May 30, | nursing, med, NURS, Paper
What is colostomy nursing care?
Are you willing to work in the colostomy nursing care unit? Do you keep wondering what colostomy nursing care is? Worry not, as your dream is about to come true. This article defines colostomy nursing care and explains several related topics.
Colostomy nursing care is taking care of the wound of a surgical procedure of the colon through the abdominal wall, referred to as the stoma. The procedure may be permanent or temporary, depending on the cause of the surgery. After colostomy, patients lose control of their bowel movements.
Patients wear a pouch system in the stoma to help collect waste products. People with colostomy need extra care to adapt to lifestyle changes, diet, habits, and sexual lifestyles. Preparing a patient for preoperative nursing care for colostomy is important for a nurse. This is to help in coping well after undergoing a colostomy procedure.
Conditions that may lead to a colostomy
Cancer of the anus, colon, or rectum
Diverticulitis
Crohn’s disease
Bowel obstructions
Ulcerative colitis
Ileostomy versus colostomy nursing care
Many nursing students confuse the two terms. An ileostomy is an opening in the ileum that treats ulcerative colitis and diverts the contents in the cancer of the colon, trauma, and polyps. Ileostomy nursing care comes in while the colon, anus, and rectum are removed.
Colostomy nursing care involves permanently or temporarily diverting the colon’s effluent. A stoma is formed that collects all waste from the body’s metabolism.
Colostomy nursing care plan
As a nurse, you must assist patients undergoing colostomy surgery and provide them with the necessary education to prevent complications. Whenever you have a patient who has undergone colostomy surgery, advise the patient to do the following;
Inspect the stoma and the surrounding area
You should show the patient how to assess the redness, rashes, and bleeding to ensure they measure the redness and monitor any retraction or protruding. This is essential in the first weeks of colostomy surgery.
Assessing the diet
For the first few months after surgery, advise a patient to assess their food. The food a patient is eating should not cause diarrhea or a lot of waste products leading to skin irritation.
Assessing any allergies
Check for barrier paste, adhesion, or pouch system allergy. After using a product for weeks, months, or years, sensitivities might still arise.
Post-operative nursing care for colostomy
Keep dry and clean
Keep stool away from the area around the stoma. Use a washcloth and warm water or a piece of toilet paper to wash the site. Usually, detergent is not advised. Before using adhesives, ensure that the area is fully dry.
Applying a protective paste
You can advise a patient to apply a protective paste or powder to help fit an adhesive into the skin to prevent any leakages.
Measuring the wafer
The pouch is fastened to the skin by the wafers or skin barrier. Wafers must be appropriately measured to ensure that they do not tightly or loosely fit the stoma. To do this, measure the stoma and cut the wafer so that the diameter is between 1/16 and 1/8 of the stomas.
Educate the patient on the pouch system
Make sure the patient knows that replacing the pouch frequently irritates the skin. Several days should pass before doing this. Teach them not to tug on the skin when extracting the pocket.
Encourage a patient to be confident
Patients could feel uneasy handling colostomy nursing care. Encourage confidence by involving them in caring and giving them encouraging remarks.
Helping patients manage colostomy-related problems
Gas
After undergoing colostomy surgery, you may feel like you have a lot of gas. This unsettling, unpleasant, innocuous symptom follows most abdominal surgeries. Stomach grumbling or gassy sounds may be cause for concern. Say, “Sorry me, my stomach is grumbling,” if you are worried that adjacent people will overhear you.
When you sense that you may be about to burp in front of others, gently cross your arms such that your elbow lies over your stoma. This will muffle most sounds. Ask your colostomy nursing caregiver what medications you can use to help with gas. Eggs, broccoli, cabbage, onions, cheese, fish, milk, beans, carbonated beverages, and alcohol are just a few of the items that can give you gas.
Frequent eating will aid in preventing gas
Eat smaller meals four to five times per day
AVOID skipping meals to prevent gas or bloating
Odor
Various things can bring odors, including specific foods, the usual flora in your intestines, certain medications, and vitamins. Eggs, broccoli, cheese, cucumbers, onion, fish, garlic, dairy products, and coffee are some foods that might emit an odor. Avoid processed foods that make you uncomfortable if you can.
