Fertilization
Zara and James have attended the local hospital for the 12-week scan and have been informed that there is now only one baby present in the uterus. It would appear…
Sexual differentiation and behaviour
Zara and her husband, James, would very much like to know the sex of their babies and had been informed by one of their friends, who happens to be a…
Endocrinology
Zara is now just 6 weeks pregnant. She feels concerned about feeling increasingly nauseated, especially late in the evening; she actually vomited last night. Zara rings you, as her midwife,…
Fistula Management
Introduction Clinical Presentation and Classification Etiologic Factors Medical Management Maintenance of Fluid and Electrolyte Balance Measures to Minimize Fistula Output Control of Infection Definition of the Fistula Tract Nutritional Support…
Nursing Management of the Patient with Percutaneous Tubes
Gastrostomy and Jejunostomy Tubes Comparative Complication Rates Routine Tube Care Managing Skin Complications Hypertrophic Granulation Tube Replacement Pediatric Considerations Nephrostomy Tubes Biliary Tubes Conclusions Percutaneous tube placement into body organs…
Fecal and Urinary Stoma Construction
Fecal Stoma Construction Stoma Maturation Stoma Construction Types End Stoma Loop Stoma Loop–End Stoma Anatomic Classification Duodenostomy Jejunostomy Ileostomy Cecostomy Colostomy Mucous Fistula Urinary Stoma Construction Types Ureterostomy Ileal Conduit…
Diseases that Lead to a Fecal Stoma: Colorectal Cancer
Colorectal Adenocarcinoma Etiology Risk Factors Screening Presentation/Workup Treatment Algorithms Surgical Management: Colon Cancer Surgical Management: Rectal Cancer Adjuvant and Neoadjuvant Therapy Other Cancers of the Colon and Rectum Carcinoid Tumors…
Stoma Complications
Early Complications Mucocutaneous Separation Stomal Necrosis Stomal Retraction Late Complications Stomal Stenosis Stomal Prolapse Stomal Trauma Parastomal Hernia Conclusions Complications following the surgical creation of an ostomy are a significant…
Postoperative Nursing Assessment Management
Postoperative Assessment Stoma Assessment Anatomic Location and Function Stoma Construction/Type Stoma Assessment Stoma Mucosa Stoma Structure Peristomal Skin Postoperative Planning Conclusions Postoperative Assessment Following the surgical procedure to create an…
Specific Patient Management Issues
Temporary Fecal Diversions Colostomy Irrigation Patient Selection Odor and Flatus Management Prevention and Management of Constipation Prevention and Management of Diarrhea Ileostomy Dehydration Food Blockage Diet Medications Bowel Prep Ileal…
