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This might initially confront you, but usually by the end of your hospital stay you are as comfortable talking about bowels as talking about what you watched on Netflix yesterday. How would you feel if you had an artificial opening into your intestine where faecal elimination occurs, otherwise known as a stoma?
What is a Stoma? All stomas are identifiable through a prefix: Stoma — Living With a Stoma and its Psychological Impacts Now we all know that different parts of the intestines do different things, so it makes sense that when a stoma is made on different parts of the intestines, the faecal matter that it diverts will be different to the faecal matter found in another area.
You would expect an ileostomy to produce loose stools because it is closer to the small intestine, while a colostomy will produce soft and formed stools with more flatulence because it is near the rectum.
The site also determines how active a stoma should be.
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Approximately mL of faecal matter is produced with an ileostomy, meaning the stoma appliance usually needs to be emptied times a day, whereas a colostomy will generally be active daily Koutoukidis et al. A stoma can be permanent or temporary. A permanent stoma generally occurs after a colectomy has been performed, and most often occurs in cases of colorectal cancer.
Psychological Impacts of Living with a Stoma As you can imagine, having a stoma can be life-changing for the individual. As well as doctors and nursing being available to assist in this time, the individual can also utilise the services of a stomal therapist.
They can help prepare the individual and their family for the surgery, and also provide much needed support and education following the operation Koutoukidis et al.
For someone with a new stoma, this is a valid fear. What if their stoma leaks? What if they suddenly look down and they have faeces on their shirt, in front of everyone? Colostomy Diagram The psychological and emotional impacts of having a stoma can be huge.
You would expect this number of people to improve over the course of their recovery, however a year following their stoma creation, roughly the same percentage of people are still experiencing negative psychological symptoms Jayarajah et al.
Other factors associated with an increased risk of post-operative depression and anxiety include poor socioeconomic status and a past history of post-operative psychological distress Jararajah et al.
Optimism can be a predictor for lower psychological distress in patients, especially those with a diagnosis of cancer. This shows the importance of healthcare professionals caring for the patient with a newly-formed stoma to provide them with adequate information and education.A period of adjustment can be expected when any signification change in someone’s body takes place.
Living With a Stoma and its Psychological Impacts: Stoma Bag. with an increased risk of post-operative depression and anxiety include poor socioeconomic status and a past history of post-operative psychological distress (Jararajah et al. NEW STOMA PATIENTS’ EXPERIENCES DURING POST-OPERATIVE NURSING CARE Ying Gao 3 PSYCHOLOGICAL ISSUE FOR STOMA PATIENTS Factors that Affect the New Stoma Patient’s Post – Operative Rehabilitation 35 Credibility, Dependability and Transferability.
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Psychological factors in postoperative adjustment to stoma surgery. Around one-quarter of stoma patients experience clinically significant psychological symptoms post-operatively.
Psychological disorders are often not detected by those involved with the care of stoma patients. Past psychiatric history, dissatisfaction with preoperative.
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