You have a patient who has had an ileal pouch anal anastomos…
You have a patient who has had an ileal pouch anal anastomosis (IPAA) for 5 months. She is experiencing continent stools 8 times a day and her only complaint is that the perianal skin burns. Upon assessment, the perianal skin is intact, but erythematous. Which of the following interventions is most appropriate?
Read DetailsYou have a patient with an ileal conduit who complains that…
You have a patient with an ileal conduit who complains that the pouch leaks daily at the 9 o’clock location. With the patient in the supine position, you examine the patient’s abdomen and find the following: stoma is 1 ¼ inches round, protrudes 1.5 cm, abdomen is flat and soft with no creases or scars present. The patient wears a flat one-piece 1 ¼” pre-cut urinary pouch with an integrated skin barrier. What should you do next?
Read Details