Pub Date : 2023-12-02DOI: 10.12968/gasn.2024.21.10.28
Simekuhle Ndlovu
In the changing face of healthcare, the number of nurse-led clinics has increased. This is also the case for stoma clinics in the UK. Although there is no standardised pathway, ostomates (person living with a stoma) in the UK are routinely followed up either by telephone or face-to-face depending on the need to deliver timely patient care. High-quality care and experience are important determinants of patient satisfaction in healthcare and align with the government's long-term plan, which expects this as standard. Therefore, this study explored the views and needs of ostomates to better understand the experiences and wishes of ostomates that attend a nurse-led clinic at a local hospital. The aim of this study was to evaluate ostomates’ experience of care delivered on the stoma care nurse-led outpatient follow-up pathway. An adapted data collection tool was used to evaluate face-to-face and telephone clinics in a 3-month period (December-February). A non-probability convenience sample of 246 patients who accessed the pathway face to face (n=122) or by telephone (n=124) were surveyed. The questionnaires were sent to consenting respondents who had either a colostomy ileostomy or urostomy. A total of 117 questionnaires were returned, with a response rate of 48%. The results showed that 98% of respondents on the face-to-face pathway said the nurse had answered all their questions compared to 80% on the telephone. Nine out of 10 (90%) of respondents were very satisfied with the overall telephone consultation, while only 68% of respondents were very satisfied with the overall face-to-face consultation. Almost all (97%) of ostomates from the face-to-face clinic were happy with the length of their appointment, compared with 81% of those from the telephone clinic. Overall, the respondents are generally happy with the service offered to them and they valued the role of the stoma nurses. The service evaluation highlighted several good areas of practice and identified areas that need improvement, including offering preference of type of clinics to ostomates. Both options of face-to-face and telephone consultations could be presented to ostomates to ensure appropriate quality of care. In addition, an action plan has been put in place to improve identified needs.
{"title":"Local nurse-led outpatient follow-up pathway to identify and meet the needs of ostomates: a service evaluation","authors":"Simekuhle Ndlovu","doi":"10.12968/gasn.2024.21.10.28","DOIUrl":"https://doi.org/10.12968/gasn.2024.21.10.28","url":null,"abstract":"In the changing face of healthcare, the number of nurse-led clinics has increased. This is also the case for stoma clinics in the UK. Although there is no standardised pathway, ostomates (person living with a stoma) in the UK are routinely followed up either by telephone or face-to-face depending on the need to deliver timely patient care. High-quality care and experience are important determinants of patient satisfaction in healthcare and align with the government's long-term plan, which expects this as standard. Therefore, this study explored the views and needs of ostomates to better understand the experiences and wishes of ostomates that attend a nurse-led clinic at a local hospital. The aim of this study was to evaluate ostomates’ experience of care delivered on the stoma care nurse-led outpatient follow-up pathway. An adapted data collection tool was used to evaluate face-to-face and telephone clinics in a 3-month period (December-February). A non-probability convenience sample of 246 patients who accessed the pathway face to face (n=122) or by telephone (n=124) were surveyed. The questionnaires were sent to consenting respondents who had either a colostomy ileostomy or urostomy. A total of 117 questionnaires were returned, with a response rate of 48%. The results showed that 98% of respondents on the face-to-face pathway said the nurse had answered all their questions compared to 80% on the telephone. Nine out of 10 (90%) of respondents were very satisfied with the overall telephone consultation, while only 68% of respondents were very satisfied with the overall face-to-face consultation. Almost all (97%) of ostomates from the face-to-face clinic were happy with the length of their appointment, compared with 81% of those from the telephone clinic. Overall, the respondents are generally happy with the service offered to them and they valued the role of the stoma nurses. The service evaluation highlighted several good areas of practice and identified areas that need improvement, including offering preference of type of clinics to ostomates. Both options of face-to-face and telephone consultations could be presented to ostomates to ensure appropriate quality of care. In addition, an action plan has been put in place to improve identified needs.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"43 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138985768","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 : 2023-10-02DOI: 10.12968/gasn.2023.21.8.8
Nikki Welyczko
A brief overview of recently published articles on gastroenterology, hepatology and stoma care
简要概述最近发表的关于胃肠病学，肝病学和口腔护理的文章
{"title":"Journal scan","authors":"Nikki Welyczko","doi":"10.12968/gasn.2023.21.8.8","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.8.8","url":null,"abstract":"A brief overview of recently published articles on gastroenterology, hepatology and stoma care","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135901749","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 : 2023-10-02DOI: 10.12968/gasn.2023.21.8.36
Ilkin Kasmani
Irritable bowel syndrome (IBS) is a common longstanding condition with a variety of symptoms including constipation, diarrhoea and abdominal cramps or bloating. There are no specific causes of IBS; therefore, symptoms and management are individualised to each patient. Management strategies involve lifestyle advice on diet and exercise, medications and psychological therapies. IBS can be extremely debilitating to patients’ quality of life and is usually diagnosed as a process of elimination of other gastrointestinal conditions that can have similar symptoms, such as inflammatory bowel disease. Medications to manage IBS include laxatives, antispasmodics, antimotility agents and neuromodulators, as IBS is believed to be a disorder of the gut–brain axis.
