Fecal & urinary diversions : management and principles / Janice C. Colwell, Margaret T. Goldberg, Jane E. Carmel.

Format:

Book

Author/Creator:

Colwell, Janice.

Contributor:

Goldberg, Margaret T.

Carmel, Jane.

Language:

English

Subjects (All):

Enterostomy--Nursing.

Enterostomy.

Urinary diversions--Nursing.

Urinary diversions.

Ostomates--Care.

Ostomates.

Ostomy--nursing.

Urinary Diversion--nursing.

Medical Subjects:

Ostomy--nursing.

Urinary Diversion--nursing.

Physical Description:

xvi, 522 pages : illustrations ; 25 cm

Other Title:

Fecal and urinary diversions

Place of Publication:

St. Louis, Mo. : Mosby, 2004.

Summary:

Dedicated to fecal and urinary diversions, this comprehensive reference book features information on the history of enterostomal therapy, anatomy and physiology of diseases that necessitate intestinal or urinary diversions, pouching system management principles, ostomy related complications, care of the cancer patient as well as the patient with chronic disease, and current trends and issues affecting the person with an ostomy. Current topics covered include intestinal diversions requiring temporary diversions, medical and surgical treatments for inflammatory bowel disease, colo-rectal cancers advances and ischemic intestinal disease. Fecal and Urinary Diversions: Management Principles is a valuable resource to students, nurses, physicians, surgeons, and any health professional caring for a person with an ostomy.

Contents:

1 History of Stoma Creation and Surgical Advances / Dorothy Doughty 3

Evolution of the Fecal Diversion 3

Evolution and Current Status of the Urinary Diversion 10

2 Roles of the Ostomy Nurse Specialist: Historical Perspective, Role Potential / Joy Boarini, Janice C. Colwell, Laurie Lovejoy McNichol, Jane E. Carmel, Margaret T. Goldberg, Linda D. Pruitt 18

