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Urostoma’s The postoperative care

Urostoma’s The postoperative care. Ronny Pieters, RN EAUN Board member Chairman Urobel. Pre-operative. Preparing the patient Physical Psychological What has the patient understood? Depending on the patient wants to know it all wants to know what’s needed

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Urostoma’s The postoperative care

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  1. Urostoma’sThe postoperative care Ronny Pieters, RN EAUN Board member Chairman Urobel

  2. Pre-operative • Preparing the patient • Physical • Psychological • What has the patient understood? • Depending on the patient • wants to know it all • wants to know what’s needed • Re-assuring: “we will take care of you”

  3. Post-operative • Intensive care or PACU • Specialised in intensive care • Specialised in urologic nursing

  4. Post-operative Naso-gastric tube Central catheter PCA 2 Ureterkatheters Drain Stoma Sub-cutaneous drain

  5. Post-operative • IV-therapy • Full parenteral nutrition ~5 days • PCIA ~3 days (or PCEA) • Naso-gastric tube • Under aspiration • Till bowel movement • Gradual feeding

  6. Post-operative • Sub-cutaneous drain • Removed when minimal drainage • Drain • Mobilised after 7 days • Ureter catheters • In situ for 12 days • In beginning monitoring of urineoutput from both catheters seperately

  7. Post-operative • Stoma • Catheter in stoma • Applied with stoma-appliance • Catheters in bag or pull-through • When dressing on stoma, moisturized cream

  8. Post-operative • Patient care • Explain the different catheters • Explain the PCIA • Inform on the aspect of the urine • Inform on the coming days • Inform on stoma care (Françoise) • Start preparing the discharge home

  9. Post-operative • In case of pouch, neo-bladder • Catheter in the pouch or bladder • Flushed (mucus) every 4 h • Usually more than one catheter to avoid filling of pouch or neo-bladder

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