Ostomy Care/WEB WOC Seminars Test final Exam

Ostomy Care/WEB WOC Seminars Test final Exam What does NSWOC stand for? - CORRECT ANSWER -Nurse specialized in wound ostomy and continence What is an NSWOC - CORRECT ANSWER -RN with advanced and specialized knowledge and clinical skills in wound, ostomy and continence care (tri -specialty) -has graduated from a world council of enterostomal therapists (WCET) recognized education therapy What were NSWOCs formally called? - CORRECT ANSWER -enterostomal therapist What is the role of an NSWOC in wound care - CORRECT ANSWER --wound assessment -determining etiology -treating the cause of the wound (often interprofessional) -developing patient centered plan of care -dressing selection What is the role of an NSWOC - CORRECT ANSWER --provide specialized holistic assessment and management as a part of an interprofessional team to meet the needs of individuals/families with ostomies, acute/chronic wounds and urinary and fecal continence prob lems -support quality health care through teaching, mentoring, program development and quality monitoring -promote excellence in care by exercise evidence -based and innovative best practice Types of wounds - CORRECT ANSWER --pressure injuries -neuropathic/diabetic foot ulcers -lower leg (venous, arterial, mixed) -lymphedema -surgical wounds -malignant wounds -skin tears -moisture associated skin damage Role of the NSWOC in continence care - CORRECT ANSWER --assessment and ID of various types of urinary/fecal incontinence and bowel/bladder dysfunction -recommendation of conservative measures to manage incontinence -selection of containment products/devices -referral to sexual health counselling, dietitian, pelvic floor physiotherapist, surgeon (urology, urogyne, general surgery) Conservative measures to manage incontienence - CORRECT ANSWER --diet and fluid management -toileting schedules -bladder and bowel training programs -skin care -pelvic muscle re -education Containment products/devices for incontinence - CORRECT ANSWER --briefs -pull ups -pads/liners Role of the NSWOC nurse in pre -op ostomy care - CORRECT ANSWER --counselling (procedures and routines) -family support -stoma site selection and marking Role of the NSWOC nurse in post -op ostomy care - CORRECT ANSWER --assess stoma viability -assess ostomy management -fitting of pouching system -patient education -prepare for discharge -connection with community care and supports -prepare for follow -up What is an ostomy - CORRECT ANSWER -a surgical opening often exteriorized for the elimination of body waste What are the different types of ostomies? - CORRECT ANSWER --tracheostomy -fecal ostomy -urinary ostomy What is a fecal ostomy - CORRECT ANSWER -surgical procedure that reroutes the normal movement of bowel contents out of the body when the bowel is diseased or removed -bring stool through skin surface and collect it in a pouch What is a urinary ostomy - CORRECT ANSWER -surgical procedure that reroutes the normal movement of the urine when the bladder is removed How is normal movement of urine/bowel contents rerouted? - CORRECT ANSWER -part of the intestine s brought through the abdominal wall so that waste exits through the abdominal wall instead of passing through the anus/urethra What are the 3 most common ostomies - CORRECT ANSWER --colostomy