A dedicated stoma care counselling service to address the psychological needs of ostomates

2019 ◽  
Vol 17 (10) ◽  
pp. 24-26
Author(s):  
Andrew Bird
Keyword(s):  
Psychological Needs ◽  
Counselling Service ◽  
Emotional Challenges ◽  
Stoma Formation ◽  
Care Counselling ◽  
Stoma Care

Support from a specialist counsellor can help overcome the emotional challenges of stoma formation

Relationship and Family Therapy for Newly-resettled Refugees: A Qualitative Inquiry of an Innovative, Needs-adapted Approach in Sydney, Australia

2017 ◽  
Vol 41 (S1) ◽  
pp. S622-S623
Author(s):  
A. Karageorge ◽  
P. Rhodes ◽  
R. Gray ◽  
R. Papadopoulos
Keyword(s):  
Family Therapy ◽  
Psychological Needs ◽  
Qualitative Inquiry ◽  
Counselling Service ◽  
Individual Interviews ◽  
Refugee Families ◽  
Family Counselling ◽  
Service Staff ◽  
Competing Interest ◽  
Sydney Australia

IntroductionThe needs of refugees are of pivotal concern internationally. Relational trauma, in particular, is an area that is under-emphasised and under-researched. The strength to strength program (STS) was a rare, innovative relationship and family counselling service for recently-arrived refugees in Sydney, Australia during 2006–2014. The service model built on post-Milan systemic family therapy principles to include innovative cultural and trauma-informed aspects of care.ObjectivesWe were interested in the experiences of staff who delivered the program, and the ways in which more traditional, Western-informed modes of family therapy were transformed by the needs of refugee clients.AimsTo identify and describe transformations to the delivery of relationship and family counselling with refugees that enabled care, from the perspective of staff.MethodsA thematic analysis, guided by interpretive description, of individual interviews and focus groups with STS service staff (n = 20), including family therapists, bicultural workers and managers.ResultsKey themes pertaining to innovative aspects of the relationship and family counselling service provided by STS staff will be outlined and lessons for future service provision in this space considered.ConclusionsSTS is an example of staff-driven innovation to the therapeutic care of refugee families resettling in Western countries, taking into account the unique and complex set of cultural, practical and psychological needs. Important and timely lessons for future service delivery can be drawn from qualitative inquiry into the experiences of staff who deliver such programs, with refugee numbers continuing to increase internationally.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Patient stoma care: educational theory in practice

2012 ◽  
Vol 21 (13) ◽  
pp. 786-794 ◽  
Author(s):  
Jenny Williams
Keyword(s):  
Quality Care ◽  
Educational Theory ◽  
Theory And Practice ◽  
Psychosocial Issues ◽  
Product Usage ◽  
Care Education ◽  
Poor Patient ◽  
Stoma Formation ◽  
Cost Implications ◽  
Stoma Care

Patients undergoing stoma formation encounter many challenges including psychosocial issues, relationship concerns and fear of leakage. Leakage, inappropriate product usage and poor patient adaptation post stoma formation has cost implications for the NHS. Developing good, practical stoma care skills has been identified as improving patient outcomes, promoting the provision of quality care and improving efficiency within the NHS. However, a thorough literature search indicated that there is little research available on patient stoma care education. This is considered surprising by Metcalf (1999) , O'Connor (2005) and the author of this article. This article considers and adapts generic educational theory to make it pertinent to patient stoma care education in order to bridge the gap between theory and practice.

Mentioning the unmentionable: a stoma care nurse's journey to discussing sexuality

2019 ◽  
Vol 13 (7) ◽  
pp. 345-349
Author(s):  
Andrew Bird
Keyword(s):  
Personal Experience ◽  
Daily Living ◽  
External Factors ◽  
Activity Of Daily Living ◽  
Care Nurse ◽  
Stoma Formation ◽  
Difficult Conversations ◽  
Cultural Taboos ◽  
Plissit Model ◽  
Stoma Care

Sexuality is a fundamental activity of daily living, affected by a number of external factors, including illness and surgery—such as stoma formation. Ostomates should have an opportunity to discuss sexuality with a stoma care nurse, but it can be a difficult topic to raise, due to social and cultural taboos, as well as misconceptions about health and roles and denial of problems and responsibilities. Engaging in these difficult conversations is an important skill that can be learned and perfected, so long as the need is identified. This journey is illustrated by the author's personal experience. Permission-giving according to the Ex-PLISSIT model makes it easier for patients to open up about sexuality, making it possible to identify and address common sexual problems experienced by ostomates.

