Managing high- output fistulas
Frost Sue Clinical Nurse Specialist, Stoma Care, Good Mope District General Hospital. Sutton Coldfield
Sue Frost demonstrates the value of skilled nursing assessment of patients with high-output fistulas, describing their management in two patient case histories from her recent experience
A problematic area of stoma therapy is care of the high-output fistula. When the fistula is situated in a small area, fluid collection and skin protection can prove difficult; when the area is much larger, the problem may be intensified. Although large-area fistulas are relatively rare, they can lead to further complications if a suitable form of management is not employed.
Nursing Standard. 5, 51, 25-27. doi: 10.7748/ns.5.51.25.s46