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COCN exam Format | COCN Course Contents | COCN Course Outline | COCN exam Syllabus | COCN exam Objectives

- Psychosocial factors affecting care

- patient and caregiver ability to learn and perform care

- economic implications

- education

- coping skills



- Surgical procedures

- ileal pouch-anal anastomosis [IPAA]

- continent reservoir

- low anterior resection [LAR]

- total proctocolectomy

- abdominal perineal resection [APR]



- Surgical indications

- cancer

- inflammatory bowel disease [IBD]

- necrotizing enterocolitis

- trauma

- perforation

- ischemia



- Specialty population considerations

- neonatal

- obstetric

- pediatric

- bariatric

- differently abled

- Identifying and supporting patient and caregiver goals



- Evaluating ability to provide self-care

- manual dexterity

- vision

- cognition

- Marking and selecting stoma sites

- abdominal contours

- clothing choices

- pouching options

- lifestyle

- surgical procedures



- Fecal diversion

- colostomy

- ileostomy

- continent pouch

- Urinary diversion

- urostomy

- continent pouch

- orthotopic neobladder

- Stomal complications

- prolapse

- retraction

- necrosis

- hernia

- Peristomal complications

- mucocutaneous separation

- dermatitis

- pyoderma gangrenosum

- Surgical complications

- dehiscence

- infection

- ileus

- Percutaneous tubes

- nephrostomy

- gastrostomy

- surgical drain

- Fistulae

- enterocutaneous

- colocutaneous

- vesicocutaneous

- Principles of patient-centered care

- psychosocial issues

- access to care and supplies

- cultural beliefs

- Evaluating the effectiveness of the current treatment plan

- Setting patient-focused goals



- Containment modalities

- pouches

- absorptive dressings

- Skin health and protection

- crusting

- skin barrier

- Fluid and electrolyte balance

- Medication management

- Dietary management

- Interpreting patient responses to interventions

- Modifying interventions based on revised patient needs and goals

- Interpreting lab values

- Utilizing securement techniques



- Coping mechanisms

- Changes in body image

- Available health care resources

- support and advocacy

- supply access

- post-acute care

- Engaging in active listening

- Assessing verbal and nonverbal cues



- Colostomy management

- irrigation

- closed-end pouches

- odor

- Ileostomy management

- fluid and electrolyte management

- food blockage

- medications

- Urostomy management

- mucus

- stents

- bedside drainage

- Continent diversion management

- intermittent catheterization

- irrigation

- Effluent quality, type, frequency, and volume

- Complication management

- crusting

- cauterization

- accessories

- convexity

- Stoma types

- end

- loop

- temporary

- permanent

- Bridging systems

- rod

- loop

- Selecting pouching systems and accessories

- evaluation of body contours

- stoma construction

- patient preference

- Applying pouching systems and accessories

- Collecting urine specimens from ileal conduits

- Managing stomal and peristomal complications

- crusting

- cauterization

- accessories

- convexity



- Fistulae management

- Etiologic factors

- surgery

- infection

- obstruction

- Crohns disease

- Medications

- Nutrition

- Monitoring fluid and electrolyte balance

- Applying containment devices

- pouches

- absorptive dressings

- Protecting perifistular skin

- crusting

- skin barrier

- Percutaneous tube management

- Securement techniques

- Managing complications

- dislodgement

- hypertrophic tissue

- blockage

- leakage



- Preoperative education

- surgical procedures

- lifestyle changes

- stoma management

- stoma site marking

- Postoperative education

- pouching

- activity

- intimacy

- nutrition

- peristomal skin health

- Health literacy

- Patient and caregiver goals

- self-care

- reliable pouch wear time

- activity

- Transitions of care

- Supply and information resources

- Specialty population considerations

- neonatal

- obstetric

- pediatric

- bariatric

- differently abled

- Educating the patient and caregivers on ostomy, fistula, and tube management

- Developing plans of care



- Factors affecting optimal ostomy management

- high output

- ineffective pouching

- peristomal skin injury

- Patient and caregiver goals

- self-care

- reliable pouch wear time

- activity

- Transitions of care

- Educating health care clinicians and providers on ostomy, fistula, and tube management principles and procedures

- fluid and electrolyte management

- medications

- nutrition

- Developing plans of care

- supplies

- pouching



- Plans of care

- Available health care resources

- support and advocacy

- supply access

- post-acute care

- Recommending referrals for other services

- rehabilitation services

- nutritionist

- social services

- mental health professional

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