You’re preparing a teaching plan for a 27 y.o. named Jeff who underwent surgery to close a temporary ileostomy. Which nutritional guidelines do you include in this plan?
A. There is no need to change eating habits.
B. Eat six small meals a day.
C. Eat the largest meal in the evening.
D. Restrict fluid intake.
Correct Answer: B. Eat six small meals a day.
To avoid overloading the small intestine, encourage the patient to eat six small, regularly spaced meals. An ileostomy closure surgery is done to reverse the ileostomy so the client can have bowel movements as he did before the surgery. Ileostomy closure surgery is usually done through the stoma.
Option A: The patient should eat 5 to 6 small meals throughout the day. He should remember to eat slowly and chew his food well. It’s important the patient tries to maintain his weight. After surgery, foods may affect the patient differently. Certain foods may make him have bowel movements right after he eats them.
Option C: Certain foods may cause diarrhea (loose or watery bowel movements). The patient may need to change his diet after surgery. During the first few months after the surgery, the patient will need to test foods and see how he reacts to them. It may be helpful to keep a food diary. This will help keep track of which foods cause discomfort.
Option D: The patient should drink 8 to 10 (8-ounce) glasses of liquids every day. The amount of alcohol the patient drinks can affect him during and after the surgery. If the patient stops drinking alcohol suddenly, it can cause seizures, delirium, and death.
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