Patient X was taken to the hospital and diagnosed with colon cancer, which required immediate surgery. The surgery required the rerouting of the large intestine through the abdominal wall. After the surgery, the patient will live with a temporary colostomy on the sides, which allows the collection of feces for disposal.
Patients who undergo Ileostomy surgery undergo a nursing diagnosis for disturbed body image. Disturbed body image is caused by biophysical changes like stoma and loss of bowel control and psychosocial factors like altered structure of the body and associated treatment for colon cancer (Doenges et al., 2019). After the procedure, the patient struggle with verbalization of change in self-perception evidenced by negative feelings about their body. At the age of 25, the female patient may be concerned with self-perception and feared that friends and family would reject or laugh at her when they see her stoma. There is a possibility that the patient will refuse to participate in care by refusing to look at or touch the stoma. The goal is to achieve verbalization in self-acceptance, participate in self-care, and deal constructively with the situation. In this case of disturbed body image, the primary nursing intervention is to ascertain whether proper counseling was given to the patient before the procedure. The nurse will provide extensive counseling to encourage the patient to verbalize feelings and not feel guilty (Schreiber, 2016). The nurse should involve the patient reviewing reasons for the surgery and future expectations. Through this, the patient will accept themselves and get involved in care though touching the stoma and pointing a positive healing process.
Delegate your assignment to our experts and they will do the rest.
The risk for impaired integrity is expected after undergoing ostomy due to damaged epidermis and dermis. The patient will experience risk factors like the disappearance of the sphincter at stoma and the presence of chemical irritation resulting from caustic bowel content. Also, the patient might experience a reaction during the removal of adhesive and when fitting the appliance properly (Doenges et al., 2019). The desired goal of the nursing diagnosis is to help the client achieve timely healing of the wound and become free from signs of infection. The nursing intervention provided includes proper observation of wounds while noting the nature of drainage. Complete healing of the wound might take 6 to 8 months, depending on patients and quality of care. Another nursing intervention is the frequent dressing of the wound using aseptic techniques to reduce irritation and infections. Also, the nurse teaches and encourages the patient to lie on the side with the head elevated for faster drainage and reduction of risk of pooling (Schreiber, 2016). Lastly, providing a sitz bath is an essential nursing intervention that promotes cleanliness and quicker healing.
References
Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2019). Nursing care plans: Guidelines for individualizing client care across the life span . FA Davis.
Schreiber, M. L. (2016). Ostomies: Nursing care and management. MedSurg Nursing , 25 (2), 127-132.
