Question: 

My father has an ileostomy(for the last 40 years) he is now in his 70’s and has Parkinson’s disease.  He has very poor hand dexterity and we are wondering what options for assistance may be available- or newer appliances that might be easier to change?

Response:

For aging family members this can be difficult for family members when disabilities start to arise for previously independent persons. Need to be assertive with homecare intake line

There are limited options.

  1. Self-referral or physician referral for homecare. Homecare will be for a limited time. The goals would be:        – find a appliance system that would work for the client        – find a method/routine that would work for the client        – teach family members to support the client the best they can but ensure the client has some autonomy/independence
  2. Occupational therapy consultation
  3. One-piece systems may work for the client depending on the ostomy shape/size, etc

Karen Bruton RN BScN MCISc-WH WOCC(C)

Nurse Education Consultant – Interprofessional Practice Support

Indigenous Services Canada, Government of Canada

Ostomy Canada (Volunteer)

Medical and Lifestyle Advisory Team Lead

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