加拿大2016the-Care-of-Patients-with-a-Fecal-Diversion

Journal of Wound,Ostomy and Continence NursingEnhanced Recovery After Surgery:Best Practice Guideline for the Care of Patientswith a Fecal DiversionManuscript Number:JWOCN-D-16-00067Article Type:Original Article-OstomySection/Category:OstomyKeywords:ileostomy:colostomy:ostomy:stoma;enhanced recovery after surgery(ERAS):fecal diversions;preoperative ostomy education;stoma site marking:postoperativecomplicationsCorresponding Author:Debra Johnston MN,RN,CETN(C)University Health Network,Toronto General Hospital200 Elizabeth St,9ES Rm.300,Toronto.ON.Canada.M5G 2C4Debra.johnston@uhn.caFirst Author:Debbie Miller,MN,RN,CETN(C)Order of Authors:Debbie Miller,MN,RN,CETN(C)Emily Pearsall,MScDebra Johnston,MN,RN,CETN(C)Monica Frecea,MScN,RN,CETN(C)Marg McKenzie,RN,CCRPManuscript Region of Origin:CANADAAbstract:Enhanced Recovery After Surgery (ERAS)is a multimodal program developed todecrease postoperative complications,improve patient safety and satisfaction.andpromote early discharge.In the province of Ontario,Canada,a standardized approachto the care of adult patients undergoing elective colorectal surgery(including benignand malignant disease)was adopted by 15 hospitals across the province in March2013.All colorectal surgery patients with or without an ostomy were included in theERAS program targeting a length of stay of 3 days for colon surgery and 4 days forrectal surgery.To ensure the individual needs of patients requiring an ostomy in an ERAS programwere being met,a provincial ERAS Enterostomal Therapy Nurse(ETN)Network wasestablished.The goal of the ETN Network was to develop and implement an evidencebased ostomy specific best practice guideline addressing the preoperative,postoperative and discharge phase of care(those living in the community).Theguideline was developed over a 3 year period and was based on existing literature,guidelines and expert opinion.It will be a valuable resource for ETNs/Wound,Ostomy,Continence(WOC)nurses,generalist nurses,general surgeons,colorectal surgeons,residents and other health care professionals involved in the care and management ofthis specific patient population.Powered by Editorial Manager and ProduXion Manager from Aries Systems Corporation