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Medical News & Perspectives
March 14, 1964

Counseling, Assurance, Self-Care Valuable to Colostomy Patient

JAMA. 1964;187(11):29. doi:10.1001/jama.1964.03060240103055

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Abstract

Panic, despair, confusion, or fear may mark the reaction of the patient who is told he must have major colonic surgery. The surgeon's understanding of these subjective and emotional reactions was classed as "most fundamental to the total approach in the management of patients in whom surgery is contemplated" by Charles J. Weigel, MD, of River Forest, Ill.

Weigel, addressing the International Academy of Proctology in Miami Beach, Fla, early in March, told listeners that psychological preparation which provides the patient with "some degree of emotional security will reduce the patient's anxieties, so that he takes the anesthesia better and recovers more speedily from the effects of surgery."

What and how much the patient should be told about the operation comprise the first problem facing the surgeon.

"A detailed description of the disease and surgical procedure is not necessary, but adequate time should be allowed for questions. Line drawings may

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