| Overview | |
| History of Stoma Creation and Surgical Advances | p. 3 |
| Introduction | p. 3 |
| Evolution of the Fecal Diversion | p. 3 |
| Evolution and Current Status of the Urinary Diversion | p. 10 |
| Conclusion | p. 15 |
| Roles of the Ostomy Nurse Specialist: Historical Perspective, Role Potential | p. 18 |
| Introduction | p. 18 |
| Wound, Ostomy and Continence Nurses Society | p. 18 |
| Acute Care Setting | p. 20 |
| Home Health Care Setting: Provision of Ostomy Services | p. 22 |
| Long-Term Care and Rehabilitation Setting | p. 25 |
| Outpatient Setting | p. 26 |
| Industry | p. 27 |
| Conclusion | p. 29 |
| Fecal Diversions | |
| Anatomy and Physiology of the Gastrointestinal Tract | p. 33 |
| Introduction | p. 33 |
| Alimentary Canal | p. 34 |
| Mouth | p. 37 |
| Esophagus | p. 38 |
| Abdominal Cavity and Peritoneum | p. 38 |
| Accessory Organs | p. 54 |
| Biliary Systems | p. 58 |
| Conclusion | p. 59 |
| Inflammatory Bowel Disease: Medical Management | p. 63 |
| Introduction | p. 63 |
| Epidemiology | p. 64 |
| Etiology | p. 64 |
| Pathogenesis | p. 65 |
| Genetics | p. 65 |
| Diagnosis of Inflammatory Bowel Disease | p. 66 |
| Therapeutics of Inflammatory Bowel Disease | p. 68 |
| Medical Management of Extraintestinal Complications | p. 72 |
| Nutritional Therapy | p. 72 |
| Supportive Care | p. 72 |
| Inflammatory Bowel Disease and Pregnancy | p. 73 |
| Complications of Inflammatory Bowel Disease and Their Medical Management | p. 73 |
| Indications for Surgery and Postsurgical Maintenance Therapy | p. 75 |
| Future Directions | p. 75 |
| Conclusion | p. 76 |
| Inflammatory Bowel Disease: Surgical Management | p. 80 |
| Introduction | p. 80 |
| Crohn's Disease | p. 81 |
| Ulcerative Colitis | p. 92 |
| Conclusion | p. 97 |
| Gastrointestinal Cancers: Medical Management | p. 102 |
| Introduction | p. 102 |
| Small Bowel Cancer | p. 102 |
| Colorectal Cancer | p. 103 |
| Rectal Cancer | p. 113 |
| Anal Cancer | p. 119 |
| Nursing Considerations | p. 119 |
| Clinical Research Trials | p. 121 |
| Conclusion | p. 122 |
| Gastrointestinal Cancers: Surgical Management | p. 126 |
| Introduction | p. 126 |
| Preoperative Considerations | p. 126 |
| Selection of the Appropriate Operative Procedure | p. 127 |
| Functional Results With Low Anterior Resection and Coloanal Anastomosis | p. 129 |
| Oncologic Results of Sphincter-Saving Procedures | p. 130 |
| Stoma Construction | p. 130 |
| Quality of Life Issues | p. 133 |
| Conclusion | p. 133 |
| Gastrointestinal Etiologies Leading to a Fecal Diversion | p. 136 |
| Introduction | p. 136 |
| Gastrointestinal Etiologies | p. 136 |
| Common Nongastrointestinal Causes for Fecal Diversion | p. 154 |
| Conclusion | p. 155 |
| Urinary Diversions | |
| Anatomy and Physiology of the Urinary System | p. 163 |
| Introduction | p. 163 |
| Upper Urinary Tracts | p. 163 |
| Kidneys | p. 165 |
| Renal Pelvis and Ureter | p. 170 |
| Ureteral Function | p. 171 |
| Lower Urinary Tract | p. 172 |
| Physiology of Urinary Diversion and Reconstruction | p. 179 |
| Conclusion | p. 181 |
| Urinary Diversions: Surgical Interventions | p. 184 |
| Introduction | p. 184 |
| Indications for a Urinary Diversion | p. 185 |
| Types of Urinary Diversions | p. 187 |
| Complications Related to Ureteroenterocutaneous and Continent Diversions | p. 202 |
| Complications Related to All Types of Urinary Diversion | p. 203 |
| Conclusion | p. 203 |
| Fecal and Urinary Diversion Management | |
| Preoperative and Postoperative Management | p. 207 |
| Introduction | p. 207 |
| Preparing the Patient Undergoing the Creation of a Stoma | p. 207 |
| Preoperative Preparation | p. 208 |
| Postoperative Management | p. 223 |
| Conclusion | p. 235 |
| Principles of Stoma Management | p. 240 |