Use a pouch that resists odors
Verify that the skin barrier adheres to your skin firmly
Frequently empty the pouch.
Put certain antiperspirant tablets or liquids in the pouch
You can take various medications that might be helpful. Talk to your physician or the ostomy nurse to learn more about these medications and how to use them. Chlorophyll pills, bismuth, and bismuth subcarbonate are a few items that many individuals have discovered helpful with odor. When draining the pouch, keeping air sanitizing wipes in that space can help effectively limit the stench.
Skin related problems
You won’t be able to achieve a tight seal across your stoma if you have large, red, painful, and weeping (consistently moist) regions of your skin. It’s crucial to treat mild irritations as soon as possible. Consult your physician or an ostomy caregiver if there is a large inflamed area or one that is growing despite particular treatment.
To assist your skin drying out and recovery, they may prescribe drugs for oral use or to apply topically to your ostomy. When an extremely tight ostomy belt is the source of deep pressure sores, relax or disconnect the strap and immediately contact your doctor or an ostomy nurse. You’ll require medical care
Obstruction
Your ostomy may occasionally go without output for a brief length of time. That is typical. However, if you experience cramping, pain, or nausea and your stoma become inactive for 4 to 6 hours, the intestines may be obstructed. If this occurs, contact your doctor or the ostomy nurse right soon. You can perform the following to aid in the movement of objects through your ostomy:
Keep an eye out for stoma enlargement and modify the wafer’s aperture as necessary until the swelling subsides.
To soothe your stomach muscles, engage in a warm bath
Taking fluids is advised if there is bowel output: Avoid eating solid foods
The food in your gut may occasionally move more quickly if you alter your position, for as by bringing your legs up to your chest
Don’t use laxatives
Obstacles may result from fiber-rich foods like corn, pineapple, almonds, cabbage, celery, and greens. Internal modifications, such as adhesions, might also result in obstruction. Go to the emergency hospital if you continue to experience discomfort and cramps with no production from the stoma for more than two hours and you cannot call your doctor or ostomy nurse. Bring all of your ostomy supplies along.
Diarrhea
Diarrhea is an indication that something is not ok. It is categorized by more regular, looser, or liquid bowel movements than normal. Food passes through the intestinal tract too rapidly to absorb water and minerals. This could cause unexpected pain. Your body could lose a significant amount of water and minerals. If you lose these minerals, you should replace them immediately to prevent illness caused by dehydration.
Diarrhea can be caused by many factors, such as; food intoxication or stomach infection, which may also result in temperature rise and vomiting. Antibiotics, and other prescribed drugs, may also cause diarrhea. Partial impediment may also bring a smelling discharge, strong liquid output, pains, and stoma noises, which may cause diarrhea.
If you experience obstinate diarrhea, consult your colostomy nursing care provider. Let them know your daily diet, feeding schedule, and any medicines you take. As a nurse, provide the right medical assistance to the patients.
Fictitious rectum
The phantom rectum is similar to the “phantom limb” experienced by amputees who believe their missing leg is still present. You should experience the same need to urinate that you had before surgery. This can occur at any moment and may persist for many years following surgery. You could have this sensation in addition to passing mucus while using the restroom if the scrotal sac has not been evacuated. After removing their rectum, some patients claim that staying on the toilet and pretending to have a bowel movement helps them feel better.
When should a colostomy patient see a doctor?
If cramping extends for more than 2 hours
If you have continuous vomiting and bleeding
If you have no ostomy for 5 to 6 hours
If you see a severe watery discharge lasting for long
If you see a cut in the stoma
If you experience a foul odor
If you notice any injury in the stoma
If you get deep sores or skin irritation
Bleeding where stoma meets the skin
Any unusual thing around the stoma
Change in the stoma color or size
To sum up
Colostomy nursing care is crucial for patients who have undergone colon surgery where a part of the large intestines is cut, leading to an opening at their stomach known as a stoma. Several conditions, such as cancer of the rectum or intestines, may lead to the surgery.
As a nurse, you should help patients who have undergone such surgeries by showing them how to assess the stoma, check the diet, and assess any allergies that might occur. Help the patients through colostomy-related problems such as odor, gas, fictitious rectum, and obstruction.
