{"title":"Corridor care: the impact on gastrointestinal nursing","authors":"P. Harrison","doi":"10.12968/gasn.2024.0041","DOIUrl":"https://doi.org/10.12968/gasn.2024.0041","url":null,"abstract":"Penny Harrison examines the ongoing issue of corridor care and the considerations GI nurses have to make surrounding it","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141687117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A brief overview of recently published articles on gastroenterology, hepatology and stoma care","authors":"S. Palmer","doi":"10.12968/gasn.2024.0050","DOIUrl":"https://doi.org/10.12968/gasn.2024.0050","url":null,"abstract":"","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"4 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141684992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-02DOI: 10.12968/gasn.2023.0038r1
Daniel J Griffith, Sheldon C Cooper, Jane Fletcher
Jejunocolic anastomosis (JCA) is a surgical procedure that can result in various complications. Depending on how much of the jejunum remains, these patients are often defined as having intestinal failure (IF) because of short bowel syndrome (SBS). One of the significant complications among these patients is the formation of calcium oxalate renal stones. It has been estimated that 24% of patients with a JCA develop symptomatic renal stones. This narrative review aims to explore the nursing and dietary management strategies for individuals with oxalate stones following JCA. This includes providing adequate hydration, limiting dietary intakes of fat and oxalate, and optimising dietary intake of fluid and calcium whilst discussing the evidence for dietary magnesium, vitamin C and citric acid.
空肠吻合术（JCA）是一种可能导致各种并发症的外科手术。根据空肠残留的多少，这些患者通常会被定义为肠功能衰竭（IF），因为他们患有短肠综合征（SBS）。这些患者的主要并发症之一是形成草酸钙肾结石。据估计，24% 的 JCA 患者会形成无症状的肾结石。本叙述性综述旨在探讨 JCA 后草酸盐结石患者的护理和饮食管理策略。其中包括提供充足的水分、限制脂肪和草酸盐的膳食摄入量、优化液体和钙的膳食摄入量，同时讨论膳食中镁、维生素 C 和柠檬酸的相关证据。
{"title":"Dietary and nursing management of calcium oxalate renal stones in patients with a jejunocolic anastomosis: a narrative review","authors":"Daniel J Griffith, Sheldon C Cooper, Jane Fletcher","doi":"10.12968/gasn.2023.0038r1","DOIUrl":"https://doi.org/10.12968/gasn.2023.0038r1","url":null,"abstract":"Jejunocolic anastomosis (JCA) is a surgical procedure that can result in various complications. Depending on how much of the jejunum remains, these patients are often defined as having intestinal failure (IF) because of short bowel syndrome (SBS). One of the significant complications among these patients is the formation of calcium oxalate renal stones. It has been estimated that 24% of patients with a JCA develop symptomatic renal stones. This narrative review aims to explore the nursing and dietary management strategies for individuals with oxalate stones following JCA. This includes providing adequate hydration, limiting dietary intakes of fat and oxalate, and optimising dietary intake of fluid and calcium whilst discussing the evidence for dietary magnesium, vitamin C and citric acid.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"30 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141688199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Olivia N Pineau, Dean A Tripp, Alexandra A Kelly, Daniel Mulder
Inflammatory bowel disease (IBD; Crohn's disease, ulcerative colitis) is a chronic condition involving inflammation of the gastrointestinal tract. Adolescents with IBD are 4.6 times more likely to experience depression and anxiety than healthy peers. The primary purpose of this research was to understand the lived experiences of adolescents diagnosed with IBD. Adolescents aged 16–18 years were recruited to complete an online survey, followed by a photovoice component that included the collection of images and participation in an interview. Thematic analysis revealed six key themes: the importance of social support networks in managing the challenges of IBD, the positive impact of maintaining a positive outlook on life, strategies for taking control of and coping with the impact of IBD, the interplay between physical pain and the psychological toll of the disease, the various limitations imposed by IBD on daily life and the challenges posed by others' lack of awareness and understanding of the condition. Adolescents with IBD experience disease-related factors that impact their wellbeing. Attention to these factors from nurses, doctors, caregivers and peers can help optimise their mental health and wellbeing.
