RESUMO
Due to the plethora of wound care products on the market and varying physician practices, it can be very confusing for home healthcare clinicians to recommend and provide the best wound care. As a result, many outdated or ritual practices are still being used to manage wounds. Assessment, management, and documentation are the basis of delivering evidence-based wound care. This article will highlight those essential areas and offer best practices for clinicians in the home care setting.
Assuntos
Serviços de Assistência Domiciliar , Ferimentos e Lesões , Documentação , Humanos , Higiene da Pele , Ferimentos e Lesões/diagnóstico , Ferimentos e Lesões/terapiaRESUMO
Chronic venous insufficiency (CVI) is a potentially debilitating disorder associated with serious complications such as lower extremity venous ulcers. This article reviews the incidence and pathophysiology of CVI, nursing assessment, diagnosis and interventions, and patient education needed to manage the disease and prevent complications.
Assuntos
Insuficiência Venosa/enfermagem , Doença Crônica , Humanos , Incidência , Avaliação em Enfermagem , Diagnóstico de Enfermagem , Educação de Pacientes como Assunto , Insuficiência Venosa/epidemiologia , Insuficiência Venosa/fisiopatologiaRESUMO
This article focuses on the care and management of patients living with a urostomy. Improved surgical techniques and shortened hospital stays result in more patients receiving home care in the immediate postoperative period after surgical creation of a urostomy. It is important that home care clinicians have the knowledge and skills to manage the care of patients with a urostomy from hospital discharge to self-care. This article reviews the anatomy and physiology of the urinary tract, the formation of a stoma, and indications for the creation of a urostomy. Stent management, peristomal skin care, stomal complications as well as pouching options and accessories are discussed. Knowledge of care of patients with a urostomy can reduce the risk of complications and hospital readmissions, and assist patients to adjust to life with a urostomy.
Assuntos
Serviços de Assistência Domiciliar , Derivação Urinária , Humanos , Autocuidado , Derivação Urinária/efeitos adversosRESUMO
This article focuses on the care and management of patients living with an ileostomy. Due to shortened hospital stays, patient teaching related to self-care of ostomies has shifted from the hospital to the home setting. It is important for home care clinicians to be knowledgeable about all aspects of ostomy care. Patients with ileostomies are particularly prone to peristomal skin problems, as well as fluid and electrolyte and nutritional imbalances. This article reviews the anatomy and physiology of the gastrointestinal tract, indications for the creation of an ileostomy, and prevention and treatment of early and late complications. Practical advice on ileostomy care and patient teaching is provided.
Assuntos
Serviços de Assistência Domiciliar , Ileostomia/enfermagem , Higiene da Pele/enfermagem , Humanos , Educação de Pacientes como Assunto , AutocuidadoRESUMO
Surgical creation of a colostomy can have significant physical, emotional, and social effects. Adapting to a new ostomy can be overwhelming and interventions aimed at decreasing barriers to self-care should be a priority for home care patients. Advances in surgical procedures, coupled with decreased length of hospital stays, require home care clinicians to have the skills and knowledge to care for this population through postoperative recovery and the initial phases of learning self-care. This article will focus on the care of patients with a colostomy in the home care setting.
Assuntos
Colostomia/enfermagem , Enfermagem Domiciliar/normas , Guias de Prática Clínica como Assunto , Qualidade de Vida , Adaptação Fisiológica , Adaptação Psicológica , Colostomia/psicologia , Feminino , Enfermagem Domiciliar/métodos , Humanos , Masculino , Relações Enfermeiro-Paciente , Educação de Pacientes como Assunto/métodos , Medição de Risco , Autocuidado , Higiene da Pele/métodos , Resultado do TratamentoRESUMO
Clinical management of patients with an ostomy can be complex and stressful. With only 10% of Wound Ostomy Incontinence Nurses working in home health, home healthcare nurses need to be knowledgeable about care of patients with new ostomies. This article provides an overview of the resources available to guide nurses caring for ostomy patients. In addition, resources nurses can share with patients as they transition into the community are provided.
