What Does a Wound Ostomy Nurse Do?

This book introduces eleven chapters in the form of questions and answers. The first chapter introduces the development of nursing care for wound and ostomy specialists. The second to seventh chapters introduce the basic theory of wound formation, wound evaluation and recording, wound treatment technology, the selection and application of wound dressings, the care of common wounds, and pressure ulcers. Chapters 8 to 11 introduce the anatomy of the intestine, the nursing and health education of the perioperative period of the stoma, the operation technique of the stoma care, and the management of the complications of the stoma and the surrounding of the stoma. This book is highly professional and pays attention to clinical practicality. Suitable for wound and stoma nurses or community nursing staff.

Wound stoma nurse practice manual

Wound and stoma care is an effective means to improve the quality of life of wounds and stoma patients. The book is combined with cases and diagrams. While reviewing the basics of wound and stoma, it introduces the latest knowledge and viewpoints at home and abroad, and fully describes wounds, stoma and incontinence. Nursing technology; easy to understand, easy to remember, and practical; it is also accompanied by a ostomy skin (DET) score sheet and AIM periostomy skin care guide, which can guide and help specialist nurses improve their clinical work ability. ^[1]

Chapter 1 Overview of the development of wound and stoma nursing 1
Section 1 History of Wound Care Development 1
I. Ancient and Modern History of Wound Care Development 1
Development status of wound care in China 6
Status of Wound Care Education Abroad 8
Section 2 History of the development of colostomy 9
Section 3 Duties of Wound and Ostomy Nurses 13
Section 4 Working Modes and Professional Development Requirements of Wound and Stoma Nurses
Chapter 2 Basic Theories of Wound Formation 27
Section 1 Structure and Function of Skin 27
Classification of wounds 33
Section III Wound Healing Process and Influencing Factors 36
Section 4 Wound Wet Healing Theory 46
Section 5 Wounds and Nutrition 48
Section 6 Wounds and Pain 54
Section 7 Wound Infection 60
Chapter III Wound Evaluation and Recording 66
Section I Wound Assessment 66
Section II Wound Measurement and Recording 69
Section III Wound Case Collection 72
Chapter 4 Wound Management Techniques 77
Section I Wound Management Principles 77
Section II Wound Cleaning Methods 83
Section III Negative Pressure Wound Therapy 89
Chapter 5 Selection and Application of Wound Dressings 105
Chapter 6 Nursing of Common Wounds 116
The first section of surgical wound care 116
Section 2 Nursing for Diabetic Foot Ulcers 119
Nursing of lower extremity vascular ulcers 126
Section 4 Care of Cancer Wounds 135
The fifth section of anal fistula care 141
First, anal fistula overview 141
Second, wound care after anal fistula 142
Section 6 Burns 147
Nursing of other common wounds
I. Nursing of acute radiation dermatitis 155
Second, drug extravasation injury wound care 158
Third, the nursing of incontinence dermatitis 163
Chapter VII Pressure Sores 166
Section I Pressure Ulcer Formation and Grading 166
Section II Pressure Ulcer Prevention and Pressure Ulcer Management System 175
Section III Prevention Measures for Pressure Ulcers 180
Chapter VIII Anatomy of the Stoma
The first section of the small intestine 184
Large Intestine Section 185
Chapter Nine Perioperative Nursing and Health Education 189
Section I Perioperative Nursing and Health Education 189
Section 2 Dietary Guidelines for Ostomy Patients 202
Section III Nursing Stoma Care 208
First, the basics of urinary system and surgery 208
Perioperative Nursing of Urostomy 210
Section IV Stoma Patient Education 216
Section V Guidance on Sexual Dysfunction in Stoma Patients 220
Chapter 10 Ostomy Nursing Techniques 225
Selection of stoma position 225
Section 2 Application Skills of Various Ostomy Care Products 227
Section III Colostomy lavage 239
The fourth section of pediatric colostomy care 242
Chapter 11 Management of Stoma and Complications Around Stoma 246
Section 1 Management of colostomy complications 246
Observation and management of complications around colostomy section 254
Addendum 262
First, the skin around the stoma (DET) score table 262
Second, AIM stoma skin care guide 264
References 275

