Community nurses are frequently involved in the care of patients after they are discharged from hospital, including many who have undergone stoma-forming surgery. There is evidence that it takes some time to adjust to life with a stoma, with much of this adjustment occurring in the first three months following surgery. During this period, nurses can use their skills to resolve any
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problems that might occur, helping patients to adapt and improve their quality of life. If community nurses cannot resolve any issues patients may have with their stomas, referral to a specialist such as the local stoma specialist nurse, might be necessary.
The senior level gained by advanced nurse practitioners (ANPs) means they are in a strong position when it comes to representing the population. Nurses have had to educate themselves beyond post registration with Masters and Doctorates to support the client group, because of the growing population and 24-hour healthcare requirements. This is in support of the NHS’s commitment to care for patients from the cradle to the grave. There have been obstacles to the ANP’s advancement, but the five drivers of heath care are firm and supportive and likely to have a great impact in the future for ANPs as service deliverers.
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