Nursing Care Plan Fecal Diversions Posoperative Care of Ileostomy and Colostomy

CARE SETTING

Inpatient acute care surgical unit.

RELATED CONCERNS

1. Cancer
2. Fluid and electrolyte imbalances, see Nurse Care Plan CD-ROM
3. Inflammatory bowel disease: ulcerative colitis, regional enteritis
4. Psychosocial aspects of care
5. Surgical intervention
6. Total nutritional support: parenteral/enteral feeding
7. Patient Assessment Database
8. Data depend on the underlying problem, duration, and severity (e.g., obstruction, perforation, inflammation, congenital defects).

TEACHING/LEARNING

1. Discharge plan
2. DRG projected mean length of inpatient stay: 9.4 days
3. Assistance with dietary concerns, management of ostomy, and acquisition of supplies may be required
4. Refer to section at end of plan for postdischarge considerations.

NURSING PRIORITIES

1. Assist patient/SO in psychosocial adjustment.
2. Prevent complications.
3. Support independence in self-care.
4. Provide information about procedure/prognosis, treatment needs, potential complications, and community resources.

DISCHARGE GOALS

1. Adjusting to perceived/actual changes.
2. Complications prevented/minimized.
3. Self-care needs met by self/with assistance depending on specific situation.
4. Procedure/prognosis, therapeutic regimen, potential complications understood and sources of support identified.
5. Plan in place to meet needs after discharge.