After the surgery, a referral has been made to the stoma care nurse specialist. A referral system for members of the multidisciplinary team in the neonatal unit facilitates early contact with the clinical nurse specialist (Porter, 2014). It allows them to provide the family with education, support and an ongoing plan of care. Various changes and developments involving stoma care in nursing have occurred in the United Kingdom through the years. Black (2016) highlighted that stoma care on its own used to be the most important factor but now it has greatly evolved. The development of a patient’s pathway took place and involved the preoperative care, in hospital, discharge and follow up phase (Davenport, 2014). The role of the stoma nurse is complex
…show more content…
A problem emerged when the stoma nurse reviewed the patient again and noted that the bag was changed overnight where the Pelican neonate one-piece bag was used instead and placed over the Duoderm wafer covering the dehisced area. There has been no record as to why a different type of stoma bag was used and nothing has been handed over to the next shift. The stoma nurse though said that if it remains intact for longer than the Hollister 3778, the nurses could continue using it. According to NurseTogether LLC (2011), the most common breakdown in collaborative practice is the lack of communication. The information would have been extremely helpful for the stoma nurse so she can provide an effective plan of care by ensuring that appropriate stoma bags are being used to prevent bags from leaking frequently. Furthermore, another issue arose when mum had to tell the nurse how to dress the stoma by adding the Coloplast powder on the surgical wound and to apply the Duoderm on top of it then the stoma bag. Apparently, this wasn’t handed over to the nurse by the previous shift. The Nursing and Midwifery council (2016) emphasizes that nurses should provide clear and accurate records relevant to the patient’s care while ensuring that they are kept securely. Furthermore, the result of Law, Akroyd, & Burke’s (2010) study indicate that poor documentation is because of stoma care forms are not being entirely completed by the …show more content…
Mum reported that the surgical wound looked wider than normal and its opening looked more stretched which could be the result of frequent bag changes and leakage of stools. The surgical team came to review and assess it. They advised to pack the hole with Manuka honey dressing and to apply duoderm over it before attaching the stoma bag. Molan and Betts (2004) examined wound-healing results achieved with honey in the past five years and the extent of its use and practical issues relating to its clinical use. In their study, a variety of chronic, acute, infected or heavily colonised wounds that did not respond to 'normal management ' have been treated with honey. The result showed that no systemic antibiotics have been required and successful healing was achieved in all patients except those with arterial insufficiency. But the latter remained free from infection and did not deteriorate further. In addition, Cooper, Molan, and Harding (2002) agreed that Manuka honey is equally as potent as antibacterial agents in vitro and about twice as effective against enterococci. Many small cohort studies have studied the use of a variety of dressings in the surgical site infection management after an infected wound has opened. However, NICE (2008) argues that differences are hard to see because the trials often include other wounds that are healing by secondary intention. Specific studies using antiseptics
A problem emerged when the stoma nurse reviewed the patient again and noted that the bag was changed overnight where the Pelican neonate one-piece bag was used instead and placed over the Duoderm wafer covering the dehisced area. There has been no record as to why a different type of stoma bag was used and nothing has been handed over to the next shift. The stoma nurse though said that if it remains intact for longer than the Hollister 3778, the nurses could continue using it. According to NurseTogether LLC (2011), the most common breakdown in collaborative practice is the lack of communication. The information would have been extremely helpful for the stoma nurse so she can provide an effective plan of care by ensuring that appropriate stoma bags are being used to prevent bags from leaking frequently. Furthermore, another issue arose when mum had to tell the nurse how to dress the stoma by adding the Coloplast powder on the surgical wound and to apply the Duoderm on top of it then the stoma bag. Apparently, this wasn’t handed over to the nurse by the previous shift. The Nursing and Midwifery council (2016) emphasizes that nurses should provide clear and accurate records relevant to the patient’s care while ensuring that they are kept securely. Furthermore, the result of Law, Akroyd, & Burke’s (2010) study indicate that poor documentation is because of stoma care forms are not being entirely completed by the …show more content…
Mum reported that the surgical wound looked wider than normal and its opening looked more stretched which could be the result of frequent bag changes and leakage of stools. The surgical team came to review and assess it. They advised to pack the hole with Manuka honey dressing and to apply duoderm over it before attaching the stoma bag. Molan and Betts (2004) examined wound-healing results achieved with honey in the past five years and the extent of its use and practical issues relating to its clinical use. In their study, a variety of chronic, acute, infected or heavily colonised wounds that did not respond to 'normal management ' have been treated with honey. The result showed that no systemic antibiotics have been required and successful healing was achieved in all patients except those with arterial insufficiency. But the latter remained free from infection and did not deteriorate further. In addition, Cooper, Molan, and Harding (2002) agreed that Manuka honey is equally as potent as antibacterial agents in vitro and about twice as effective against enterococci. Many small cohort studies have studied the use of a variety of dressings in the surgical site infection management after an infected wound has opened. However, NICE (2008) argues that differences are hard to see because the trials often include other wounds that are healing by secondary intention. Specific studies using antiseptics