{"title":"Living with inflammatory bowel disease: a modified photovoice study of adolescent mental health","authors":"Olivia N Pineau, Dean A Tripp, Alexandra A Kelly, Daniel Mulder","doi":"10.12968/gasn.2024.0013","DOIUrl":"https://doi.org/10.12968/gasn.2024.0013","url":null,"abstract":"Inflammatory bowel disease (IBD; Crohn's disease, ulcerative colitis) is a chronic condition involving inflammation of the gastrointestinal tract. Adolescents with IBD are 4.6 times more likely to experience depression and anxiety than healthy peers. The primary purpose of this research was to understand the lived experiences of adolescents diagnosed with IBD. Adolescents aged 16–18 years were recruited to complete an online survey, followed by a photovoice component that included the collection of images and participation in an interview. Thematic analysis revealed six key themes: the importance of social support networks in managing the challenges of IBD, the positive impact of maintaining a positive outlook on life, strategies for taking control of and coping with the impact of IBD, the interplay between physical pain and the psychological toll of the disease, the various limitations imposed by IBD on daily life and the challenges posed by others' lack of awareness and understanding of the condition. Adolescents with IBD experience disease-related factors that impact their wellbeing. Attention to these factors from nurses, doctors, caregivers and peers can help optimise their mental health and wellbeing.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141687071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Challenges in the management of mild to moderate autoimmune hepatitis","authors":"Stephen D. Ryder, Edward Nicholson","doi":"10.12968/gasn.2024.0049","DOIUrl":"https://doi.org/10.12968/gasn.2024.0049","url":null,"abstract":"","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"83 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tarika Sharma, H. Kang, Shalimar, Mohit Varshney, Ankur Jindal
Liver cirrhosis causes high mortality and morbidity, affecting patients' quality of life (QoL) and health outcomes. Given the significant burden of liver cirrhosis, restructuring healthcare services is crucial. Nurses' involvement in secondary prevention for other chronic diseases has shown benefits, including improved symptom control, reduced hospitalisations and enhanced HRQoL. However, the nursing role in liver disease management remains understudied. This mixed-methods study proposal with an embedded sequential design will assess the effectiveness of a nurse-led virtual liver cirrhosis clinic (NLVLCC) on QoL, self-efficacy, and health outcomes in 90 patients with alcohol-related cirrhosis (60 intervention, 30 control). Health outcomes include medication adherence, performance status, dietary adherence, alcohol intake, depression, anxiety, stress and 30-day readmission. Phase one will involve a randomised controlled trial, followed by narrative analysis in phase two. Data collection will utilize standardized and structured tools, including the Chronic Liver Disease Questionnaire, Self-Efficacy for Managing Chronic Disease 6-item Scale, MARS, Karnofsky Performance Scale, 24-hour dietary recall, AUDIT, DASS, and adherence logs. NLVLCC components include patient education, dietary counseling, brief alcohol de-addiction intervention, psychological support, medication adherence, physical activity guidance and regular virtual follow-ups.
{"title":"Nurse-led virtual clinic for liver cirrhosis: impact on quality of life and health outcomes – a mixed methods research proposal","authors":"Tarika Sharma, H. Kang, Shalimar, Mohit Varshney, Ankur Jindal","doi":"10.12968/gasn.2024.0007","DOIUrl":"https://doi.org/10.12968/gasn.2024.0007","url":null,"abstract":"Liver cirrhosis causes high mortality and morbidity, affecting patients' quality of life (QoL) and health outcomes. Given the significant burden of liver cirrhosis, restructuring healthcare services is crucial. Nurses' involvement in secondary prevention for other chronic diseases has shown benefits, including improved symptom control, reduced hospitalisations and enhanced HRQoL. However, the nursing role in liver disease management remains understudied. This mixed-methods study proposal with an embedded sequential design will assess the effectiveness of a nurse-led virtual liver cirrhosis clinic (NLVLCC) on QoL, self-efficacy, and health outcomes in 90 patients with alcohol-related cirrhosis (60 intervention, 30 control). Health outcomes include medication adherence, performance status, dietary adherence, alcohol intake, depression, anxiety, stress and 30-day readmission. Phase one will involve a randomised controlled trial, followed by narrative analysis in phase two. Data collection will utilize standardized and structured tools, including the Chronic Liver Disease Questionnaire, Self-Efficacy for Managing Chronic Disease 6-item Scale, MARS, Karnofsky Performance Scale, 24-hour dietary recall, AUDIT, DASS, and adherence logs. NLVLCC components include patient education, dietary counseling, brief alcohol de-addiction intervention, psychological support, medication adherence, physical activity guidance and regular virtual follow-ups.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"50 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patient and public involvement (PPI) is increasingly recognised as crucial for enhancing healthcare and research relevance. This case study aimed to describe the development of a PPI group within the context of liver disease management and research, highlighting opportunities and challenges encountered. Patients with liver disease were recruited from a gastroenterology department through an online survey. An initial group discussion meeting was held using a nominal group technique, focusing on establishing the group's purpose, identifying areas of interest for involvement and determining practical organisational aspects. Ongoing collaboration occurred through regular meetings and communication. A total of 18 patients actively participated in the group. Their motivations included utilising lived experiences to support others, gain knowledge about liver disease and raise public awareness. The group contributed to developing patient information, nurse-led consultations and a patient application. Additionally, they identified a need for research on improving healthcare system pathways for liver disease patients. This case study demonstrates a sustainable model for PPI in liver disease. Opportunities included empowering patients as consultants, collaborators and potential patient-led researchers. Challenges included addressing diversity within the group and ensuring adequate resources for PPI activities. This study provides valuable insights for healthcare professionals and researchers seeking to implement PPI in their own settings.
