Postoperative Ostomy Care Case Study: Miguel Flores – Adult
Health II (NR 325) | Assessment, Management, Patient
Education, and Evidence-Based Nursing Interventions
, Miguel Flores — Postoperative Ostomy Care Study Summary
1. Patient and clinical situation
Patient: Miguel Flores
Course: Adult Health II — NR 325
Clinical problem: Recovery following bowel diversion surgery with creation of an
end-sigmoid colostomy.
The case focuses on the nurse's responsibilities in the postoperative period:
maintaining physiologic stability, assessing the new stoma, preventing infection
and skin complications, managing pain, monitoring gastrointestinal function, and
preparing the patient and family for independent ostomy care.
2. Priority postoperative assessment
The nurse should systematically assess:
Vital signs
• Temperature
• Heart rate
• Blood pressure
• Respiratory rate
• Oxygen saturation
Changes such as fever, tachycardia, or hypotension may indicate infection,
bleeding, dehydration, or another postoperative complication.
Pain
• Location
• Severity
• Character
• Aggravating/relieving factors
• Response to analgesics
Health II (NR 325) | Assessment, Management, Patient
Education, and Evidence-Based Nursing Interventions
, Miguel Flores — Postoperative Ostomy Care Study Summary
1. Patient and clinical situation
Patient: Miguel Flores
Course: Adult Health II — NR 325
Clinical problem: Recovery following bowel diversion surgery with creation of an
end-sigmoid colostomy.
The case focuses on the nurse's responsibilities in the postoperative period:
maintaining physiologic stability, assessing the new stoma, preventing infection
and skin complications, managing pain, monitoring gastrointestinal function, and
preparing the patient and family for independent ostomy care.
2. Priority postoperative assessment
The nurse should systematically assess:
Vital signs
• Temperature
• Heart rate
• Blood pressure
• Respiratory rate
• Oxygen saturation
Changes such as fever, tachycardia, or hypotension may indicate infection,
bleeding, dehydration, or another postoperative complication.
Pain
• Location
• Severity
• Character
• Aggravating/relieving factors
• Response to analgesics
