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Table Of Contents

Introduction
The history of stomas
Stomas
Stoma care nursing
Roles of the stoma specialist nurse
Present day stoma care
Support groups
The future of stoma care
References
The skin
Wound healing process
The abdominal wall
The peritoneum
The gastrointestinal tract
The digestive process
The bowel wall
Blood supply
Lymphatic supply
Mouth
Oesophagus
Stomach
Small intestine
Duodenum
Jejunum and ileum
Large intestine
Caecum
Ascending colon
Transverse colon
Descending colon
Sigmoid colon
Rectum
Anal canal
Accessory organs associated with the GI tract
The liver
The gallbladder
The pancreas
The spleen
Urinary system
Colorectal Cancer and Adjunct Therapy
Incidence
Possible causal factors
Symptoms and clinical presentations
Multidisciplinary team
Pre-operative staging
Histopathology
Adjuvant chemotherapy
Effects of chemotherapy on stomas
Radiotherapy
Palliative chemotherapy
Surveillance and follow-up
Screening
Conclusion
Further information and websites
Further reading
Diagnosing IBD
Medical therapy for IBD
Dietary therapy for IBD
Surgery for Crohn’s disease
Surgery for ulcerative colitis
Malignancy in ulcerative colitis
Malignancy in Crohn’s disease
Extra-intestinal manifestations
Other medical issues in IBD
Fertility in IBD
Patient education
Familial Adenomatous Polyposis
The Polyposis Registry and research
Diagnosing FAP
Bowel screening of relatives ‘at-risk’
Colectomy with IRA
Restorative proctocolectomy
Total/panproctocolectomy
Upper GI disease
Extra-colonic manifestations (ECMs)
Box 5.1 Extra-colonic manifestations
Desmoid disease
An accessible expert centre
Continence
Normal bladder and bowel control
Risk factors for incontinence
Obstetric trauma to the pelvic floor
Investigations
Treatment of incontinence
Practical management
Surgical interventions
Useful websites
Other Conditions Leading to Stoma Formation
Congenital malformations/anomalies
Cystic fibrosis
Diverticular disease
Ehlers Danlos
Gynaecological tumour
Hereditary non-polyposis colon cancer (HNPCC)
Hirschsprung’s disease
Interstitial cystitis
Intussusception
Irradiation damage
Ischaemic bowel
Meconium ileus
Megarectum
Necrotising enterocolitis
Necrotising fasciitis
Obstruction
Perforated bowel
Solitary rectal ulcer
Spina bifida
Spinal cord injury
Trauma
Visceral myopathy
Volvulus
Surgery
Temporary stomas
Permanent stomas
Stoma formation
Surgical technique
Surgical alternatives
Pre-operative assessment and investigations
Pre-operative information
Bowel preparation
Meeting another ostomate
Informed consent
Stoma siting assessment
Cultural/religious issues related to siting
Stoma siting
Pre-operative fasting
Post-operative aims
Post-operative care
Blood tests
Nausea and vomiting
Post-operative analgesia
Post-operative exercises
Post-operative appliances
Post-operative stoma assessment
Normal stomas
Normal stoma outputs
Post-operative urostomies
Post-operative faecal stomas
Wound care
Post-operative stoma care teaching
Teaching plan
Stoma closure
Small bowel obstruction
Wound infection
Abdominal sepsis
Intestinal Pouches
The coloanal or colonic ‘J’ pouch
The Kock pouch/reservoir
The ileoanal pouch
Patient suitability and selection
The ‘S’, ‘J’ or ‘W’ pouch
Problems following RPC
Research and current development
Laparoscopic surgery
Probiotics
Quality of life
Nursing developments
Urinary Diversion
Reasons for urinary diversion
Urostomy
Colonic conduit
The ileal conduit
Internal urinary pouches
Neobladder
Urinary drainage
Appliances
History of stoma care products
Modern pouches
Colostomy appliances
Ileostomy appliances
Urostomy appliances
Additional drainage bags
One- and two-piece appliances
Adhesive coupling system
Toilet flushable colostomy appliances
Stoma caps
Stoma plug
Appliances for high-output stomas
Fistula appliances
Convex flanges
Stoma accessories
Protective wafers/sheets
Skin cleansers
Paste
Seals and washers
Flange securing tape
Ostomy belts
Adhesive
Adhesive removers
Odour treatment options
Protective powder
Protective film
Protective cream
Pancaking prevention agents
Discharge solidifying agents
Pouch clips and soft ties
Pouch covers
Flatus filters
Hernia support garments
Protective shields
Clothing
Stoma appliance costing
Discharge to the Community
Discharge criteria
Stoma supplies
Disposal of appliances
Obtaining further supplies
Nurse prescribing
Follow-up visits
Post-operative psychological adjustment
Returning to work
Resuming social activities and hobbies
Exercises
Driving
Alcohol
Support garments
Travel
Long-term follow-up
Digestion and absorption of nutrients
‘The Balance of Good Health’
Colostomy
Ileostomy
Ileoanal pouch
Peri-operative nutrition
Provision of nutrition support
Monitoring
Short-term complications
Long-term complications
Allergy and skin sensitivities
Bleeding
Cancer recurrence locally
Constipation
Diarrhoea
Discolouration of the stoma
Flatus
Granulomas/overgranulation
Hernia
High-output stoma
Ileus (paralytic ileus)
Infection
Melanosis coli
Mucocutaneous separation
Necrosis
Odour
Pancaking
Phantom bladder/rectum
Prolapse
Pyoderma gangrenosum
Retraction
Skin problems
Stenosis
Stoma trauma
Urine crystal formation
Varices
Fistulae and Intestinal Failure
Defining fistulae
Intestinal failure
Parenteral nutrition (PN)
Fistuloclysis
Bowel Irrigation
Rectal irrigation
Colonic irrigation
Colostomy irrigation
Antegrade colonic enemas (ACEs)
Percutaneous endoscopic colostomy (PEC)
P. 1
Stoma Care

Stoma Care

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Published by Wiley
Stoma Care is a comprehensive and authoritative guide for all nurses and health care professionals with an interest in bowel conditions that may lead to stoma formation.

It explores the anatomy and physiology of the urinary and gastrointestinal system, and looks at topics including familial adenomatous polyposis, continence issues, nutrition, and conditions leading to stoma formation, complications, fistulae and intestinal failure. It also discusses the role of the nurse in surgery and in pre-and post-operative care.

Stoma Care is a comprehensive and authoritative guide for all nurses and health care professionals with an interest in bowel conditions that may lead to stoma formation.

It explores the anatomy and physiology of the urinary and gastrointestinal system, and looks at topics including familial adenomatous polyposis, continence issues, nutrition, and conditions leading to stoma formation, complications, fistulae and intestinal failure. It also discusses the role of the nurse in surgery and in pre-and post-operative care.

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Publish date: Sep 15, 2008
Added to Scribd: Jun 04, 2013
Copyright:Traditional Copyright: All rights reservedISBN:9780470722145
List Price: $84.99 Buy Now

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03/02/2015

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9780470722145

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