The first-line nursing work is an important part of the medical and health undertakings. The majority of nurses bear important responsibilities in assisting diagnosis and treatment, promoting rehabilitation, reducing pain, and building a harmonious doctor-patient relationship. In recent years, the field of nursing services in China has further expanded, and the number of nursing staff has further expanded. Nursing workers have used nursing knowledge and technology to continuously strive to provide comprehensive, comprehensive, professional and humanized high-quality nursing services to the people. Responsibility meets the nursing needs of patients, improves patient satisfaction, and strives to be close to patients, close to the clinic, and close to society.
With the continuous improvement of people's demand for health, the rapid development of modern diagnosis and treatment technology, and the broadening of the scope of nursing duties, the specialization of nursing has become the development direction of clinical nursing practice. Some developed countries such as the United States, Britain, Australia, Japan, etc. have proposed and implemented specialized nursing practice activities, which has greatly expanded the functions of nursing profession in breadth and depth. China attaches great importance to the exploration and development of specialized nursing, as early as in the "Outline of the Development Plan of Chinese Nursing Care (2005-2010)" by the Ministry of Health in 2005: "According to the work needs in the field of clinical specialized nursing, systematically step by step focus The field of clinical specialized nursing, including: intensive care, emergency first aid, organ transplantation, operating room nursing, oncology patient care and other specialized nursing fields to conduct professional nurse training, train a group of clinical specialized nursing backbones, and establish and develop clinical professional nurses. " The Outline of China's Nursing Career Development Plan (2011-2015) clearly states: "To carry out standardized training for clinical specialist nurses and increase the training of specialist nurses in the fields of intensive care, emergency care, blood purification, tumors, and operating rooms."
Based on the new development and research results of specialized nursing at home and abroad, Fujian Nursing Quality Control Center organized experts and experienced specialist nurses to prepare for intensive care, emergency treatment, operating room, diabetes, hypertension, tumor, intravenous infusion, wound care Oral, Rehabilitation Nursing, Blood Purification, Geriatric Nursing Professional Nursing Practice Series. I believe this series of books will be beneficial to the clinical practice of specialist nurses and will definitely play an active role in the training of specialist nurses.
With the publication of this series, I would like to extend this preface. It is hoped that the majority of nursing workers will strengthen their studies and research business, strive to improve their professional and technical level, and make newer and greater contributions to promote the healthy development of the nursing industry and the health of the people!
Mo Li, director of the Nursing Center of the Hospital Management Research Institute of the Ministry of Health August 2012. With the increasing demand for health in the society, people's requirements for nursing services have also diversified and professionalized. The 2010 National Nursing Work Conference was held, and the deployment of a "patient-centered" high-quality nursing service demonstration project was launched nationwide, marking that China's nursing industry has entered a new stage of development. Nursing efforts strive to be closer to the clinic and closer to the patient. 3. Being close to the society and actively carrying out high-quality nursing services have greatly improved the medical experience of ordinary people.
Fujian Provincial Hospital is a comprehensive hospital that integrates the treatment and treatment of critically ill patients, teaching and scientific research, and cadre health care. The Fujian Provincial Nursing Quality Control Center is the affiliated hospital. It is also the first batch of national key specialized construction project hospitals for specialized nursing by the Ministry of Health. The hospital always attaches great importance to the development of nursing profession and forges a professional nursing service brand. Since 2005, the hospital has sent more than 60 nursing staff to the United States, Japan, Germany, the United Kingdom, Singapore, the Philippines, Taiwan Province of China, Hong Kong, China and other places to study nursing management and specialized nursing. Combining with China's nursing practice, it has begun to establish and practice Based on the development model of specialized nursing that meets the needs of clinical posts, continue to explore and practice, through the establishment of in-hospital specialized nurse certification system, formulate professional practice standards, standardize nursing professional behavior, carry out practical activities such as nursing clinics, nursing consultations, and extended community services, and promote The quality of specialized nursing care continued to improve, and a specialized nursing research platform was established. With the help of the platform of Fujian Nursing Quality Control Center, we invite professionals from home and abroad to give lectures, provide emergency nursing, intensive medicine, operating room, intravenous infusion, diabetes, blood purification, rehabilitation and other specialized nursing training, establish a provincial specialized nursing training base and cultivate There are more than 600 specialist nurses in Fujian Province, which has quickly promoted the improvement of the quality of clinical specialist nursing in our province, increased patient satisfaction with specialized nursing work, and also fully reflected the professional value of specialist nurses, and promoted the development of nursing disciplines.
This set of books is carefully prepared by experts from the Fujian Nursing Quality Control Center under the guidance of the Nursing Center of the Hospital Management Research Institute of the Ministry of Health. It is not only the accumulation of practical experience of specialist nurses, but also the result of evidence-based nursing research. It is hoped that this series of books can become a good assistant for the majority of clinical nurses to work, and provide a guarantee for practicing comprehensive, full-process and professional quality nursing services.

Lin Caijing, former deputy director of Fujian Provincial Department of Health, and deputy director of Fujian Provincial Department of Health, August 3, 2012. With the rapid development of medical science and modern diagnosis and treatment technology, people's continuous demand for nursing services To improve, the specialization of nursing has become an inevitable trend in the development of clinical nursing practice in China. Specialized nurses are senior clinical nursing workers formed and developed in the process of nursing specialization. They are expert clinical nurses with high level and expertise in a special or specialized nursing field. They can use specialized nursing skillfully. Knowledge and technology provide specialized services to clients. Specialist nurses play an important role in expanding the role and functions of nurses, improving the professional status of nursing, acting as a bridge between doctors and nurses, enhancing cooperation in medical teams, and improving medical quality.
Since the 1980s, the development of specialized nurses in China has received the attention and support of the government and the nursing community. A large number of highly trained specialist nurses have been trained to enter clinical nursing services. Practice shows that the training of specialist nurses not only needs to continuously strengthen the relevant professional and humanistic theoretical knowledge, but also needs to continuously improve the professional nursing business skills in clinical practice. Therefore, based on the clinical front line, attaching great importance to the continuous training and guidance of specialist nurses has become a very important issue in deepening the training system of specialist nurses.
Various hospitals in Fujian Province actively explored the development of specialized nursing work, and have made significant achievements in areas such as acute and critical care, operating room care, diabetes care, and stoma care, and gradually established professional nursing teams to meet the medical needs. The development of technology and the needs of the people's diverse health services.
This series of books is aimed at adapting to the needs of society for nursing talents in the 21st century, and aims at cultivating the comprehensive qualities of nurses. It is highly scientific, systematic, practical and readable. It provides a lot of clinical nurses in China. The key clinical issues and information resources will certainly inspire colleagues in the field of specialty work, serve the health of the people, serve the overall situation of medical and health system reform, and promote the development of clinical nursing disciplines.

Vice Chairman of Chinese Nursing Association, Fujian Provincial Nursing Society, President of Fujian Medical University, Jiang Xiaoying, August 2012