Urostomas The postoperative care Ronny Pieters RN EAUN
- Slides: 10
Urostoma’s The postoperative care Ronny Pieters, RN EAUN Board member Chairman Urobel
Pre-operative l Preparing the patient l Physical l Psychological l What has the patient understood? l Depending on the patient wants to know it all l wants to know what’s needed l l Re-assuring: “we will take care of you”
Post-operative l Intensive care or PACU l Specialised in intensive care l Specialised in urologic nursing
Post-operative Naso-gastric tube Central catheter PCA 2 Ureterkatheters Drain Sub-cutaneous drain Stoma
Post-operative l IV-therapy l Full parenteral nutrition ~5 days l PCIA ~3 days (or PCEA) l Naso-gastric tube l Under aspiration l Till bowel movement l Gradual feeding
Post-operative l Sub-cutaneous drain l Removed l Drain l Mobilised l when minimal drainage after 7 days Ureter catheters l In situ for 12 days l In beginning monitoring of urineoutput from both catheters seperately
Post-operative l Stoma l Catheter in stoma l Applied with stoma-appliance l Catheters in bag or pull-through l When dressing on stoma, moisturized cream
Post-operative l Patient care l Explain the different catheters l Explain the PCIA l Inform on the aspect of the urine l Inform on the coming days l Inform on stoma care (Françoise) l Start preparing the discharge home
Post-operative l In case of pouch, neo-bladder l Catheter in the pouch or bladder Flushed (mucus) every 4 h l Usually more than one catheter to avoid filling of pouch or neo-bladder l
