Stoma care

2021 ◽  
pp. 507-524
Author(s):  
Jennie Burch ◽  
Brigitte Collins
Keyword(s):  
Clinical Practice ◽  
Postoperative Care ◽  
Ileal Conduit ◽  
Urinary Output ◽  
Faecal Output ◽  
Stoma Reversal ◽  
Permanent Stoma ◽  
Discharge Home ◽  
The Common ◽  
Stoma Care

The stoma care chapter explores the formation of a temporary or permanent stoma and the main types of stoma. The two main types of faecal output stoma are the colostomy and ileostomy. The urostomy or ileal conduit is a urinary output stoma. The care required for people undergoing or living with a stoma is explored and includes preoperative and postoperative care. Stoma appliances and products are described. There is information provided on dietary and discharge home from the hospital and the nursing advice needed in these situations. There are descriptions of the common complications associated with stomas and how these can be addressed as well as longer-term issues, such as living with a stoma. Reversal of a stoma is included to describe considerations related to having the stoma surgically closed. Succinct descriptions related to stomas are detailed within this chapter for use in clinical practice by the nurse.

The importance of a holistic approach to stoma care: A case review

WCET Journal ◽  
2019 ◽  
pp. 23-32
Author(s):  
Melanie C Perez
Keyword(s):  
Ileal Conduit ◽  
Enterocutaneous Fistula ◽  
Foley Catheter ◽  
Holistic Approach ◽  
Comprehensive Care ◽  
Case Review ◽  
High Output ◽  
Stoma Care

This case review discusses the importance of providing a holistic approach to the care of a patient with two stomas and an enterocutaneous fistula. In this case, the stomas and fistula significantly affected the patient; not just physically but emotionally and socially. The different challenges that arose in pouching a high-output ileostomy, enterocutaneous fistula and ileal conduit with Foley catheter in situ are explored. It also delves into the various options for discharging a patient with complex ostomy complications requiring different needs and resources. Finally, it aims to highlight the therapeutic comprehensive care the stomal therapy nurse provided to the patient and their family.

Tonsillektomia w populacji pediatrycznej – główne wskazania, aktualne wytyczne Amerykańskiej Akademii Otolaryngologów Chirurgów Głowy i Szyi

2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Anna Wierzbicka-Rot ◽  
Artur Gadomski
Keyword(s):  
Clinical Practice ◽  
American Academy ◽  
Head And Neck ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Postoperative Care ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Evidence Based ◽  
Practical Information

In February 2019 American Academy of Otolaryngology-Head and Neck Surgery published clinical practice guidelines which provides evidence-based recommendations that applies to children under consideration for tonsillectomy. This update to the 2011 publication includes large amount of new, practical information about pre-, intra- and postoperative care and management, that can be useful for surgeons as well as GPs and pediatricians

scholarly journals Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults

KIDNEYS ◽  
2019 ◽  
Vol 8 (3) ◽  
pp. 152-156
Author(s):  
Maurizio Gallieni ◽  
Markus Hollenbeck ◽  
Nicholas Inston ◽  
Mick Kumwenda ◽  
Steve Powell ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Postoperative Care ◽  
Arteriovenous Fistulas

Gall bladder

2021 ◽  
pp. 191-200
Author(s):  
Jennie Burch ◽  
Brigitte Collins
Keyword(s):  
Clinical Practice ◽  
Gall Bladder ◽  
Primary Sclerosing Cholangitis ◽  
Sclerosing Cholangitis ◽  
Treatment Options ◽  
Presenting Symptoms ◽  
Preventative Measures ◽  
Common Diseases ◽  
The Common

The gall bladder chapter describes conditions and diseases of the small organ of the gall bladder. The common diseases of the gall bladder are described with the more frequently presenting symptoms listed for the nurse. The occurrence rates of these pancreatic conditions are defined and any potential causes described. The investigations that are used to diagnose the condition are explored. Treatment options or preventative measures are also explored with a description of any potential complications. There are a number of conditions and diseases related to the gall bladder that include primary sclerosing cholangitis and gallstone. Inflammation of the gallbladder, cholecystitis may be acute or chronic. Succinct details related to people with diseases and conditions of the gall bladder are easy to use by the nurse within clinical practice.

scholarly journals Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults

2019 ◽  
Vol 35 (10) ◽  
pp. 1824-1824
Author(s):  
Maurizio Gallieni ◽  
Markus Hollenbeck ◽  
Nicholas Inston ◽  
Mick Kumwenda ◽  
Steve Powell ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Postoperative Care ◽  
Arteriovenous Fistulas

scholarly journals The placebo effect

2006 ◽  
Vol 30 (5) ◽  
pp. 185-188 ◽  
Author(s):  
Sundararajan Rajagopal
Keyword(s):  
Clinical Practice ◽  
Psychiatric Disorders ◽  
Placebo Effect ◽  
Ethical Dilemmas ◽  
Medical Conditions ◽  
Wide Range ◽  
The Common

