RCS 6080 Medical and Psychosocial Aspects of Rehabilitation Counseling

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RCS 6080 Medical and Psychosocial Aspects of
Rehabilitation Counseling

• Ostomy Surgeries

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Ostomy Surgeries

• Numerous medical conditions, including congenital
  defects, trauma, inflammatory bowel disease
  (IBD),and bowel and bladder cancer, can be
  treated by ostomy surgeries
• These surgeries close the normal route of
  elimination of bodily wastes and create a new
  opening (stoma)

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Ostomy Surgeries

• GI Stomas
• Jejunostomy
• Ileostomy
• Cecostomy
• Colostomy

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Colostomy

• Colostomy A surgically created opening in the
  abdominal wall through which digested food
  passes.
• Temporary colostomy
• Permanent colostomy
• Reasons for surgery Cancer, diverticultis
  trauma, imperforate anus
• Vocational impact restrict heavy lifting

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Ileostomy

• A surgically created opening in the abdominal
  wall through which digested food passes. The
  Ileum (the lowest part of the small intestine) is
  brought through the abdominal wall to form a
  stoma. A Ileostomy is performed when a disease
  or injured colon cannot be treated successfully.
• Vocational implication restrict heavy lifting.

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Jejunostomy

• Can be used for either feeding or removal of
  stool, depending on if the stoma is at the
  beginning or end of the Jejunum.
• Feeding A tube is placed into the jejunum
  versus the stomach (gastrostomy). People with a
  jejunostomy can eat and drink by mouth. The
  device is an insurance mechanism for nutrition.
  It can be temporary or permanent.
• Stool removal in certain instances a
  jejunostomy is conducted similarly to the
  Ileostomy. Again, this usually temporary.

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Cecostomy

• A tube that goes through the skin into the
  beginning of the large intestine to help remove
  gas or feces by injecting a solution (antegrade
  enema) that flushes the gas and stool out of the
  rectum.
• Can be temporary or permanent.

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Urinary Stomas

• When a urinary stoma is created, the urine does
  not go to the bladder. The urine is rerouted
  through an opening on the abdomen (stoma) created
  by a surgeon.
• VesicostomyAn opening in the bladder created to
  connect the bladder to an opening on the lower
  abdomen.
• Ureterostomy The ureter (or ureters) is
  attached to the skins surface through a small
  opening in the abdomen.
• Ileal conduit A small section of the ileum
  (small intestine) is used to create a passage for
  the urine to exit the body. This section of the
  small intestine, called a conduit, is attached to
  the abdominal wall to create a stoma. The urine
  flows from the kidneys, through the ureters, and
  out the stoma

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Psychosocial/Vocational implications

• Vocational Implications
• Ostomy surgery itself does not present obstacles
  to most vocational functioning underlying
  disease process may influence RTW
• Changes in body image
• Economic costs of living with an ostomy can be
  considerable when complications from the stoma or
  disease process develop
• Provide information and education to the person
  in a manner that relays a message of acceptance

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Additional Resources and Information from the Web

• United Ostomy Association (www.uoa.org)
• International Ostomy Association
  (www.ostomyinternational.org)
• World Ostomy Resource (www.powerup.com.au/takkenb
  /OstomySites.htm)
• Crohns Colitis Foundation of America
  (www.ccfa.org)
• Oley Foundation (www.oley.org)