Assuntos
Polipose Adenomatosa do Colo/cirurgia , Colite Ulcerativa/cirurgia , Educação de Pacientes como Assunto/métodos , Proctocolectomia Restauradora/efeitos adversos , Polipose Adenomatosa do Colo/enfermagem , Colite Ulcerativa/enfermagem , Humanos , Enfermeiros Clínicos , Proctocolectomia Restauradora/enfermagem , Fatores de Risco , Resultado do TratamentoRESUMO
A fecal or urinary diversion is frequently recommended for a variety of patient conditions. This article will review some of the history of stoma creation, discuss current practices in stoma care, and summarize the current literature regarding stomal complications. Outcomes of fecal and urinary diversion procedures will be depicted, and postoperative quality of life will be described. An update of current ostomy equipment will be presented, along with the crucial role of the WOC nurse in stoma care rehabilitation. Areas for future research in the ongoing drive for evidence-based practice will be highlighted.
Assuntos
Colostomia , Ileostomia , Derivação Urinária , Adaptação Psicológica , Colostomia/efeitos adversos , Colostomia/instrumentação , Colostomia/métodos , Colostomia/enfermagem , Colostomia/psicologia , Colostomia/tendências , Previsões , Humanos , Ileostomia/efeitos adversos , Ileostomia/instrumentação , Ileostomia/métodos , Ileostomia/psicologia , Ileostomia/tendências , Descrição de Cargo , Enfermeiros Clínicos/organização & administração , Papel do Profissional de Enfermagem , Qualidade de Vida , Higiene da Pele/métodos , Higiene da Pele/enfermagem , Derivação Urinária/efeitos adversos , Derivação Urinária/instrumentação , Derivação Urinária/métodos , Derivação Urinária/enfermagem , Derivação Urinária/psicologia , Derivação Urinária/tendênciasRESUMO
Pelvic radiation is a common therapy for the treatment of prostate cancer. A complication of this therapy, radiation proctitis, may be limited to the direct posttreatment period or it may appear as serious complications that occur months to years after therapy has been completed. Mucosal damage, present with both acute and chronic radiation proctitis, produces a variety of symptoms including mucoid diarrhea, pain upon defecation, serious rectal bleeding, stenosis, and fistula formation. The treatment of radiation proctitis is symptom related, and the goals of therapy include the prevention or correction of mucosal changes and eradication of rectal bleeding. This article will review the pathophysiology of radiation proctitis and its treatment.
Assuntos
Proctite/etiologia , Proctite/terapia , Neoplasias da Próstata/radioterapia , Radioterapia/efeitos adversos , Humanos , Masculino , Proctite/fisiopatologiaRESUMO
To compare the efficacy and the cost-effectiveness of moist gauze dressings and a hydrocolloid wafer dressing (DuoDERM CGF), 70 patients with 97 pressure ulcers that were stage II and/or stage III were randomly assigned to one of two treatment methods: moist gauze dressings or hydrocolloid dressings. Efficacy was defined as the number of ulcers that completely healed. In this debilitated, poorly nourished group of patients, one ulcer completely healed in the moist gauze dressing group, and 11 healed in the hydrocolloid group. The per diem cost of the moist gauze dressing was $12.26; the per diem cost of the hydrocolloid dressing was $3.55.
