The Care Of The Stoma, Paraffin Gauze ( Jelonet ) Dressing Essay

During the surgery, a section of the large intestine (colon) is attached to the stoma made in the front of your abdomen. A bag or pouch is fitted over the stoma. Stool and gas will collect in the bag.

During my current Professional Experience Placement (PEP) is in Medical Ward, I got an opportunity to take care of the patient (Mrs Leoine), who had a bowel surgery as she had a bowel cancer for which ileostomy stoma was created on the lower side of her abdomen to discharge faecal matter and urine. Mrs Leoine was required full assistance with her stoma care as she was not fully aware about stoma care. Therefore, my learning skill is stoma care that plays a significant role in delivering a person-centred care to Mrs Leoine.

Over the last century, registered nurses' participation in wound management has actually varied from that of following rigorous dressing routines to autonomous practice (Moore, 1997). In the past, nurse education frequently enhanced the overall results at the time. An adherence to apprenticeship-style learning, where registered nurses frequently had minimal knowledge of the results of the dressing they were putting on a wound, contributed considerably to a theory-practice space or gap of research in wound management. Registered nurses were not actively associated with the decision-making procedure (Madsen, 1999).

I observed the documentation process from week -2 in my clinical setting and through reading the related documents I gained theoretical knowledge of documentation . I week -4 I did the the return demonstration of documentation with my instructor successfully and started the documentation process in clinical and developed my communication skill . I think my learning plan helped me to achieve this goal . When I started this semester I wanted to learn about the wound care . To achieve this goal I observed the techniques of wound care in week -10 demonstrated by my instructor and reviewed the related resources of wound care . In week -11 I was successful in return demonstration of wound care and evaluated by my instructor . The plan I made

Kappelman surgically removed the PROCEED Ventral Mesh Patch. “The previous incision was opened wider, deepened down through the subcutaneous tissue. There was noted to be no tunneling and no evidence of necrotizing fasciitis. The PROCEED Ventral Mesh disk was removed and after removal, there was noted to be material emanating from the wound. Further exploration of the wound revealed a 1 cm defect in the colon that appeared to have been caused by erosion of the cecum by the edge of the PROCEED Ventral Mesh disk”. (EXHIBIT B) “It appeared that the edge of the mesh may have been in contact with the colon and that’s what caused the erosion”. Dr. Kappelman “saw the defect in the colon and that’s where the erosion occurred, since it wasn’t there before”. As far as Dr. Kappelman knew, the PROCEED Ventral Mesh disk was designed, “originally it was a sutureless material because of the two straps that are utilized to anchor it, pull it up and anchor it, it did not have to be sutured intra-abdominally. You are only suturing the straps to the surrounding

The patient will require surgery to repair the hole in the intestines, and subsequently will have a drainage tube, NG tube, and feeding tube. All drains will need to monitored for placement/movement, and drainage. Input and output will be closely monitored and recorded. The patient will remain on NPO, or nothing by mouth, to rest the bowels along with frequent assessments to monitor for infection and bleeding. The nurse will need to monitor for bowel sounds, vital sign changes, temperature changes, pain, abdomen girth, and wound/incision inspections. The following labs will require monitoring: CBC, H&H, albumin, BUN & creatinine, glucose, and ABG’s and lactic acid if sepsis is suspected. Careful and frequent monitoring of labs will alert the nurse if the patient develops sepsis, or hypovolemia due to excessive bleeding (Belinhof, et al., 2012). In addition to vital signs and labs, the nurse will also include patient assessment into consideration before drawing conclusions by means of critical thinking. After the full assessment has been made, the nurse will report any findings to the health care provider that require further investigation or

Jones arrived at the operating room at 0745 hrs. Patient was transferred to OR table with arm boards at a 90-degree angle and shoulder braces. Anesthesia administered general anesthesia at 0800 hrs. Anesthesia intubated patient at 0810 hrs. Hair was removed from perineum prior to skin prep. A catheter is inserted into the urinary bladder, the bladder is irrigated. Skin was prepped with Chloraprep from nipple to mid-thigh, and allowed to dry for 5 minutes. He was draped with cuffed towel and an impervious sheet under the scrotum, folded towels, sheet with an aperture, laparotomy sheet and an individual drape sheet. First count with surgical technologist and circulator is accurate.

A stoma is an artificially creted hole in the abdomen that allows for the passage of stool and urine to exit the body. Self-care is vital when one has a stoma. Perisotomal self-care is very important and has been one of the main issues ostomates have experienced. The main characterisits seen with peristomal site complications are discoloration, erosian, and tissue overgrowth. Previous studies, to determine skin problems, with the use of SPSC have not been done. The hypothesis of this randomized controlled study is that those who use SPSC will have a lower percentage of periostmal skin problems (discolartion, erosion, and tissue overgrowth) than the CT group. To test out this study, 81 elgible patients were chosen. Some of the Elibiity requirements included those who were undergoing a colostomy or ilostomy, were 20-18 years of age, and understood why the study was being done. These particpants were chosen from a single tertiary hospital. The 81 participants were split into two groups, the SPSC (45 patients) and CT group (36 patients). Wound Ostomy Care Nurses educated the each group on how they would care for their ostomies. Those with Standarised Peristomal Skin Care (SPSC) use direct pouching on skin with powder if needed. Those with the crusting technique use an artificial skin memberane over

It is very important that when a patient needs a dressing changed that it is performed correctly and sterile. The first and foremost important step in any procedure is to perform proper hand hygiene. Next, obtain all necessary items on a Mayo stand. Most items involved in dressings are within a dressing packet that is enclosed until it needs to be used. The patient should be in a comfortable position while the procedure is being done with the area with the dressing on a supported area. The next most important step in any procedure for the medical assistant is to apply gloves. When removing a dressing, loosen the tape and pull from both sides toward the wound. Immediately, place the dirty, soiled dressing into a biohazard waste bag without touching

|EXPLAIN| Kock pouch is a continent device which can be used for urinary diversion. Sometimes, it is indicated for patients post-ileostomy to maintain urinary continence. Sufficient fluid intake helps in maintaining urinary output and efficient renal function.

Surgery that involves an incision in the skin can lead to a wound infection afterwards. Most surgical wound infections are seen within 30 days after surgery. There may be pus draining from the wound site, can be red, painful or hot to the touch. It may present with a fever and

According to Walker and Avant (1995), concept analysis allows nursing to examine the attributes or

which was left in place. No oozing or active bleeding is evident at this time, and the

According to Bastable and Doody (2007) an objective is a specific, single one-dimensional behavior. Objectives are used to form a map to provide directions on how to achieve a particular goal. In this lesson the students will have two goals. The first is for the student nurses to be able to identify all the supplies necessary to change a sterile dressing and to be able to correctly assess when a dressing needs changed or reinforced. The lesson plan will contain the following objectives:

the case mentioned a nurse already using hydrocolloid dressing for blemishes by cutting it into little pieces. > cutting the size down cuts costs