Introduction
COLOSTOMY is defined as an artificial opening of the colon onto the abdominal surface. It may originate from: The sigmoid colon, the descending colon, the transverse colon or the ascending colonA colostomy is named according to where in the bowel it is formed: It may be an ascending, transverse, descending, or sigmoid colostomy. The type of effluent is dependent on the location of the bowel used. The type of effluent in cecostomy (ascending colostomy) is liquid to mushy and foul odor. The type of effluent in right transverse co-lostomy is mushy to semiformed. The type of effluent in left transverse colostomy is semiformed and soft. The type of effluent in descending or sigmoid colostomy is soft to hard formed [2].
Hatton, [31 stated that stomas involving the bowel are most common with an estimated 50,000 people in the UK with a colostomy each year. In the last year (from 1 /1 /2011- 1 /1 /2012), approxi-mately 71 cases carried out colostomy at General Surgery Department of Assiut University Hospital (Assiut University Hospital Record, 2011-2012).
Basic competency for all acute care nurses providing care and educational support for the new post operative ostomy patient should include the following: Stoma assessment, pouch fitting, pouch emptying, access to resources and supplies, and basic problem-solving skills [4].
Priorities for nursing care include preparing the patient physically for surgery; providing infor-mation about post operative care, including stoma care and supporting the patient and family emo-tionally. Patients undergoing surgery for a tempo-rary colostomy may express fears and concerns similar to those of a person with a permanent stoma. All members of the health care team, in-cluding the wound ostomy and continence nurse (WOCN), should be available for assistance and support. The nurse's role is to assess the patient's anxiety level and coping mechanisms and suggest
IntroductionCOLOSTOMY is defined as an artificial opening of the colon onto the abdominal surface. It may originate from: The sigmoid colon, the descending colon, the transverse colon or the ascending colonA colostomy is named according to where in the bowel it is formed: It may be an ascending, transverse, descending, or sigmoid colostomy. The type of effluent is dependent on the location of the bowel used. The type of effluent in cecostomy (ascending colostomy) is liquid to mushy and foul odor. The type of effluent in right transverse co-lostomy is mushy to semiformed. The type of effluent in left transverse colostomy is semiformed and soft. The type of effluent in descending or sigmoid colostomy is soft to hard formed [2].Hatton, [31 stated that stomas involving the bowel are most common with an estimated 50,000 people in the UK with a colostomy each year. In the last year (from 1 /1 /2011- 1 /1 /2012), approxi-mately 71 cases carried out colostomy at General Surgery Department of Assiut University Hospital (Assiut University Hospital Record, 2011-2012).Basic competency for all acute care nurses providing care and educational support for the new post operative ostomy patient should include the following: Stoma assessment, pouch fitting, pouch emptying, access to resources and supplies, and basic problem-solving skills [4].ระดับความสำคัญสำหรับพยาบาลดูแลรวมเตรียมร่างกายผู้ป่วยสำหรับการผ่าตัด ให้ infor mation เกี่ยวกับการลงรายการบัญชีวิธีปฏิบัติตนภายดูแล ดูแลปากใบ และการสนับสนุนผู้ป่วยและครอบครัวเพลง-tionally ผู้ป่วยที่อยู่ในระหว่างการผ่าตัดอีกจังหวะ-rary อาจแสดงความกลัวและความกังวลเหมือนกับบรรดาบุคคลที่มีปากใบถาวร สมาชิกทั้งหมดของทีมดูแลสุขภาพ แผล ostomy และ continence พยาบาล (WOCN), ใน cluding ควรจะพร้อมใช้งานสำหรับความช่วยเหลือและสนับสนุน บทบาทของพยาบาลคือการ ประเมินระดับความวิตกกังวลของผู้ป่วยและกลไกรับมือ และแนะนำ
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