2-Stoma Creation human being (ne2w).pptx

Stoma care

1. M UPUL PATHMASENA . WOCN . NATIONAL HOSPITAL COLOMBO T.P. 0714418413 STOMA CREATION.

2. Stoma Creation. Rationale for WOC nurse marking the stoma site. Optimal site the stoma that will facilitate management by the patient or care giver. A poorly sited stoma has several problems.

3. Usual Stoma Creation. Colostomy; - Descending /Sigmoid colostomy.. LLQ -Transverse colostomy .. LLQ or RUQ - Ascending colostomy.. RUQ or RLQ

4. Usual Stoma Creation. Ileostomy..RLQ. - Ileal conduit .. RLQ - Continent Diversion [ fecal or urinary] ..RLQ

5. Stoma marking.

6. Rectus Muscle From xyphoid process to the symphysis pubis. Runs longitudinally to lateral borders around the nipple line. Identified by inspection & palpation.

7. Rectus Muscle From xyphoid process to the symphysis pubis. Runs longitudinally to lateral borders around the nipple line. Identified by inspection & palpation.

8. How to Identified Rectus muscle . Inspection & palpation. Ease to identify in a supine position. Palpating while the patient lift his head & or feet . Laughs or coughs . Stretch the arms over the head . Lift patient ‘s head from the pillow. [ Wheel chair bound patient – mark them in the wheel chair. ]

9. How to Identified Rectus muscle.

10. How to identified Rectus muscle

11. Conclusion. Stoma site marking an essential role in the rehabilitation of patients. Spending time choosing the appropriate stoma site is essential for their physical & psychological wellbeing.

12. T hank you