ostomy care


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care

 [kār]
the services rendered by members of the health professions for the benefit of a patient. See also treatment.
acute care see acute care.
admission care in the nursing interventions classification, a nursing intervention defined as facilitating entry of a patient into a health care facility.
adult day care a health care service provided for adults with a disability or illness who need partial or supplemental care and companionship during the day, when family members are working or otherwise unable to stay at home with a disabled relative. Among the services that may be offered at an adult day care center are nursing services (e.g., medication administration and health monitoring); nutritional and health education, health counseling; physical, speech, and occupational therapy; and socialization.
ambulatory care health services or acute care services that are provided on an outpatient basis.
amputation care in the nursing interventions classification, a nursing intervention defined as the promotion of physical and psychological healing after amputation of a body part.
bed rest care in the nursing interventions classification, a nursing intervention defined as promotion of comfort and safety and prevention of complications for a patient unable to get out of bed. See also bed rest.
bladder care activities and interventions designed to maintain urinary bladder function, including bladder retraining, catheter change, and catheter irrigation.
bowel care activities and interventions designed to maintain bowel function, including enema, bowel training, diet, and medication.
bowel incontinence care in the nursing interventions classification, a nursing intervention defined as promotion of bowel continence and maintenance of perianal skin integrity.
bowel incontinence care: encopresis in the nursing interventions classification, a nursing intervention defined as promotion of bowel continence in children.
cardiac care in the nursing interventions classification, a nursing intervention defined as the limitation of complications resulting from an imbalance between myocardial oxygen supply and demand for a patient with symptoms of impaired cardiac function.
cardiac care: acute in the nursing interventions classification, a nursing intervention defined as the limitation of complications for a patient recently experiencing an episode of an imbalance between myocardial oxygen supply and demand resulting in impaired cardiac function.
cardiac care: rehabilitative in the nursing interventions classification, a nursing intervention defined as the promotion of maximal functional activity level for a patient who has suffered an episode of impaired cardiac functon which resulted from an imbalance between myocardial oxygen supply and demand.
cast care activities and interventions designed to protect and maintain an immobilized body part, including relief of pain, pressure or constriction of circulation. See also hazards of immobility.
cast care: maintenance in the nursing interventions classification, a nursing intervention defined as care of a cast after the drying period.
cast care: wet in the nursing interventions classification, a nursing intervention defined as care of a new cast during the drying period.
cesarean section care in the nursing interventions classification, a nursing intervention defined as the preparation and support of a patient delivering a baby by cesarean section.
circulatory care: arterial insuficiency in the nursing interventions classification, a nursing intervention defined as promotion of arterial circulation.
circulatory care: mechanical assist device in the nursing interventions classification, a nursing intervention defined as temporary support of the circulation through the use of mechanical devices or pumps.
circulatory care: venous insufficiency in the nursing interventions classification, a nursing intervention defined as promotion of venous circulation.
contact lens care in the nursing interventions classification, a nursing intervention defined as the prevention of eye injury and lens damage by proper use of contact lenses.
continuing care the level of care in the health care system that consists of ongoing care of the physically handicapped, mentally retarded, emotionally retarded, and those suffering from chronic incapacitating illness.
cord care specialized care of the remnants of a newborn's umbilical cord until it falls off, consisting of cleaning and precautions to prevent infection. Cleansing protocols continue until the site is completely healed.
critical care intensive care.
culture-specific care those assistive, supportive, or facilitative acts toward or for an individual or group with evident or anticipated needs that are congruent with the values and lifestyles of an individual, family, or group of a specific culture, as used in the cultural care diversity and universality theory.
day care/respite in the omaha system, the providing by an individual or institution of supervision for a dependent child or adult in the abscence of the usual caregiver or parent.
developmental care in the nursing interventions classification, a nursing intervention defined as structuring the environment and providing care in response to the behavioral cues and states of the preterm infant.
direct care the provision of services to a patient that require some degree of interaction between the patient and the health care provider. Examples include assessment, performing procedures, teaching, and implementation of a care plan.
dying care in the nursing interventions classification, a nursing intervention defined as promotion of physical comfort and psychological peace in the final phase of life. See also dying.
ear care in the nursing interventions classification, a nursing intervention defined as prevention or minimization of threats to ear or hearing.
embolus care: peripheral in the nursing interventions classification, a nursing intervention defined as limitation of complications for a patient experiencing, or at risk for, occlusion of peripheral circulation. See also embolus.
