Persons who have stomas: violent injury versus disease.
Victims of violence may have injuries that necessitate the construction of stomas. The purposes of this retrospective study were to (1) describe demographic and perioperative variables for persons who had fecal stomas as a result of violent injury and (2) to compare these variables with those for persons who had stoma construction because of disease. Medical records of 44 persons who had stoma construction performed at a level I trauma center were reviewed. Victims of violence (n = 26) were generally young, black men with minimal income and no health insurance. Stomas were primarily colostomies of varied construction. Incisions were left open to heal by second intention. Violent behavior is an important cause of injury-related disability in the United States. ET nurses have important roles in teaching, in providing emotional support, and in participating in discharge planning for a patient who has a stoma that is a result of violent injury.
Pieper
B
B
D000328:Adult; D000367:Age Factors; D003106:Colon / Q000293:injuries* / Q000601:surgery; D015179:Colorectal Neoplasms / Q000601:surgery*; D003125:Colostomy / Q000534:rehabilitation*; D005006:Ethnicity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014948:Wounds, Gunshot / Q000601:surgery; D014950:Wounds, Penetrating / Q000601:surgery*; D014951:Wounds, Stab / Q000601:surgery