Expert Column
Ernest Rosenbaum, MD

Ernest Rosenbaum, MD

Ernest Rosenbaum, MD, is Clinical Professor of Medicine at the University of California, San...read more

Articles In This Column

Supportive Homecare

Bed Positioning: Part 1 of 2

Help seniors whose mobility, strength or stamina is limited with five essential tips to make maneuvering within the bedroom much easier. This video is part of an innovative series that we are proud to re-introduce and was created by a leader in the field of supportive homecare, Dr. Ernest Rosenbaum. It is important to pay attention to the position you lie in, and when you are confined to bed, you may need help in positioning. During sleep, we unconsciously...Read entire article »

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Bed Positioning: Part 2 of 2

Repositioning Frequent change of position is the second means of preventing bedsores and muscle wasting. If you are unable to turn over by yourself, it is important that your family helper understands the need and techniques for frequent repositioning—at least every two hours is a good rule of thumb. Having a pull or draw sheet placed under you will greatly help another person turn you over. He or she folds a large sheet in half twice, forming a band slightly...Read entire article »

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Care of Colostomies & Ileal Conduits: Part 1 of 3

Surgery today is far more complicated than ever before. Newer techniques are saving more and more lives. However, some of these surgeries require special and continuing care on the part of the patient. "Ostomy" surgery is one. Sometimes the pathways of the digestive or urinary tracts need to be diverted. Disease such as cancer, trauma, and birth defects are reasons for "diversion." An ostomy is a general term meaning an opening made into the body. When this opening is made...Read entire article »

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Care of Colostomies & Ileal Conduits: Part 2 of 3

How to Irrigate It is absolutely essential that the irrigations be done correctly so that the best results can be achieved. Many manufacturers of irrigation equipment include specific instructions on how to irrigate with the equipment. 1. An irrigation kit contains a bag for the irrigation water. This bag is attached to a tube which has a clamp to adjust water flow. Many colostomates use a plastic cone at the other end of the tube; this cone fits snugly against...Read entire article »

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Care of Colostomies & Ileal Conduits: Part 3 of 3

Ileal Conduit The ileal conduit is performed when the bladder has to be removed, most often because it is cancerous. People who have ileal conduits have to wear a pouch at all times. It is emptied from the bottom. Most pouches cannot hold enough waste to last through the night, so it is necessary to connect the pouch to a bedside container, to be able to sleep through without having to get up to empty the pouch. Just as for...Read entire article »

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