embolus care: pulmonary in the nursing interventions classification, a nursing intervention defined as limitation of complications for a patient experiencing, or at risk for, occlusion of pulmonary circulation. See also embolus.
emergency care in the nursing interventions classification, a nursing intervention defined as providing life-saving measures in life-threatening situations. See also emergency.
episodic care interventions aimed at patient cure or restoration to previous level of functioning.
eye care in the nursing interventions classification, a nursing intervention defined as the prevention or minimization of threats to eye or visual integrity.
family-centered maternity care a pattern of caring for infants and their families used by Health and Welfare Canada. It is characterized by a great deal of flexibility and parental choice, and health care professionals are encouraged to individualize care. Breast feeding and rooming in are encouraged and grandparent and sibling visits are permitted.
foot care see foot care.
hair care in the nursing interventions classification, a nursing intervention defined as the promotion of neat, clean, and attractive hair.
health care see health care system.
high-risk pregnancy care in the nursing interventions classification, a nursing intervention defined as identification and management of a high-risk pregnancy to promote healthy outcomes for mother and baby.
home health care see home health care.
incision site care in the nursing interventions classification, a nursing intervention defined as cleansing, monitoring, and promotion of healing in a wound that is closed with sutures, clips, or staples.
indirect care services that are related to patient care but do not require interaction between the health care provider and the patient. Examples include charting and scheduling.
infant care in the nursing interventions classification, a nursing intervention defined as the provision of developmentally appropriate family-centered care to the child under one year of age.
intensive care the care of seriously ill patients in a special hospital unit; see intensive care unit. Called also critical care.
intrapartal care in the nursing interventions classification, a nursing intervention defined as the monitoring and management of stages one and two of the birth process. See labor.
intrapartal care: high-risk delivery in the nursing interventions classification, a nursing intervention defined as assisting vaginal birth of multiple or malpositioned fetuses.
kangaroo care in the nursing interventions classification, a nursing intervention defined as promoting closeness between parent and physiologically stable preterm infant by preparing the parent and providing the environment for skin-to-skin contact.
kinlein care kinlein.
long-term care health care services required for an extended period of time by individuals unable to fully execute activities of daily living; it can be provided by a variety of agencies in outpatient settings as well as on an inpatient basis.
managed care a method of health care delivery that focuses on collaboration among and coordination of all services to avoid overlap, duplication, and delays and to reduce costs. There is an emphasis on efficacy and timeliness of interventions to prevent unnecessary delays in discharge from the hospital or agency.
medical/dental care in the omaha system, diagnosis and treatment by a physician or dentist.
mouth care see mouth care.
nail care in the nursing interventions classification, a nursing intervention defined as promotion of clean, neat, attractive nails and prevention of skin lesions related to improper care of nails.
newborn care in the nursing interventions classification, a nursing intervention defined as management of the neonate during the transition to extrauterine life and the subsequent period of stabilization.
nursing care in the omaha system, therapeutic activities in addition to intermittent service, including private duty nursing.
ostomy care in the nursing interventions classification, a nursing intervention defined as maintenance of elimination through a stoma and care of surrounding tissue. See also ostomy.
ostomy care (omaha) in the omaha system, management of elimination through artificial openings, including colostomy and ileostomy.
palliative care supportive care.
perineal care in the nursing interventions classification, a nursing intervention defined as maintenance of perianal skin integrity and relief of perineal discomfort.
peripherally inserted central catheter care in the nursing interventions classification, a nursing intervention defined as insertion and maintenance of a peripherally inserted central catheter.
personal care the management of hygiene, including bathing, shampooing, shaving, nail trimming, dressing, and so on.
point of care the location at which patient services are delivered.
postanesthesia care in the nursing interventions classification, a nursing intervention defined as monitoring and management of the patient who has recently undergone general or regional anesthesia.
postmortem care in the nursing interventions classification, a nursing intervention defined as providing physical care of the body of an expired patient and support for the family viewing the body.
postoperative care see postoperative care.
postpartal care in the nursing interventions classification, a nursing intervention defined as monitoring and management of the patient who has recently given birth.
pregnancy termination care in the nursing interventions classification, a nursing intervention defined as the management of the physical and psychological needs of the woman undergoing a spontaneous or elective abortion.
prenatal care
1. care of the pregnant woman before delivery of the infant. See also pregnancy.