{"title":"Pharmacological management of irritable bowel syndrome","authors":"Ilkin Kasmani","doi":"10.12968/gasn.2023.21.8.36","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.8.36","url":null,"abstract":"Irritable bowel syndrome (IBS) is a common longstanding condition with a variety of symptoms including constipation, diarrhoea and abdominal cramps or bloating. There are no specific causes of IBS; therefore, symptoms and management are individualised to each patient. Management strategies involve lifestyle advice on diet and exercise, medications and psychological therapies. IBS can be extremely debilitating to patients’ quality of life and is usually diagnosed as a process of elimination of other gastrointestinal conditions that can have similar symptoms, such as inflammatory bowel disease. Medications to manage IBS include laxatives, antispasmodics, antimotility agents and neuromodulators, as IBS is believed to be a disorder of the gut–brain axis.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135901954","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 : 2023-10-02DOI: 10.12968/gasn.2023.21.8.44
Penny Harrison
Penny Harrison guides readers through the latest annual report from the NMC
Penny Harrison将带领读者阅读NMC最新的年度报告
{"title":"Review of the annual report for the NMC register","authors":"Penny Harrison","doi":"10.12968/gasn.2023.21.8.44","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.8.44","url":null,"abstract":"Penny Harrison guides readers through the latest annual report from the NMC","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135901746","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":"Putting patients at the centre of clinical decision making: BSGNA update","authors":"Shellie J Radford, Noelle Rohatinsky","doi":"10.12968/gasn.2023.21.8.16","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.8.16","url":null,"abstract":"Shellie J Radford and Noelle Rohatinsky from the BSGNA examine the need to address the patient experience when treating inflammatory bowel disease","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135901748","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 : 2023-10-02DOI: 10.12968/gasn.2023.21.8.12
Kathy Whayman
Kathy Whayman examines the enablers and barriers that impact gastrointestinal nurses’ involvement in carrying out research, specifically exploring their activity, impact and appetite
Kathy Whayman研究了影响胃肠护士参与研究的因素和障碍，特别是探索他们的活动，影响和食欲
{"title":"The enablers and barriers for becoming research active","authors":"Kathy Whayman","doi":"10.12968/gasn.2023.21.8.12","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.8.12","url":null,"abstract":"Kathy Whayman examines the enablers and barriers that impact gastrointestinal nurses’ involvement in carrying out research, specifically exploring their activity, impact and appetite","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"226 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135901743","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 : 2023-10-02DOI: 10.12968/gasn.2023.21.8.28
Gemma Harris
Parenteral nutrition is the intravenous provision of nutrition, made up of a mixture of components. It is for patients where conditions, such as intestinal failure, short bowel syndrome or bowel obstruction, are present and necessiate additional nutrition to meet patients’ needs and avoid malnutrition. Parenteral nutrition can be life-preserving for patients. There are four main types of central intravenous catheters that deliver these nutrients: an implantable port device, a tunnelled central venous catheter, a non-tunnelled central venous catheter and a peripherally-inserted central catheter. The three main bag types that contain of bags that contain these nutrients: pre-made, multi-chamber and bespoke. This article outlines the importance and involvement of nurses in the parenteral nutrition process, including the selection and administration of parenteral equipment, as well as presenting a summary of parenteral catheters and bags, their safety and evidence-based efficacy.
