Collaborative Management of the Individual with a High Output Ileostomy for Optimal Outcomes
Total colectomy, resulting in end ileostomy, is necessary for many reasons. A percentage of these patients will develop high ostomy output resulting in readmission with dehydration and/or acute kidney injury. This session highlights important new evidence to provide the registered dietitian nutritionist with deliberate interventions in concert with wound, ostomy and continence nurse (WOC RN) to keep our patients safe and out of the hospital. A WOC RN will review the indications and types of ostomies, expected 24-hour ostomy volume, and the role of the WOC RN and suggested tips for the RDN to best collaborate with their own WOC RNs. Also, a GI nutrition specialist will present evidence-based nutrition and hydration recommendations as well as strategic selection and dosing of medications to maximize absorption and decrease stool volume.
- Describe the indications for the creation of an ileostomy, types of ostomies, and expected post-operative 24 hour ostomy volume.
- Discuss the roles of the WOC RN and the RDN in implementing evidence-based nutrition and hydration recommendations and tools to keep patients with ileostomies safe and out of the hospital.
- Strategically select and dose medications to maximize fluid and nutrient absorption and to decrease stool volume.
- 6.3.9 Disseminates research or performance
improvement outcomes to advance knowledge,
change practice and enhance effectiveness of
- 8.3.1 Maintains the knowledge and skill to manage
a variety of disease states and clinical conditions.
- 8.1.5 Applies medical nutrition therapy in disease prevention and management.
Jennifer Sporay, MS, RDN-AP, CSO, LDN, CNSC, FAND
Carol Rees Parrish, MS, RDN
Nutrition Support Specialist
University of Virginia Health System
Mary Arnold Long, DNP, APRN, CRRN, CWOCN-AP, ACNS-BC