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ATENCIÓN HOSPITALARIA · DOCENCIA · GESTIÓN · INVESTIGACIÓN · ATENCIÓN PRIMARIA Y COMUNITARIA Volumen 40 Nº 10 · Octubre 2017  

 

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On.line Course presentation:
Ostomy care. From marking to treating complications and educating ostomy patients

The word "ostomy" is derived from the term "stoma": "Med. An opening to the outside that is made in a hollow organ, such as the intestine, or between two hollow organs". This brief definition goes to show how little information is available around the world about ostomies and the limited access to information by patients living with this situation and anyone associated with the world of ostomies. Since ostomy surgery changes the way in which a person manages their bodily waste, people living with an ostomy often experience psychological difficulties during the process of adjustment to their new body image. The taboo surrounding this matter also adds to this lack of knowledge to some extent. Even so, its incidence is higher than you might think. There are more than three million people worldwide who have undergone ostomy surgery, and in Europe there are 731,000 people with an ostomy, with an annual rate of 170,000 new operations and a year-on-year growth rate of 3.8%. In the Iberian peninsula there are currently more tan 60,000 people with an ostomy and approximately 8,000 new operations are performed each year, with an annual increase of 1.5%. There are several problems that can lead to the clinical decision to create an ostomy, from chronic bowel disease (e.g. Crohn's disease or ulcerative colitis) to injuries that require a temporary solution to allow the area to heal by avoiding contact with faeces, or more extreme conditions such as colon cancer, which can result in the creation of a permanent ostomy due to the need to resect part of the intestine. Optimum management of the stoma after surgery is crucial to ensure the patient's correct clinical progress; otherwise there is a higher rate of postoperative complications. 51% of people living with a stoma suffer from complications in the peristomal area (British Journal of Nursing, 2006; 15[16]: 854-62). Of all those who suffer peristomal complications, only 20% seek medical assistance (16th Ed. WCET. 2006 Jul 2-6). These complications lead to greater costs for the healthcare system. There is therefore a need for courses like this one. Its purpose is to improve the level of knowledge of general nursing professionals and, in particular, to achieve an improvement in postoperative clinical progress and the consequent increase in patient quality of life.

Objetives

General objetives
1. By the end of the course you will be able to recognise the different types of ostomies, their pathophysiological origin and the characteristics and needs of each type of ostomy so that you will be in a position to apply the best care in each case.
2. By the end of the course you will be able to identify the posible complications that may arise, as well as being able to deal with these complications to minimise their impact on the patient's quality of life and administer appropriate treatment to ensure healing.
3. By the end of the course you will be able to provide ostomy patients with adequate education aimed at teaching them about self-care so that they can acquire a sufficient level of confidence and autonomy to enable them to regain their quality of life.

Specific objectives by topic
1. THE IMPORTANCE OF MARKING AND THE PREOPERATIVE VISIT
• By the end of the course you will be able to understand the importance of marking and the positive consequences of its use.
• By the end of the course you will know about the key factors to take into account when deciding where to locate the stoma.
• By the end of the course you will know about the more technical aspects of marking, which are necessary for selecting the best possible stoma site taking into account the patient's characteristics.
2. DIGESTIVE OSTOMY OF THE COLON. COLOSTOMY
• By the end of the course you will be able to identify the different types of colostomy.
• By the end of the course you will be able to take a medical history correctly prior to colostomy surgery.
• By the end of the course you will be able to identify and treat problems deriving from colostomy surgery.
3. DIGESTIVE OSTOMY OF THE ILEUM. ILEOSTOMY
• By the end of the course you will be able to identify the different types of ileostomy.
• By the end of the course you will be able to take a medical history correctly prior to ileostomy surgery.
• By the end of the course you will be able to identify and treat problems deriving from ileostomy surgery.
4. URINARY DIVERSIONS
• By the end of the course you will be able to identify the different types of urinary diversion.
• By the end of the course you will be able to take a medical history correctly prior to urinary diversion.
• By the end of the course you will be able to identify and treat problems deriving from urinary diversion.
5. EDUCATING OSTOMY PATIENTSO
• By the end of the course you will understand how important it is to focus on self-care when educating ostomy patients.
• By the end of the course you will be able to provide ostomy patients and their relatives with adequate education about the technical aspects of stoma management.
• By the end of the course you will be able to create a personalised care plan for ostomy patients.
6. COMPLICATIONS THAT CAN OCCUR IN OSTOMY PATIENTS
• By the end of the course you will understand the importance of ostomyrelated complications and the frequency with which they occur.
• By the end of the course you will be able to identify and classify the different types of ostomy-related complications.
• By the end of the course you will be able to prevent, manage and apply appropriate treatment for ostomy-related complications.
7. QUALITY OF LIFE IN OSTOMY PATIENTS
• By the end of the course you will recognise and be able to identify the physical, emotional, social, occupational and sexual aspects that can affect ostomy patients after surgery.
• By the end of the course you will be able to identify the different phases that ostomy patients go through when adapting to their new life.
• By the end of the course you will be able to provide patients with support during the process of adapting to the stoma and to their new life.

