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Selda Karaveli Cakir, Turkan Ozbayir
Objective: The objective of the study was to determine the effect of preoperative stoma site marking on the health- related quality of life (HRQOL). Methods: A nonrandomized, quasi-experimental design was used for the study performed from June 2013 to August 2014. The study sample (n:60) included patients for whom a stoma was opened after a planned colorectal surgery. The City of Hope Quality of Life-Ostomy Questionnaire (COHQOL-OQ) was used to measure HRQOL. Results: The mean age of the participants in the experimental group was 53...
January 2018: Pakistan Journal of Medical Sciences Quarterly
Yaser Hamidi, Mahin Moeini, Hojatollah Yousefi
PURPOSE: Ostomy patients suffer from many physical and mental problems, which can be solved to a large extent with the help of education and follow-up programs. These follow-ups can be done in person or on the telephone by the nurses, or even, by sending a text message that is an easier way for the patients to adapt to their condition. This study aimed to investigate the effect of an interactive follow-up program on the adjustment of ostomy inpatients after being discharged. METHODS: This study is a clinical trial, conducted on 64 ostomy patients who were discharged from the surgical wards of the hospital affiliated to Isfahan University of Medical Sciences...
April 7, 2018: International Journal of Colorectal Disease
Nathiana B Silva, Flávia L Osório
The objective of this study was to propose an intervention and safety protocol for performing animal-assisted therapy (AAT) and evaluating its efficacy in children under outpatient oncological treatment based on psychological, physiological, and quality of life indicators for the children and caregivers. The sample consisted of 24 children diagnosed with leukaemia and solid tumours (58% girls with a mean age of 8.0 years) who underwent an AAT programme consisting of three 30-min sessions in an open group. Two dogs (one Labrador retriever and one golden retriever) were used, and activities such as sensory stimulation, gait training, and socialization were conducted...
2018: PloS One
Donna G Hood, Tara L Haskins, Sherrie C Roberson
BACKGROUND: Empathetic patient care and reflective practice are linked to improved patient outcomes. Nurse educators play a key role in facilitating the development of empathy in nursing students. Research reveals an interest in reflective learning using a variety of approaches. METHOD: Taking cues from the previous literature, "The Ostomy Experience" was developed, implemented, and evaluated qualitatively. The Ostomy Experience included paired learning, simulated ostomy stories, skills application in a laboratory setting, personal experience of an ostomate appliance, and structured reflective journaling throughout the process...
April 1, 2018: Journal of Nursing Education
Jennie G David, Alexander Jofriet, Michael Seid, Peter A Margolis
No abstract text is available yet for this article.
April 2, 2018: Pediatrics
Peter C Ambe, Nadja Rebecca Kurz, Claudia Nitschke, Siad F Odeh, Gabriela Möslein, Hubert Zirngibl
BACKGROUND: About 100 000 ostomy carriers are estimated to live in Germany today. The creation of an ostomy represents a major life event that can be associated with impaired quality of life. Optimal ostomy creation and proper ostomy care are crucially important determinants of the success of treatment and of the patients' quality of life. METHODS: This article is based on pertinent publications retrieved by a selective search in PubMed, GoogleScholar, and Scopus, and on the authors' experience...
March 16, 2018: Deutsches Ärzteblatt International
Annelotte van der Bent, Eileen M Duggan, Laurie N Fishman, Belinda Hsi Dickie
BACKGROUND: There has been an increased focus on transition of pediatric and adolescent patients to adult centered care. For patients with rare and complex conditions, such as anorectal malformations (ARM), difficulties are compounded by the absence of structured transition protocols and lack of adult provider expertise. We sought to explore the actual experiences of adult patients with ARM and distinguish if there are factors that influence the ability to achieve satisfactory transition to adult centered medical care...
