title: Executive Summary: Enhanced Recovery After Surgery: Best Practice Guideline for Care of Patients With a Fecal Diversion.
abstract: Enhanced Recovery After Surgery (ERAS) is a multimodal program developed to decrease postoperative complications, improve patient safety and satisfaction, and promote early discharge. In the province of Ontario, Canada, a standardized approach to the care of adult patients undergoing elective colorectal surgery (including benign and malignant diseases) was adopted by 15 hospitals in March 2013. All colorectal surgery patients with or without an ostomy were included in the ERAS program targeting a length of stay of 3 days for colon surgery and 4 days for rectal surgery. To ensure the individual needs of patients requiring an ostomy in an ERAS program were being met, a Provincial ERAS Enterostomal Therapy Nurse Network was established. Our goal was to develop and implement an evidence-based, ostomy-specific best practice guideline addressing the preoperative, postoperative, and discharge phases of care. The guideline was developed over a 3-year period. It is based on existing literature, guidelines, and expert opinion. This article serves as an executive summary for this clinical resource; the full guideline is available as Supplemental Digital Content 1 (available at: http://links.lww.com/JWOCN/A36) to this executive summary.
authors.affiliation: Debbie Miller, MN, RN, CETN(C), Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Emily Pearsall, MSc, Department of Surgery, University of Toronto, Toronto, Ontario, Canada. Debra Johnston, MN, RN, CETN(C), University Health Network, Toronto, Ontario, Canada. Monica Frecea, MScN, RN, CETN(C), Mount Sinai Hospital, Toronto, Ontario, Canada. Marg McKenzie, RN, Surgery Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: Debbie
authors.initials: D
authors.lastname: Miller
authors.forename: Emily
authors.initials: E
authors.lastname: Pearsall
authors.forename: Debra
authors.initials: D
authors.lastname: Johnston
authors.forename: Monica
authors.initials: M
authors.lastname: Frecea
authors.forename: Marg
authors.initials: M
authors.lastname: McKenzie
mesh_terms: D003125:Colostomy / Q000523:psychology / Q000534:rehabilitation / Q000592:standards; D017408:Guidelines as Topic / Q000592:standards*; D006801:Humans; D007081:Ileostomy / Q000523:psychology / Q000534:rehabilitation / Q000592:standards; D007902:Length of Stay / Q000639:trends; D009864:Ontario; D010030:Ostomy / Q000523:psychology / Q000534:rehabilitation* / Q000592:standards; D010353:Patient Education as Topic / Q000379:methods / Q000592:standards; D011182:Postoperative Care / Q000534:rehabilitation / Q000592:standards*; D011183:Postoperative Complications / Q000517:prevention & control; D017410:Practice Guidelines as Topic; D012952:Societies / Q000639:trends*