Ward Class- Colostomy Care

8/6/2019 Ward Class- Colostomy Care

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COLOSTOMYCOLOSTOMY

CARECARE

-Prepared by

Torregosa, Cyrus Dan, SN-LDCU


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A colostomy is an opening that is

made in the colon with surgery.

After the opening is made, the

colon is brought to the surface of

the abdomen to allow stools to

leave your body.

The opening at the surface of the

abdomen is called a stoma. Temporary colostomy-

performed for traumatic injuries

or inflammatory conditions of the

bowel. It allows the diseasedportion of the bowel to rest and

heal

Permanent colostomy-

performed to provide a

means of eliminationwhen the rectum or anus

is nonfunctional as a

result of a birth defect or

a disease such as

cancer.


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Reasons for Performing

a Colostomy When feces cannot progress

naturally from the colon to the anus

When it is more desirable or

manageable to divert the feces, as

for paraplegics

In any condition where the rectum

or anus is nonfunctional because of

disease, a birth defect or a

traumatic condition (e.g. cancer,diverticular disease, Crohn's

disease)

It is performed to

divert the fecal flow

away from an area

of inflammation or

around an operative

area


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Types of Colostomies

A. Ascending colostomy: stoma

(opening) that is located on theright side of the abdomen.

Liquid (loose) form stool.

Minimal odor.

B. Transverse colostomy: stomathat is located in the upper

abdomen towards the middle or

right side. Soft-semi solid stool.

Malodorous.

C. Descending or sigmoid

colostomy: stoma that is

located on the lower left side of

the abdomen. The output that

drains from this stoma is firm.


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Characteristics of a Stoma:

Normal stoma characteristics:

pink- slight red,

moist,

bleeds slightly when rubbed, no feeling to touch,

stool functions involuntarily, and

postoperative swelling gradually

decreases over several months.


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Stoma classifications:

End Stoma

Double-barrel stoma

Loop stoma


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Types of Products used for

Colostomies1. Pouch

a. Open-ended pouch

b. Close-ended pouch

c. One-piece:d. Two-piece

e. Pre-cut or cut-to-fit pouches


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2. Stoma covers and caps

3. Skin protection

a. Film

b. Pectin-based paste or pastestrips/rings


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Complications

a. Stoma retraction- Retraction

happens when the height of the

stoma goes down to the skin

level or below the skin level.

b. Peristomal hernia- Peristomal

hernias occur when part of the

bowel (colon) bulges into the

area around the stoma


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c. Prolapse- the bowel becomes

longer and protrudes out of the

stoma and above the abdomen

surface.

d. Stenosis- is a narrowing or

tightening of the stoma at or

below the skin level.


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Ward Class- Colostomy Care

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