OSTOMY CARE REFERENCE - Home Healthcare...
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Fax (800) 822 – 6020 UROSTOMY/ILEO CONDUIT DEFINITION: a urinary stoma surgically created from a small portion of the bowel. The ureters are surgically tunneled through a small portion of the small intestine or conduit to provide a pathway for urine. COLOSTOMY DEFINITION: A surgically created opening from the large bowel or colon. Stool consistency is dependent on the portion of bowel used. ILEOSTOMY DEFINITION: A surgically created opening from the small bowel. Stool consistency ranges from liquid to pasty which contain caustic enzymes. MANAGEMENT: CLEANSE/DRY EVALUATE TREAT HEALTHY STOMA STOMA IS RED/MOIST PERISTOMAL SKIN IS CLEAR CLEANSE AND INSPECT SKIN PAT SKIN DRY MEASURE STOMA AS NEEDED ALLERGIC DERMATITIS PERISTOMAL SKIN RED, PAINFU, ITCHY INFLAMMATORY REACTION (NOTE PATTERN OF CONTACT) CLEANSE AND INSPECT SKIN PAT SKIN DRY EVALUATE POUCHING SYSTEM OR SOURCE OF IRRITATION IRRITANT DERMATITIS PERISTOMAL SKIN RED OOZING, BLEEDING, PAINFUL EXPOSURE TO EFFLUENT/LEAKS CLEANSE AND INSPECT SKIN PAT SKIN DRY MEASURE STOMA EVALUATE SYSTEM APPLY STOMA POWDER AND NO STING SKIN PREP OSTOMY CARE REFERENCE Clinical Resource Line: 314-373-7444 www.hh-solutions.com YEAST (CANDIDIASIS) RED, ITCHY, SHINY, SMALL SATELLITE LESIONS SECONDARY SKIN INFECTION CLEANSE AND INSPECT SKIN PAT SKIN DRY MEASURE STOMA EVALUATE SYSTEM CRUSTING WITH ANTIFUNGAL POWDER SEAL WITH SKIN PREP CONSULT WITH WOC NURSEl FOR TREATMENT PLAN: 314-373-7444 ww.hh- solutions.com Fax (800) 822 – 6020
Transcript of OSTOMY CARE REFERENCE - Home Healthcare...
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Fax (800) 822 – 6020
UROSTOMY/ILEO CONDUIT DEFINITION: a urinary stoma surgically created from a small portion of the bowel. The ureters are surgically tunneled through a small portion of the small intestine or conduit to provide a pathway for urine.
COLOSTOMY DEFINITION: A surgically created opening from the large bowel or colon. Stool consistency is dependent on the portion of bowel used. ILEOSTOMY DEFINITION: A surgically created opening from the small bowel. Stool consistency ranges from liquid to pasty which contain caustic enzymes. Compromised skin as a result of incontinence. Skin may be red, broken, painful, weepy, bleeding and/or Itchy.
MANAGEMENT: CLEANSE/DRY EVALUATE TREAT
HEALTHY STOMA
STOMA IS RED/MOIST PERISTOMAL
SKIN IS CLEAR
CLEANSE AND INSPECT SKIN
PAT SKIN DRY
MEASURE STOMA AS NEEDED
ALLERGIC DERMATITIS
PERISTOMAL SKIN RED, PAINFU, ITCHY
INFLAMMATORY REACTION (NOTE PATTERN OF CONTACT)
CLEANSE AND INSPECT SKIN
PAT SKIN DRY
EVALUATE POUCHING
SYSTEM OR SOURCE OF IRRITATION
IRRITANT DERMATITIS
PERISTOMAL SKIN RED OOZING, BLEEDING, PAINFUL
EXPOSURE TO EFFLUENT/LEAKS
CLEANSE AND INSPECT SKIN
PAT SKIN DRY
MEASURE STOMA EVALUATE SYSTEM APPLY STOMA POWDER AND NO STING SKIN PREP
OSTOMY CARE REFERENCE
Clinical Resource Line: 314-373-7444 www.hh-solutions.com
YEAST (CANDIDIASIS)
RED, ITCHY, SHINY, SMALL SATELLITE LESIONS
SECONDARY SKIN INFECTION
CLEANSE AND INSPECT SKIN
PAT SKIN DRY
MEASURE STOMA EVALUATE SYSTEM CRUSTING
WITH ANTIFUNGAL POWDER SEAL WITH SKIN PREP
CONSULT WITH WOC NURSEl FOR TREATMENT PLAN: 314-373-7444 ww.hh-solutions.com Fax (800) 822 – 6020
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Clinical Resource Line: 314-373-7444 www.hh-solutions.com Fax (800) 822 – 6020
MANAGEMENT: CLEANSE/DRY EVALUATE TREAT
ANSE MOISTURIZE PROTECT TREAT PSEUDOVERRUCOUS LESION
WART-LIKE LESIONS URINE POOLING ON THE SKIN
CLEANSE AND INSPECT SKIN
PAT SKIN DRY
MEASURE STOMA EVALUATE POUCHING
SYSTEM CHANGE POUCH ROUTINELY
FOLLICULITIS
INFLAMMATION OF HAIR FOLLICLES
TRAUMATIC REMOVAL OF POUCH
CLEANSE AND INSPECT
SKIN
PAT SKIN DRY
CLIP HAIR REMOVE GENTLY USE REMOVER WIPES
PRESSURE ULCER*
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ULCERATIONS RELATED TO ILL FITTING APPLIANCE OR
ACCESSORIES DETERMINE CAUSATIVE
FACTORS
CLEANSE AND INSPECT SKIN
PAT SKIN DRY
CONSULT WITH WOC NURSE FOR TX PLAN
OSTOMY CARE REFERENCE 2
TINENCE CARE REFERENCE Clinical Resource Line: 314-373-7444 www.hh-solutions.com
PYODERMA*
DISEASE RELATED ULCERATIONS
PAINFUL WITH PURPLE EDGES
CLEANSE AND INSPECT SKIN
PAT SKIN DRY
CONSULT WITH MD AND WOC NURSE FOR TX PLAN
CONSULT WITH WOC NURSE FOR TREATMENT PLAN
STOMA COMPLICATIONS
Clinical Resource Line: 314-373-7444 www.hh-solutions.com Fax (800) 822 – 6020
MANAGEMENT: CLEANSE/DRY EVALUATE PROTECT TREAT Parastomal *
HERNIA
MUSCULAR WEAKNESS IN THE ABDOMINAL WALL
Stoma placed outside the rectus abdominus muscle
FLEXIBLE POUCHING
SYSTEM
CONSULT WITH WOC NURSE
PROLAPSE Stoma
TELESCOPING OF THE INTESTINE THROUGH THE
STOMA Increased abdominal pressure
ONE PIECE POUCHING
SYSTEM ACCOMMODATE STOMA AT ITS LARGEST
SIZE
CONSULT WITH WOC NURSE
Mucocutaneous Separation
TENSION ON THE SUTURE
LINE RESULTING IN SEPARATION
Possibly related to infection or delayed healing
PROTECT/TREAT THE
WOUND
CONSULT WITH THE WOC NURSE
OSTOMY CARE REFERENCE 3
Clinical Resource Line: 314-373-7444 www.hh-solutions.com
Stomal Necrosis
IMPAIRED BLOOD FLOW TO THE STOMA
Necrotic tissue will slough off
MEASURE STOMA AND ADJUST POUCH AS NEEDED
CONSULT WITH WOC NURSE
CONSULT WITH WOC NURSE FOR TREATMENT PLAN
MANAGEMENT: CLEANSE/DRY EVALUATE PROTECT TREAT