March 2, 2018: Journal of Pediatric Surgery
Sona Sehgal, Anthony D Sandler, A Alfred Chahine, Parvati Mohan, Clarivet Torres
INTRODUCTION: Despite medical and surgical management, a subset of children with short bowel syndrome (SBS) who have discrepancy between proximal small bowel and distal colon have persistent feeding intolerance. We propose the use of an Ostomy in Continuity (OIC) (Bishop-Koop or Santulli) as a salvage procedure to decompress the proximal bowel while still maintaining maximal intestinal length, in these patients. METHODS: A retrospective chart review of 104 SBS patients identified sixteen patients who underwent an OIC...
March 4, 2018: Journal of Pediatric Surgery
Holly Kirkland-Kyhn, Sanaz Martin, Sunniva Zaratkiewicz, Morgan Whitmore, Heather M Young
: This article is part of a series, Supporting Family Caregivers: No Longer Home Alone, published in collaboration with the AARP Public Policy Institute. Results of focus groups, conducted as part of the AARP Public Policy Institute's No Longer Home Alone video project, supported evidence that family caregivers aren't given the information they need to manage the complex care regimens of family members. This series of articles and accompanying videos aims to help nurses provide caregivers with the tools they need to manage their family member's health care at home...
April 2018: American Journal of Nursing
Wasif Mohammad Ali, M M Ansari, Syed Amjad Ali Rizvi, A Z Rabb, Tariq Mansoor, Syed Hassan Harris, Mohd Sadiq Akhtar
Duodenal ulcer perforations have been known since 1600 AD. It is a common surgical emergency and every surgeon will encounter it. The perforation size of >2 cm has been used as the criteria for defining Giant duodenal ulcers. The management of giant duodenal perforations in hemodynamically unstable patient with comorbid condition is taxing because of high incidence of the postoperative leak and mortality. We have used the simple technique of Triple Tube Ostomy after the primary closure of the defect with encouraging results...
February 2018: Indian Journal of Surgery
Dara Rouholiman, Jamison G Gamble, Sylvie D Dobrota, Ellen M Encisco, Ashish G Shah, Francisco J Grajales Iii, Larry F Chu
BACKGROUND: Ostomy surgeries involving the placement of an ostomy bag (eg, colostomy, ileostomy, urostomy, etc) have been shown to have a negative impact on health-related quality of life. To date, no studies have been conducted examining what impact, if any, wearable biosensors have on the health-related quality of life of ostomy patients. OBJECTIVE: In the present study, we plan to assess the quality of life of ostomy patients using the Ostom-i alert sensor, a portable, wearable, Bluetooth-linked biosensor that facilitates easier ostomy bag output measurements...
March 26, 2018: JMIR Research Protocols
Frederik Berrevoet
Management of a patient with an open abdomen is difficult, and the primary closure of the fascial edges is essential to obtain the best patient outcome, regardless of the initial etiology of the open abdomen. The use of temporary abdominal closure devices is nowadays the gold standard to have the highest closure rates with mesh-mediated fascial traction as the proposed standard of care. However, the incidence of incisional hernias, although much more controlled than when leaving an abdomen open, is high and reaches up to 65%...
2018: Frontiers in Surgery
Andreas Lorenz, Pamela Kogler, Marcus Huth, Reinhold Kafka-Ritsch, Dietmar Öfner, Alexander Perathoner
PURPOSE: Resection of a long rectal stump after previous colectomy or Hartmann procedure often requires a combined transperitoneal and transperineal approach because of limited access through a perineal incision alone. Risks associated with this procedure include iatrogenic injury to bowels, nerves, ureters, vessels and sexual organs. This study reports on the feasibility and safety of perianal minimally invasive surgery (PAMIS) for the resection of long rectal stumps that would otherwise require a combined transperitoneal and perianal approach...
March 10, 2018: International Journal of Colorectal Disease
Courtney A Polenick, Amanda N Leggett, Donovan T Maust, Helen C Kales
OBJECTIVE: Medical care tasks are commonly provided by spouses caring for persons living with dementia (PLWDs). These tasks reflect complex care demands that may interfere with sleep, yet their implications for caregivers' sleep outcomes are unknown. The authors evaluated the association between caregivers' medical/nursing tasks (keeping track of medications; managing tasks such as ostomy care, intravenous lines, or blood testing; giving shots/injections; and caring for skin wounds/sores) and care-related sleep disturbances...
