By Calum C Lyon, Amanda J Smith
This leading edge guide goals to bridge the distance among the colorectal health care provider, the stoma nurse and the dermatologist. It addresses the questions of what pathology is concerned, what will be performed by means of nurses, whilst to consult a dermatologist, and what will be performed through a dermatologist.
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Extra resources for Abdominal Stomas and Their Skin Disorders: An Atlas of Diagnosis and Management
For further protection in this case a secondary hydrocolloid wafer (d) was applied before (e) fitting the bag. (c) (a) (d) (b) (e) Stoma appliances and the specialist nurse Eroded faecal dermatitis This complication is discussed in Chapter 3. It usually occurs around high-output stomas such as jejunostomies and very proximal ileostomies. 24). Older treatments involved infrared lamps; patients were instructed to place a heat-lamp 36 cm from the erosions to promote healing. 16 Unpleasant odours Some people with ostomies complain of odour from their stoma.
Community care is provided according to each patient’s requirements. However, Wade6 recommended that patients be recalled at 10 weeks after surgery, because this is often their low point. Open access stoma care service Self-referral from the patient to the specialist nurse is essential, because many patients who develop skin problems will otherwise present at their general practitioner for advice, and the GP may not have the experience to manage these disorders. Inappropriate recommendations of creams and lotions can contribute to further skin problems.
ABC of Colorectal Diseases , 2nd edn. London: BMJ Books. 1999:76–8. Keighley MRB, Williams NS, eds. Surgery of the Anus, Rectum and Colon. 2nd edn. London: WB Saunders, 1999. Kodner IJ. Intestinal stomas. In: Zinner MJ, Ellis H, eds. Maingot’s Abdominal Operations. New York: Prentice-Hall. 1997;12:427–61. Nugent KP. Intestinal stomas. Recent Adv Surg 1999;22:135–46. Thomson JPS. Colostomy: end iliac and loop transverse. In: Dudley H, Carter DC, Russell RCG, eds. Atlas of General Surgery , 2nd edn.