A patient with an ascending colostomy made as a result of abdominal trauma 4 days ago closes his eyes during stoma care. What patient outcome is most important for the nurse to help the pa-tient achieve?
a. The patient needs no assistance to perform this procedure within a few days.
b. The patient will ask questions about what clothing he can wear before discharge.
c. The patient touches the stoma while look-ing at it within the next 2 days.
d. The patient's family learns how to pouch his stoma within 1 week.
C
Patients usually need time to adjust to an abrupt body image change and a change in bodily func-tion. Looking at the stoma and touching it would indicate the beginning of adapting to the changes. The patient needs to be able to be independent eventually in caring for his ostomy, but it is not expected that he would be caring for the stoma within a few days. The patient needs to talk about what type of clothing will work with the stoma well before discharge, but adjusting to the change in his body must come first.
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