Wound, Ostomy and Continence Nurses Society 18

Acute Care Setting 20

Home Health Care Setting: Provision of Ostomy Services 22

Long-Term Care and Rehabilitation Setting 25

Outpatient Setting 26

Industry 27

Part II Fecal Diversions

3 Anatomy and Physiology of the Gastrointestinal Tract / Ruth A. Bryant 33

Alimentary Canal 34

Mouth 37

Esophagus 38

Abdominal Cavity and Peritoneum 38

Accessory Organs 54

Biliary Systems 58

4 Inflammatory Bowel Disease: Medical Management / Victor Crentsil, Stephen B. Hanauer 63

Epidemiology 64

Etiology 64

Pathogenesis 65

Genetics 65

Diagnosis of Inflammatory Bowel Disease 66

Therapeutics of Inflammatory Bowel Disease 68

Medical Management of Extraintestinal Complications 72

Nutritional Therapy 72

Supportive Care 72

Inflammatory Bowel Disease and Pregnancy 73

Complications of Inflammatory Bowel Disease and Their Medical Management 73

Indications for Surgery and Postsurgical Maintenance Therapy 75

Future Directions 75

5 Inflammatory Bowel Disease: Surgical Management / Ravi P. Kiran, Victor W. Fazio 80

Crohn's Disease 81

Ulcerative Colitis 92

6 Gastrointestinal Cancers: Medical Management / Crina V. Floruta, Janice Berschorner, Tracy L. Hull 102

Small Bowel Cancer 102

Colorectal Cancer 103

Rectal Cancer 113

Anal Cancer 119

Nursing Considerations 119

Clinical Research Trials 121

7 Gastrointestinal Cancers: Surgical Management / Carol-Ann Vasilevsky, Philip H. Gordon 126

Preoperative Considerations 126

Selection of the Appropriate Operative Procedure 127

Functional Results With Low Anterior Resection and Coloanal Anastomosis 129

Oncologic Results of Sphincter-Saving Procedures 130

Stoma Construction 130

Quality of Life Issues 133

8 Gastrointestinal Etiologies Leading to a Fecal Diversion / Janice M. Beitz 136

Gastrointestinal Etiologies 136

Common Nongastrointestinal Causes for Fecal Diversion 154

Part III Urinary Diversions

9 Anatomy and Physiology of the Urinary System / Mikel Gray 163

Upper Urinary Tracts 163

Kidneys 165

Renal Pelvis and Ureter 170

Ureteral Function 171

Lower Urinary Tract 172

Physiology of Urinary Diversion and Reconstruction 179

10 Urinary Diversions: Surgical Interventions / Nancy Tomaselli, David E. McGinnis 184

Indications for a Urinary Diversion 185

Types of Urinary Diversions 187

Complications Related to Ureteroenterocutaneous and Continent Diversions 202

Complications Related to All Types of Urinary Diversion 203

Part IV Fecal and Urinary Diversion Management

11 Preoperative and Postoperative Management / Jane E. Carmel, Margaret T. Goldberg 207

Preparing the Patient Undergoing the Creation of a Stoma 207

Preoperative Preparation 208

Postoperative Management 223

12 Principles of Stoma Management / Janice C. Colwell 240

Stoma Characteristics 240

Pouching Principles 245

13 Pediatric Ostomies: Pathophysiology and Management / Beth Harrison, Joy Boarini 263

Pediatric Stoma Care 289

14 Stomal and Peristomal Complications / Janice C. Colwell 308

Stomal Complications 308

Peristomal Complications 314

Uncommon Stoma and Peristomal Complications 322

15 Ostomy Adjustment / Craig A. White 326

The Process of Psychologic Adjustment 326

Assessment of Psychosocial Variables 327

Management of Psychologic Health 330

Increasing Self-Efficacy 331

Part V Related Issues

16 Medications Affecting Ostomy Function / Gilbert J. Cusson 339

Internal Deodorizers 339

Drug Absorption in the Person with an Ostomy 340

The Ins and Outs of Drug Therapy in the Person with an Ostomy 340

17 Tube Management / Jane E. Carmel, Jody Scardillo 351

Gastrointestinal Feeding Tubes 352

Commonly Used Tubes and Drains 370

Tracheostomy Tube 374

Pediatric Patient 376

18 Fistula Management / Paula Erwin Toth, Barbara J. Hocevar, Judith Landis-Erdman 381

Etiology 381

Presentation 382

Workup 382

Medical Management 382

Nursing Management 383

Skin Protection 384

Containment Devices 384

Suction Catheters and Drains 385

19 Outcomes Measurement / Bonnie Sue Rolstad, Debra Netsch 392

History of the Quality Movement in Health Care 394

Programs for Outcomes Management 396

Delineating Outcomes of WOC Nursing Practice 399

What Does the Future Hold? 405

20 The Use of Telemedicine in Ostomy Management / Anne Scheurich 411

Selecting Services 412

Selecting the Appropriate Patient 412

Performing the Visit 413

Patient Response 413

Do's and Don't's 414

Selecting the Technology 414

Assessing Needs 415

Choices of Telemedicine Systems 416

21 Accelerated Surgical Stay / Henrik Kehlet, Dorthe Hjort Jakobsen 419

Physiologic Background for Accelerated Recovery Programs 419

Care Principles: Fast-Track Procedures 423

22 Intestinal Transplantation / Kathleen Shortridge, Alaine Kamm, David C. Cronin II 428

Intestinal Failure: Anatomic and Physiologic Causes 428

Complications Associated with Total Parenteral Nutrition 430

Intestinal Transplantation: Indications and Contraindications 430

Surgical Procedure 432

Postoperative Complications 435

Quality of Life 438

23 Minimally Invasive Surgical Techniques / Peter W. Marcello 442

Indications and Contraindications 442

Benefits and Drawbacks of Laparoscopic Colorectal Surgery: an Overview 443

Laparoscopic Stoma Creation 444

Technique 444

Outcomes 445

24 Innovative Approaches to Fecal Incontinence / Amy J. Thorsen, Robert Madoff 448

Medical Therapy 448

Surgical Therapy 450

A Discharge Resources / Connie Kelly 461

B Ostomy-Related Resources: Clinician and Patient Related / Beverly Folkedahl 467

C Nutritional Resources / Crina V. Floruta 476

D WOCN Society Publications 478.

Notes:

Includes bibliographical references and index.

ISBN:

0323022480

OCLC:

55613248