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CTYankeeinOR Asked August 2021

Any advice for caring for a LO with a colostomy bag?

My mom is in the hospital with an infected pressure ulcer. She was in excruciating pain on Saturday and had to go to the ER. The surgeon wants to perform a colostomy to heal the wound. My mom wouldn't consent to surgery, but now wants to leave it to us kids. The surgeon wanted to do the procedure, but my sister told him not without a cardiologist consultation and a second opinion. This is prudent, mom has arythmia, CHF, and her heart valves are shot. The surgeon gave my sister some attitude, but we don't care if we hurt his feelings. I've been doing some research and yes, a colostomy is indicated to aid the wound healing. The issue is with a heart rejection ratio of 30% (last time it was checked), surgery is very risky. Doing nothing is risky as well if septis sets in. The proverbial between a rock and a hard place. If they do the colostomy, what is the effect on quality of life? We can't change her depends without a struggle. There's a lot of studies that suggest it actually improves the quality of life. I'm terrified by this, anybody have any experience with this?

JoAnn29 Aug 2021
I am under the impression when any surgery is done, the surgeon usually needs releases from the patients other doctors involved in her care. Especially Cardiologists.

I have never cared for one but my MIL needed one for 8 months. She was about 70 at the time and was able to care for her own. So can't be too bad. I would think the hospital would show you what to do. Or a Nurse would stop wants she is home.

I think you need to talk to her Cardiologist and see what he says. I would say if he feels she would not survive it then you don't do it.

Was your Mom on hospice or homecare and the Nurse caring for the wound overlooked the infection?
CTYankeeinOR Aug 2021
The cardiologist cleared my mom for surgery. Yes, my mom was under nursing care just the Wednesday before, no hospice yet. Thank you for your helpful answer.

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