| Introduction | p. 240 |
| Stoma Characteristics | p. 240 |
| Pouching Principles | p. 245 |
| Conclusion | p. 259 |
| Pediatric Ostomies: Pathophysiology and Management | p. 263 |
| Introduction | p. 263 |
| Overview | p. 263 |
| Pediatric Stoma Care | p. 289 |
| Conclusion | p. 303 |
| Stomal and Peristomal Complications | p. 308 |
| Introduction | p. 308 |
| Stomal Complications | p. 308 |
| Peristomal Complications | p. 314 |
| Uncommon Stoma and Peristomal Complications | p. 322 |
| Conclusion | p. 322 |
| Ostomy Adjustment | p. 326 |
| Introduction | p. 326 |
| The Process of Psychologic Adjustment | p. 326 |
| Assessment of Psychosocial Variables | p. 327 |
| Management of Psychologic Health | p. 330 |
| Increasing Self-Efficacy | p. 331 |
| Conclusion | p. 334 |
| Related Issues | |
| Medications Affecting Ostomy Function | p. 339 |
| Introduction | p. 339 |
| Internal Deodorizers | p. 339 |
| Drug Absorption in the Person with an Ostomy | p. 340 |
| The Ins and Outs of Drug Therapy in the Person with an Ostomy | p. 340 |
| Conclusion | p. 349 |
| Tube Management | p. 351 |
| Introduction | p. 351 |
| Gastrointestinal Feeding Tubes | p. 352 |
| Commonly Used Tubes and Drains | p. 370 |
| Tracheostomy Tube | p. 374 |
| Pediatric Patient | p. 376 |
| Conclusion | p. 377 |
| Fistula Management | p. 381 |
| Introduction | p. 381 |
| Etiology | p. 381 |
| Presentation | p. 382 |
| Workup | p. 382 |
| Medical Management | p. 382 |
| Nursing Management | p. 383 |
| Skin Protection | p. 384 |
| Containment Devices | p. 384 |
| Suction Catheters and Drains | p. 385 |
| Case Studies | p. 386 |
| Conclusion | p. 390 |
| Outcomes Measurement | p. 392 |
| Introduction | p. 392 |
| Overview | p. 393 |
| History of the Quality Movement in Health Care | p. 394 |
| Programs for Outcomes Management | p. 396 |
| Delineating Outcomes of WOC Nursing Practice | p. 399 |
| What Does the Future Hold? | p. 405 |
| Conclusion | p. 405 |
| The Use of Telemedicine in Ostomy Management | p. 411 |
| Introduction | p. 411 |
| Selecting Services | p. 412 |
| Selecting the Appropriate Patient | p. 412 |
| Performing the Visit | p. 413 |
| Patient Response | p. 413 |
| Do's and Don't's | p. 414 |
| Selecting the Technology | p. 414 |
| Assessing Needs | p. 415 |
| Choices of Telemedicine Systems | p. 416 |
| Conclusion | p. 418 |
| Accelerated Surgical Stay | p. 419 |
| Introduction | p. 419 |
| Physiologic Background for Accelerated Recovery Programs | p. 419 |
| Care Principles: Fast-Track Procedures | p. 423 |
| Conclusion | p. 426 |
| Intestinal Transplantation | p. 428 |
| Introduction | p. 428 |
| Intestinal Failure: Anatomic and Physiologic Causes | p. 428 |
| Complications Associated with Total Parenteral Nutrition | p. 430 |
| Intestinal Transplantation: Indications and Contraindications | p. 430 |
| Surgical Procedure | p. 432 |
| Postoperative Complications | p. 435 |
| Quality of Life | p. 438 |
| Conclusion | p. 439 |
| Minimally Invasive Surgical Techniques | p. 442 |
| Introduction | p. 442 |
| Indications and Contraindications | p. 442 |
| Benefits and Drawbacks of Laparoscopic Colorectal Surgery: an Overview | p. 443 |
| Laparoscopic Stoma Creation | p. 444 |
| Technique | p. 444 |
| Outcomes | p. 445 |
| Conclusion | p. 446 |
| Innovative Approaches to Fecal Incontinence | p. 448 |
| Introduction | p. 448 |
| Medical Therapy | p. 448 |
| Surgical Therapy | p. 450 |
| Conclusion | p. 456 |
| Appendixes | |
| Discharge Resources | p. 461 |
| Ostomy-Related Resources: Clinician and Patient Related | p. 467 |
| Nutritional Resources | p. 476 |
| WOCN Society Publications | p. 478 |
| Glossary | p. 487 |
| Table of Contents provided by Rittenhouse. All Rights Reserved. |