Overview of stoma care for community nurses

2020 ◽  
Vol 25 (7) ◽  
pp. 340-344
Author(s):  
Sarah Jane Palmer
Keyword(s):  
Nursing Care ◽  
Parastomal Hernia ◽  
Psychological Needs ◽  
Community Nurse ◽  
Clinical Nursing ◽  
Appropriate Care ◽  
Patient Will ◽  
College Of Nursing ◽  
Nursing Standards ◽  
Stoma Care

This article explores nursing care for stoma patients, with a focus on colostomies, while providing some broader information covering a multitude of topics that relate to any type of stoma. Nurses must be aware of various factors when caring for stoma patients, as the latter will not always be in touch with their specialist stoma nurse. Therefore, if a community nurse visits more often, they can make a difference with their knowledge and care. Complications are not uncommon, and it is important the correct advice is given on diet, exercise, avoiding complications such as parastomal hernia through certain techniques, medications and aids and appliances. SecuriCare and the Royal College of Nursing have produced clinical nursing standards for the stoma nurse, and these are also relevant to community nurses. A pharmacist can give more specialist advice on medications, a GP can prescribe for infections, and a stoma nurse can provide specialist expertise to the nurse and patient alike, but the community nurse is at the frontline with a community patient. Therefore, they should be equipped with the knowledge and care expertise, so they can know when to act by referral to the appropriate professional, or give the appropriate care and advice. The patient will also have psychological needs to consider, which may require referral if these are beyond the specialist stoma nurse's or community nurse's abilities.

Stoma care: procedures, appliances and nursing considerations

2020 ◽  
Vol 29 (22) ◽  
pp. S14-S19
Author(s):  
Barry Hill
Keyword(s):  
Quality Of Life ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Stoma Formation ◽  
Stoma Care

Several diseases and operations may necessitate the need for the formation of a stoma. Patients who are affected may be concerned about the effect of the stoma on their ability to carry out activities of daily living, as well as how it will affect their quality of life. Nurses who may be involved in the care of patients with a stoma should have an understanding of the reasons for stoma formation, and the types of stoma and appliances available, to enable them educate and support patients, and to allay any concerns.

Actinomycosis: a case report of two patients treated for the condition who required stoma formation

2021 ◽  
Vol 30 (16) ◽  
pp. S32-S37
Author(s):  
Elaine Anne Cronin
Keyword(s):  
Case Report ◽  
Nurse Specialist ◽  
Risk Of Infection ◽  
Intrauterine Devices ◽  
Clinical Nurse ◽  
Stoma Formation ◽  
Pelvic Actinomycosis ◽  
Stoma Care

Actinomycosis is a rare bacterial condition that is seen infrequently and no studies have examined its prevalence or incidence globally. The author, a stoma care clinical nurse specialist (CNS), found herself caring for two such patients 3 weeks apart, both of whom were diagnosed with pelvic actinomycosis. Both patients had been fitted with copper intrauterine devices (IUDs) 10 years previously and were not aware that leaving IUDs in situ for a prolonged period increased their risk of infection. This article gives an overview of the condition, with discussion around the two patients the author cared for within her own specialty; not all aspects of the condition are included as the she has no clinical experience in microbiology and is not a gynaecological CNS. The case studies show how both women presented and were treated, with interventions including emergency surgery, long-term antibiotic therapy and stoma formation. Pelvic actinomycosis is often associated with the use of an IUD, and greater awareness about the risk of leaving IUDs in situ for prolonged periods is needed among gastrointestinal, colorectal and gynaecological practitioners.

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