Pediatric ostomy care nursing is primarily based on best practice principles; evidence supporting care remains sparse. Although many principles of ostomy care are similar across the life span, the indications for ostomy surgery and clinical approach differ when working with neonates, children, and adolescents. An international group of pediatric ostomy care experts was brought together to offer their expertise on caring for children with an ostomy. Best practice guidelines were developed based on literature review and consensus among expert panelists. The purpose of these guidelines is to provide a resource for best practices to health care professionals caring for pediatric patients with an ostomy. This article is divided into 2 sections: the first highlights clinical aspects of pediatric ostomy care, while the second addresses psychosocial aspects of ostomy care, including effects of an ostomy on the family. These guidelines address ostomy care and need within the full spectrum of the pediatric age groups, from neonates to adolescents.
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http://dx.doi.org/10.1097/WON.0000000000001001 | DOI Listing |
BMC Pulm Med
March 2025
Department of Rehabilitation Medicine, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, Yunnan, 650101, China.
Objective: Prolonged immobilization is the main cause of muscle loss, particularly in patients with tracheostomy. The parasternal intercostal muscle (ICM) and diaphragm are commonly evaluated using ultrasonography; however, the importance of the fifth ICM has been overlooked. We compared the thickness and echogenicity of the second and fifth ICMs and diaphragm in patients with and without tracheostomy to determine the associations with onset duration and other factors and to characterize the respiratory muscle loss.
View Article and Find Full Text PDFJMIR Hum Factors
March 2025
Department of Bioengineering, Clemson University, Clemson, SC, United States.
Background: The social media platform YouTube is a recognized educational resource for health information, but few studies have explored its value for conveying the lived experience of individuals managing chronic health conditions and end users' interactions with medical device technology. Our study explores self-care strategies and end user needs of people living with a stoma because patient education and engagement in ostomy self-care are essential for avoiding ostomy-related complications. Ostomy surgery creates a stoma (an opening) in the abdomen to alter the route of excreta from digestive and urinary organs into a detachable external pouching system.
View Article and Find Full Text PDFCancer Nurs
March 2025
Author Affiliations: College of Public Health (Drs Brown and Medcalf), Departments of Neurological Sciences (Dr Poppert Corts) and Pediatrics (Dr Acquazzino); and College of Nursing (Dr Lally), University of Nebraska Medical Center, Omaha.
Background: People with late-stage and metastatic colorectal cancer (CRC) are living longer, with rates increasing over time, necessitating a greater understanding of their survivorship experiences.
Objective: The purpose of this study was to explore the quality of life (QoL) and cancer-related experiences of stages III and IV CRC survivors and to inform oncology nursing practice and survivorship care.
Interventions/methods: This sequential, explanatory mixed-method study used a cross-sectional Functional Assessment of Cancer Therapy-Colorectal survey and semistructured interviews to explore QoL and cancer-related experiences of stages III and IV CRC survivors.
Eur J Pediatr
February 2025
Neonatal Intensive Care Unit, Centre Hospitalier Intercommunal de Créteil, 40 Avenue de Verdun, 94000, Créteil, France.
The purpose of this study was to compare two initial surgical strategies for spontaneous intestinal perforation (SIP) in a bi-centric cohort of extremely preterm and/or extremely low birthweight infants. Observational, retrospective study including infants born before 28 weeks of gestation and/or with birthweight < 1000 g, born between 2010 and 2020, operated for SIP in two type 3 centers. Infants were attributed to groups according to the surgical technique of the first intervention: primary anastomosis or suturing (PAS) or enterostomy (ES).
View Article and Find Full Text PDFNurs Crit Care
March 2025
Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China.
Background: The optimal timing for exchanging an endotracheal tube for a tracheostomy cannula in patients with hypoxic-ischaemic encephalopathy is controversial.
Aim: This study aimed to evaluate the effects of early versus late tracheostomy on the prognosis of patients with hypoxic-ischaemic encephalopathy.
Study Design: The study was an observational retrospective study that followed the Strengthening the Reporting of Observational Studies in Epidemiology guidelines.
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