Stoma Care Specialist Nursing: A Guide for Clinical Practice

This book provides specialist and general nurses with a comprehensive guide to the art and science of stoma care nursing, from the Association of Stoma Care Nurses UK, the only association for SCNs in UK.

The chapters follow a schematic outline of knowledge required for nurses caring for patients who are undergoing stoma surgery; from the essence of nursing to the management of patients living with a long term condition. It also presents and discusses the issues surrounding the clinical picture such as prescription and community issues as well as sources of support available for patients.

This text serves as an excellent resource for all disciplines of health care staff caring for individuals living with a stoma.

Chapter title

Goals of Chapter

Area Rep interested

1. Introduction

Aims of book – supporting  nurses with understanding and the management of client group

Aims of ASCN UK – to support SCNs

Standards and Guidelines 

Maddie White  and Angie Perrin

2. Value of SCNs

Role and responsibilities/ Leadership/career pathway

Specialist and Advanced practice  - include audit and research, pillars of competence

Communication skills – include coaching/ MI/mentor roles

Wendy Osborne and Amanda Gunning

3. Health Economics

Community and acute aspects of care

CCG /NHS drivers etc.

health economics and cost effectiveness 

Prescription management / pharmacology/medication and stoma

Sponsorship

 

Andrew Bird

Anne Haston (Scotland)

4. Normal GI function and mechanisms for disturbance of function

GI A & P

Disease processes – cause of symptoms – IBD, Ca, D Dis, etc

 

Angie Perrin

5. Colorectal Cancer care

Cancer pathways and treatment options

Genetics

Katy Hardy

6. Types of surgery 1

GI surgery

Caroline Rudoni

7. Normal KUB function

A &P

Disease processes and symptoms

Jennie Burch

8. Urological cancers

Cancer pathways and treatment options

Genetics

Diane Leach

9. Types of surgery 2

Urology/renal

urology including siting for robotic cystectomy

Liz Davis

10. Stomas and their Management

Individual chapters for ileo/colo/uro? Each to include:

·Output and function

·Choosing the correct appliance

 

Carolyn Swash (uro)

Iris Williams (colo)

Jennie Burch/Jo Sica (Ileo)

11. Patient Assessment and siting

Holistic assessment to include physical, psychological and social

·Principles of siting

·Potential difficulties

Emma Vernon

12. Managing difficult stomas

Complications;

Include;

Use of Convexity

High output / understanding nutritional risk

Jackie McPhail + dietician

13. Skin Issues and Management

Causes, terminology, basic A&P etc.

Ben McDermott

Jackie McPhail

14. Fistula Management

Management principles and care of fistulas

Maddie White

15. Paediatric stomas

Issues specific to paeds

Claire Bohr

16. Body image and sexuality

How stoma surgery affects both  (inc: LGBT community)

Theories?

Suggestions for help/support

Nicola Tonks

17. Sources of Support

Associations, technology, the future

Recommendations/further reading

Libby Herbert

Colostomy UK

18. Living with a stoma

Managing with Long Term Conditions

Managing Stoma Care with Dementia or other mental health problems  for example;

Older person/disability/self care/capacity

Dietary implications

Travel/ hobbies - considerations

Michaela Parker

 

 

 

Maddie White has over 25 years of stoma care nursing experience and is currently Chair of ASCN UK as well as working as a Team leader with a team of 10 Clinical Nurse Specialists in a busy acute Trust in Birmingham, West Midlands. She is committed to developing roles within stoma care and providing robust evidence based support to nurses in order to enhance the stoma care nurses’s contribution to developing practice. She also writes articles and editorials for journals on a regular basis and proof read articles for publication relevant to her clinical remit. She enjoys presenting at various forums in order to share her knowledge and expertise.

Angie Perrin has over 25 years of experience working within the specialist sphere of stoma care, colorectal nursing and ileo-anal pouch care. She worked as Lead Nurse for Stoma/Colorectal Nursing in a busy acute teaching hospital, managing a team of over 12 specialist nurses. She is now the Clinical Education Lead for Salts Healthcare, which incorporates the Salts Academy. At Salts Academy Angie initiates, develops and facilitates numerous education offerings, across a myriad of mediums providing high quality education to health care professionals globally. She is passionate about the speciality and completed her MSc thesis - Exploring the patients’ perception of their own quality of life following ileo-anal pouch formation. She has written numerous publications for professional journals, as well as presented to health care professionals, both nationally and internationally. She is currently the Vice-Chairperson of ASCN UK.