What is the Indiana Pouch continence mechanism?

A 65-year-old  man who has been irrigating his sigmoid colostomy daily  successfully, has developed a large parastomal hernia. Lately when irrigating, he has trouble instilling the irrigation fluid and it takes 3-4 hours for the stool and liquid to pass. Your recommendation to the patient is to:

Mr. Jones is scheduled for a radical cystectomy and ileal conduit. He has a longstanding history of alcohol abuse which puts him at risk for developing:

Which of the following interventions may be warranted when the patient has a parastomal hernia?

You are called to conduct a preoperative consultation for EMERGENCY ostomy surgery. The two key objectives you have for this consultation are stoma site selection and:

The most common signs and symptoms of a complete small bowel obstruction in a patient with an ileostomy who has a food blockage are:

Conservative management of a suspected food blockage in the person with an ileostomy includes instructions to:

A 60-year-old male is 6 weeks postop following a sigmoid colostomy for rectal cancer. During a follow-up visit, he states that he has read about colostomy irrigation and is eager to start. What should your NEXT step be?

During the preoperative consultation with an adult patient scheduled to have a cystectomy and ileal conduit, your plan of care is to mark the stoma site in the:

Topic 4: Many of you have expressed that you enjoy Dr. Ira Byock’s book. Reflect on two of the stories we have read. What did you learn from them? How can these stories guide us in communicating about death and in affirming the worth and dignity of those who are dying? (Think about the title and why the book is called “Dying Well.”)