{"title":"Parenteral nutrition overview: the role of the nurse and equipment","authors":"Gemma Harris","doi":"10.12968/gasn.2023.21.8.28","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.8.28","url":null,"abstract":"Parenteral nutrition is the intravenous provision of nutrition, made up of a mixture of components. It is for patients where conditions, such as intestinal failure, short bowel syndrome or bowel obstruction, are present and necessiate additional nutrition to meet patients’ needs and avoid malnutrition. Parenteral nutrition can be life-preserving for patients. There are four main types of central intravenous catheters that deliver these nutrients: an implantable port device, a tunnelled central venous catheter, a non-tunnelled central venous catheter and a peripherally-inserted central catheter. The three main bag types that contain of bags that contain these nutrients: pre-made, multi-chamber and bespoke. This article outlines the importance and involvement of nurses in the parenteral nutrition process, including the selection and administration of parenteral equipment, as well as presenting a summary of parenteral catheters and bags, their safety and evidence-based efficacy.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135901747","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 : 2023-10-02DOI: 10.12968/gasn.2023.21.8.5
Leigh Donnelly
{"title":"A nurse's role in sustainable practice","authors":"Leigh Donnelly","doi":"10.12968/gasn.2023.21.8.5","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.8.5","url":null,"abstract":"","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135901745","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 : 2023-10-02DOI: 10.12968/gasn.2023.21.8.20
Iwan Chi Wai, Ada Wy Chan, Joyce YH Lam, Sharon KH Chan, CW Lau, Eric CH Lai
Peristomal skin recurrences of colorectal cancer after excision of the primary are rare. Clinically, it presents as a subcutaneous mass throughout the abdominal wall and progressively extends on the abdomen as a skin granuloma. Two colorectal cancer patients (an 83-year-old man, previously treated with left hemicolectomy and right exteriorisation for an obstructive tumour of the descending colon, Stage IV mucinous, poorly differentiated adenocarcinoma, and a 60-year-old man who finished the Hartmann's operation and small bowel resection for a perforated and locally advanced cancer of the descending colon) presented tumour recurrences in their peristomal skin. In both patients, the initial presentation was a tiny mucocutaneous skin granuloma. Subsequently, it became a large-sized, atypical, fungated tumour growth, which was complicated with persistent bleeding. A skin biopsy demonstrated an infiltration of adenocarcinoma throughout the dermis and was diagnosed as a local recurrence accompanied by peristomal skin metastasis. Although abdominal skin metastasis of colorectal cancer is rare, it is often a sign of intraabdominal recurrence. Therefore, any unusual skin lesions around the incision scar or stoma should be early biopsied to rule out local metastasis. Stoma nurse specialists play a crucial role in conducting stoma examinations, which involve both stoma and abdominal assessments. Point of care using ultrasound; clinical photos; telehealth; and patient empowerment could be advanced to facilitate early identification of stomal complications for timely investigation and treatment.
{"title":"Tumour Recurrence in peristomal skin: a case report","authors":"Iwan Chi Wai, Ada Wy Chan, Joyce YH Lam, Sharon KH Chan, CW Lau, Eric CH Lai","doi":"10.12968/gasn.2023.21.8.20","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.8.20","url":null,"abstract":"Peristomal skin recurrences of colorectal cancer after excision of the primary are rare. Clinically, it presents as a subcutaneous mass throughout the abdominal wall and progressively extends on the abdomen as a skin granuloma. Two colorectal cancer patients (an 83-year-old man, previously treated with left hemicolectomy and right exteriorisation for an obstructive tumour of the descending colon, Stage IV mucinous, poorly differentiated adenocarcinoma, and a 60-year-old man who finished the Hartmann's operation and small bowel resection for a perforated and locally advanced cancer of the descending colon) presented tumour recurrences in their peristomal skin. In both patients, the initial presentation was a tiny mucocutaneous skin granuloma. Subsequently, it became a large-sized, atypical, fungated tumour growth, which was complicated with persistent bleeding. A skin biopsy demonstrated an infiltration of adenocarcinoma throughout the dermis and was diagnosed as a local recurrence accompanied by peristomal skin metastasis. Although abdominal skin metastasis of colorectal cancer is rare, it is often a sign of intraabdominal recurrence. Therefore, any unusual skin lesions around the incision scar or stoma should be early biopsied to rule out local metastasis. Stoma nurse specialists play a crucial role in conducting stoma examinations, which involve both stoma and abdominal assessments. Point of care using ultrasound; clinical photos; telehealth; and patient empowerment could be advanced to facilitate early identification of stomal complications for timely investigation and treatment.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135901744","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 : 2023-10-01DOI: 10.12968/gasn.2023.21.sup8.s4
Fozia Karim, Halimah Khalil, Kate Pearman, Lauren Mckay, Abdullah Abbasi, Shyam Menon
A brief overview of recently published articles on endoscopy
简要概述最近发表的关于内窥镜检查的文章
{"title":"Study scope","authors":"Fozia Karim, Halimah Khalil, Kate Pearman, Lauren Mckay, Abdullah Abbasi, Shyam Menon","doi":"10.12968/gasn.2023.21.sup8.s4","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.sup8.s4","url":null,"abstract":"A brief overview of recently published articles on endoscopy","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"192 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135852347","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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