A total proctocolectomy with a continent ileostomy is performed for a patient with ulcerative colitis.Postoperatively,a catheter is in place in the stoma,and irrigations are performed every 4 hours.The patient is very upset and tells the nurse that the stoma is ugly,and she does not think she can live with all the alterations in her body.What is the best response to the patient's remarks?

Question

Quizplus · Accepted Answer

Consulting with the patient and the surgeon to arrange a visitor from a local ostomy support group is the best response to the patient's remarks. The patient is expressing emotional distress and concerns about body image after undergoing major surgery. Support groups allow patients to connect with others who have undergone similar procedures and understand their concerns. The patient can receive emotional support and advice on managing their ileostomy from others who have gone through the same experience. It is essential to address the patient's emotional needs to help them adjust to their new body image and learn how to care for their ileostomy. Options A, C, and D only focus on the surgical aspects of the procedure and do not address the patient's emotional well-being.

A Total Proctocolectomy with a Continent Ileostomy Is Performed for a Patient