If you are a student taking a colostomy nursing care course and need assignment help, reach out to onlinenursingpapers.com. We have expert nursing essay writers to assist you in scoring your dream grades in all your nursing papers.
May 30, | nursing, med, NURS, Paper
Nursing Certification and Licensure in Maryland Essay
Nursing Certification and Licensure in Maryland Essay
In Maryland, “Nurse practitioner” means a registered nurse who is certified by the Board to practice as a nurse practitioner in accordance with state regulations and bye laws (Buppert, 2021). The Maryland board of Nursing issues certifications to those who qualify to work as advanced practice registered nurses (APRN) in the state. Maryland is a compact state meaning that you are declaring the state in which you live as your permanent address and that state is part of the Registered Nurse Compact. For example, if you reside in Virginia and hold a Virginia Compact license, you will provide a copy of your Virginia RN license with your NP application Nursing Certification and Licensure in Maryland Essay.
The application process for certification in the state of Maryland is based on your RN licensure status. One must provide the following information to the Maryland Board of Nursing: If you have or ever had a Maryland RN number; whether it is current, inactive or nonrenewed you must submit the following: Certification application, declaration of residence form, sealed official transcript(s), copy of current national certification or letter of eligibility to take the certification exam as well as complete the NP certification application in its entirety. If one is currently licensed in a Compact State, then they need to attach a copy of their current registered nurse license Nursing Certification and Licensure in Maryland Essay.
An NP must also have their fingerprints taken and ran through the Criminal Information Justice System (CJIS) to confirm their suitability for the practice. In addition to the above, all nurse practitioner programs must be approved by the Maryland Board of Nursing. One’s program of study must be approved before the application will be processed. You therefore must submit your transcript(s) which must show proof of having completed the following along with other course work: Advanced Pharmacology, Advanced Pathophysiology as well as Advanced Physical Assessment Nursing Certification and Licensure in Maryland Essay.
If applying for Graduate NP status, you need to complete the GRADUATE AGREEMENT as part of your Attestation document by accessing the following website to complete the Graduate Supervision forms:http://mbon.maryland.gov/Documents/graduate
In Maryland, Nurse practitioners renew their license every year on the 28th day of their birth month. There are no CE requirements, but they must maintain national certifications.
Maryland by designation is a full practice state where licensure laws permit all NPs to evaluate patients; diagnose, order, and interpret diagnostic tests; and initiate and manage treatments, including prescribing medications and controlled substances, under the exclusive licensure authority of the state board of nursing. This is the model recommended by the National Academy of Medicine and the National Council of State Boards of Nursing.
Three dynamic components influence the practice environment for nurse practitioners (NPs) in Maryland is. These are: Clinical practice, political system, and professional relationships. The NP role has evolved and developed over the years based mainly on these three components interacting with each other to create the setting for NP practice in the state Nursing Certification and Licensure in Maryland Essay.
Clinical practice in Md has also been influenced by the educational standards adopted by national associations like National Organization of Nurse Practitioner Faculties (NONPF), American Association of Colleges of Nursing (AACN), National Council of State Boards of Nursing (NCSBN), American Association of Nurse Practitioners (AANP) Nursing Certification and Licensure in Maryland Essay.
In the sphere of professional relationships, Nurse practitioners have collaborative and cooperative relationships with a wide variety of health care practitioners and professionals. Nurse practitioners are not limited to where they can practice. They provide their services in any setting wherever health care is needed, and these can be in schools, within the community in which they reside, prisons, occupational health centers, as well as other state and federal institutions.
The environment in which nurse practitioners practice their craft is not devoid of political influence. Nurse practitioners in Maryland have been politically organized, legislatively active, and widely effective. NPs have returned to the legislature to wage strong campaigns to increase the NP role so that they might more fully advocate for patients and increase access to health care. Maryland Nurse Practitioners have a strong legislative committee that meets with legislators to educate them about the important role they play in the society as well as helping members to respond to critical issues by contacting legislators across the state.
