Page 18 - CANADIAN URINARY DIVERSIONS POSITION STATEMENT

Table 3 Enhanced recovery checklist for an ileal conduit to standardize patient care and education

Preoperative Postoperative Postdischarge

Skills/knowledge 10-14 days before surgery Skills/knowledge during planned 4-7 day hospital stay Skills/knowledge within 7-14 days after discharge

Have your stoma site marking explained and completed. Day of surgery: Meet with your community care nurse for support.
• Look at your stoma

Receive ostomy education on: Day 1-2 after surgery: Demonstrate your independence with pouching system changes 2 weeks
• planned surgical procedure; • empty your pouch with the nurse after discharge.
• normal stoma function; • connect/ disconnect to straight drainage.
• presence of mucus; Day 3+ after surgery: Receive follow up care from hospital or a community NSWOC at least
• role of stents; • empty your pouch on your own; connect/ disconnect to within 7-10 days and then as often as 2, 4 & 6 weeks after discharge.
• care and management of an ileal conduit (emptying; straight drainage on your own
connecting to straight drainage at night; applying a pouching • participate in your pouching system change using careful
system; pouch wear times; pouching system options); techniques to stabilize stents to prevent dislodgement;
• impact of sexual health; • discuss and understand how to obtain a urine sample from
• potential complications: urinary tract infections, dehydration, your stoma;
stoma and peristomal skin problems, and parastomal hernia; • ensure you are referred to community care services; and
• industry sponsored programs; • receive your discharge ostomy supplies.
• ostomy buddy/journey coach; and
• ostomy supplies: where to buy, cost and financial support.
Receive and review preoperative ostomy practice pack. Review information given to you preoperatively: Receive continuing information about potential ostomy-related
• potential complications; complications:
• products; and • urinary tract infections;
• financial supports. • dehydration;
• stoma and peristomal skin problems;
• parastomal hernia; and
• B /drug metabolism changes. 48
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Practice wearing a pouching system, opening, and closing the Ask about enrolling in an industry sponsored program. Receive continuing information about ostomy-related lifestyle
pouch. considerations:
• pouch wear times;
• importance of adequate daily fluid intake to keep hydrated;
• lifestyle adjustments;
• ostomy support groups and resources; and
• industry programs.
Review lifestyle changes. Have your significant other participate in ostomy care. Know who to call and what to do in an emergency.

CANADIAN URINARY DIVERSIONs POSITION STATEMENT 16