Patient teaching for an ileoanal reservoir.

Creation of an ileoanal reservoir involves a two-stage surgical procedure. Each stage requires extensive patient education. After stage I, the patient must learn to manage an ileostomy, maintain fluid and electrolyte balance, care for perianal skin irritation, implement dietary changes, and reestablish bowel control. Stage II involves reanastomosis of the bowel, and patient education continues with emphasis on bowel reeducation and skin care. Complications can be frequent, but they may be eliminated or at least minimized by educating the patient. Patients having this procedure usually have had a stressful medical history and are highly motivated to return to a normal lifestyle, yet they still need emotional support. Patient education sheets provide a means to summarize the necessary information. Written instructions provide reinforcement for demonstrations and aid in retention of knowledge.