2. in the nursing interventions classification, a nursing intervention defined as monitoring and management of the patient during pregnancy to prevent complications of pregnancy and promote a healthy outcome for both mother and infant.
preoperative care see preoperative care.
pressure ulcer care in the nursing interventions classification, a nursing intervention defined as facilitation of healing in pressure ulcers.
preventive care the level of care in the health care system that consists of public health services and related programs such as school health education.
primary care the routine outpatient care that a patient receives at first contact with the health care system.
prosthesis care in the nursing interventions classification, a nursing intervention defined as the care of a removable appliance worn by a patient and the prevention of complications associated with its use. See also prosthesis.
respiratory care see respiratory care.
respite care
1. services provided by a health care agency that permit a primary caregiver temporary relief from caring for an ill individual.
2. in the nursing interventions classification, a nursing intervention defined as the provision of short-term care to provide relief for a family caregiver.
restorative care the level of care in the health care system that consists of follow-up care and rehabilitation to an optimal functional level.
secondary care
1. treatment by specialists to whom a patient has been referred by primary care facilities; see also health care system.
self care the performance of basic activities of daily living; see also under assistance and deficit.
sickness/injury care in the omaha system, the appropriate responses to illness or accidents, including first aid, taking temperature, and seeking medical care.
skilled nursing care the services provided by a registered nurse in a skilled nursing facility. It currently includes observation during periods of acute or unstable illness; administration of intravenous fluids, enteral feedings, and intravenous or intramuscular medications; short-term bowel and bladder retraining; and changing of sterile dressings.
skin care activities and interventions designed to maintain integrity of integument, including care of pressure ulcers and massage.
skin care: topical treatments in the nursing interventions classification, a nursing intervention defined as the application of topical substances or manipulation of devices to promote skin integrity and minimize skin breakdown.
spiritual care see spiritual care.
subacute care comprehensive goal-oriented inpatient care designed for a patient who has had an acute illness, injury, or exacerbation of a disease process; it is rendered either immediately after or instead of acute care hospitalization, to treat specific active or complex medical conditions or to administer any necessary technically complex medical treatments in the context of the person's underlying long-term condition.
supportive care interventions that help the patient achieve comfort but do not affect the course of a disease. Called also palliative care or treatment.
tertiary care the level of care in the health care system that consists of complex procedures given in a health care center that has highly trained specialists and often advanced technology.
total patient care a method of organizing care of patients such that one practitioner carries out all care requirements.
traction/immobilization care in the nursing interventions classification, a nursing intervention defined as management of a patient who has traction and/or a stabilizing device to immobilize and stabilize a body part.
tube care in the nursing interventions classification, a nursing intervention defined as management of a patient with an external drainage device exiting the body.
tube care: chest in the nursing interventions classification, a nursing intervention defined as management of a patient with an external water-seal drainage device exiting the chest cavity.
tube care: gastrointestinal in the nursing interventions classification, a nursing intervention defined as management of a patient with a gastrointestinal tube.
tube care: umbilical line in the nursing interventions classification, a nursing intervention defined as management of a newborn with an umbilical catheter.
tube care: urinary in the nursing interventions classification, a nursing intervention defined as management of a patient with urinary drainage equipment.
tube care: ventriculostomy/lumbar drain in the nursing interventions classification, a nursing intervention defined as management of a patient with an external cerebrospinal fluid drainage system. See also ventriculostomy and drain.
urinary incontinence care in the nursing interventions classification, a nursing intervention defined as assistance in promoting continence and maintaining perineal skin integrity. See also urinary incontinence.
urinary incontinence care: enuresis in the nursing interventions classification, a nursing intervention defined as promotion of urinary continence in children.
urinary retention care in the nursing interventions classification, a nursing intervention defined as assistance in relieving bladder distention. See also retention of urine.
wound care in the nursing interventions classification, a nursing intervention defined as prevention of wound complications and promotion of wound healing.
wound care: closed drainage in the nursing interventions classification, a nursing intervention defined as maintenance of a pressure drainage system at the wound site.

