Sponsored by Eakin Healthcare
Enterocutaneous Fistulas (ECF) can range from simple to highly complex and, in their more severe form, represent one of the most challenging problems for healthcare professionals (Metcalf, 2019). Complex fistulae are associated with high morbidity, including high risk of infection, ongoing skin complications and severe fluid and electrolyte imbalance. Alongside these physical challenges, the impact on patients can be profound, affecting both quality of life and psychological wellbeing.
Approximately 80% of ECFs are caused by surgical complications, with the remaining 20% occurring spontaneously (Gribovskaja-Rupp and Melton, 2016). Considering this, ECF’s are an unexpected and unplanned complication, leaving little opportunity for psychological preparation. This often necessitates rapid adjustment to a life-altering condition, which can be both distressing and socially isolating (Hӓrle et al, 2023).
Considering the psychological and physical adjustment, this symposium will take a mind–body approach to ECF management. While the physical management of ECFs is inherently complex and requires a multidisciplinary approach, particular attention will be given to skin management, given its central role in both physiological stability and patient wellbeing.
In parallel, the symposium will focus on helping nurses understand the negative impact of unplanned complications on mental health and stress (Pinto, 2016). Our experts will explore how nurses can support patients, even in situations where clinical uncertainty remains and definitive outcomes are not always immediately evident.
