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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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