ostomy care1

the management and support of a patient with a surgical opening created in the bladder, ileum, or colon for the temporary or permanent passage of urine or feces, necessitated by carcinoma, intestinal obstruction, trauma, or severe ulceration distal to the site of the incision. In most cases the opening is covered with a temporary disposable bag in the operating room.
method The patient with a colostomy or an ileostomy is helped to accept the stoma and the change in body image that frequently causes grief or in some instances denial. Discussions of the person's feelings are encouraged, and questions regarding the procedure and possible changes in the person's life-style are answered in a positive manner. The disposable bag, called an appliance, is changed when necessary, and the character, color, and amount of odor and drainage are observed. Mucus secretion from the stoma usually begins within 48 hours after the surgery, fecal drainage within 72 hours. The stoma is inspected periodically for color, bleeding, stricture, retraction, and infection and is measured periodically to determine the size of the appliance that is to be used. There is mild to moderate swelling of the stoma the first 2 to 3 weeks postoperatively. Size of the stoma is determined with a stoma measuring card. Each time the temporary or permanent appliance is changed, the skin around the stoma is washed with soap and water, rinsed thoroughly, and patted dry with a clean towel. If the skin is irritated or excoriated, karaya powder, alone or mixed with an ointment, is spread over the area before the appliance is reinstalled. A pouch should never be placed directly on irritated skin without the use of a skin barrier. An adhesive substance may be used to maintain a tight seal with the appliance. Deodorant drops, aspirin, or various bismuth or chlorophyll preparations or mouthwash solutions are added to the ostomy bag to control odor. The diet is planned according to the kind of ostomy. Ileostomates require food high in sodium and potassium, such as bananas, citrus juices, molasses, and cola, and are advised to avoid fried, highly seasoned, and rich foods, nuts, raisins, raw fruits other than bananas, and anything that produces gas or causes diarrhea. Gas-producing foods such as cabbage, beans, broccoli, cauliflower, and corn; foods causing disturbing odors such as onions, eggs, and fish; and sharp condiments are contraindicated. A low-residue diet is ordered for most ostomates. The fluid intake is carefully maintained.
interventions Before discharge, each step in the care of the stoma and surrounding skin is rehearsed with the patient; the equipment that will be available at home is used during this rehearsal. The patient is urged to establish a regular pattern of evacuation and to report any signs of wound infection or obstruction, such as nausea, vomiting, decreased drainage from the stoma, abdominal distension, and cramps. Normal daily activity is encouraged.
outcome criteria Visiting nurse referrals may be indicated for client assessment and education. Referrals to support groups are also encouraged. Clients are encouraged to keep appointments with care providers. The ability of the patient to adjust to the ostomy procedures and equipment is greatly affected by the nursing care received in the days after surgery. A positive patient, matter-of-fact approach; sensitive emotional support; and thorough teaching of self-care measures are essential aspects of ostomy nursing care.
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Ostomy care
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Ostomy pouches

ostomy care2

a nursing intervention from the Nursing Interventions Classification (NIC) defined as maintenance of elimination through a stoma and care of surrounding tissue. See also Nursing Interventions Classification.
References in periodicals archive ?
Under the new five-year agreement, EDS will manage ConvaTec's IT infrastructure and communications network, enabling the company to accelerate growth in the wound therapeutics, critical care and ostomy care markets.
Feeser, MS, RN, CWOCN, a member of the national board of directors of the Wound, Ostomy and Continence Nurses Society (WOCN), says that the main goal in ostomy care is preserving the skin around the stoma, and she strongly agrees with the concept of avoiding multiple skin products.
Furthermore, the advent of technologically advanced products such as continent ileostomy and continent urostomy bags will help the ostomy care products market grow at an accelerated rate and gain market share during the course of the forecast period.
Researching the new materials used in ostomy care, we elected to trial a Hollister ostomy pouch (see Table 1).
Education and sharing knowledge is vital to our clinical practice, so creating a relaxed environment in which to encourage participation and discussion about the different issues that arise with ostomy care and management was important.
diarrhea, ulcers, GI tract cancers, GI diseases in HIV/AIDS, ostomy care, and liver diseases and transplantation.
New York) said it has agreed to sell its ConvaTec (Skillman NJ) wound care and ostomy care business to Nordic Capital Fund VII (Stockholm) and Avista Capital Partners (New York) for $4.
ConvaTec is aworld leader in the development and marketing of innovative wound therapeutics and ostomy care products.
Mini-institutes will focus on evidence-based practice, cancer symptom management, ostomy care, sexuality and fertility, clinical trials, breast cancer, skin problems, private practice issues, ablation of neoplasms, chemotherapy and biotherapy, pancytopenia, and lung metastases.
The survey indicated that most states' Medicaid coverage standards are generally comparable to Medicare's coverage for parenteral and enteral nutrition and ostomy care.
He said: "I have received a large number of letters from constituents concerned about proposed cutbacks of 15% to ostomy care, advice and support services provided by primary care contractors.
Similarly, in a resident room or any area where ostomy care is given, if there are issues of cleanliness and contamination, those must be dealt with first, followed by odor counteraction.