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Ileostomy

An ileostomy is a surgically formed opening in the ileum, which is the last part of the small bowel before it connects onto the large bowel (colon). The ileum is brought to the surface of the abdomen as an opening called a stoma. Watery diarrhoea passes through the stoma and is collected in a small plastic bag, called an ileostomy bag. An ileostomy can be temporary or permanent.

When a child dies

This guideline is intended to supplement the resources found in the 'When a Child Dies' (WACD) purple box located in every ward, which gives detailed information on the care of a child after death and, additionally, the ongoing care and attention that the child's family will require (Rationale 1).

Special handling requirements for oral cytotoxics and immunosuppressant medicines

Cytotoxic medicines are used to kill or damage abnormal cells. There are many different kinds with many different uses. This information from Great Ormond Street Hospital (GOSH) describes how oral cytotoxic and immunosuppressant medicines should be given. It also provides advice on how to handle these medicines safely.

Spinal surgery at GOSH

At Great Ormond Street Hospital (GOSH), we have developed a pathway for children and young people having spinal surgery. Spinal surgery is a complex procedure, so we want you to understand the benefits and risks of the operation so you can make an informed decision about whether to go ahead. This page explains what will happen from your child’s initial clinic appointment through to discharge, which clinicians you may meet and what to expect.

Skin biopsy: punch method

The skin is complex with an array of functions. It is the body’s largest organ, protecting the deeper tissues and organs from mechanical damage, chemical damage, bacterial damage, ultraviolet radiation and thermal damage. The skin aids in regulating body temperature, in excretion of urea and uric acid and also synthesis of vitamin D (Marieb 2012). 

Distraction therapy

When a child or young person shows discomfort by crying or shouting, it is not only distressing for them, but also parents and caregivers, as well as the staff attempting treatment. Children and young people can be helped through painful or difficult procedures using distraction therapy. This information sheet explains about distraction therapy and how it is used at Great Ormond Street Hospital (GOSH).

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