re away from home, check with the Wound, Ostomy and
Continence Nurses Society (WOCN). When you return to your clinic or hospital, always bring two changes of ostomy supplies with you. Carry identification (in the form of a bracelet, necklace, or wallet card) specifying your particular ostomy. Don’t use products that are not specifically made for ostomy use. When you order ostomy equipment: It’s a good idea to check in if you have: What would a problem with a colostomy be?Common complications include poor stoma siting, high output, skin irritation, ischemia, retraction, parastomal hernia (PH), and prolapse. Surgeons should be cognizant of these complications before, during, and after stoma creation, and adequate measures should be taken to avoid them.
What are the indications for colostomy?The conditions that can require a colostomy include certain illnesses, injuries, or other problems with your digestive tract, including:. Crohn's disease.. diverticulitis.. an injury to the colon or rectum.. intestinal obstruction, which is a blockage in the large bowel.. colon cancer.. What are some considerations when caring for a patient with a colostomy?Caring for a Colostomy. Use the right size pouch and skin barrier opening. ... . Change the pouching system regularly to avoid leaks and skin irritation. ... . Be careful when pulling the pouching system away from the skin and don't remove it more than once a day unless there's a problem. ... . Clean the skin around the stoma with water.. When should I be concerned about a colostomy?Signs of Stoma Problems
The stoma is no longer moist in appearance but seems dry. Your stoma turns dark red, purple, or even black in color. Your stool from the stoma is always watery or diarrhea. You feel ongoing pain from the stoma.
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