{"title":"Patient and public involvement in liver disease management and research: insights into the development of a patient group","authors":"L. L. Grønkjær, M. Lauridsen","doi":"10.12968/gasn.2024.0022","DOIUrl":"https://doi.org/10.12968/gasn.2024.0022","url":null,"abstract":"Patient and public involvement (PPI) is increasingly recognised as crucial for enhancing healthcare and research relevance. This case study aimed to describe the development of a PPI group within the context of liver disease management and research, highlighting opportunities and challenges encountered. Patients with liver disease were recruited from a gastroenterology department through an online survey. An initial group discussion meeting was held using a nominal group technique, focusing on establishing the group's purpose, identifying areas of interest for involvement and determining practical organisational aspects. Ongoing collaboration occurred through regular meetings and communication. A total of 18 patients actively participated in the group. Their motivations included utilising lived experiences to support others, gain knowledge about liver disease and raise public awareness. The group contributed to developing patient information, nurse-led consultations and a patient application. Additionally, they identified a need for research on improving healthcare system pathways for liver disease patients. This case study demonstrates a sustainable model for PPI in liver disease. Opportunities included empowering patients as consultants, collaborators and potential patient-led researchers. Challenges included addressing diversity within the group and ensuring adequate resources for PPI activities. This study provides valuable insights for healthcare professionals and researchers seeking to implement PPI in their own settings.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"94 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pouch care is a multidimensional branch of specialist nursing, which aims to support patients undergoing a series of stoma and pouch-forming surgeries throughout their entire peri-operative journey, from before the surgery to after discharge. Pouch nurse practitioners are highly-trained specialist nurses with specific skills, providing evidence-based practice, with ongoing research, service development, audit and education forming a part of their role, to ensure that patient care is delivered to the highest standard. The clinical expertise of pouch nurse practitioners is essential, as they must work autonomously, have first-hand knowledge of patients' needs and be able to assist them in timely manner. Defining the role of the pouch nurse practitioner contributes to raising the profile of the profession, raising awareness, and combating misinformation, all while empowering other nurses to consider pouch care as part of their career progression.
{"title":"The role of the pouch nurse in a tertiary centre","authors":"Ralitza Marinova, Petya Marinova","doi":"10.12968/gasn.2023.0041","DOIUrl":"https://doi.org/10.12968/gasn.2023.0041","url":null,"abstract":"Pouch care is a multidimensional branch of specialist nursing, which aims to support patients undergoing a series of stoma and pouch-forming surgeries throughout their entire peri-operative journey, from before the surgery to after discharge. Pouch nurse practitioners are highly-trained specialist nurses with specific skills, providing evidence-based practice, with ongoing research, service development, audit and education forming a part of their role, to ensure that patient care is delivered to the highest standard. The clinical expertise of pouch nurse practitioners is essential, as they must work autonomously, have first-hand knowledge of patients' needs and be able to assist them in timely manner. Defining the role of the pouch nurse practitioner contributes to raising the profile of the profession, raising awareness, and combating misinformation, all while empowering other nurses to consider pouch care as part of their career progression.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"87 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141389377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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