The placebo effect is a fascinating phenomenon in clinical practice. Studies have shown that there is a significant placebo effect in a wide range of medical conditions including psychiatric disorders. This article looks at the background of the placebo effect, defines the common terms used, describes the various hypotheses that have been put forward to explain this seemingly inexplicable phenomenon and also covers the issue of using placebos in research trials, highlighting the important ethical dilemmas involved. Throughout, specific emphasis is given to psychiatry.

scholarly journals ECG Mishaps, Artifacts and Operator Faults

2017 ◽  
Vol 5 (1) ◽  
pp. 63-67
Author(s):  
Kaja Mohammad Rasheed
Keyword(s):  
Clinical Practice ◽  
Clinical Staff ◽  
Remedial Measures ◽  
The Common ◽  
Improve Patient ◽  
Ecg Interpretation ◽  
Experienced Personnel

Electrocardiography is one of the most frequent bedside investigations in clinical practice. Often they are performed and interpreted by less experienced personnel with inadequate expertise.Equipment settings, proper technique and standardizations are prerequisites which may be overlooked, leading to costly and dangerous misinterpretations. This article highlights operational faults in ECG and emphasises that clinical staff must be equipped with necessary knowledge to identify these mistakes. It also tries to classify the common errors arising due to artifacts, electrode misplacement and improper standardization along with providing possible remedial measures. An awareness of these often neglected aspects and incorporating them in clinical discussions would not only enhance ECG interpretation but also improve patient safety.Bangladesh Crit Care J March 2017; 5(1): 63-67

IS MENSTRUATION NORMAL? SUPPRESSION OF THE MENSTRUAL CYCLE IN CLINICAL PRACTICE

2001 ◽  
Vol 9 (3) ◽  
pp. 241-257 ◽  
Author(s):  
EM Coutinho
Keyword(s):  
Clinical Practice ◽  
Menstrual Cycle ◽  
Mental Disorder ◽  
Common Type ◽  
Normal Means ◽  
The Common

According to Webster's Universal College Dictionary (Random House, 1997), normal means “conforming to the standard or the common type; usual regular, natural; free of any mental disorder; sane; free from disease or malformation”. On the basis of these various definitions, the answer to the question posed in the title of this review should be an unequivocal “no”. Incessant menstruation for years on end as it occurs today is certainly not natural, nor is it free of any mental disorder or free from disease. In fact, it conforms to no standard and it may cause serious dysphoric disorders and several diseases, of which anaemia and endometriosis are outstanding examples.

scholarly journals SPEAKING OF PREVENTION OF ACUTE PANCREATITIS AFTER ENDOSCOPIC CHOLANGIOPANCREATO-GRAPHY

2020 ◽  
pp. 45-48
Author(s):  
V. I. Lupaltsov ◽  
N. N. Skalii ◽  
A. I. Yagnyuk ◽  
V. S. Kotovshchіkov
Keyword(s):  
Acute Pancreatitis ◽  
Clinical Practice ◽  
Pancreatic Necrosis ◽  
Preventive Measures ◽  
Comparison Group ◽  
Main Group ◽  
Pancreatic Ducts ◽  
Terminal Part ◽  
Highly Effective ◽  
The Common

Summary. Purpose. To study the manometric control of pressure in the pancreatic ducts when performing ERCP and to determine its capabilities in the early diagnosis of postmanipulative pancreatitis. Materials and methods. The study was conducted to identify postmanipulative pancreatitis in 122 patients with impaired patency of the terminal part of the common bile duct who underwent ERCP. Patients were divided into two groups: the main – 58 patients and the comparison group – 64 patients. In 58 patients of the main group, the pressure in the pancreatic duct was studied by the device we developed. One makes it possible to register early signs of acute postmanipulative pancreatitis with conducting timely preventive measures for its development. Results. Using the proposed device that records the pressure in the pancreatic ducts, acute postmanipulative pancreatitis was diagnosed in 6.9 % of patients in the main group, while in the comparison group it developed in 21.9 % of cases. Mild forms of APMP in the comparison group were noted in 11 patients and in 4 patients in the main group. Severe APMP caused by focal pancreatic necrosis occurred in three cases of the comparison group. Conclusions. 1. ERCP is a highly effective method for diagnosing diseases of the pancreatobiliary zone, at the same time, sometimes fraught with the danger of developing serious complications, one of which is acute postmanipulative pancreatitis. 2. Monometric control during ERCP is a highly effective method for the diagnosis of early forms of acute postmanipulative pancreatitis, which can be recommended in the clinical practice of endoscopic surgeries.

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