Critiquing Research Papers

The purpose of this essay is to reflect on a practical skill that was developed during my recent placement. The skill focuses on the stoma care management as performed on various clients admitted in the ward. Additionally in this essay, ward procedure guidelines governing the skill performance will be discussed in effort to link available ward policies to recent evidence based practice and relevant interpersonal skills required for appropriate skill performance. Lastly, my general attitude and behaviour towards the skill will be addressed and analysed together with identifying the relevancy the skill to clients receiving stoma care.
Putting the rationale for my chosen skill into consideration, I happened to attained special interest in previous Gastro intestinal system lectures where stoma care had been discussed theoretically. However, coming into contact with stoma care patients turned the theory into reality thus increasing personal interest. Besides that, stoma care is a rather complicated skill and potential problems of harm to the patient could arise if not well performed (Luscher 2007, p12) .Thus this essay not only aims on giving a reflection on the skill development but also aims to inform practice on appropriate code of conduct nurses should have prior to providing stoma care (NBM, 1998).

Exploring the gastrointestinal disease profiles proves numerous conditions of the bowel and bladder to be affecting people across all ages Burch (2008, p45). These amongst others include; colorectal or bladder cancer, ulcerative colitis, Crohn’s disease, severe faecal or urinary incontinence and trauma (Smeltzer et al 2008,p934). In most cases however, surgical treatment of these conditions may require formation of a stoma (WCET 2010). A stoma is defined as an artificial opening on the abdomen to divert the flow of faeces or urine into an external pouch located outside of the body (Black 2008, p30). However created stomas can either temporary or permanent depending

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