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The position was created through the WOCN running group® Stoma Site Marking in collaboration with the American Society of Colon and Rectal Surgeons (ASCRS), with the current edition updated and revised in collaboration with ASCRS and the American Urological Association (AUA). Posted online today, the fee on the JWOCN website will be forfeited.
Whenever possible, stoma site marking is a ‘best practice’ for patients facing the option of an ostomy surgery. “Several studies imply that preoperative stoma site marking through a qualified healthcare provider is linked to better quality of life and fewer ostomy-related complications,” according to the position statement. A well-located ostomy site can help patients better adjust to life with an ostomy and ease their transition to independent care, while reducing healthcare prices and resource utilization.
While surgeons and nurses qualified for wounds, ostomies, and incontinence have specific expertise in the variety and marking of ostomy sites, those providers are not available at all times, especially in emergency situations. opt for an optimal ostomy site. While the stoma deserves to be placed in the right stomach muscle in the central stomach, the variety of the site deserves to be individualized; There is no “one-size-fits-all” technique that works for each and every patient.
Patients deserve to be evaluated in various positions (standing, sitting, and mendacity down) to evaluate imaginable stoma sites. The stoma deserves to be located in a domain that is in the patient’s box of vision and where it can succeed, avoiding the skin. folds, scars or bone domains. Other considerations come with points that can restrict the patient’s mobility, dexterity, or movement, including the types of clothing the patient wears and their career or lifestyle.
Providing ostomy education at the same time as stoma site marking is a vital component of individualized, patient-centered care. “Preoperative schooling sessions give time to provide data on ostomy management, add pocket options, and offer psychosocial support. “Whenever possible, a circle of family members, members, or caregivers deserve to be provided with ostomy site marking and patient education sessions.
The position includes a set of high-quality color illustrations, which visually demonstrate the principles of ostomy site variety in patients with other abdominal anatomy. A separate “quick reference” document provides further instructions on how to settle and mark the site of the ostomy, as well as links to video demonstrations. For more data and access to those resources, visit wocn. org/stomasitemarking.
Ginger Salvadalena, PhD, RN, CWOCN, is president of the WOCN Working Group® Stoma Site Marking. Dr. Salvadalena comments, “These combined resources describe and illustrate the key principles and steps in stomata variety and marking: must-have skills for all. health professionals interested in the care of patients undergoing ostomy surgery. “
Read the “WOCN, AUA and ASCRS Society Position Statement on Preoperative Ostomy Site Marking for Patients Undergoing Ostomy Surgery” (doi: 10. 1097 / WON. 00000000000820)