With this approach nursing focuses equally on the patient as well as the family and bases interventions that correlate on the family member’s interactions (Kaakinen et al., 2015, p. 10). A patient I recently cared for had his a bladder tumor removed and the ending result was the creation of both a urostomy and an unexpected temporary colostomy due to his Crohn’s disease. A four to five-day hospital stay, with many setbacks, turned into a twenty-day stay. Both husband and wife were initially devastated by this unexpected turn of events. Nausea and pain affected the patient the first half of his stay and that is when his wife became the primary caregiver. The couple’s interactions were strained to the point that arguments and emotions prevailed. The wife was the most rational of the two so teaching sessions of care and replacement of the ostomy devices were coordinated so that the wife was present to participate. The patient was in denial of the turn of events and did not participate very much in these teaching sessions. The responsibility and stress of impending discharge started to affect the wife emotionally and …show more content…
This approach views the health of the family as a component that receives and exchanges information within the various institutions within society as a whole (Kaakinen et al., 2015, p. 12). My nursing unit cares for many patients who have had procedures that diverted urinary output through the abdominal wall through a stoma and into a collection device. This is a procedure that often rids their bodies of cancer, but begins a period of indecisiveness and apprehension going forward. To ease the worries and concerns I guide and encourage these patients to seek the support and resources available through a local community agency named the Pittsburgh Ostomy Society. The majority of patients have found this resource invaluable for both their emotional and physical needs. Most stated that they had not realized the vast amount of people in similar positions that accept this lifestyle change and continue to live their lives to the