Speakers - 2027

Title: Counselling, marking and stoma care

Abstract

An intestinal stoma is an opening created surgically connecting the bowel to the skin for predominantly diversion of faeces, but can be done to divert urinary stream as well. This presentation includes the three important principles of Ostomy Care: Patient Counselling and Education, Preoperative site demarcation, and post-operative management protocols including the self-care and training of one attendant in charge of domicillary care of patient in initial days. The role of nurses with special training in care of patients with stoma has increased over the past decade now known as Wound, Ostomy, Continence Nurse (WOCN). A well sited stoma lessens the risk of stoma related complications, improves patient adaptability to the stoma and leads to improved patient satisfaction. Patient counselling necessitates detailed discussion of surgical procedure, anticipated physiological and psychosocial effects, emotional preparation and management strategies all explained with different educational tools. Effort should be made to do such discussion in dedicated ‘Stoma Care’ room where they can have even interaction with patients having Stoma. Counseling in a language and at a level of understanding that is comfortable for the patient.The aim of this Counselling is to teach them the method of home care. The utmost important is teaching of how to empty the bag and what is the level at which they should empty it before the contents are spilled. They need to be told that with bag they can lead a normal life. They are given a thorough knowledge about the stoma appliances and a place from where they can procure new equipment. They should develop a habit of carrying one extra set of stoma bag while moving out of their houses. A detailed instructions are given to them regarding the type of food they need to consume and to tackle the minor complications of stoma appliances at home only. They need to be told about the warning signs which requires a hospital visit.