List of Topics
Introduction

INTRODUCTION TO OSTOMY CARE
1. The importance of marking and the preoperative visit
1.1. WHY IS IT IMPORTANT TO MARK THE STOMA SITE?
1.2. LOCATION OF THE IDEAL STOMA SITE
2. Digestive ostomy of the colon. Colostomy
2.1. LARGE INTESTINE: ANATOMICAL AND PHYSIOLOGICAL DESCRIPTION
2.2. COLOSTOMY: DEFINITION
2.3. CLASSIFICATION OF COLOSTOMIES
2.4. REASONS FOR WHICH IT IS NECESSARY TO PERFORM A COLOSTOMYS
2.5. BEFORE THE COLOSTOMY: PREOPERATIVE CARE
2.6. POSTOPERATIVE CARE
2.7. LONG-TERM
2.8. DIET AND NUTRITION IN COLOSTOMY PATIENTS
3. Digestive ostomy of the ileum. Ileostomy
3.1. SMALL INTESTINE: ANATOMICAL AND PHYSIOLOGICAL DESCRIPTION
3.2. ILEOSTOMY: DEFINITION
3.3. BEFORE THE ILEOSTOMY: PREOPERATIVE CARE
3.4. POSTOPERATIVE CARE
3.5. PREPARATION FOR DISCHARGE
3.6. DIET AND NUTRITION IN ILEOSTOMY PATIENTS
4. Urinary diversions
4.1. ANATOMY AND PHYSIOLOGY
4.2. DEFINITION
4.3. CLASSIFICATION OF UROSTOMIES
4.4. REASONS FOR PERFORMING THE PROCEDURE
4.5. PREOPERATIVE CARE
4.6. POSTOPERATIVE CARE
4.7. LONG-TERM
4.8. DIET AND NUTRITION IN UROSTOMY PATIENTS
5. Educating ostomy patients
5.1. THE IMPORTANCE OF PATIENT EDUCATION
5.2. EDUCATION, FOCUSING ON SELF-CARE
5.3. THE IMPORTANCE OF SPECIALIST NURSING
5.4. OSTOMY SYSTEMS
5.5. NUTRITIONAL RECOMMENDATIONS
6. Complications that can occur in ostomy patients
6.1. INTRODUCTION
6.2. PREVENTION OF COMPLICATIONS
6.3. CLASSIFICATION OF COMPLICATIONS
7. Quality of life in ostomy patients
7.1. INTRODUCTION: IMPACT ON QUALITY OF LIFE
7.2. BODY IMAGE
7.3. FACTORS THAT DETERMINE EMOTIONAL IMPACT
7.4. PHASES OF THE ADAPTATION PROCESS
7.5. SEXUALITY

Coordinator
JOSEP M. GARCIA-ALAMINO
Diploma in Nursing from Barcelona University. Expert in wound care, endorsed by GNEAUPP (Spanish National Group for the Study and Advice on Pressure Ulcers and Chronic Wounds). Online training course coordinator. Author of numerous scientific papers published in national and international journals.
José García Rey
Intensive Care Nurse, Scientific and project coordinator of IDER Formación, Diploma in nursing management, Teacher trainer, Associate lecturer at the Creu Roja (Red Cross) University School of Nursing in Terrassa and Vall d'Hebrón University School of Nursing in Barcelona.

