BY GRACE BOAMAH
WHAT IS AN OSTOMY?
A surgical procedure performed when normal bowel or bladder function is lost due to
birth defects, treatment for diseases such as cancer, or injury.
Types of ostomies
Colostomy: A colostomy is a surgical procedure that brings a portion of the large intestine
through the abdominal wall to carry feces out of the body.
Ileostomy: A surgery creating an opening in the abdomen and pulling through a portion of
the small intestine to create a stoma.
SUMMARY OF MY CASE STUDY
oral pain meds, consults for oncology, nutrition, 54 165 120 28.3 6%
and stoma care.
POSTOPERATIVE NUTRITION CARE
After surgery, depending on hospitals postop protocol, patient may start eating on day
one
Eating plan begins with clear liquids and should be advanced to soft and low fiber diet as
tolerated.
Remember to chew slowly, drink fluids as instructed, monitor food intolerances (stool
changes, flatulence), and gradually increase fiber to reduce risk of obstruction.
Return to regular diet within 6 to 8 weeks after surgery .
The location of the stomach is a factor in the fluid intake.
FACTORS FOR BBS NUTRITION PLANNING
Intervention Monitoring
Short term goal Oral fluid intake
Promote healing of resected bowel and the stoma
Total energy intake
Identifying offending foods
Understand the impact of the disease on health and Evaluation
nutrition modifications.
keep records of what BB eats and her symptoms
Long term goal
Assess the patient's skin surrounding the stoma
Excess fluid output
Fiber intake See patient biweekly with some blood work to
Prevent blockage see if her glucose, A1C, LDL, hemoglobin has
Short term goal: promote healing of resected bowel decreased.
and the stoma
FOODS
Loose stool or diarrhea: apple juice, prune juice, dried beans, raw fruit and vegetable,
fried, green leafy
Foods that thicken: applesauce, mushroom, rice, pasta, tapioca, yogurt
Odor: fish, eggs, garlic
Gas: beans, broccoli, corn, spinach, cabbage, brussels sprouts
REFERENCES
Landmann, R. (2015, May 20). Routine care of patients with an ileostomy or colostomy and
management of ostomy complications. Retrieved November 29, 2016, from UpToDate,
https://www.uptodate.com/contents/routine-care-of-patients-with-an-ileostomy-or-
colostomy-and-management-of-ostomy-
complications?source=search_result&search=ostomy&selectedTitle=2~71
Mahan, K. L., Escott-Stump, S., Raymond, J. L., L. Kathleen Mahan MS RD CDE, Sylvia Escott-
Stump MA RD LDN, & Janice L Raymond MS RD CD (2011). Krauses food & the nutrition
care process (Krauses food & nutrition therapy) (13th ed.). Philadelphia, PA, United States:
Elsevier Health Sciences.
Lecture Note