In a nutshell, requirements for NPs in Maryland are rigorous and flexible regards the opportunities available to them to practice in any health care setting. I also think, being a full practice state, nurse practitioners will be tasked with a big obligation to provide excellent services to keep their licensure. Any negligent response to patients’ health care needs can jeopardize the maintenance of their licenses. This situation will improve services rendered to patients by providing them with the best of health care Nursing Certification and Licensure in Maryland Essay.
References
Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed. Jones & Bartlett Learning.
University of Maryland. (n.d.). DEA license information. DEA License Information | Division of Research. https://research.umd.edu/dea-license-info.
State practice environment. American Association of Nurse Practitioners. (n.d.). https://www.aanp.org/advocacy/state/state-practice-environment.
https://www.npamonline.org/page/34
sample essay 2
The Summary of the Practice Guidelines for Nurse Practitioners in Maryland
The state of Maryland does not require physician collaboration or supervision for nurse practitioners. Nurse practitioners in Maryland can practice independently. A registered nurse degree and a nurse practitioner graduate degree are required to get licensed as a nurse practitioner in Maryland (Buppert, 2021; Maryland Board of Nursing, 2020) Nursing Certification and Licensure in Maryland Essay.
Nurse practitioners must apply to the Board of nursing to get certified according to their desired specialization. Requirements needed to get a nurse practitioner license include earning a master’s degree in an accredited nursing school. The nurse must also have an active registered nurse license and hold a national certification from the AANPNCB or other national certifying body recognized by the Board. The applicant must demonstrate written and oral competency in the English language and must pay all required fees to become certified as a nurse practitioner. All the specific requirements can be found on the Maryland board of nursing website: https://mbon.maryland.gov/Pages/adv-prac-nurse-practitioner-index.aspx (Buppert, 2021; Maryland Board of Nursing, 2020).
A nurse practitioner may independently perform comprehensive physical assessments of patients, complete a birth or death certificate, witness an advanced directive, diagnose common acute or chronic problems, prescribe drugs and many other functions listed under COMAR regulation 10.27.07.03, listed on the Maryland board of nursing website (Maryland Board of Nursing, 2020) Nursing Certification and Licensure in Maryland Essay.
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Regulations and barriers to nurse practitioner independent practice in Maryland
A nurse practitioner may obtain a DEA license by first getting a Maryland State Controlled Dangerous Substances Registration (CDS) with the Office of Controlled Substances Administration (OCSA). After the state of Maryland has approved registration for prescribing controlled substances, the nurse practitioner will then use the state license to apply for a DEA license online at https://www.deadiversion.usdoj.gov/online_forms_apps.html (USDOJ Drug Enforcement Administration, 2021).
Nurse practitioners can only prescribe schedule II to V controlled substances. They must also keep a record of all their prescriptions up to five years. Nurse practitioners in Maryland has come a long way to gain independent practice. The two nurse practitioner associations found on the Board of nursing website in Maryland are the Nurse Practitioner Association of Maryland, Inc. and the Maryland Academy of Advanced Practice Clinicians. The main objective that these associates stand for are continuing education for nurse practitioners and being a voice for the nurse practitioners in the legislative arm and the public (Buppert, 2021; Maryland Board of Nursing, 2020) Nursing Certification and Licensure in Maryland Essay.
Surprise Findings during Research
As a resident in Maryland, I can practice as a nurse in Virginia under the compact nursing license. Therefore, I decided to research the laws governing nurse practitioners in the state of Virginia. I was surprised to find out that there was a huge difference between the nurse practitioners in Maryland versus Virginia. Nurse practitioners in Virginia cannot practice independently until after 5 years of collaborative practice with a physician that will attest to that experience before being deemed worthy to practice independently. I was also surprised that a nurse practitioner could be certified by the Board of medicine or the Board of Nursing in Virginia, unlike Maryland, where the only certifying body is the Board of nursing (Buppert, 2021; Maryland Board of Nursing, 2020).
References
Maryland Board of Nursing (2020). Advanced Practice Registered Nursing: Nurse Practitioners https://mbon.maryland.gov/Pages/adv-prac-nurse-practitioner-index.aspx
Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett.22
USDOJ Drug Enforcement Administration. (2021). DEA Forms & Applications. https://www.deadiversion.usdoj.gov/online_forms_apps.html Nursing Certification and Licensure in Maryland Essay
