Surgical procedures

Assignment 1 Ostomy- Surgical Procedures
Purpose: The purposes of this assignment are for the student to define and describe the
common surgical procedures that result in a stoma and to develop introductory patient teaching
skills. In addition, you will be demonstrating your understanding of common continent urinary
diversions. Length and Value of Assignment: This is an individual assignment worth 15% of your
final mark. Limit the assignment to a total of 13 pages excluding the cover page and the
reference list. Assignments longer than 13 pages may be returned unmarked and given a 0%.\

Assignments must follow the recommendations in the WOC-EP Guideline for Preparing
Assignments and use APA formatting for citations and references. This assignment has specific
directions as to how to format a table, follow these for the specific question applicable. For all
remaining questions (# 2-5) use a subtitle identifying the question you are answering for
example: Three Types of Continent Urinary Diversions and write your answers in a sentence or
short paragraph as needed. Knowledge Acquisition Focus: Gain in-depth knowledge about the
common surgical procedures that result in a stoma and how this impacts output. Gain an
understanding of continent urinary diversions. Expand your understanding of end and loop type
stomas. Knowledge to Practice Focus: Develop a patient oriented vocabulary to explain surgical
procedures during pre-op teaching. For the six surgical procedures listed below, briefly describe
in point form, single space, table format the following: a. The surgical procedure: The description
of the surgical procedure should be as you would explain it to the patient when doing pre-op
teaching. (5 marks x 6 = 30 marks) b. The indications for the surgery. (2.5 marks x 6 = 15 marks)
c. The specific risks/complications associated with the particular surgery. Include how this
surgery will affect the patient. (2. 5 marks x 6 =15 marks) (Please note: Not general surgical risks
such as PE, DVT, MI, stroke or pneumonia). d. The diversion type, type of stoma (end, loop) and
location resulting from the surgery. (1.5 mark x 6 = 9 marks) 1 -Abdominoperineal Resection 2 –
Low Anterior Resection
3-Proctocolectomy Total and Restorative 4 -Hartmann’s Procedure 5 – Cystectomy and Radical
6 -Pelvic Exenteration (anterior, posterior, and total)

An example of a table format: Surgical Procedure: 1 a) Description of surgery (5 marks x 6= 30)
Be concise but thorough. Include the details the person needs to know about their procedure.
Use layman’s terms for this question as you would when explaining it to a person during pre-op
teaching. 1 b) Indications (2.5 marks x 6= 15) Citations should occur with items listed, if multiple
items come from the same source you only need to list it once after the last item.
1 c) Specific risks, complications and the effect on the patient’s life (2.5 x 5=15 marks) Citations
as above. Consider all aspects of the effect on the patient not just the physical.
1 d) Type of Diversion Type of stoma (end or loop) Location (1.5 marks x 6 = 9)
2. Identify the immediate post op (initial few days) and the long-term characteristics of the output
for an ileostomy, a colostomy and an ileal conduit. (2 marks for each (total of 4 /diversion) =12
marks) 3. Provide a short description of how a loop stoma and an end stoma are made and why.
Explain the difference between the two (Please note do not explain what a loop-end stoma is.) (2
marks each = 4 marks) 4. Give a brief description of the following continent urinary diversions:
the Indiana pouch, the Koch (Kock) pouch and the Mitrofanoff. (2 marks each = 6 marks). 5.
Identify the key points of the immediate care and long-term care of an Indiana pouch. (4 marks)
Presentation: Grammar, spelling, length and format, (cover page, introduction, conclusion,
citations and reference list). (5 marks)

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