Discharge education is appropriate after a total colectomy with ileoanal reservoir when the patient says which statement?

• A. Ulcerative colitis cannot be cured.
• B. Because of this surgery, I am at a higher risk of developing colon cancer.
• C. I am going to eat a hamburger and fries for dinner.
• D. I look forward to having the ileostomy closed.

Answer: (D)

Understanding that the ileostomy created during a total colectomy with ileoanal reservoir is temporary and that the next step is to reverse it is the key idea here. After this surgery, the bowel is connected in a way that allows the ileal pouch to function, but healing often requires a period with the ileostomy still in place. Expectations include eventual closure of that ileostomy once healing is sufficient. Saying, “I look forward to having the ileostomy closed” shows clear recognition of this planned, temporary stage and readiness for the next step in recovery, which is exactly what discharge education aims to confirm.

The other statements don’t reflect this immediate, practical understanding of the postoperative plan. While ulcerative colitis can be cured by removal of the diseased colon, and cancer risk discussions can be important in broader care, they don’t address the specific next step of the surgical course. Wanting to eat a hamburger and fries doesn’t convey awareness of the healing process or the plan for reversing the ileostomy.