COLOSTOMY
CARE
CHENY LEE P. NARBARTE,RN
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Typology: Lab Reports
2021/2022
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COLOSTOMY
CARE
CHENY LEE P. NARBARTE,RN
REMINDER
NO VIDEO
RECORDIN
G PLEASE
OSTOMY
SURGICAL OPENING FROM THE INSIDE OF THE BODY TO THE OUTSIDE IT CAN BE PERMANENT, WHEN AN ORGAN MUST BE REMOVED. IT CAN BE TEMPORARY, WHEN THE ORGAN NEEDS TIME TO HEAL.
STOMA
AN OPENING ON THE ABDOMEN
THAT CAN BE CONNECTED TO
EITHER YOUR DIGESTIVE OR
URINARY SYSTEM TO ALLOW WASTE
TO BE DIVERTED OUT OF YOUR
BODY.
SHOULD BE REDDISH PINK & MOIST
AND PROTRUDE 1 TO 3 INCHES
FROM THE ABDOMINAL WALL – SKIN
AROUND THE STOMA SHOULD BE
INTACT, SMOOTH WITHOUT
REDNESS OR EXCORIATION
ILEOSTOM
Y
SURGICAL OPENING INTO THE ILEUM BY BRINGING THE END OR LOOP OF SMALL INTESTINE OUT ONTO THE SURFACE OF THE SKIN. STOOL IS LIQUID AND FREQUENT BECAUSE THE LARGE INTESTINE IS BYPASSED
INDICATIO
NS OF
COLOSTO
MY
(^) COMPLETE OR PARTIAL BLOCKAGE IN THE LARGE INTESTINE. (^) INFLAMMATORY BOWEL DISEASE (IBD) – INVOLVES CHRONIC INFLAMMATION OF THE GASTROINTESTINAL TRACT (^) IMPERFORATE ANUS- A CONGENITAL DEFECT CHARACTERIZED BY A BLOCKED OR MISSING OPENING OF THE ANUS. (^) COLORECTAL POLYPS – A GROWTH OF THE EXTRA TISSUES, THAT OFTEN FILL OUT THE LINING OF THE LARGE INTESTINE. (^) INJURY TO THE COLON OR RECTUM (^) COLON OR RECTAL CANCER
POUCHING
SYSTEM
EQUIPMEN
TS
(^) CLEAN GLOVES (^) BED PAN (^) MOISTURE PROOF BAG (^) CLEANING MATERIALS, INCLUDING TISSUES, WARM WATER, MILD SOAP (OPTIONAL) , WASH CLOTH OR COTTON BALLS AND TOWEL (^) GAUZE PAD (^) SKIN BARRIER (OPTIONAL) (^) STOMA MEASURING GUIDE (^) PEN/PENCIL AND SCISSORS (^) NEW OSTOMY APPLIANCE (^) TAIL CLOSURE CLAMP (^) DEODORANT FOR POUCH (OPTIONAL)
SAFETY CONSIDERATION S (^) POUCHING SYSTEM SHOULD BE CHANGED EVERY 4 TO 7 DAYS, DEPENDING ON THE PATIENT AND TYPE OF POUCH (^) ALWAYS CONSULT IF THERE IS SKIN BREAKDOWN (^) PATIENT SHOULD PARTICIPATE IN THE CARE OF THEIR OSTOMY AND HEALTH CARE PROVIDERS SHOULD PROMOTE PATIENT AND FAMILY INVOLVEMENT. (^) ENCOURAGE PATIENT TO EMPTY THE POUCH WHEN IT IS ONE-QUARTER TO ONE-HALF FULL. (^) AN OSTOMY BELT MAY BE USED TO HELP HOLD THE OSTOMY POUCH IN PLACE (^) ALWAYS TREAT MINOR SKIN IRRITATION RIGHT AWAY.