Teaching staff
IMMACULADA DAVIN DURBAN
Stoma nurse, expert in ostomies at Vall d’Hebron University Hospital, Barcelona. Diploma in Nursing, Hospital de la Santa Creu i Sant Pau (Autonomous University of Barcelona). Postgraduate diploma in Surgical Nursing, Vall d’Hebron University Hospital (Autonomous University of Barcelona). University expert in Comprehensive Care of Ostomy Patients from European University of Madrid. Teacher of different courses and seminars, as well as undergraduate and postgraduate training and continuing education in surgical nursing and nursing care in ostomy patients.
ANA C. MONTESINOS GÁLVEZ
Head nurse in the ostomy clinic of Malaga General Hospital. University expert in Comprehensive Care of Ostomy Patients from European University of Madrid. Master's degree in European Nursing and master's degree in International Health. Malaga University. Associate professor in the Department of Nursing, Malaga University. Final project/dissertation tutor for nursing students at Malaga University.
CRISTINA NAVALÓN PÉREZ
Stoma nurse with a postgraduate degree in surgical nursing from EU Creu Roja (Red cross university), instrumentalist and coordinator of surgical staff at QCA Quirúrgica Barcelona. Member of GIEEC (stomal therapy expert nursing group of Catalonia). University expert in Comprehensive Care of Ostomy Patients from European University of Madrid.
M.ª ELENA GARCÍA MANZANARES
Stoma nurse in charge of the Ostomy Unit of Hospital Universitario 12 de Octubre (12th October university hospital) (Madrid). University expert in Comprehensive Care of Ostomy Patients and university expert in Human Resources Management in Nursing. Training in Research and in Evidence-Based Nursing. Principal investigator of the project "Assessment of ostomy patients' adaptation to their new situation during follow-up after discharge from hospital by expert stomal therapy staff", under a grant from the Research Institute of Hospital Universitario 12 de Octubre. Teacher of practical clases for undergraduate students at Complutense University of Madrid since 2007.
Teacher of courses and workshops about comprehensive ostomy patient care for postgraduate students. Member of the Spanish Society of Stomal Therapy and the Spanish Society of Nursing in Surgery.
MARÍA RIVEIRO GARCÍA
Stoma nurse in the Colorectal Surgery and Stomal Therapy Unit at University Hospital Complex of Ourense, teaching about ostomies. University expert in Comprehensive Ostomy Patient Care. Participant in the development of ostomy care protocols at the hospital. Workshops on stoma care and presentation of ostomy devices and accessories to raise awareness about the condition. Tutor for 4th-year nursing students within the setting of the ostomy clinic.
PATRICIA FERRERO SERENO
Stoma nurse in charge of the Stomal Therapy clinic at the Virgen del Mar Hospital in Madrid. Nursing supervisor in ICU, General Emergencies, Radiodiagnostics and Outpatient Clinic at Virgen del Mar Hospital. Presentation of numerous papers at different national and international conferences on ostomies. Teacher for various nursing courses. Participation in several research projects on ostomies.
ISABEL MUÑOZ MENÉNDEZ
Stoma nurse in the Reina Sofia Hospital in Cordoba. University expert in stomal therapy for nursing at the Complutense University of Madrid. Certificate .of methodology in health education from the Universidad Complutense de Madrid.

Duration of the course

12 hours

Accreditation and certification

   
Graduate students or university graduates in nursing I medical in Spain:
 Accreditation is requested to the Consell Català de Formació Continuada de les Professions Sanitàries (Catalan Council of Continuing Education for Healthcare Professionals) and the Comisión de Formación Continuada del Sistema Nacional de Salud in Spain (National Health System Committee for Continuing Education).
 
Students rest of the world:
 Students who obtain at least a 70% pass rate in the assessment tests will receive a diploma certifying that they have passed the Course, issued by Ediciones ROL, endorsed by the Spanish society of expert stomal therapy nursing - SEDE, which will show the number of teaching hours (12).

Information and registration

EDICIONES ROL, S.A.
Peris i Mencheta, 50 - 08032 BARCELONA
Phone number: (+34) 93 200 80 33
Fax: (+34) 93 200 27 62
e-mail: rol@e-rol.es

 

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