Black Pat
Senior Lecturer, St Mark's Institute of GI Nursing, St Mark's Hospital, London, England.
Br J Community Nurs. 2015 Oct;20(10):487-92. doi: 10.12968/bjcn.2015.20.10.487.
Mental incapacities in the form of dementia, Parkinson's disease, Huntington's disease, and the physical incapacities of arthritis are difficult hurdles for an older patient who has to undergo stoma surgery, irrespective of the stoma being temporary or permanent. The loss of intellectual and physical function can cause significant deterioration in the patient's ability to carry out day-to-day activities and can also manifest itself in changes in social behaviour. Caring for these patients in the community will require the nurse to adjust the patient's care accordingly, and provide a holistic and more individualised care package that includes the support of the carer or spouse. This article discusses the ways in which community nurses can help the older stoma patient and carer.
痴呆症、帕金森病、亨廷顿舞蹈症等形式的精神能力丧失，以及关节炎导致的身体能力丧失，对于必须接受造口手术的老年患者来说，都是难以跨越的障碍，无论造口是临时性的还是永久性的。智力和身体功能的丧失会导致患者进行日常活动的能力显著下降，还可能表现为社会行为的改变。在社区中护理这些患者将要求护士相应地调整对患者的护理，并提供一个全面且更具个性化的护理方案，其中包括照顾者或配偶的支持。本文讨论了社区护士帮助老年造口患者及照顾者的方法。