February 1, 2018: American Journal of Geriatric Psychiatry
Mary Hill
No abstract text is available yet for this article.
March 2018: Journal of Wound, Ostomy, and Continence Nursing
Colette Pickard, Rachel Thomas, Isabell Robertson, Angus Macdonald
PURPOSE: The purpose of this study was to review our experience with palliative ostomy surgery in patients with bowel obstruction and advanced stage colorectal cancer. DESIGN: A descriptive, retrospective review of data from a prospectively collected clinical database. SUBJECTS AND SETTING: The sample comprised 86 patients (55 male) who underwent palliative surgery between October 1998 and January 2009. METHODS: All patients undergoing palliative stoma formation without resection for colorectal carcinoma were identified from a prospectively compiled colorectal cancer database...
March 7, 2018: Journal of Wound, Ostomy, and Continence Nursing
Badr Serji, Tarik Bouhout, Mohammed Chablou, Ebo Egur Ussman, Tijani El Harroudi
Skin complications are common in people who have an ostomy, and often involve the skin's function as a barrier breaking down. Many products have been developed to prevent and treat complications. However, in developing countries, they may be too expensive for patients to buy or not be available. Three case studies found the use of rhassoul, an affordable clay that is readily available in Morocco, to manage peristomal skin damage and protect the skin. Its protective properties are believed to include its ability to absorb and neutralise substances in ostomy output that damage skin and to act as a barrier...
March 8, 2018: British Journal of Nursing: BJN
A d'Alessandro, N Kari, A Alameh, N Pasquier, A Tarhini, B Vinson Bonnet, R Noun, E Chouillard
BACKGROUND: The umbilicus, an embryological natural orifice, is increasingly used as the only access route during single-incision laparoscopic surgery (SILS) for colorectal disease. As a part of some of these procedures, a temporary, diverting ostomy could be exteriorized through the umbilicus itself. Theoretical advantages include better preservation of the abdominal wall and potentially superior cosmetic results. The aim of the present study was to evaluate our preliminary experience in SILS colorectal resection with umbilical stoma (u-stoma)...
March 6, 2018: Techniques in Coloproctology
Peng Gao, Xuan-Zhang Huang, Yong-Xi Song, Jing-Xu Sun, Xiao-Wan Chen, Yu Sun, Yu-Meng Jiang, Zhen-Ning Wang
BACKGROUND: There is no consensus regarding the optimal time to initiate adjuvant chemotherapy after surgery for stage III colon cancer, and the relevant postoperative complications that cause delays in adjuvant chemotherapy are unknown. METHODS: Eligible patients aged ≥66 years who were diagnosed with stage III colon cancer from 1992 to 2008 were identified using the linked Surveillance, Epidemiology, and End Results-Medicare database. Kaplan-Meier analysis and a Cox proportional hazards model were utilized to evaluate the impact of the timing of adjuvant chemotherapy on overall survival (OS)...
March 1, 2018: BMC Cancer
Lorenzo Norsa, Solene Artru, Cecile Lambe, Cecile Talbotec, Benedicte Pigneur, Frank Ruemmele, Virginie Colomb, Carmen Capito, Christophe Chardot, Florence Lacaille, Olivier Goulet
BACKGROUND & AIMS: Intestinal rehabilitation is the preferred treatment for children with short bowel syndrome (SBS) whatever the residual bowel length, and depends on the accurate management of long-term parenteral nutrition (PN). If nutritional failure develops, intestinal transplantation (ITx) should be discussed and may be life-saving. This study aimed to evaluate survival, PN dependency and nutritional status in children with neonatal very SBS on PN or after ITx, in order to define indications and timing of both treatments...
February 15, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
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