Ostomy surgery is an increasingly common treatment for patients with Crohn's disease. With over 450,000 people with stomas in the United States and 120,000 new ostomy surgical procedures performed each year, a growing number of patients must contend with the difficulties of stoma management. However, with guidance from a health care professional, stoma patients can live healthy, active lives while minimizing their risk of injury, infection, and other problems.1
When marking a patient for a stoma, it is important to consider the practice based on evidence acquired by the wound, ostomy and continence (WOC) nurse during training and experience. Stoma siting procedures are based on evidence-based practices:
I previously discussed the need for a complete head-to-toe skin assessment. Certainly this can tell you whether or not the person is dehydrated, has open or discolored areas, and many other things about their overall health. Color, for example, can give you clues to additional problems such as vitamin and mineral deficiencies that can show on the skin.
All medical personnel strive to provide care based on the strongest available evidence. Yet how many of us provide culturally competent care? Culturally competent care is defined as having specific cognitive and effective skills that are essential for building culturally-relevant relationships between patients and providers.1 We may know about local customs but in today’s global world our patients may be from a different area of the world. So how would you react if your Asian patient wanted to use non-traditional medicine or your patient of the Sikh faith refused to remove their underpants prior to surgery?