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- Anatomy/Physiology

- Gastrointestinal (GI) system

- Genitourinary (GU) system

- Principles of Wound Healing

- Partial-Full Thickness healing

- Types wound closure

- Moist wound healing

- Systemic factors that influence healing

- Treatment and management of conditions/etiologies/indications for Fecal or Urinary Diversion Surgery

- Bowel obstruction

- Inflammatory bowel disease

- Ulcerative colitis, Crohns disease,

- Gastrointestinal cancers

- acute diverticulitis

- Bladder cancer

- Interstitial cystitis

- Neurogenic bladder

- Refractory radiation cystitis

- Pediatric conditions

- Hirschsprungs disease

- Imperforate anus

- Necrotizing enterocolitis

- Malrotation with midgut volvulus

- Meconium ileus

- Intussusceptions

- Cloacal exstrophy

- Intestinal atresias

- Intestinal pseudoobstruction

- Intestinal transplant

- Assessment, treatment and management of:

- Gastrointestinal Ostomies

- Colostomy

- Ascending colostomy

- Cecostomy

- Transverse colostomy

- Descending colostomy

- Ileostomy

- Brooke ileostomy

- Gastrointestinal continent diversions

- Kock pouch

- Ileoanal reservoir

- Continent colostomy

- Urinary ostomies

- Urostomy

- Ileal conduit

- Colon conduit

- Uretero-sigmoidostomy

- Jejunum conduit

- Incontinent urinary diversions Ureterostomy, Vesicostomy

- Continent urinary diversions

- Indiana pouch

- Mitrofanoff continent urinary diversion

- Neo- bladder

- Fistulas

- Patient Education

- Pre-operative teaching and counseling:

- anatomy and physiology of the GI or GU system

- procedure

- appearance of the stoma

- appliances

- equipment

- modification and alterations of lifestyle after surgery

- Teaching plan specific patient needs and concerns:

- age

- self care ability

- presurgical life style

- barriers to learning

- patients support system

- dietary habits

- physical habits

- financial resources

- receptiveness to education

- social and coping skills

- psychosocial development

- environmental challenges

- Post-operative teaching and counseling:

- Apply, manipulate, empty, and remove pouching system

- stoma care

- bathing

- clothing

- activity restrictions

- medication influence

- dietary considerations

- peristomal skin care

- complications to report

- sexual counseling

- colostomy irrigation and discharge resources

- Assessment and management Peristomal complications:

- Peristomal hernia

- Peristomal fistula

- Peristomal candidiasis

- Folliculitis

- Pseudoverrucous lesions

- pyoderma gangrenosum

- Suture granulomas

- Irritant contact dermatitis

- allergic contact dermatitis

- skin trauma

- Psoriasis and Alkaline encrustations

- Carcinoma of the peristomal skin, Pemphigus

- Assessment and management of stoma and stomal complications:

- Categories, types, clinical characteristics

- Peristomal hernia

- stoma prolapse

- stoma necrosis

- stoma stenosis

- stoma retraction

- mucocutaneous separation

- stomal varices

- stoma fistula

- stoma trauma

- Assessment, management, and modifications for appliances and pouching products including:

- One- piece or two-piece systems

- Systems for fecal or urinary diversions

- Flexible or rigid skin barriers

- Flat or convex skin barriers, and pouching accessories

- Psychosocial Effects of Fecal and Urinary Diversion Surgery:

- Phases of adjustment, quality of life, self esteem, body image

- Relationships, spiritual, cultural, and ethnic considerations

- Health care professionals role and responsibilities

- Procedures and techniques:

- Containment of stoma effluent

- Colostomy irrigation

- Catheterization of an ileal conduit

- Food blockage

- ileostomy lavage

- medication administration drug absorption

- Pouching fistulas

- Stoma site marking

- Tube management:

- nasogastric tubes

- nephrostomy tubes

- long intestinal tubes

- biliary tubes

- tracheostomy tubes

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