RESUMO
ABSTRACT: When an ostomy care nurse is not available, bedside nurses must assume responsibility for providing necessary care and educating patients who undergo a urinary diversion. However, staff nurses often lack the necessary knowledge and experience to provide the best care, rehabilitation, and patient education. This article details pre- and postoperative interventions for nurses who encounter patients undergoing urostomy surgery in order to help eliminate gaps in care, increase nurses' and patients' competence and confidence, and optimize patient outcomes and quality of life. It also includes a tear sheet that nurses can use to provide patients with the basic information and skills they need for effective self-care.
Assuntos
Derivação Urinária , Humanos , Derivação Urinária/enfermagem , Educação de Pacientes como Assunto , Cuidados Pós-Operatórios/enfermagem , Cuidados Pós-Operatórios/métodos , Qualidade de Vida , Autocuidado , MasculinoRESUMO
Cystectomy is a complex procedure with a tenuous perioperative course. Enhanced recovery programs (ERPs) are bundle strategies, developed to enhance the recovery of surgical patients. This article outlines the components of an ERP for cystectomy patients from a nursing implementation perspective.
Assuntos
Cistectomia/enfermagem , Estomia/enfermagem , Dor Pós-Operatória/enfermagem , Assistência Perioperatória/enfermagem , Neoplasias da Bexiga Urinária/cirurgia , Derivação Urinária/enfermagem , Protocolos Clínicos , Humanos , Tempo de Internação , Manejo da Dor , Neoplasias da Bexiga Urinária/enfermagemRESUMO
Interstitial cystitis (IC) is a chronic inflammatory condition characterized by urinary frequency, urgency, and pain in the bladder or pelvis that for some can be debilitating. At present, IC is without cure, yet various management modalities are available. This article provides a general overview of the history, symptoms, diagnosis, and treatment of IC. A specific case study that focuses on a surgical management option is highlighted.
