Answer:
An ileostomy is a surgical procedure that creates an opening in the abdominal wall, known as a stoma, to allow the small intestine to empty directly into an external pouching system. After the surgical creation of an ileostomy, the client is transferred to a rehabilitation unit where they will receive education and guidance on how to manage their new ostomy and how to incorporate it into their daily lives.
One of the most important aspects of post-operative care for clients with an ileostomy is dietary management. As the small intestine will now be connected to the abdomen, it is important for clients to consume foods that are easy to digest and low in residue. High-fiber and roughage foods may cause blockage or discomfort, and may not be well tolerated by the client in the immediate post-operative period.
The nurse will recommend foods such as soft cooked eggs, yogurt or cottage cheese, cream of wheat or farina cereal, tender cooked meats such as chicken or fish, soft fruits such as bananas, peaches, or canned fruits, Jell-O or other types of clear fruit gelatins, milk or juice. These types of food are easy to digest and low in residue, which will help to prevent blockages and discomfort.
It is also essential for the client to avoid certain foods that can cause gas and bloating such as beans, broccoli, and cauliflower. Moreover, certain foods such as nuts, seeds, raw fruits and vegetables, dried fruits, whole grains, and high-fat foods should be avoided as they may cause blockages and discomfort.
It is also important for the client to drink plenty of fluids to prevent dehydration and to eat smaller, more frequent meals rather than three large meals. This will help the client to adjust to the new diet and the new way of life.
In conclusion, dietary management is a crucial aspect of post-operative care for clients with an ileostomy. The nurse will recommend foods that are easy to digest and low in residue, and will also teach the client how to avoid certain foods that can cause blockages and discomfort. Additionally, the nurse will teach the client how to drink plenty of fluids, eat smaller, more frequent meals and how to monitor their output to ensure proper healing and recovery.