Question

A patient's colorectal cancer has necessitated a hemicolectomy with the creation of a colostomy. In the 4 days since the surgery, the patient has been unwilling to look at the ostomy or participate in any aspects of ostomy care. What is the nurse's most appropriate response to this observation?

A. Ensure that the patient knows that he or she will be responsible for care after discharge.
B. Reassure the patient that many people are fearful after the creation of an ostomy.
C. Acknowledge the patient's reluctance and initiate a discussion of the factors underlying it.
D. Arrange for the patient to be seen by a social worker or spiritual advisor.

Answer 1

The nurse should acknowledge the patient's feelings surrounding their new ostomy and discuss underlying concerns to offer appropriate support and guidance on ostomy care post-hemicolectomy for colorectal cancer.

Step-by-step explanation:

The most appropriate response for the nurse when dealing with a patient who is reluctant to look at their ostomy or participate in ostomy care after a hemicolectomy for colorectal cancer would be option C: Acknowledge the patient's reluctance and initiate a discussion of the factors underlying it. It is essential to provide empathetic support to patients who are adjusting to life-changing surgeries. By opening a dialogue, the nurse can better understand the patient's feelings and offer tailored support and education. If deemed necessary based on this conversation, the nurse can then bring in additional resources, such as a social worker or spiritual advisor, to facilitate the patient's coping and acceptance of the ostomy.

Providing care and education for a new ostomy can be challenging for patients and requires a sensitive approach. The surgeon, nurse, and anesthesia professional collaborate to review the key aspects of recovery and care, including how to manage a new fecal pouch or an ileostomy, if applicable. Alleviating the psychological burden associated with an ostomy is as crucial as managing the physical aspects of post-operative care.